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The New Menopause: Navigating Your Path Through Hormonal Change with Purpose, Power, and Facts Hardcover – April 30, 2024

by Mary Claire Haver MD (Author)

2,662 ratings

#14 this week

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#1 NEW YORK TIMES BESTSELLER • Take charge of your health with this invaluable guide to everything a woman needs to know about menopause during her hormonal transition and beyond—by the bestselling author of The Galveston Diet.

A NEW YORK POST BEST BOOK OF THE YEAR

Menopause is inevitable, but suffering through it is not! This is the empowering approach to self-advocacy that pioneering women’s health advocate Dr. Mary Claire Haver takes for women in the midst of hormonal change in The New Menopause. A sweeping, authoritative book of science-backed information and lived experience, it covers every woman’s needs:

• From changes in your appearance and sleep patterns to neurological, musculoskeletal, psychological, and sexual issues, a comprehensive A to Z toolkit of science-backed options for coping with symptoms.
• What to do to mediate the risks associated with your body’s natural drop in estrogen production, including for diabetes, dementia, Alzheimer’s, osteoporosis, cardiovascular disease, and weight gain.
• How to advocate and prepare for annual midlife wellness visits, including questions for your doctor and how to insist on whole life care.
• The very latest research on the benefits and side effects of hormone replacement therapy.

The bible of midlife wellness, The New Menopause arms women with the power to secure vibrant health and well-being for the rest of their lives.

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WARNING: California’s Proposition 65

Editorial Reviews

Review

“[An]enlightening guide . . . Readers will welcome the affirming tone and the attention paid to less-discussed symptoms. . . . It’s an informative manual on an important yet underdiscussed health matter.”—Publishers Weekly

About the Author

Mary Claire Haver, MD, is a board-certified OB/GYN, a Certified Culinary Medicine Specialist, a Certified Menopause Provider, and the founder of Mary Claire Wellness, a private medical practice that focuses on women in midlife. Her bestselling book, The Galveston Diet, is based on the groundbreaking nutritional protocol she developed as an online subscriber program for women going through perimenopause and menopause. She lives in Galveston, Texas.

Excerpt. © Reprinted by permission. All rights reserved.

Chapter 1

It’s Not All in Your Head

“We know our bodies; we know when something physically has changed.”

“At age forty-seven, I was told by a gynecologist that perimenopause isn’t real and was asked if I had a psychiatrist.”

“I was told by my former doctor that women use menopause as an excuse to gain weight and that it’s not real.”

“I was told that it’s all in your head.”

“Welcome to your new normal.”

“It’s discouraging to not be taken seriously.”

“Consulted my ob-gyn about perimenopause and mood swings, sexual interest. She blew me off and said I was too young for menopause.”

“The migraines are a new symptom. I have only had them a few times, but they were debilitating. My doctor suggests I take Tylenol and lie down. I would prefer to address the cause and not just the symptom.”

“Dr. said it wasn’t perimenopause if I wasn’t having hot flashes.”

“I had to go to an ob-gyn and three cardiologists before I found one who believed me and had knowledge that it could be linked to hormonal changes.”

“I was sent for a full blood screening and thyroid testing. All tests came back with good results, so my complaints were not addressed further.”

“Still suffering.”

That’s just a small sampling of comments shared on my social media and in a research study on women’s experiences with menopausal symptoms. The study, published in the Journal of Women’s Health in 2023, sought to understand what kind of support a patient felt she was getting from her healthcare providers (and how that support could be improved). Overwhelmingly, the responses revealed substandard care and weak support. Many patients felt invalidated or reported that they hadn’t been provided with any help or even given access to information that would allow them to understand the cause of their symptoms. My informal “survey” on my social media posts directed to gynecology patients revealed many of the same sentiments. Women said things like “My doctor told me he doesn’t believe in perimenopause” and “I was told it’s just a natural part of aging, get over it,” and described encountering a medical attitude of “Welcome to your new normal.” Sadly, these experiences aren’t the exception, they are the rule. There are so many problems with this that I’m not even sure where to start. But first on the list is the fact that there are major medical consequences of this denial of care and guidance. If a woman in perimenopause or menopause is not getting top-notch care, it’s a matter of life and death. Really.

