Sigma Wellness & Performance Medicine

Optimize Your Wellbeing with Expert Care Optimize Your Wellbeing with Expert Care Shaping Strength, Sustaining Wellness, Striving for Optimal Performance Book a Consultation Book Your Telehealth Appointment Click here for appointments What We Treat Please reach us at info@sigmaperformancemedicine. Perimenopause is the transitional time leading up to menopause, when fluctuating hormones may cause changes in periods, sleep, mood, energy, weight, libido, and brain fog. Treatment may include personalized hormone therapy, nonhormonal medications, lifestyle support, and targeted supplements.