Evidence-Based Nutritional Management of Menopausal Symptoms: A Pathophysiological Reasoning Approach to Personalized...

Area of Science:

• Nutritional Science
• Endocrinology
• Women's Health

Background:

• A 47-year-old woman experienced fatigue, mood instability, and bloating, seeking support for energy and bone health.
• Hormone replacement therapy (HRT) did not fully resolve symptoms, prompting further investigation.
• Family history of osteoporosis (OP) indicated a need for bone health support.

Purpose of the Study:

• To present the methodology and outcomes of a personalized nutrition intervention for a menopausal woman.
• To detail the pathophysiological reasoning used for patient assessment and intervention.
• To evaluate the efficacy of tailored dietary and lifestyle changes.

Main Methods:

• A 7-week intervention with two online consultations.
• Dietary analysis revealed macronutrient intake contributing to blood sugar imbalance and HPA axis dysfunction.
• Interventions included adjusted macronutrient intake, supplementation, weight-bearing exercise, caffeine reduction, yoga, and meditation.

Main Results:

• The patient reported increased energy, reduced snacking, and improved sleep.
• Mood and bloating remained unchanged; headaches worsened.
• Bone health was not quantitatively measured during the intervention.

Conclusions:

• Personalized nutrition, guided by pathophysiological reasoning, shows potential efficacy in improving energy and sleep.
• An evidence-based approach supports intervention decisions in nutritional coaching.
• Further research is needed to confirm bone health outcomes and address persistent symptoms.