Thorne Research Perimenopause Complete Review

Thorne Perimenopause Complete is a multi-herbal formula presented as a way to ease 12 of the most common symptoms of the natural perimenopause transition. The page describes it as combining clinically studied herbal extracts with a targeted amount of vitamin B6 to help improve sleep, balance mood and emotional well-being, and decrease hot flashes. It is NSF Certified for Sport. The product is sold as 60 capsules with a serving size of 2 capsules and 30 servings per container, taken once daily. The page lists a price of $52 for one-time purchase, or $46.80 with a subscription at 10 percent off, with subscription frequency options from every 2 weeks up to every 4 months and an HSA/FSA eligibility note. The page explains that the perimenopause transition can begin as early as the late 30s and can last for years, with shifting hormones often leaving women feeling confused, exhausted, and unheard. Common signs listed include difficulty falling or staying asleep, brain fog, hot flashes or night sweats, low energy and fatigue, mood changes, irritability or anxious feelings, and vaginal dryness with changes in libido. The formula features EstroG-100, described as a patented herbal blend of three extracts: Cynanchum wilfordii, Phlomoides umbrosa, and Angelica gigas, rooted in traditional Korean medicine. The page states that across five clinical trials involving over 300 women, EstroG-100 was shown to significantly alleviate menopausal symptoms. Lifenol, a patented hops extract standardized to contain the phytoestrogen 8-prenylnaringenin, is included to help alleviate menopausal hot flashes and is said to support healthy bone structure in postmenopausal women. Pyridoxal 5' phosphate, the active form of vitamin B6, is included as a cofactor for dopamine and serotonin, with the stated aim of supporting mood, emotional resilience, and restful sleep. Listed benefits are grouped into sleep and nighttime comfort, mood and emotional balance, physical comfort, and long-term wellness. Claims include supporting restful sleep, helping decrease night sweats, helping reduce hot flashes, supporting joint comfort, reducing temporary pins and needles sensations in hands and feet, supporting healthy bone structure, and helping alleviate vaginal dryness. The page notes that studies showed significant improvements in total menopause symptom severity after 12 weeks, with some women noticing hot flash improvements in as little as 2 weeks. The page also covers the sourcing of hops from Germany, the plant-based nature of the product, and that it is gluten free, dairy free, and soy free. Warnings state that the product is contraindicated in individuals with a history of hypersensitivity to any ingredient, that pregnant or nursing individuals should not use it, and that there are no known adverse interactions at publication date. The FAQ states it is a non-hormonal formula without estrogen or synthetic hormones and may be used during perimenopause, menopause, and postmenopause.

Product Focus: Hormone Balance for WomenAlso covers:Sexual healthBrain
Tier ⓘ
Tier 3 · Rank 6
Tier 3 · Reviewed. Strong review agreement, with limited or early support from human studies. Rank 6 within Tier 3 for Hormone Balance for Women; 28 of 47 overall. Tiers run from 1, the strongest evidence, to 5. How we grade →
Evidence ⓘ
69 /100
How strongly the evidence says this product works: human studies count most, then real reviews, then our biohacker panel.
Positive Reviews
98% of 22,842
Biohacker Mentions
6 of 10
Cost per month
$156 at 3 servings

Study, Trial or Testing Result Summary

Members Only41 human studies · 18 improved
41 human studies18 improved11 no effect6,639 people studied

This product itself was tested in 3 human studies.

Studies of the three-herb blend in this product point to fewer menopause symptoms. In a 12 week placebo-controlled trial, 120 women after menopause were enrolled and 70 were analyzed. Those taking two capsules daily had fewer mild, moderate and severe hot flashes than placebo by week 6 [1]. In a 12 week placebo-controlled trial of 64 women before, during and after menopause, symptom scores fell from 29.5 to 11.3 on the blend versus 29.2 to 23.7 on placebo, and vaginal dryness eased more [2]. A 5 week placebo-controlled trial of 80 women gave the same blend dose together with gamma-aminobutyric acid and found less hot flashes, stress and mood swings and better sleep [3]. A 12 week study of 60 women with no comparison group found symptoms improved and reported no side effects [4]. Hop tablets lowered symptom scores and hot flash counts more than placebo over 12 weeks in 120 women [5], though another trial found a hop extract helped at 6 weeks but not at 12 weeks [6]. Hops did not change sex hormone levels or blood clotting [7]. Vitamin B6 reaches a full dose only at three servings a day, and its evidence is for premenstrual symptoms rather than menopause, with mixed results [8][9]. Animal and cell studies are never counted.

