Advice from the Ladies please

[liberty]

My buddies' wife is a 40 yr old mom of a 5 yr old girl.  For exercise she runs about 6 miles usually three times per week.  She works a desk job 34 hrs per week.  She seems extremely exhausted most of the time.  She has a lot on her plate of course, but she is way more tired than you would expect.  He thinks it may be hormonal, diet, wrong type of exercise or a combination.  She is on the pill and still gets bad cramps, bloating, emotional which I assume means she has a whole lot of estrogen.  What would you suggest to help her naturally balance things out and get her energy level up?  An alternate form of birth control is an option, dietary and exercise changes are options also.  Thanks

[Medford]

is she starting menopause?