Here’s why: your symptoms, of which dozens (including the well-known hot flashes and the not so well-known frozen shoulder), are the direct result of declining estrogen. My patients, colleagues, and I have been taken aback by the emerging research that’s starting to explore the relationship between the menopausal drop in estrogen and issues like chronic cough, tinnitus, and benign position vertigo—just to name a few. These are issues that many women are attributing to “getting old” while they scramble to be believed, get help, and thrive during what should be a powerful and exciting time in their lives.

Estrogen isn’t just a pretty hormone that’s key to reproductive capabilities; it’s responsible for so much more. There are estrogen receptors throughout almost every organ system in your body, and as your levels drop, these cells begin to lose their ability to assist in maintaining your health in other areas, including your heart, cognitive function, bone integrity, and blood sugar balance.

The list goes on, but in these areas alone we can spot a few diseases that regularly land in the top ten causes of death in women: heart disease, stroke, Alzheimer’s disease, and type 2 diabetes. While osteoporosis isn’t on this list, it still presents a serious concern, as one in two women will break a bone in their life because of bone loss from osteoporosis, and hip fractures alone are associated with a 15–20 percent increased mortality rate within one year of the break. All this is to say that estrogen is broadly and profoundly protective of your health, and its diminishing status during perimenopausal and menopausal years is a very big deal and should be treated as such.

In the pages to come, I’ll present you with a head-to-toe tour of just what you can do to prioritize taking care of yourself during this big deal phase. Before we get to the strategies, I want to take a step back and establish some foundational understanding of the myriad ways that hormone changes can present themselves and why exactly the symptoms and resulting suffering have for so long been inadequately addressed.

Estrogen Replacement and Aging

If you are a candidate for hormone therapy, its use may prolong your life: a study published in the journal Menopause reported that a woman starting estrogen at fifty can expect to live up to two years longer than women who do not, and per year it’s associated with a 20 to 50 percent decrease in dying from any cause.

So Many Symptoms, So Little Support

Stop me if you’ve heard this one before: A patient walks into a bar . . . or actually, it goes . . . a patient walks into their doctor’s office first and then a bar after because they’ve been told, yet again, that the symptoms they’ve been experiencing for months, years even, are just normal or natural and associated with aging, that they’re a manifestation of mood changes that just have to be endured, or, most insulting of all, that “it’s all in your head.” (No wonder the rates of alcohol use in women have climbed, although this is not a healthy trend.)

The not-so-funny reality is that you’ve likely not only heard it before but experienced it too. The question is: Why? Why can you go to a doctor seeking help, describe your symptom or symptoms, and then walk out feeling dismissed, absent a diagnosis, and without hope of any relief on the horizon?

In medicine, we look at this question in terms of access to care. That is, if there’s an ideal patient experience, what are the barriers keeping people from having that kind of experience—the kind where a patient leaves a doctor’s office feeling supported and empowered, and outfitted with treatment options? Let’s take a look at the barriers to this kind of experience.

Lack of Awareness

One of the most significant issues responsible for inadequate treatment for those in the menopausal transition or in menopause is the insufficient understanding around its pathology, which is how an underlying condition or disease may present itself symptomatically. Changes in hormone levels can lead to a variety of symptoms that manifest in unique ways in each patient, making it difficult to recognize, diagnose, and treat.

It would serve physicians—and patients—well to get to know the list of potential symptoms because it extends far beyond hot flashes, night sweats, loss of bone density, and genitourinary symptoms. Here are many of the symptoms that may be related to perimenopause or menopause (see the Tool Kit for strategies to manage these symptoms).