See all 41 studies →Hide the studies

Review Totals and Summary

Members Only22,842 reviews · 98% positive
22,842 reviews · Supplement First 22,752 · Amazon 66 · Thorne 24
98% positive0% neutral2% negative

Across the stores this capsule carries about 22,842 ratings. The written feedback I have is small and positive, centered on relief from night sweats and hot flashes, though one store page shows an average of only 3.5 out of 5 with some low star ratings that go unexplained. **What buyers say it did for them:** Hot flashes and night sweats are the one theme. Several reviewers describe a clear change in a symptom they were watching. One says, "Half way through my first bottle the night sweats and hot flashes stopped." Another reports "no more hot flashes, I love it." A third says it "has helped so much with my hot flashes at night" and plans to reorder. A skeptical buyer says it reduced how often she wakes up sweaty, and she notices more sweating on nights after a missed dose. She calls it "Definitely not a placebo affect." She frames this as help with night sweats at least, not a complete fix. Reviewers describe the change as arriving within weeks, sometimes within the first month. **What they complain about:** The written reviews contain no complaints. The one store page that shows a rating breakdown has six two-star and four one-star ratings, but nothing in the visible text explains them. I can't tell you what those lower raters disliked, so the 3.5 average on that page is a caution without a stated reason. **Taste, smell, pill size, or form:** Nothing is said about taste, smell, or pill size. No other forms of the product (gummies, powder) appeared in the material I had, so none were left out. **Value for money:** Price isn't discussed in the written feedback. The only hint of value is a buyer's intent to reorder, which suggests she found it worth continuing. **Who it seems to suit and who it did not:** It seems to suit women in perimenopause or menopause whose main trouble is night sweats and hot flashes. One reviewer researched supplements and concluded that different formulas suit different symptoms. She had been on another product that didn't help her main symptoms, and this one worked better for her within a month. Her review is cut off, so I can't say more. The reviews give no evidence about benefits for sleep, mood, joints, or bones, so those are unaddressed. Who it did not suit is unknown, since the low ratings come with no explanation. **Bottom line:** The written feedback is narrow but consistent. If hot flashes and night sweats are your main concern, buyers report relief. Keep in mind that the reviews are few and mostly short and enthusiastic, and some lower ratings remain unexplained.

Biohacker Summary

Members Only6 of 10 recommend it
6 of 10 biohackers on our panel recommend it

Vitamin B6, the main ingredient, drew mixed views from seven of the ten panelists, with about half recommending it and several urging caution. Those in favor take it for nervous system support, estrogen and histamine breakdown, PMS, and making serotonin and melatonin, and they pair it with magnesium, folate, B12 or other B vitamins. Several prefer the active form called pyridoxal-5-phosphate (P5P) and warn against the synthetic form, pyridoxine hydrochloride, which one panelist says is common in multivitamins and energy drinks. Doses were rare: one panelist cited 50 to 100 for estrogen metabolism, and another says he takes 1 gram each morning. Two panelists warn that too much B6 is linked to nerve damage, and one of them does not supplement it for that reason. Hops, a smaller ingredient in this product, was tried by one panelist, who found it curbed his appetite.

