The fluctuation of symptoms may be following dips in oestrogen at each cycle so you may find taking Menopause Support helpful as this is traditionally used to help gently raise/balance oestrogen.
It does take about 4-6 weeks to kick in so in the meantime, you may find Devils Claw helpful for the joint aches and this tends to work quickly.
Skin issues may also indicate liver stress which can be common in the menopause too so taking Milk Thistle Complex for a couple of months may be of benefit.
Eileen Durward
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