Self-regulating the body’s hormones may be the key to easing the less-than-desirable symptoms often associated with menopause, suggests BottomLine Health. To maintain balance of estrogen and progesterone levels, it is important for women at the onset of perimenopause (and thereafter) to get sufficient fiber. This aids the liver and gallbladder in taking some of the hormonal by-products out of circulation and recycling others. It is also recommended that women at this stage take glucomannan, to also remove hormonal by-products, and vitamin B12, which is crucial for liver function. Research suggests that modulating hormonal by-products with these simple steps may control such menopausal symptoms as hot flashes, insomnia, depression and mood swings.