See all 8 biohackers →Hide the biohackers
  • Dr. Eric Berg · Vitamin B6 · warns
    • 10 Oct 2026 · warns · Podcast ↗
      Dr. Berg lists pyridoxine hydrochloride as a synthetic vitamin to avoid.
    • 4 Oct 2026 · recommends · Facebook ↗
      Recommends taking the active form of vitamin B6, pyridoxal-5-phosphate (P5P), for its benefits to the nervous system, including building the myelin sheath and protecting sensory nerve integrity.
    • 4 Oct 2026 · neutral · X ↗
      Notes that Vitamin B6 is intimately involved in the nervous system and may be behind sciatica and carpal tunnel syndrome.
    • 15 Sep 2026 · neutral · Podcast ↗
      States that high vitamin B6 levels can be linked to peripheral neuropathy.
    • 17 Jun 2026 · neutral · Instagram ↗
      Mentions vitamin B6 as a required cofactor for Vitamin D to be properly absorbed and used by the body.
    • 6 Jun 2026 · neutral · Instagram ↗
      States that Vitamin D needs K2, magnesium, zinc, B6, boron, and even vitamin A to do its job, emphasizing that vitamins rarely work alone.
    • 30 May 2026 · recommends · YouTube ↗
      Recommends P5P as the active form of vitamin B6, advising against pyridoxine HCl which is inactive and may not convert properly due to genetic issues.
    • 19 Mar 2026 · warns · Podcast ↗
      Warns that unconverted vitamin B6 can accumulate in the body and affect the nervous system, worsening nerve pain, especially if the liver is sluggish, bile is insufficient, or glutathione is low. He advises not to exceed 50 mg per day.
    • 5 Feb 2026 · recommends · Podcast ↗
      Mentions that if one doesn’t have enough vitamin B6, it may seem that magnesium is not working.
    • 4 Feb 2026 · neutral · YouTube ↗
      Mentions that vitamin B6 is necessary for magnesium to get into cells.
  • Dr. Mark Hyman · Vitamin B6 · uses
    • 31 Aug 2026 · uses · YouTube ↗
      Optimized a child's nutrient status with vitamin B6, as the child had low B6 levels.
    • 29 Jun 2026 · recommends · Facebook ↗
      Recommends vitamin B6 with folate and B12 as supplements with strong evidence for PMS.
    • 3 Jun 2026 · neutral · YouTube ↗
      Believes that if functional testing is done to replete deficiencies like vitamin D and B12 before someone stops their medication, withdrawal symptoms can be completely eliminated.
    • 15 Nov 2024 · recommends · YouTube ↗
      States that Vitamin B6, at 50 to 100, is important for estrogen metabolism.
    • 18 Sep 2024 · recommends · YouTube ↗
      Recommends Vitamin B6 to support histamine metabolism and gave it to a patient two times a day to help her body break down histamine.
    • 28 Jun 2024 · recommends · YouTube ↗
      Dr. Hyman recommends vitamin B6 for easing PMS symptoms, stating it is important for estrogen metabolism.
    • 8 May 2024 · warns · YouTube ↗
      Advises moving away from some over-the-counter gummy vitamins due to their high sugar content, which can lead to kids consuming a mouthful of sugar.
    • 22 Mar 2024 · recommends · YouTube ↗
      Dr. Hyman highlights the importance of B12, B6, and folate, noting that high homocysteine levels, which indicate inadequate function of these B vitamins, are associated with high blood pressure and diabetes in pregnancy.
    • 12 Jan 2024 · neutral · YouTube ↗
      Notes that deficiencies in nutrients like vitamin B6 can cause low magnesium.
    • 21 Jul 2023 · recommends · YouTube ↗
      Recommends B6 as a methylating vitamin needed for detoxification.
    • 10 Dec 2021 · Hops · uses · YouTube ↗
      States that at the Ultrawell Center, they use hops, an herb, as part of their toolbox to help patients with sleep.
    • 8 May 2020 · Hops · uses · YouTube ↗
      Mentions using hops as part of a formula at the Ultra Wellness Center to help patients with sleep.
  • Thomas DeLauer · Vitamin B6 · recommends
    • 20 May 2026 · recommends · YouTube ↗
      Recommends ensuring adequate vitamin B6 intake, as it is a required cofactor for cells to use absorbed magnesium and improves central nervous system relaxation when combined with magnesium.
    • 7 May 2026 · recommends · YouTube ↗
      Recommends vitamin B6 to support GABA production and find balance for mental clarity.
    • 25 Feb 2026 · neutral · YouTube ↗
      Mentions B12 as a critical B vitamin for reducing homocysteine.
    • 17 Apr 2025 · recommends · YouTube ↗
      Notes that depending on one's diet, adding a good multivitamin might be beneficial, specifically recommending a methylated multivitamin for better absorption and utilization.
    • 28 Feb 2025 · uses · YouTube ↗
      Says his kids love taking Hiya multivitamins because they are sweetened with monk fruit and have no sugar, making it a fun ritual for them.
