Too many women see the hormone therapy decision as an either/or, yes/no decision. It is important for you to know that you don’t necessarily have to choose between traditional HT and alternatives. Think of your perimenopausal support as a smorgasbord. You get to choose what appeals to you at the moment and leave what doesn’t. Every day more and more studies are showing how effective modalities such as dietary change (in particular, a low-sugar diet), food supplements, exercise, and herbs can be in supporting a woman through her menopausal transition. Though some doctors still don’t know about these approaches and may not mention them to you, they often work as well or better than hormone therapy (HT). They can also be used in addition to hormone therapy, to reduce dosage levels, side effects, and potential risk.