This module explores the physiological transition through perimenopause and menopause, focusing on fluctuating estrogen, declining progesterone, and their effects on metabolic, skeletal, neurological, and reproductive health. It covers common and less-recognized symptoms, including menstrual changes, hot flashes, sleep disturbances, mood changes, brain fog, joint discomfort, vaginal and urinary symptoms, and changes in sexual health. The module emphasizes nutrition strategies involving adequate protein, fiber, calcium, vitamin D, omega-3s, and anti-inflammatory foods, alongside strength training, sleep hygiene, and stress management. It highlights proactive, individualized health strategies to support muscle and bone health, metabolic well-being, and overall quality of life during this transition.