    • 30 Jul 2024 · recommends · YouTube ↗
      Thomas DeLauer, a dad of two young kids, recommends Hiaa Kids Multivitamins as a fun and beneficial chewable multivitamin, sweetened with monk fruit, that helps establish a good routine for kids.
    • 3 May 2024 · Hops · recommends · YouTube ↗
      Recommends Hop Water, which contains water, hops, and nootropics like 5-HTP, as a solution for those who want to reduce alcohol consumption.
    • 17 Mar 2024 · warns · YouTube ↗
      Warns against taking synthetic Vitamin B6 (pyridoxine or pyridoxine HCL) because it can cause peripheral neuropathy and clogs B6 receptors for a long time.
    • 8 Jan 2024 · Hops · recommends · YouTube ↗
      Recommends Hop Water, a drink made from hops with nootropics, as a substitute for alcohol to give a buzz without the alcohol, and notes it is carried by Thrive Market.
    • 20 Dec 2023 · uses · YouTube ↗
      Says that while he's not the biggest fan of giving kids a bunch of supplements, he understands his kids don't always eat everything he wants them to, and Hyatt multivitamins help them get additional vitamins. He also says his kids love them and he probably eats more of them than his kids do.
    • 10 Dec 2023 · Hops · uses · YouTube ↗
      Drinks hop water, which is water made from hops that tastes a bit like beer and contains 5-HTP and nootropics to provide a fun buzz without damaging the body.
    • 31 Oct 2023 · neutral · YouTube ↗
      Discusses that Vitamin B6 is beneficial for eyesight and can reduce the risk of advanced macular degeneration, likely by helping to break down homocysteine which can damage eye vessels.
    • 3 Aug 2023 · warns · YouTube ↗
      Notes that the multivitamin he takes uses methylcobalamin for B12, which he considers superior to cyanocobalamin, a cheap shortcut.
    • 23 Jan 2021 · Hops · recommends · YouTube ↗
      Highly recommends Hop Water, a beverage that uses the essence of hops without alcohol, and combines adaptogens like maca and 5-HTP, which helps him fall asleep and curbs his appetite.
  • Dave Asprey · Vitamin B6 · neutral
    • 1 Jan 2026 · neutral · YouTube ↗
      Mentions Vitamin B6 as playing a role in methylation pathways.
    • 21 Dec 2024 · warns · YouTube ↗
      Warns that the synthetic form of vitamin B6 found in almost all multivitamins and energy drinks binds to B6 receptors for a thousand days, making them unavailable for the beneficial form.
    • 25 Jan 2024 · uses · YouTube ↗
      Says they would take a bunch of their Wild Lights Vitamin B6 if they had to eat almonds, to try and pass them.
    • 12 Dec 2023 · warns · Podcast ↗
      Warns about formulating with Vitamin B6.
    • 10 Nov 2022 · recommends · YouTube ↗
      Identifies P5P, a bioactive form of vitamin B6, as a great cofactor for melatonin production, helping the body naturally produce the hormone.
    • 8 Dec 2019 · recommends · YouTube ↗
      Recommends feeding the tryptophan pathway with vitamin B6, as it is depleted by birth control and its depletion can lead to depression.
    • 8 Dec 2019 · neutral · YouTube ↗
      Mentions P5P in the context of epigenetic alterations, comparing it to vitamin B6.
    • Date not recorded · recommends · Website ↗
      Recommends supplementing with Vitamin B6 if homocysteine levels are high, indicating a methylation issue or B12/folate deficiency.
  • Ben Greenfield · Vitamin B6 · recommends
    • 19 Jul 2025 · recommends · YouTube ↗
      Recommends Vitamin B6 for the conversion of tryptophan to serotonin and then melatonin in the pineal gland.
    • 23 Aug 2024 · Hops · uses · YouTube ↗
      Tried Kolkurb, an active ingredient called Mar from hops extract, an hour before a meal and found it worked effectively to induce satiety, despite its extremely bitter taste.
    • 6 Jun 2024 · Hops · uses · YouTube ↗
      Ben Greenfield has tried Calocurb, an extract of bitter hops, multiple times after lunch and found he had to force himself to eat dinner due to appetite suppression.
    • 24 Aug 2023 · neutral · YouTube ↗
      Lists vitamin B6 as a vitamin that, when combined with others, has a neuroprotective effect on the brain.
    • 6 Apr 2023 · uses · YouTube ↗
      Leland ensures adequate Vitamin B6 for patients to optimize endogenous melatonin production.
    • 1 Dec 2022 · recommends · YouTube ↗
      Ben recommends HIYA Kids Multivitamin as a pediatrician-approved, superpowered chewable multi that is zero sugar, non-GMO, vegan, dairy-free, allergy-free, gelatin-free, and nut-free, formulated with 12 organic fruits and veggies and 15 essential vitamins and minerals.
