Hormone Specialist Atlanta:
Menopause & Perimenopause Support
Your Body Has Changed. Let's Look at What Changed With It.
Maybe your weight is different. Your energy has disappeared.
You're waking up at 3 a.m. Your mood isn't like you.
You're dealing with brain fog, cravings, hot flashes or changes in your cycle,
and you're wondering: Is this my hormones? Is this perimenopause?
Is this menopause? Or is something else going on?
I'm Alane Wincek, ND, CNC, a holistic and functional nutrition specialist with more than 30 years of experience. I work with women in Alpharetta and throughout Metro Atlanta who want a more individualized approach to hormonal changes, nutrition and metabolic health. Together, we'll look at your symptoms, health history, nutrition, previous testing and the patterns that may help us better understand what your body needs next.
In-person in Alpharetta + virtual appointments available
Does This Sound Like You?
Weight Gain That Doesn’t Make Sense
You’re eating much the same way you always have, but your body isn’t responding the same way.
Exhausted Even After Sleeping
You wake up tired, hit a wall in the afternoon, or feel like your energy has simply disappeared.
Brain Fog & Trouble Focusing
You lose words, forget why you walked into a room, or don’t feel as mentally sharp as you used to.
Sleep Has Changed
You have trouble falling asleep, wake during the night, or suddenly find yourself wide awake at 3 a.m.
Hot Flashes & Temperature Changes
You’re experiencing night sweats, hot flashes, or changes in how your body regulates temperature.
You Just Don’t Feel Like Yourself
Your mood, energy, weight, sleep, or cycle has changed, and you’re trying to understand why.
These symptoms can occur during perimenopause and menopause, but hormones aren’t the only possible explanation.
That’s why I look at the bigger picture.
What Happens to Hormones During
Perimenopause and Menopause?
Perimenopause is the transition leading up to menopause, when hormone levels can begin fluctuating and menstrual cycles may become less predictable. Menopause is reached after 12 consecutive months without a menstrual period.
Hormonal changes during this transition can occur alongside changes in sleep, mood, body composition, energy, concentration, and temperature regulation.
But symptoms such as fatigue, brain fog, and weight changes aren’t exclusive to menopause. Nutrition, thyroid function, blood sugar regulation, nutrient status, sleep, stress, and other health factors may also deserve attention.
That’s why my approach isn’t simply to assume, “It’s your hormones.”
Women Over 40: When Your Body Suddenly Feels Different
You may have spent years knowing exactly what worked for your body.
Then something changed.
The foods you ate before don’t seem to work the same way. Weight settles differently. You don’t recover as quickly. You’re tired more often. Sleep is unpredictable. Maybe your basic labs have come back “normal,” yet you know you don’t feel normal.
For many women, these changes begin during the perimenopause years.
I don’t want to dismiss everything as “just getting older.” I want to understand what you’re experiencing and what factors may actually be relevant.
Could It Be Perimenopause?
What is perimenopause?
Perimenopause is the transition before menopause. During this time, hormone levels can fluctuate, and women may begin experiencing changes in their menstrual cycle as well as symptoms involving sleep, mood, energy, concentration, and body composition.
Some women notice obvious changes. Others simply know they don’t feel like themselves.
Common concerns women bring to me include:
Cycle changes
Weight gain
Fatigue
Brain fog
Sleep disruption
Hot flashes/night sweats
Mood changes
Changes in appetite or cravings
Difficulty losing weight
Feeling “wired but tired”
Looking for Perimenopause Support Near You?
If you’re in Alpharetta or Metro Atlanta, I offer in-person appointments at Nutritionally Yours.
Virtual appointments are also available.
Menopause Is More Than Hot Flashes
For some women, menopause brings obvious symptoms. For others, the changes are more subtle.
You might first notice that you’re gaining weight differently, you’re exhausted, you can’t concentrate, your sleep has changed or your old nutrition routine isn’t producing the same results.
That’s why menopause support shouldn’t automatically focus on one symptom in isolation.
My approach considers how your nutrition, metabolic health, symptoms, lifestyle, previous testing and hormonal changes may fit together.
Explore Hormone & Menopause Support
Should I Have My Hormones Tested?
Hormone testing can be useful in some situations, but which tests are appropriate depends on your symptoms, age, health history, menstrual status, medications and what question we're trying to answer.
You don’t need to arrive at your first appointment knowing which tests you need.
I start by looking at what you’re experiencing, what testing you’ve already had and what we’re trying to understand. From there, we can discuss whether additional testing may be useful.
Depending on the situation, we may discuss areas such as:
Hormones
Cortisol
Thyroid markers
Blood sugar & insulin
Vitamins & nutrients
Other metabolic markers
Can Hormones Cause Weight Gain?
Hormonal changes can influence factors associated with weight and body composition, but hormones aren't the only reason weight may change.
During perimenopause and menopause, changes in hormones may occur alongside changes in sleep, activity, appetite, stress, muscle mass, and how the body stores fat.
Blood sugar regulation, thyroid function, nutrition, medications, and other health factors may also be relevant.
