Your supplement report

Strong evidence for cardiovascular health and inflammation reduction during perimenopause. Nordic Naturals is third-party tested with excellent purity. Your Mediterranean diet provides some omega-3 but supplementation at this dose fills the gap for cardioprotective benefit.

Essential for bone health during perimenopause, especially with your minimal sun exposure. NOW Foods is GMP-certified. The 2000 IU dose is appropriate given your multivitamin also contains D3 — total daily intake stays within safe range.

Magnesium glycinate is an excellent choice for sleep and muscle relaxation. However, at 200mg you may benefit from increasing to 300-400mg given your stress level and hot flashes. Consider upgrading the dose or switching to a product with a higher per-capsule amount.

This multivitamin provides broad coverage but creates redundancy with your standalone D3, calcium, and biotin supplements. If you keep the multivitamin, you can cut 2-3 standalone products. However, the iron content may be unnecessary without labs confirming deficiency.

Redundant with your multivitamin which already contains calcium and D3. Your standalone D3 supplement already covers vitamin D needs. Your Mediterranean diet with daily dairy intake likely provides adequate calcium. Supplemental calcium above 500mg/day in the absence of documented deficiency may increase cardiovascular risk.

Biotin deficiency is extremely rare with a normal diet. At 10,000mcg this is 33x the adequate intake. Your multivitamin already provides biotin. High-dose biotin interferes with lab tests including thyroid panels — critical given your levothyroxine use and need for TSH monitoring.