To counteract harmone imbalance what should a pre-menopausal woman do?

Sleep,nutrition,prog. This is difficult to answer without knowing your symptoms, as there are various hormonal imbalances that can occur. Working on adrenals is a good start, with cleaning up diet, getting adequate sleep, and working on stress management. If trying to treat yourself, get evening primrose oil, good multivitamin, 1000-2000mg fish oil/day, and vitamin d 2000-5000iu/day. Vit d levels need to be followed.