That’s why I don’t assume that every woman’s weight gain is simply “hormonal.”
Struggling With Weight After 40?
Looking for a Natural Approach to Hormone Balance?
Not every woman looking for hormone support is looking for the same thing.
Some women specifically want to explore how nutrition, food, lifestyle, sleep and other natural strategies may support their health during hormonal changes.
I’ve created a separate resource explaining my approach to natural hormone balance.
My Approach to Hormone & Menopause Support
I wouldn’t start by assuming every symptom you’re experiencing is caused by hormones.
I want to hear what changed.
When did you first notice it? How are you sleeping? Has your cycle changed? What happened with your weight? How is your energy? What are you eating? Are you experiencing digestive symptoms? What medications or supplements are you taking? What testing have you already had?
Then we look for patterns.
Depending on what we find, your individualized plan may include nutrition changes, lifestyle recommendations, targeted supplementation, additional testing, or coordination with your other healthcare providers when appropriate.
My role is to help you better understand the bigger picture, not simply attach every symptom to menopause.
What Happens at Your First Appointment?
1. Tell Me What's Changed
Your initial appointment gives us approximately 45–60 minutes to discuss your symptoms, health history, goals and what you've already tried.
2. Bring Your Previous Labs
You don't have to start from scratch. If you've already had testing, bring it with you.
3. We'll Decide What Deserves a Closer Look
That may involve nutrition, lifestyle factors, previous results or discussing whether additional testing makes sense.
4. You'll Have an Individualized Plan
Recommendations are based on your situation rather than a one-size-fits-all menopause or hormone program.
Initial Consultation
45–60 minutes | Alpharetta, GA | Virtual appointments available
Learn More About Hormones, Menopause & Women's Health
Menopause Fatigue
Why am I so tired in my 40s?
Blood Tests for Women
What should you check when you don’t feel like yourself?
Blood Tests Normal But Still Sick? →
Menopause Brain Fog
Why does menopause affect concentration and memory?
Menopause Weight Gain
Why does weight change during menopause?
Weight Loss After 40
Why does losing weight feel harder now?
Hormone Testing for Women
Which tests may be worth discussing, and when?
Hormone & Menopause Support in Alpharetta & Metro Atlanta
Hormone Specialist Atlanta
I’m Alane Stieglitz-Wincek, ND, CNC, a holistic and functional nutrition specialist with more than 30 years of experience.
I work with women who want to better understand changes involving their hormones, metabolism, weight, energy and overall health.
My approach combines individualized nutrition, careful review of your symptoms and history, testing guidance when appropriate, and whole-body wellness support.
In-person appointments are available in Alpharetta, Georgia, with virtual appointments also available.
Hormone & Menopause FAQs
The term hormone specialist can describe different types of practitioners. My role at Nutritionally Yours focuses on holistic and functional nutrition, symptom and health-history review, testing guidance when appropriate, and individualized wellness support. I don’t replace your gynecologist, endocrinologist or primary care provider.
Perimenopause can look different from one woman to another. Changes may include less predictable menstrual cycles, hot flashes, sleep changes, mood changes, brain fog, fatigue and changes in weight or body composition. Because these symptoms can have other causes, it’s important not to assume every change is due to perimenopause.
Age, menstrual changes and symptoms can all provide useful information. There isn’t one symptom or single test that answers the question for every woman. If you’re experiencing new symptoms or changes in your menstrual cycle, discussing them with an appropriate healthcare provider can help determine what evaluation makes sense.
Yes, fatigue can occur during the menopause transition. Hormonal changes may contribute directly or indirectly through factors such as disrupted sleep. However, fatigue can also have many other causes, including thyroid concerns, nutrient deficiencies, metabolic issues and other health conditions, so persistent fatigue deserves a broader look.
Many women report difficulty concentrating, forgetfulness or feeling mentally foggy during the menopause transition. Sleep disruption, stress and other health factors can contribute as well, so brain fog shouldn’t automatically be attributed to hormones alone.
Hormonal changes can influence body composition and factors related to weight, but hormones aren’t the only possible contributor. Sleep, stress, nutrition, activity, medications, thyroid function, blood sugar regulation and age-related changes may also play a role.
It depends on the situation. Hormone testing may be useful when it helps answer a specific health question, but testing isn’t automatically necessary for every symptom or every woman going through menopause. Your symptoms, history, medications, and previous testing help determine what may be appropriate.
Nutrition can support overall health during perimenopause and menopause, including adequate protein and nutrient intake, metabolic health and maintaining healthy eating patterns. Recommendations should be individualized based on your health, symptoms and goals.
You Know Your Body. If Something Has Changed,
Let's Look at the Bigger Picture.
You don’t need to know whether your symptoms are hormones, menopause, metabolism, nutrition, or something else before you make an appointment.
That’s what we’ll work through together.
Bring your symptoms.
Bring your previous labs.
Bring the questions you haven’t gotten answered.
We’ll start there.
Alpharetta, GA | Metro Atlanta | Virtual Appointments