    • 3 Nov 2022 · warns · YouTube ↗
      Warns that most typical children's vitamins are basically candy in disguise, containing two teaspoons of sugar, unhealthy chemicals, and gummy junk that growing kids should never eat.
    • 13 Mar 2021 · recommends · Podcast ↗
      Ben mentions that tryptophan and vitamin B6 are necessary to produce melatonin.
    • 26 Jan 2019 · neutral · YouTube ↗
      States that up to 85% of the vitamin B6 made in the body can be produced by species in the gut, highlighting the gut's role as a 'small pharmacy' for vitamin production.
    • 1 Nov 2018 · neutral · YouTube ↗
      States that they use some vitamin B6.
    • 11 Oct 2018 · neutral · Podcast ↗
      Explains that Vitamin B6 (P5P) helps with about 30 of magnesium's enzymatic reactions, including serotonin and dopamine manufacturing, and is involved in the absorption of magnesium.
    • 12 Apr 2018 · recommends · Podcast ↗
      Ben recommends Thorne Vitamin B Complex for healing nerve damage.
    • Date not recorded · Hops · recommends · Website ↗
      Recommends German beers because they are strict about ingredients, typically containing only water, hops, yeast, and malted barley or wheat, making them cleaner and free from harmful additives.
    • Date not recorded · Hops · recommends · Website ↗
      Ben recommends hops, the herb that flavors beer, at about 100 milligrams per day, as it has been shown to reduce estrogen levels by inhibiting aromatase, the enzyme that converts testosterone into estrogen.
  • Siim Land · Vitamin B6 · neutral
    • 29 Nov 2024 · neutral · YouTube ↗
      Mentions that insufficient vitamin B6 can raise prolactin levels.
    • 28 Sep 2024 · recommends · YouTube ↗
      Recommends B12 for vegans, noting it is a standard vitamin found in animal products.
    • 13 Aug 2023 · uses · YouTube ↗
      Is experimenting with serine plus vitamin B6 to impact homocysteine levels, a mechanistic hypothesis he is testing.
    • 18 Jun 2023 · uses · Podcast ↗
      Takes 1 gram of Vitamin B6 from DoNotAge in the morning for longevity.
    • 13 May 2019 · neutral · YouTube ↗
      Mentions vitamin B6 as another example where the principle of metabolic conversions from plant to animal forms applies, with genetic variations affecting the ability to get B6 from plant foods.
  • Andrew Huberman · Vitamin B6 · warns
    • 29 Jul 2024 · warns · YouTube ↗
      Does not supplement B6 due to evidence that overs-supplementing vitamin B, especially B6, is problematic because of peripheral nerve damage.
    • 12 Jun 2023 · neutral · YouTube ↗
      Notes that some people are exploring the use of P5P, a metabolite of vitamin B6 known to suppress prolactin, as a way to buffer the post-MDMA crash, though there are no human data yet.
    • 11 Apr 2022 · recommends · YouTube ↗
      Recommends P5P, which is vitamin B6, as a dopamine agonist to help with low drive and motivation.
    • 12 Apr 2021 · neutral · YouTube ↗
      Described how some people take vitamin B6 to reduce prolactin levels and thereby reduce the duration of the refractory period, but he is not suggesting anyone do this.
    • 22 Mar 2021 · neutral · Podcast ↗
      Mentions Vitamin B6 as a mild prolactin inhibitor.
    • Date not recorded · uses · Website ↗
      Huberman states that he used to take a couple hundred milligrams of vitamin B6 after major events to offset the post-achievement low, noting it seemed to have a positive effect, but advises caution for those with diabetic neuropathy.
    • Date not recorded · neutral · Website ↗
      Notes that some people are exploring the use of P5P, a metabolite of vitamin B6 known to suppress prolactin, as a way to buffer the post-MDMA crash, but there are no human data yet.
    • Date not recorded · neutral · Website ↗
      He mentions that B6 and NMN are where the Krebs cycle starts to kick in, and all B vitamins basically run that entire circle.
  • Dr. Rhonda Patrick · Vitamin B6 · recommends
    • 19 Mar 2015 · recommends · YouTube ↗
      Dr. Patrick states that people with a specific gene polymorphism in the NPF3 gene, which affects vitamin B6 levels, may need to increase their dietary intake of B6 and/or supplement with vitamin B6.
    • 22 Jun 2014 · recommends · YouTube ↗
      Vitamin B6 can suppress the production of Advanced Glycation End products.
    • Date not recorded · neutral · Website ↗
      Dr. Rhonda Patrick explores high-dose vitamin B6.
    • Date not recorded · neutral · Website ↗
      Notes that very high doses of vitamin B6 can overcome a specific mutation in the ornithine aminotransferase enzyme, preventing progressive blindness.

