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Perimenopause Prep 101

Most women learn about perimenopause only when they start living it—in a recent survey, 59% of women said they had never even heard of this life stage before their first symptoms. The impact is real: Women ages 40 to 49 are struggling, reporting higher rates of hopelessness than those over 50.


It’s a reminder that midlife care is more than menopause. Hormones shift, metabolism changes, and stress can hit harder—long before (and after) your last period. 


So whether you’re here for perimenopause care, for weight loss, or simply to feel more like yourself, here are ways to get ahead of what’s happening:

Know the signs
Recognizing the signs of hormonal change (mood shifts, sleep disruption, and shorter cycles) can help you take action sooner. There’s absolutely no need to white-knuckle your way through this. 

Support your body daily

Consistency matters. Nourish your body with balanced nutrition, regular movement, and supplements designed specifically for this stage of life.

Adjust your Care Plan

Symptoms can change over time. If you’re not feeling your best, book a follow-up visit with your Midi clinician. They’ll update your Care Plan to tackle whatever’s going on now.

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We Bottled Up an Energy Boost

Wondering why you’re dragging these days? It could relate to creatine, a compound found naturally in muscle and brain cells that acts as an energy source. 


As estrogen dips in midlife, your body gets less efficient at using and storing creatine, which can leave you feeling:

  • Weaker

  • More fatigued

  • Less mentally sharp

Enter Midi’s NEW Creatine+. It’s your midlife muscle and energy upgrade. Designed specifically for women, these mango-lime gummies pack 3 grams of gold-standard creatine monohydrate, which is clinically shown to support strength, stamina, and clarity. 


Clinician Tip: Creatine can cause mild, temporary bloating or water retention when you first start. To help your body adjust, begin with 1 gummy daily and gradually work up to 3 gummies, as tolerated. And don’t forget to hydrate—your muscles will thank you.

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Midi Diaries

“Midi gave me my life back when I didn’t recognize myself anymore.”
- Megan J., Midi patient

After surgery to remove my left ovary and fallopian tubes, I expected to heal and move on. Instead, a few months later, everything fell apart—brittle hair, sudden weight gain, exhaustion, and mood swings so intense they scared me. I didn’t recognize myself! 


When I asked my OB/GYN about hormone replacement therapy, she dismissed the idea because I was still getting a monthly cycle and suggested low-dose birth control instead. I felt unheard and completely defeated.


Then my hairstylist told me about Midi. I booked a visit, and for the first time, felt truly listened to. My clinician started me on an estradiol patch and progesterone, and almost immediately the rage and emotional swings eased. The deeper physical changes took time, but I finally felt like I was moving in the right direction. When we added a small dose of testosterone a few months later, everything shifted—my energy came back, my motivation returned, and even my mood lifted.


I want women to know it’s OK to seek care outside your regular OB/GYN. Midi specializes in this stage of life, understands the science, and actually validates what you’re going through. It’s been the most supportive care I’ve ever received.

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Catch up on past editions of the Midi Weekly and subscribe to get expert tips, science-backed solutions, and the latest menopause news straight to your inbox.

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