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Pivot: Your Perimenopause Playbook
Hardcover
ISBN13: 9781662975837
Publisher: Gatekeeper Press
Published: Nov 13 2026
Pages: 292
Weight: 1.23
Height: 0.69 Width: 6.00 Depth: 9.00
Language: English
You are not crazy. And you are not imagining it.
The sleepless nights, brain fog, anxiety, rage, weight gain that suddenly won't budge, and the unsettling feeling that your body has stopped playing by the rules.
These aren't random symptoms. They may be signs that your body is entering perimenopause, and one of the most important decades for your future health has begun.
After nearly two decades caring for women as a double board-certified OB/GYN and integrative medicine physician, Dr. Jennifer Roelands thought she understood hormones. Then she experienced perimenopause herself.
She discovered a gap between what women were experiencing and the care they were receiving. Too many women were being told their labs were normal, their symptoms were just stress, or that they simply needed to eat less, exercise more, and wait it out.
But perimenopause isn't something to simply survive.
It is an opportunity to change how you age.
In PIVOT, Dr. Jen combines evidence-based medicine, hormone science, nutrition, exercise, sexual health, and longevity research into a practical roadmap for navigating this transition-and building a body and brain that will support you for decades to come.
At the heart of the book is the PIVOT Method:
P - Prepare
Understand what is happening in your body, track your symptoms, and walk into your doctor's office ready to advocate for the care you deserve.
I - Intervene
Know which tests matter, which don't, and understand your options-from lifestyle interventions to the hormone conversation.
V - Vitality
Learn how nutrition, strength training, sleep, metabolic health, and sexual health need to evolve for the body you're living in now.
O - Optimize
Turn what you've learned into a personalized plan based on your symptoms, goals, risks, and the life you actually want to live.
T - Transcend
Step into the second half of life with confidence, resilience, and purpose-and age on your own terms.
PIVOT isn't about getting your old body back.
It's about understanding the body you have now, and using this pivotal decade to build the health you want for the next thirty years.
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