Acid reflux/GERD
Acne
Alcohol Tolerance Changes
Anxiety
Arthralgia (joint pain)
Arthritis
Asthma
Autoimmune disease (new or worsening)
Bloating
Body composition changes/belly fat
Body odor
Brain fog
Breast tenderness/soreness
Brittle nails
Burning sensation in the mouth/tongue
Chronic fatigue syndrome
Crawling skin sensations
Decreased desire for sex
Dental problems
Depression
Difficulty concentrating
Dizzy spells
Dry or itchy eyes
Dry mouth
Dry skin
Eczema
Electric shock sensations
Fatigue
Fibromyalgia
Frozen shoulder
Genitourinary syndrome
Headaches
Heart palpitations
High cholesterol/high triglycerides
Hot flashes
Incontinence
Insulin resistance
Irritable bowel syndrome
Irritability
Itchy ears
Itchy skin
Kidney stones
Memory issues
Menstrual cycle changes
Mental health disorders
Migraines
Mood changes
Muscle aches
Night sweats
Nonalcoholic fatty liver disease
Osteoporosis
Pain with intercourse
Sarcopenia (muscle loss)
Sleep apnea
Sleep disturbances
Thinning hair (on head)
Thinning skin
Tingling extremities
Tinnitus
TMJ (temporomandibular disorder)
Unwanted hair growth (whiskers)
Urinary tract infections
Vaginal dryness
Vertigo
Weight gain
Wrinkles

Simply by looking at this list you can see how profoundly far-reaching hormonal changes can be, and how exactly an individual could visit nearly every medical specialty chasing a diagnosis if the common denominator of diminishing estrogen isn’t identified. This is also why menopause symptoms may be mistaken for symptoms of other conditions, leading to misdiagnosis—or how it is possible to have more than one cause of similar symptoms (hypothyroidism and perimenopause).

Product details

Publisher ‏ : ‎ Rodale Books (April 30, 2024)
Language ‏ : ‎ English
Hardcover ‏ : ‎ 320 pages
ISBN-10 ‏ : ‎ 059379625X
ISBN-13 ‏ : ‎ 978-0593796252
Item Weight ‏ : ‎ 1.2 pounds
Dimensions ‏ : ‎ 6.45 x 1.04 x 9.41 inches

Best Sellers Rank: #24 in Books (See Top 100 in Books)
- #1 in Weight Loss Diets (Books)
- #1 in Osteoporosis (Books)
- #1 in Menopause (Books)

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2,662 ratings

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Mary Claire Haver

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Dr. Mary Claire Haver is a wife, mom, physician, and entrepreneur who has devoted her adult life to women’s health. As a Board Certified OBGYN in the Houston area, Dr. Haver has delivered thousands of babies, completed thousands of well-woman exams, counseled patients, taught residents, and did everything an academic professor and OBGYN could do.

As her patient population aged, Dr. Haver was overwhelmed with the number of complaints and concerns her patients had with weight gain while going through menopause. For years, she told her patients to eat less and exercise more. It wasn’t until she, too, experienced the changes of menopause and mid-life weight gain that she realized this advice doesn’t work and ultimately led to her creating and developing a new program, The Galveston Diet.

The Galveston Diet is the first and only nutrition program in the world created by a Female OBGYN, designed for women in menopause. The Galveston Diet helps women reach their health and wellness goals through an anti-inflammatory approach to nutrition. Dr. Haver believes in the power of nutrition to combat inflammation and highly recommends the unlimited benefits of intermittent fasting. As part of her ongoing research, she became certified in Culinary Medicine in 2019, which specializes in medical nutrition.

Dr. Haver is married to her husband, Christopher Haver, since 1996. They are raising their two daughters, Katherine and Madeline, the loves of their lives.

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Customers say

Customers find this menopause book highly informative and well-written, with clear explanations that don't require a medical degree. They appreciate its compassionate approach and comprehensive toolkit that provides useful symptom breakdowns. While many customers consider it worth the money, some express disappointment.

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Information quality Readability Ease of reading Symptoms Compassion Toolkit Value for money

306 customers mention "Information quality"300 positive6 negative

Customers find the book highly informative, with one customer highlighting how it helped them understand their body during perimenopause.

