Perimenopause & Healthspan Protocol
Navigate the menopausal transition with precision — measuring what matters at the cellular level.
"I can feel my body changing. I want to get ahead of it before things get worse."
What keeps her up at night.
You are in your 40s or early 50s. Your body is signalling change: fatigue that coffee cannot fix, sleep that does not refresh, hair thinning, and a temperament you barely recognise. Your doctor watches the three highs — but nobody is looking at why your body is aging faster than it should.
- Increasing fatigue, brain fog, and disrupted sleep patterns
- Hair loss, skin changes, and body composition shifts
- Worsening stress response amplifying perimenopause symptoms
- The three-highs: cholesterol, blood pressure, blood sugar creeping upward
- Bone density and fracture risk as oestrogen declines
- Whether current supplements are actually doing anything
8 of 12 Hallmarks of Aging.
Perimenopause is not just a hormonal event — it is a systemic acceleration. Oestrogen decline triggers mitochondrial dysfunction, cellular senescence, epigenetic drift, and chronic inflammation. Your protocol covers the broadest hallmark range of any Vivere bundle.
Six precision diagnostics.
A 360-degree view of your cellular aging — from epigenetic age to mitochondrial energy to skeletal integrity.
More than tests.
- Initial 45-minute deep-dive consultation with a longevity physician
- Personalised Vivere Master Blueprint with supplement and exercise prescription
- Digital results dashboard with longitudinal tracking
- Two follow-up tele-reviews (8 weeks and 16 weeks)
- Optional add-on: Metabolic Recomposition Protocol with GLP-1 therapy if indicated
Baseline. Decode. Prescribe. Track.
Comprehensive blood draw, body composition scan, and health history review. We establish where you stand across all measured hallmarks.
Your physician maps every result to the Hallmarks of Aging, showing exactly which biological clocks are running fast — and which you can slow.
A bespoke protocol: targeted supplementation (NAD+ precursors, omega-3, vitamin D), exercise calibrated to your VO2max, and nutrition adjustments.
Quarterly re-testing of key markers to measure biological age reversal. Your dashboard shows progress over time, not just snapshots.
Your questions, answered.
Is this protocol an HRT replacement?
No. This protocol measures the cellular aging signals that intensify around perimenopause. It is fully complementary to hormone replacement therapy and often makes HRT decisions more informed — your physician can see exactly which hallmarks are accelerating and tailor the conversation.
What's actually in the GLP-1 add-on?
If your visceral adiposity, metabolic age, or three-highs risk indicates clear benefit, your physician may prescribe GLP-1 therapy under monitoring. It is not included in the base bundle price and is only prescribed after clinical assessment.
How is biological age "reversed"?
Biological age — measured by the epigenetic clock — responds to targeted intervention. Sleep, exercise (especially resistance training), nutrient sufficiency, and selective supplementation all move the needle. We re-test at 8 and 16 weeks to confirm trajectory.
I'm post-menopausal. Is this still relevant?
Yes. The Menopause Shield Bundle is calibrated for the transition AND the years after. Bone density, mitochondrial function, and cellular senescence continue to be the dominant aging signals well past menopause.
Can I add a thyroid panel?
Absolutely. Hashimoto's and subclinical hypothyroidism are common in this life stage. We add full thyroid panels (TSH, fT3, fT4, TPO antibodies) at clinical discretion.
Vivere Longevity protocols are physician-supervised and personalised. GLP-1 therapy is prescribed only after clinical assessment and is not included in the base bundle price. All prices are before GST. Vivere Longevity operates from Paragon Medical Centre, 290 Orchard Road #17-11, Singapore 238859.