Bloating, reflux, nausea and new food sensitivities can become more noticeable during perimenopause. From a classical Chinese medicine perspective, these digestive changes may reflect shifts in the balance between moisture, dryness and the body’s ability to transform and distribute nourishment.

Sleep can change significantly during perimenopause. In classical Chinese medicine, this is often connected to Yang no longer descending and storing as smoothly at night, alongside changes in blood, digestion, heat, and rest.