"Grateful for those that are pursuing to educate and pass along current knowledge/researcch about the changes that affect 100% of women!..." Read more

"...the best possible blend on relatability, SCIENCE, optimism, and actionable steps that make this book the essential tool for a better quality of life..." Read more

"...her no-nonsense approach and the fact that she backs her facts with scientific truth mixed with an appropriate level of compassion...." Read more

"...I am currently perimenopausal and this was so informative and helped me understand my current situation and prepare for what is to come...." Read more

123 customers mention "Readability"123 positive0 negative

Customers find the book highly readable, describing it as extremely well-written and wonderfully comprehensive, with one customer noting it's particularly relevant for those over 35.

"...down the prison wall and provided clear, evidence-based research and results that led to a greater understanding of my body and the changes that I..." Read more

"...Dr. Haver offers advice and great takeaways to better understand perimenopause and menopause." Read more

"Phenomenal book; changed my life! After hearing all of the negativity regarding HRT/MRT, I didn’t want to be bothered with any of it...." Read more

"...I loved reading all the research and how those conclusions came about that hormone therapy was bad for you - which is what I have heard all my life...." Read more

70 customers mention "Ease of reading"70 positive0 negative

Customers find the book easy to read and understand, with clear explanations in layman's terms that don't require a medical degree.

"...not feeling heard, I have finally been able to have a conversation, feel heard, and provided appropriate treatment." Read more

"...It's so well written that it appropriate for all of those audiences...." Read more

"...I appreciate her no-nonsense approach and the fact that she backs her facts with scientific truth mixed with an appropriate level of compassion...." Read more

"A must read for all women!!! This was such an eye opening read and helped me figure out what is going on with my body...." Read more

42 customers mention "Symptoms"42 positive0 negative

Customers find the book's symptom breakdown useful, with one customer noting it clearly explains why women experience these symptoms, while another mentions it provides relief for conditions like joint pain and night sweats.

"...finally been able to have a conversation, feel heard, and provided appropriate treatment." Read more

"...So detoxifying the body and treating hypothyroidism and adrenal fatigue..." Read more

"...I am also looking forward to the long term protection and prevention of my brain, bones, and heart...." Read more

"I am so glad that I would the New Menopause. It helped validate the symptoms I was having and empowered me when I spoke to my doctor...." Read more

10 customers mention "Compassion"10 positive0 negative

Customers appreciate the compassionate approach of the book, with one noting its light-hearted tone and another describing it as insightful.

"...she backs her facts with scientific truth mixed with an appropriate level of compassion...." Read more

"...This book feels like a conversation with a smart, compassionate friend who also happens to be incredibly well-versed in the science...." Read more

"...There’s personality and fun in this book as you learn. Would recommend to every woman approaching this time in her life...." Read more

"...so I can live my remaining years with strength, mobility, and dignity." Read more

7 customers mention "Toolkit"7 positive0 negative

Customers find the toolkit amazing and appreciate that it provides all the necessary tools for navigating hormonal changes.

"...It has so many tools to help you navigate during this time of your life...." Read more

"...Dr. Haver explains every thing in a way that’s easy to understand and has tools (and even perfectly portioned healthy meals - love them) to help you..." Read more

"...This book gave me the tools—and the language—to understand what was happening to my body and to advocate for myself...." Read more

"...Educate yourself ladies! This book will give you all the tools you need!" Read more

10 customers mention "Value for money"6 positive4 negative

Customers have mixed opinions about the book's value, with some finding it well worth the money while others express disappointment.

