Perimenopause &
Healthspan
The window before menopause is your highest-leverage opportunity to prevent the cardiovascular, bone, and cognitive decline that follows — if you act while the biology is still working for you.
The years before the Final Menstrual Period are when intervention matters most.
Perimenopause is not a waiting room for menopause. It is the period of active hormonal transition during which cardiovascular risk accelerates, bone density begins its steepest decline, and cognitive changes emerge — often years before most women recognise them as hormonally driven. Standard health screens are not designed to detect this transition.
The Vivere Perimenopause Protocol establishes your complete biological baseline at the moment when intervention is most effective — mapping the hormonal, cardiovascular, skeletal, and cognitive changes already underway, and building a programme around the highest-leverage actions available now.
Hallmarks of Aging Accelerated During Perimenopause
Perimenopausal hormonal fluctuation affects multiple aging pathways simultaneously — epigenetic drift, metabolic resilience, cellular senescence, and intercellular signalling are all in active transition.
López-Otín et al., Cell 2023. Highlighted hallmarks reflect primary mechanistic targets of this protocol.
Your Perimenopause Biomarker Panel
Seven investigation sets establishing your complete biological baseline during the transition window — each selected because it enables a high-impact, modifiable intervention.
From Baseline Assessment to Personalised Programme
A structured six-step programme establishing your complete perimenopausal baseline and delivering an evidence-ranked intervention plan while the window for greatest impact is still open.
The 4–8 years before the Final Menstrual Period are the highest-leverage window for preventing post-menopausal cardiovascular, bone, and cognitive decline.
Timing
Oestrogen begins declining up to 10 years before the last period. The cardiovascular and bone protection it provides is already diminishing.
Intervention Window
Lifestyle and hormonal interventions started during perimenopause are significantly more effective than those started after menopause.
Longevity Consultation
Physician-led review of your symptom timeline, hormonal history, and cardiometabolic risk.
Cardiovascular & Hormonal Bloods
Fasting panel covering hormonal transition markers, cardiovascular risk, and bone health.
DEXA Body Composition
Bone density, muscle mass, and body composition measured and scored against Asian-specific references.
Epigenetic Age Clock
DNA methylation assessment measuring your biological age and pace of aging during transition.
Cognitive Baseline
Standardised cognitive assessment establishing your pre-transition performance baseline.
Protocol Review & Programme
Your physician presents a personalised plan covering hormone therapy options, training, nutrition, and monitoring.
Every result is reviewed in a physician-led consultation. Your protocol is built on your data, not a template.
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