
Honoring the passage of time and embracing gifts.
Our Functional Approach to
Perimenopause + Menopause
An opportunity to deepen our health.
Common Conditions We Support
Hot Flashes and Night Sweats
Sleep Disturbances and Insomnia
Mood Changes (Anxiety, Irritability, Depression)
Vaginal Dryness and Painful Intercourse
Low Libido and Sexual Dysfunction
Brain Fog and Memory Issues
Weight Gain and Metabolic Changes
Fatigue and Low Energy
Bone Density Loss and Osteopenia/Osteoporosis
Increased Cardiovascular Risk
Thyroid Dysfunction During Menopause Transition
Urinary Incontinence or Frequent UTIs
Joint Pain and Muscle Aches
Skin Changes and Accelerated Aging
Menopause is a natural life transition—an opportunity to realign with your health, purpose, and potential. While hormonal changes can bring challenges such as mood shifts, weight gain, fatigue, and sleep disturbances, they also invite a powerful season of reflection, self-awareness, and renewal.
Functional medicine sees this stage not just as a hormonal shift, but as a whole-body transformation. We work with you to uncover and address the root causes of imbalance—whether they're related to nutrition, stress, gut health, inflammation, or detoxification.
This is a time for self-actualization—not just managing symptoms, but stepping fully into your strength. With the right tools and support, (peri)menopause can be a catalyst for vitality, clarity, and lasting health.
Lifestyle Approach to Menopausal Health
Nutrition
Eating whole, unprocessed foods that you prepare at home can help stabilize blood sugar, reduce inflammation, and ease common menopausal symptoms like hot flashes, mood swings, and weight gain. Aim for at least 25–35 grams of fiber daily from vegetables, legumes, seeds, and whole grains to support digestion, hormone metabolism, and heart health. Include protein—such as fish, eggs, legumes, or lean meats—with every meal to maintain muscle mass and energy. Minimize added sugars and ultra-processed foods, which can worsen insulin resistance and fatigue. Opt for organic when possible to limit exposure to hormone-disrupting pesticides and antibiotics. Colorful fruits, vegetables, herbs, and teas provide phytonutrients that support detoxification, immune function, and cellular aging. Alcohol may increase the risk of hot flashes, breast cancer, and sleep disturbances—limiting intake to no more than five drinks per week (or avoiding it) can support overall hormone balance and cancer prevention.
Movement and Body Composition
Regular movement is essential during menopause to support mood, metabolism, bone density, and cardiovascular health. Aim for at least 45 minutes of activity daily—walking, yoga, resistance training, or dancing all count. Strength training is especially important to preserve lean muscle and improve insulin sensitivity. As estrogen levels decline, maintaining a healthy body composition becomes even more critical, since excess fat can increase inflammation and exacerbate hormonal symptoms. Consistent movement, combined with nourishing food, helps reduce belly fat, protect bone health, and support healthy aging.
Toxins and Environmental Exposure
The body’s ability to detoxify naturally declines with age, making it even more important to reduce toxin exposure during and after menopause. Avoid unnecessary antibiotics when possible, as they can damage gut health and impair estrogen metabolism. Support your detox pathways with daily hydration, fiber-rich foods, and regular exercise. Avoid plastics, synthetic fragrances, and conventional beauty or cleaning products that may contain endocrine-disrupting chemicals—these compounds are linked to increased risk of hormone-sensitive cancers and other chronic conditions. Switching to clean, low-toxin alternatives helps support long-term hormonal resilience.
Stress and Sleep
During menopause, shifting hormones can make women more sensitive to stress and more prone to sleep disturbances. Chronic stress can worsen symptoms like anxiety, low libido, and fatigue. Mindfulness practices such as meditation, breathwork, or restorative yoga can help regulate the nervous system and improve resilience. Rest goes beyond sleep—it includes time for hobbies, social connection, and slowing down. Aim for 7 to 9 hours of quality sleep each night to allow your body to repair, balance hormones, and restore energy. Prioritizing stress management and rest helps reduce hot flashes, support memory and mood, and promote vitality throughout menopause and beyond.
Understanding Your Story & Holistic Counseling
At Tulsi Vis, we believe in a holistic, personalized approach to healing—one that honors each woman’s unique story, body, and journey. Functional medicine is not a one-size-fits-all solution. It’s a thoughtful, data-driven process that helps uncover the root causes of imbalance by looking at the whole person—body, mind, and environment.
Our holistic counseling emphasizing menopause involves evaluating key areas such as insulin resistance, estrogen metabolism, liver function, macro and micro nutrients, gut health, exercise and strength, stress response, and environmental toxin exposure. Through advanced lab testing—like hormone panels, comprehensive stool analysis, environmental toxin screens, genetic SNP testing, biological clocks, epigenetics and more—we gain deep insight into your health picture. This allows us to create a customized plan with clear priorities, tailored to your needs.
We don’t overwhelm you with everything at once. Instead, we take a step-wise approach, moving through SMART (Specific, Measurable, Achievable, Relevant, and Time-bound) steps that make the plan actionable and sustainable. Our protocols are evidence-based, rooted in science, and deeply personalized.
We listen closely and walk with you through each stage of the healing process. Your plan is designed to meet you where you are, allowing space for adjustments, questions, and ongoing support. With guidance rooted in evidence and compassion, you’ll have the tools to make meaningful, lasting changes. Step by step, your progress is monitored—not just through labs and data, but through how you feel, function, and move forward in your life. This journey is about empowering you with knowledge, support, and a clear path toward sustainable health.