"Very informative, educational book! Incredibly valuable, knowledgeable guide to help navigate the menopause journey...." Read more

"...Cons of this book - extremely informative and it may be a dull read if you are not medically inclined or are interested in this subject...." Read more

"...The author is highly respected in her field. Well worth the money. I’d have needed eight appointments with my GYN. This is cheaper and better...." Read more

"I was very disappointed in this book. I truly thought it would be a wealth of NEW information. It wasn't. I returned it." Read more

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R. Beach
Every woman needs this information for their own health!
Reviewed in the United States on April 13, 2025
Verified Purchase

I am forever grateful for this book and Dr. Haver’s advocacy for women’s health. I feel empowered, justified, and understood. I am dumbfounded that I have seen so many doctors and natural practitioners (naturopathic doctor, chiropractor, physical therapist), and NONE of them suggested that my many symptoms could be related to menopause! I am now a few months into my journey on BHRT and most of Dr. Haver’s suggestions, and I am noticing big and small improvements. I am also looking forward to the long term protection and prevention of my brain, bones, and heart. This revalationary information gives me healing, confidence, and hope about my long term health.

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Sara Short
Worth the read!
Reviewed in the United States on April 13, 2025
Verified Purchase
Grateful for those that are pursuing to educate and pass along current knowledge/researcch about the changes that affect 100% of women! This is the first educational book that I have read where I read cover to cover and plan to reread and highlight specifics that I want to refer back to on regular basis. I used the information in preparation for my own MD appointments and that was a game changer in the communication during my appointments! After seeing two providers that were supposedly menopause specialists yet walking away not feeling heard, I have finally been able to have a conversation, feel heard, and provided appropriate treatment.

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5 people found this helpful

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Julie Danahy
Must Read!
Reviewed in the United States on April 12, 2025
Verified Purchase
Dr Haver’s book has been so reassuring and informative as I continue to navigate my own menopause journey. I highly recommend it to all women, really regardless of age since I wish I’d have read it much sooner. More than just a one-time read, I’m finding it a great resource for all the questions that come up. I appreciate her no-nonsense approach and the fact that she backs her facts with scientific truth mixed with an appropriate level of compassion. Thank you, Dr Haver, for speaking up about such an important topic!

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Aimee T
Menopause - Now I Understand
Reviewed in the United States on April 18, 2025
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Such a game changer for women. Dr. Haver explains everything you NEED to know about women’s health. Dr. Haver explains every thing in a way that’s easy to understand and has tools (and even perfectly portioned healthy meals - love them) to help you discover things going on in your body that we really haven’t had easy access to before. Great explanations, recommendations, and advice.

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Connie Strasheim
Great Info. On HRT, Inaccurate Info. On Functional Medicine Treatments
Reviewed in the United States on December 16, 2024
Verified Purchase
This book has great information on HRT options for women in menopause, which I really appreciated. Not enough doctors know how to treat women who are suffering through menopause, so this book is an important tool for many women out there who have not found help through the conventional medical approach to menopause. I congratulate the author for her wonderful work, and for bringing this information to light.

That said - she lost a bit of credibility in my eyes when she stated that things like subclinical hypothyroidism is rare, as are vitamin deficiencies, and that functional medicine doctors only treat women for things like toxins and infections to balance their hormones. Well, the truth is, hormone imbalances are due to toxins and infections, as well as menopause.

And, Hypothyroidism is not rare, it's extremely common and it contributes to symptoms of menopause. So detoxifying the body and treating hypothyroidism and adrenal fatigue (since the adrenals take over hormone production when the ovaries stop producing hormones) - are integral components of recovery in my mind. Along with hormone replacement therapy, of course.

I've authored, co-authored, or ghostwritten over 20 medical books, and I feel that a bit more of a comprehensive approach than what is mentioned in this book is warranted, such as attention to the hormones that are not directly involved in menopause, but which can influence menopausal symptoms (by the way, thyroid labs are inaccurate much of the time because they don't reveal what the cells are using, only what's in the blood). A few herbs or an anti-depressant are not the best solutions for depression and anxiety, and eating a diet containing whole grains will not help you to lose weight.

Still, the author's information on sex hormone replacement is very good, but I feel that she needs to understand other aspects of integrative and functional medicine better - such as the relationship between adrenal steroid and thyroid hormones and menopause, and other things that are making people's hormones imbalanced these days - before making claims that vitamin deficiencies are rare or that detoxification doesn't help the body to heal. It makes me wonder if she has been influenced by Big Pharma, which rejects anything alternative in medicine, or her publisher (as my experience has been that large publishers are afraid to publish anything that goes against the conventional medical establishment's agenda).