RAL Summary

Members OnlyTier 3 for Hormone Balance for Women

Two placebo-controlled trials of this exact herbal blend found fewer menopause symptoms and 98% of 22852 reviews are positive, which would reach tier 2, but four biohackers on our panel warn against it, so it drops to tier 3 [1][2].

Take 3 servings a day (6 capsules) to match the dose that worked in the studies.

This product itself was tested in 3 human studies.

Where the evidence disagrees: 11 of the 41 human studies found no effect.

More Details

Members OnlyBody systems · Combine with · Possible side effects

Body systems: Endocrine system, Reproductive system, Nervous system

Combine with: For its intended use in women, this product pairs well with vitamin D3 and K2 plus calcium for bone density support as estrogen declines, omega-3 fish oil for cardiovascular and mood support, and a B-complex with methylated folate and B6 for energy and mood. Additional options include ashwagandha or an adaptogen for stress and cortisol balance, and magnesium glycinate in the evening for sleep, though total magnesium intake should be monitored to avoid excess. For men seeking hormone support, better choices are zinc, vitamin D3, boron, ashwagandha, and fenugreek or tongkat ali, ideally after checking testosterone levels with a clinician. Black Cohosh should be used cautiously with liver conditions or hepatotoxic medications.

Possible side effects: No major side effects reported; the open study of the blend reported no side effects and hops did not change hormone levels or blood clotting.

Supplement Facts

Vitamin B6 30 mg · EstroG-100® Botanical Blend† 514 mg · Hops extract 85 mg
Supplement Facts
Serving Size Two Capsules
Servings Per Container 30
Amount Per Serving% Daily Value
Vitamin B630 mg
EstroG-100® Botanical Blend†514 mg†
Hops extract85 mg†
† Daily Value not established.

Other ingredients: Hypromellose (derived from cellulose) capsule, Microcrystalline Cellulose, Ascorbyl Palmitate.

Directions: Suggested Use: Take 2 capsules daily or as recommended by your health-care practitioner.

Barcode (UPC) 693749015963 · Label source: Reverseagelab · Report a label change

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Members OnlyThe highest ranked for the same goal

Graded November 5, 2026 by the Reverse Age Lab evidence engine, from human studies, real reviews and our biohacker panel. How we grade. Is this medical advice? No. Rala organizes the published evidence; go over any change with your doctor, especially if you take meds.