Perimenopause Support in Portland, OR

Root-cause care for the years when your body starts rewriting the rules and nobody handed you the new manual.

Chelsie Moore is a functional medicine clinician and integrative dietitian nutritionist in Portland, OR, who helps women navigate perimenopause with care that addresses hormones, sleep, mood, energy and blood sugar together. She sees clients in person in Portland and virtually.

If you've been told your labs are "normal" while you feel anything but, you're in the right place. Your symptoms are real, they have reasons, and there is so much we can do about them.

Does This Sound Familiar?

Perimenopause rarely announces itself. More often, it shows up as a collection of changes that feel unrelated until someone connects the dots. You might be noticing:

• Waking at 3 a.m. and staring at the ceiling, even when you're exhausted

• Periods that are heavier, closer together, or suddenly unpredictable

• Anxiety, irritability or low mood that feels unlike you

• Brain fog and losing words mid-sentence

• Weight gain around your middle, despite eating and moving the way you always have

• Hot flashes, night sweats or heart palpitations

• Afternoon energy crashes and cravings you can't out-willpower

• Lower libido, joint aches, or skin and hair changes

You are not imagining this, and you are not "just getting older." These are signals from a body moving through one of the biggest hormonal transitions of your life, and they deserve a thoughtful response.

What Is Perimenopause?

Perimenopause is the transition leading up to menopause. During these years, estrogen and progesterone fluctuate, sometimes dramatically, before they eventually decline. It most often begins in a woman's 40s, can start in the late 30s, and typically lasts several years. Menopause itself is one moment: 12 months in a row without a period.

The rollercoaster matters more than the decline. Progesterone often drops first, which can affect sleep and mood. Estrogen can swing higher than usual before it falls, which can bring heavier periods, breast tenderness and irritability. Those shifts affect your thyroid, stress hormones and blood sugar too, which is why perimenopause can feel like it touches everything.

This is also why a single hormone test often misses the picture. Understanding perimenopause means looking at patterns, symptoms and the whole system together.

A Root-Cause Approach to Perimenopause

Functional and integrative care asks why you feel the way you do, then builds a plan around your answers. Instead of treating each symptom on its own, we look at the systems that shape how you move through this transition:

• Hormone patterns: estrogen, progesterone and testosterone, along with how your body makes and clears them

• Blood sugar and metabolism: insulin sensitivity often shifts in perimenopause, affecting weight, energy and cravings

• Stress and cortisol: chronic stress amplifies nearly every perimenopause symptom

• Thyroid health: thyroid changes can mimic or worsen perimenopause symptoms

• Gut health: digestion and the microbiome influence hormone balance and inflammation

• Sleep, nutrition and movement: the daily foundations your hormones rely on

From there, your plan may include personalized nutrition, targeted lab testing, lifestyle and behavior-change strategies, and pharmaceutical-grade, third-party tested supplements from one of our trusted partners. Integrative care works alongside your medical providers. If hormone therapy is right for you, I'll help you have an informed conversation with your prescribing clinician.

Ways to Work Together

Perimenopause Care in Portland and Virtually

Private care for women who want a fully personalized plan. We begin with an in-depth intake covering your health history, symptoms, cycle and goals. Next comes targeted lab testing where it's useful, followed by a clear, step-by-step plan with ongoing support as your body changes. Appointments are available in person in Portland or virtually.

Transforming (peri)Menopause, a 90-Day Virtual Group Program

For women who want expert guidance plus the relief of doing this alongside others. Over 90 days, this live group experience moves you from Clarity to Control to Confidence. It includes recorded teaching sessions, Q&A calls and your personalized SMILE Blueprint, with optional lab add-ons. The program is fully virtual, so you can join from anywhere.

Not Ready Yet? Start Here

Download the free guide, Women's Reset: A 7-Day Plan for More Balanced Hormones.

Meet Chelsie Moore, Your Portland Perimenopause Guide

I'm Chelsie Moore, a functional medicine clinician and integrative dietitian nutritionist, and the founder of Moore Integrative Health in Portland, Oregon. I work primarily with women on hormone health, perimenopause, fatigue, mood and sleep, blood sugar regulation, and autoimmune concerns.

My training includes a master's degree, two years of clinical nutrition residency, a certification in behavior change from the Yale School of Public Health, and Women’s Integrative Health practitioner training with Aviva Romm, MD. My background in behavior change matters here: knowing what to do and actually being able to do it in a full, busy life are two different things. I help with both.

I believe women deserve to be listened to, believed, and given real answers. Perimenopause isn't something to just push through. It's a chance to understand your body better than ever.

Perimenopause FAQs

How do I know if I'm in perimenopause?

If you're in your late 30s to 50s and noticing changes in your cycle, sleep, mood, energy or weight, perimenopause is a likely contributor. There's no single test that confirms it. Diagnosis is based mostly on your age, symptoms and cycle changes, and labs help rule out other causes, such as thyroid issues.

What does a functional medicine practitioner do for perimenopause?

A functional medicine practitioner looks for the root causes behind your symptoms, including hormones, blood sugar, stress, thyroid and gut health, and builds a personalized plan. That plan usually includes nutrition, lifestyle, targeted testing and supplements, coordinated with your other providers.

Can perimenopause symptoms be managed naturally?

For many women, yes. Nutrition, blood sugar balance, stress support, sleep strategies and targeted supplements can meaningfully reduce symptoms. Some women also benefit from hormone therapy, and integrative care can work alongside it.

Do you offer virtual perimenopause support?

Yes. I see clients in person in Portland, Oregon, and virtually. The Transforming (peri)Menopause group program is fully virtual.

Do you take insurance?

Moore Integrative Health is an out-of-network provider. I can provide a superbill you may submit for possible reimbursement, and HSA/FSA funds can often be used.

How is this different from seeing my OB-GYN?

Your OB-GYN is essential for gynecologic care, screenings and prescriptions. My role is complementary. I offer longer appointments, in-depth nutrition and lifestyle support, and a root-cause look at how your whole system is responding to this transition.

You Don't Have to Figure This Out Alone

Perimenopause can feel disorienting, but it doesn't have to feel like losing yourself. With the right support, many women come out of this transition sleeping better, thinking more clearly, and feeling more at home in their bodies than they have in years.

If you're in Portland or anywhere you can log on from, let's talk about what's going on and how I can help.

Moore Integrative Health · Portland, Oregon · In-person and virtual appointments. Serving Portland and surrounding areas