Managing menopause, reframed.

A certified private menopause consultancy for women navigating the transition — and for the organizations, clinicians and policymakers shaping the systems around them.

Est. 2025 · Global practice · · ·
§01   The problem

All women over the age of 40 are entering menopause . Most will do it in the dark.

The average woman experiences menopausal symptoms for seven to twelve years, yet fewer than one in five receives a referral to a menopause specialist — and three-quarters of those who do seek care - leave untreated.

ALIN exists to close that gap. We translate the best available clinical evidence into practical, personalised plans — for women and for the institutions that employ, insure and treat them.

0%
of women aged 35+ report at least one menopausal symptom.
AARP · 2025
$0B
lost annually in the U.S. alone to productivity and medical costs linked to untreated symptoms.
Mayo Clinic Proceedings
0%
average earnings decline four years after a woman seeks care for menopause-related symptoms.
Stanford / SIEPR · 2025
0/5
women in the U.S. receive a referral to a trained menopause specialist.
Menopause Society
§02   About

I am Natali Rubin

Natali Rubin Nathali Rubin, Founder & CEO 1978

A certified hormone therapy practitioner. Health sector economist. An HRT advocate.

I have built ALIN after entering into perimenopause and feeling helpless with a vast gap in my knowledge to deal with this new stage in my life. ALIN was a direct result of this event and years of watching smart, high-functioning women navigate perimenopause without a map. Since then, I have grounded my work in menopause related studies and endless digging into up-to-date clinical research by reputable sources to become as knowledgeable as possible in this complex subject.

I have seen women fear hormone therapy, and I have seen women jump into it as if it was the mere use of light supplements. And both types share the common caveat — they lacked the knowledge to understand what's happening to them, to their bodies and their minds. I was these women. With life disrupted beyond recognition, I decided it was too important to stay ignorant. I have studied and experienced the benefits of personalized HRT first hand which has changed my life beyond any expectation I had. I made it my primary goal to bring that knowledge and evidence-based HRT practices to women who also refuse to accept our biological 'date of expiry' as a given.

— For my daughter, so she will know. For my sons and ex-husband, so they may understand.
Certification Certified Menopause & Female Health Practitioner

Two U.S.-based, globally accredited institutions.

Continuing ed. Harvard Medical School

Online courses in Sleep Management | Anxiety & Stress Disorder | AI in Medicine Applications.

Institutional role Senior Economist

District Economist in one of the leading HMOs.

Click to view official certifications →
§03   Services

What I do.

§04   Approach

My process. Medical evidence based protocol.

i.

Introduction

A coffee meeting to get to know each other. We talk practicalities but also see if we connect — if we are a good fit for each other for this journey.

ii.

Listening

A 75-minute session. We map your symptoms, medical history, and what a good next chapter looks like — so the plan we build is genuinely yours.

iii.

Testing

Targeted labs and measures where they change the plan — hormones, metabolic markers. DUTCH, bone density, cardiovascular risk. Nothing ordered for theatre.

iv.

Designing

A personalised protocol combining clinical options (HRT where indicated), targeted lifestyle work, and coordination with your existing care team.

v.

Implementing

A clinical written plan you can actually follow. Scripts for GPs, employers and partners. The plan is yours and it is a living document as we progress.

vi.

Monitoring (care)

Menopause is a decade-long window, not a one-off visit. We adjust quarterly and annually as your body, life and evidence base evolve.

§05   The stages

It is a 10-12 year transition. Not a one-day event. Where are you?

Click on each stage to see the differences
§06   Symptoms

More than hot flashes.

Most conversations about menopause stop at hot flashes. The clinical reality is wider, quieter, and — in several cases — more consequential. There are over 120 documented menopause symptoms. Many, significantly more severe than hot flashes. These are only selected ten of the symptoms that are disruptive when left unaddressed.

§07   The numbers

Menopause, in economic terms.

$0B
Global worker-productivity losses per year attributed to untreated menopause symptoms, per AARP research.
AARP · 2025
0%
Share of the U.S. labour force made up of women at or near the end of their reproductive years.
Stanford / SIEPR
0–0 yrs
Typical duration of menopausal symptoms — a full decade of midlife, if unsupported.
SWAN longitudinal study
0%
Of postmenopausal women will develop osteoporosis in the decades after estrogen decline.
Int. J. Mol. Sci · 2025
0%
Of women going through menopause consider leaving their jobs altogether.
U.K. Gov. survey · Time
0%
Of midlife women report new or worsening digestive symptoms during the transition — a finding only recently surfaced.
Menopause Society · 2025
On the record
...the safest and most effective time to begin hormone therapy is within the first ten years of menopause [ages 42-52] — and a growing body of evidence now suggests earlier, during perimenopause, may be better still.
— Paraphrased from The Menopause Society, 2025 annual meeting
§08   Articles

Curated articles of the day.

View all articles →
§09   FAQ

Questions most women ask.

§10   Begin

Let's talk.

Let's have coffee. A real one or over a video call.

Book a free consultation →
Email
[email protected]
Website
www.alin.global
Phone
+972-50-4439389
Practice
Private consultancy
In-person or over video
Partnerships
Employers · HMOs · Media
Workshops, advisory, speaking

Once a week information.

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