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Before The Change

Before the Change

What every woman needs to know about the years leading up to menopause.

The New York Times bestselling BEFORE THE CHANGE has been updated and revised to include information on the dangers of HRT, the pros and cons of soy, and new insights about hypothyroidism.

BEFORE THE CHANGE offers the first complete do-it-yourself program for managing perimenopause – the period of about 10 years leading up to menopause – with proven techniques for understanding and controlling its symptoms without powerful drugs or hormone treatments.

If you’re asking peri-WHAT? You need this book.

To help you cope with sudden, unwanted symptoms, Ann Louise Gittleman has created 10 Peri-Zappers to address the most common symptoms safely, naturally, and effectively impacting women’s lives.  When she appeared on the Dr. Phil Show to discuss BEFORE THE CHANGE, Dr. Phil’s wife Robyn said this was the book that made her feel like 25, at 50!


  • Clearly explains the symptoms of perimenopause and offers a self-diagnosis quiz
  • Details safe and natural alternatives to hormone therapy, including healing vitamins, minerals, herbs, and natural hormones
  • Gives you a powerful “Changing Diet,” with tips and recipes for foods that prevent and alleviate symptoms

This breakthrough book provides a gentle incremental program for understanding your own changes and offers a wide range of natural options for relieving unpleasant symptoms. By following Ann Louise’s proven techniques for controlling the symptoms of perimenopause, you can continue to feel great through this vital phase of your life.

“The single best book you can read on cooperating with nature as your body shifts gears in preparation for the powerful menopausal years.”

—Joan Borysenko, Ph.D., author of Minding the Body, Mending the Mind and A Woman’s Book of Life

“American natural health doyenne, Ann Louise Gittleman describes the changes women experience before the change and presents a program for countering unpleasant symptoms…”

—Natural Health