This is the current leader in the vitamins and supplements for perimenopause according to sales on Amazon.
It covers the basics like vitamins B12, B6 and D, which all have quality evidence for heart, bone and joint health. 1
But the big addition is omega 3, where the evidence stacks up well for benefits in cognition, bone and heart health, stroke prevention and the immune system. 1
There's only 1 quality study for ashwagandha, showing improvements in mood and temperature control, so not too much to go on there. 2
