I'm often met with surprise when I mention creatine and L carnitine rather than just calcium for injury prevention in perimenopause & menopause. As estrogen declines, our bodies experience significant metabolic shifts in Menopause & Perimenopause Life Extension L Carnitine 3000mg per dose Zenement Food Supplements L Carnitine is one of the UNder utilized metabolic tools for women in Perimenopause , FUN FACT: Its made from the amino acids: lysine and methionine and is required for transporting fatty acids Novomins Perimenopause Strawberry Flavoured 60 Gummies H&B