16/09/2025
That's why we don't just address one hormonal system in isolation. We honor the hierarchy and support the WHOLE system. If the upstream hormones are in chaos, we can expect the downstream to follow suit.
Here’s how I might structure care as a functional medicine practitioner so we’re fixing the foundation before fiddling with the fixtures.
1) Rebuild the clock (2–4 weeks).
Aim for a consistent sleep window (e.g., 10:30 pm–6:30 am), anchored by morning outdoor light and dimmer evenings.
Keep caffeine to the first half of the day; front-load calories earlier. These steps improve insulin sensitivity and stabilize cortisol rhythms.
2) Tame the HPA axis- stress system (ongoing).
Daily 6–10 minutes of slow breathing or prayer + breath (physiologically lowers sympathetic tone).
Resistance training 2–4x weekly; walking after meals.
If using glucocorticoids, coordinate with your prescriber to monitor glucose; we have evidence-based strategies to mitigate steroid-induced dysglycemia.
3) Stabilize glucose and insulin.
Build meals around protein + fiber + healthy fats + colorful plants; keep refined starches as accents.
Try a daylight-aligned eating window on most days (not perfection, but pattern). These rhythms normalize peripheral clocks and improve metabolic markers.
4) Support thyroid signaling by context, not just TSH.
Ensure selenium, iodine, iron, and B-vitamins are sufficient from food or supplements if deficient.
Address inflammation, sleep debt, and caloric insufficiency that can skew deiodinase activity.
5) Then optimize s*x hormones.
Once the clock, stress, thyroid, and insulin are steady, fine-tune estrogen, progesterone, testosterone with lifestyle or medications if indicated. In PCOS, treat insulin resistance first; in hypothalamic amenorrhea, restore energy availability; in perimenopause, layer upstream work alongside any hormone therapy for better outcomes.
If you suspect that your hormones are out of balance, schedule your free consultation to get on the path back toward health and optimal rhythm.