Peri/Menopause 101
You're a 35+ woman with brain fog, fatigue, moodiness, insomnia and weight changes, walking away from doctors appointments with no solution. This course was built for you.

You're a 35+ woman with brain fog, fatigue, moodiness, insomnia and weight changes, walking away from doctors appointments with no solution. This course was built for you.

You went to the doctor because you feel off and they drew your labs. They said this is just part of getting old
You've tried keto, intermittent fasting, 75 Hard, you name it - and the weight still hangs on
You wake up at 3am with a racing mind, anxiety, and to-do lists
You get easily irritated and snap at your family over nothing
You feel scatter brained and can't remember the reason why you walked into a room
You don't feel like yourself anymore and you're tired of being dismissed
Perimenopause can start up to 10 years before you experience menopause. This means as early as late 30s or 40s, even before you get irregular periods.
Breaking down estrogen, progesterone and testosterone in the female body and how they actually affect multiple systems - including memory changes, high cholesterol, and brittle bones
What a REAL consult should look like, including the full hormone panel to ask for, what your results actually mean, what's commonly missed, and how to interpret the numbers your provider may not explain
Demystifying the stigma about hormone therapy and a deep dive into the 2002 Women's Health Initiative that stopped HRT overnight
Reviewing FDA approved medications without hormones, the supplements that actually work and lifestyle habits to improve sleep, exercise and nutrition
Individual modules addressing insomnia, weight gain, bone health, mental health and sexual health, with solutions other than antidepressants and anti-anxiety medications
Guidelines on menopause care, how to prepare for an appointment, word-for-word scripts on asking your provider, and when to find a menopause specialist
I've been blaming myself for years. I wish someone had given me this ten years ago. - Caroline S.
I just don't feel like myself. And nobody has been able to tell me why — until now. - Ashley M.
My labs were normal. But I still felt awful. I was Googling and going down rabbit holes. This course made me feel seen and realize it was perimenopause. - Katherine C.
Not just information. A clear framework for this transition.
A clear understanding of what's happening (not a vague, it's hormones! - the actual biology, explained in plain language)
Confidence to advocate for yourself (the exact questions to ask, the labs to request, and how to push back on dismissal)
Knowledge of every treatment option (from lifestyle changes to hormone replacement therapy - the real evidence, so you can make an informed decision)
A personalized action plan (know which areas to prioritize based on your specific symptom picture)
Relief from self-blame (understanding that this is medical - not aging, not anxiety, not failing at life)
A resource you can return to (lifetime access means you can revisit any module as your symptoms resolve)
This is the truth nobody's been telling you. All jam-packed in 2.5+ hours of content. Self-paced. Go at your own speed.
If something is stopping you from getting it, the answer is probably here.
Who is this course for?
This course is for any woman in her late 30s, 40s, or early 50s who has been feeling off — and can't quite explain why. If you've been dismissed by a provider, told your labs are normal when you feel anything but, or spent time Googling your symptoms at midnight wondering is something is seriously wrong — this course was made for you. You don't need a formal perimenopause diagnosis to get value from it. If you're in the transition, approaching it, or already through it, the information here is relevant.
I've read a lot about perimenopause online. Will this tell me anything I don't already know?
Probably yes, and here's why. Most online information about perimenopause is fragmented, contradictory, or written for a general audience by non-clinicians. This book synthesizes years of clinical experience and current research into one organized, medically accurate picture. It also covers things most online content glosses over: the grief of the identity shift, the neurological basis of rage and brain fog, what the research actually says about HRT (not what a 2002 study said), and exactly what to say to your provider to get better care. Women who consider themselves well-informed still consistently tell me they found things here they hadn't read anywhere else.
Does this course cover hormone replacement therapy (HRT)?
Yes — in depth, and honestly. There is an enormous amount of fear and misinformation around HRT that stems largely from an older study that has since been significantly recontextualized. The course covers what HRT actually is, what the current evidence says, what major medical organizations now recommend, who it's appropriate for, and how to have that conversation with your provider. It doesn't tell you what to do (that's a decision for you and your clinician), but it gives you everything you need to make an informed one.
I'm postmenopausal. Is this still relevant for me?
Yes. The majority of the course — bone health, sexual health, nutrition, mental health, brain function, labs, and how to advocate with your provider — is directly relevant postmenopause. The hormonal context is slightly different, but the symptoms, the solutions, and the clinical information apply across the full spectrum of the menopause transition.
Is there a refund policy?
Due to the nature of this course, there are no refunds allowed.
Who wrote this and why should I trust them?
I'm Czarina Adams, a Family Nurse Practitioner and founder of The A-List Clinic in Los Angeles. I've been in healthcare for 15 years. Perimenopause became a focus of my work because my patients kept leading me there — women in their 40s doing everything right and getting no results. The course is the conversation I kept wishing I could have with every woman who sat across from me, without the 15-minute time limit.
Do you see patients? Can I book an appointment with you?
Yes — I see patients both in-person at The A-List Clinic in Los Angeles and via telehealth. If you read the book and want to go deeper with personalized support, you can book a consultation at czarinaadams.com or reach me at czarina@thealistclinic.com. I also co-host The Weigh-In NPs podcast, which covers perimenopause, weight, and hormones in the same conversational clinical style as the course.