In nations where environmental toxicity is not so much of a problem, menopausal symptoms are rare. So removing toxins is important as well, because toxins block and damage hormone receptors on cells, skew hormone production, and cause inflammation that affects hormones, among many other things.

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Colleen Lull
Amazing Book - Perfectly presented blend of relatability backed by science!
Reviewed in the United States on April 12, 2025
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This book should be required reading for all women, any doctor that treats women over age 30, and all medical school students. It's so well written that it appropriate for all of those audiences. It validates what women have been saying for years and it prepares us for what will hopefully be the BEST third of our lives. Dr. Mary Claire Haver brings presents vital information in the best possible blend on relatability, SCIENCE, optimism, and actionable steps that make this book the essential tool for a better quality of life and an increased HEALTHspan. As Dr. Haver says, menopause is inevitable. Suffering is not!

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Gina
WOW!
Reviewed in the United States on April 13, 2025
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I had no idea how ignored and undervalued the process of menopause had been until I read this book. Menopause is more all-encompassing than I knew and I had begun to surrender to a painful and emotional new normal when in fact it was all very common to other women! The New Menopause broke down the prison wall and provided clear, evidence-based research and results that led to a greater understanding of my body and the changes that I was experiencing. I have renewed hope in restoring a full life with eyes wide open. Thank you Mary Claire Haver for bringing a sledgehammer to the wall of misinformation!

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Lorelei
Absolutely useful
Reviewed in France on February 26, 2025
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Probably the most useful book I bought in 2024. A real game changing. All woman should read it before reaching 35 years old, in order to better understand what might happen soon, and how to help themselves.
Definitely a must have !

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Ana
Absolutely amazing book. Mandatory if Our approaching or going through menopause
Reviewed in the United Kingdom on February 25, 2025
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Absolutely amazing book if you’re going through menopause, this book will help you deeply because there are things that doctors don’t talk. No one tells us and it’s important information is power. This is a book to buy if you’re approaching menopause or if you are on menopause, it’s information that it’s crucial.

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Dido
Dr. Haver Makes Menopause Manageable!
Reviewed in Australia on April 12, 2025
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This book is transformative and incredibly easy to understand. Every woman entering her 30s should read it. Dr. Haver offers a thorough and accessible guide to the options available for navigating peri-menopause, helping women manage symptoms and continue to thrive beyond menopause.

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Helena Ribeiro
Muito boa informação
Reviewed in Spain on February 10, 2025
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Livro muito bem escrito, por uma profissional com experiência na área. Tem muita informação valiosa e bem escrita

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Aparna Goa
book review
Reviewed in India on September 1, 2024
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useless content
just a waste of money

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5.0 out of 5 stars Every woman needs this information for their own health!

5.0 out of 5 stars Worth the read!

5.0 out of 5 stars Must Read!

5.0 out of 5 stars Menopause - Now I Understand

4.0 out of 5 stars Great Info. On HRT, Inaccurate Info. On Functional Medicine Treatments

5.0 out of 5 stars Amazing Book - Perfectly presented blend of relatability backed by science!

5.0 out of 5 stars WOW!

Top reviews from other countries

5.0 out of 5 stars Absolutely useful

5.0 out of 5 stars Absolutely amazing book. Mandatory if Our approaching or going through menopause

5.0 out of 5 stars Dr. Haver Makes Menopause Manageable!

5.0 out of 5 stars Muito boa informação

1.0 out of 5 stars book review

Every woman needs this information for their own health!

Worth the read!

Must Read!

Menopause - Now I Understand

Great Info. On HRT, Inaccurate Info. On Functional Medicine Treatments

Amazing Book - Perfectly presented blend of relatability backed by science!

WOW!

Absolutely useful

Absolutely amazing book. Mandatory if Our approaching or going through menopause

Dr. Haver Makes Menopause Manageable!

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