22/01/2026
Hormone health, perimenopause, fatigue, brain fog, and weight changes are often spoken about as separate issues.
Those symptoms are signals, and the challenge is understanding which ones matter, and how they connect.
Brain fog. Poor sleep. Low mood. Weight changes. Cycle variation.
These are often dismissed as “just hormones”, normal phases of ageing, or attributed to postpartum life and busy lives.
In reality, symptoms are rarely driven by one hormone or one system alone.
▪ Hormone fluctuations across perimenopause or after having children
▪ Stress and cortisol load
▪ Thyroid changes
▪ Blood sugar instability
▪ Suboptimal nutrition, including low iron, folate, B12 or vitamin D
▪ Early metabolic changes
This is why symptoms deserve proper attention, not just reassurance.
Patterns matter. Tracking is one of our favourite tools.
Blood tests help join the dots and ensure all systems are working as they should. They help make sure nothing important is overlooked.
Health literacy matters to us . Helping you understand what is happening in your body is just as important to us as the treatments and recommendations we make.
This is the work Katie and I do every day, and have done for years.
Listening carefully, joining the dots, and helping women make sense of hormone symptoms, fatigue and brain fog is a fundamental part of how our clinic works.
We choose to spend more time at the start, so you don’t have to keep repeating yourself later, and everything that follows feels simpler and more joined up.