Dr Saadia Meyer

20/04/2025

Why Do I Still See My Patients in Person — and Always Will

Yes, it’s more expensive to open the door. In-person care takes more time, more space, more presence and more legislation But it’s worth it for both of us as the results are the evidence.

I know there are more online clinics and one-click hormone services popping up every day. And yes, virtual care has a place — especially for follow-ups, or for women who live far away. My patients always have that option once they’re steady. But when we’re starting out, or when things are complex, I want to see them. Really see them.

I work with women going through PMDD, perimenopause, menopause — times in life where so much can feel unclear, overwhelming, or invisible. And while forms, test results, and trackers help, they don’t tell the whole story.

My many years of experience has taught me to listen not just to words, but to people. My job is to look at the whole woman — not just her symptoms, or her blood tests, or her history typed into a box. That holistic view depends on seeing the person as they truly are - and for me, that happens best in the same room, together.

And it’s not just about what I pick up - it’s about how they feel in that space.
I’ve had women travel from the remotest parts of the UK and even from abroad — and that effort reminds me why I do this the way I do. Because it works. Because it honours the person. Because it’s human.

That’s why I still do it.

02/04/2025

COLLAGEN Supplements-MIRACLE OR MARKETING?

Let’s break it down - FACT:
Collagen is just protein. When you eat it, your body breaks it down into amino acids - it doesn’t magically travel to your face or joints.

FALLACY:
“Taking collagen will make your skin glow and joints strong.”
There is no solid scientific evidence to back this.
Most studies are small, industry-funded, and not robust.

FACT:
If you’re already eating a protein-rich diet - eggs, fish, meat, dairy, legumes - you’re getting all the amino acids your body needs to make collagen.

FALLACY:
“You need collagen supplements as you age.” No. You need enough total protein. Collagen is low in essential amino acids. It’s not superior - just well-marketed.
Want better skin, joints, gut health?
Try bone broth. It’s nose-to-tail, nourishing, and actually gives you the same amino acid profile without the hype - plus it’s delicious, natural, and far less processed.

I love ’s take - he doesn’t believe in collagen supplements either... but his wife swears by them because she feels her skin looks amazing. And that’s fair - the placebo effect is powerful. If it feels good, do it - but let’s not call it science.

BOTTOM LINE:
Collagen isn’t a magic fix. A solid diet with enough total protein, good fats, minerals, and sleep will do far more for your skin, joints and hormones than any overpriced capsule.

The Meyer Menopause clinics advise, help, and treat women going through the Perimenopause & Menopause.

15/10/2024

Informed Consent is as Important as informed refusal:

As a responsible specialist, I believe it’s essential that patients not only have the right to consent to treatment but also the right to refuse any therapy or intervention after being fully informed.

In my holistic integrative approach to
personalised hormone therapies, counselling isn’t just about encouraging agreement; it’s about empowering patients to make the best decisions for themselves, whether that means proceeding with or declining a treatment.

This ensures we are working in true partnership— on the same wavelength-throughout their treatment journey.

29/05/2024

When should I start thinking about HRT?
The post-reproductive health of women, that is, our life after finishing our periods, is very important. This is our second innings and we will be playing this game until we die! So, it is extremely important not only to reflect on our lifestyle choices, but equally, to consider our hormone balance for its benefits to our well-being.

But when to start reflecting on how your hormones are behaving?

Perimenopause can start any time from around age 45. You might notice new symptoms related to your periods, mood, sleep and libido, such as night sweats, hot flushes, urinary symptoms or vaginal dryness. HRT will help alleviate all of these.

No distressing symptoms? It may still be worth No distressing symptoms? It may still be worth a discussion with your doctor about your options and making an elective choice to go on HRT. The many benefits for future overall health include: maintaining your bone health, reducing the risk of heart attack and stroke, preventing painful s*x and bladder problems. There is more robust evidence for the benefits compared to the small increase in potential risks, including breast cancer.

Studies indicate that the benefits of hormone therapy, when commenced before age 59, have the greatest impact. Starting later than this is still beneficial, especially with regards preservation of bone density and the reduction of heart disease risk.

A myriad of life experience awaits us after menopause, so why not be as fit, well and physically independent as possible to enjoy everything.
Think my choices. Think my hormone balance.

15/05/2024

Understanding HRT and Weight

Contrary to popular belief, HRT (Hormone Replacement Therapy) isn’t the culprit behind weight gain. Let’s clear up this misconception and dive into the actual details.

As women approach and undergo perimenopause and menopause, the body’s production of the hormone oestrogen decreases. This is because the body anticipates a reduced need for it, given its primary role in reproduction. Meanwhile, this hormonal change can strain the adrenals, organs that play a significant role in fat metabolism.

Your adrenals regulate cortisol levels, a hormone sourced from various processes within the body. When functioning properly, they maintain a healthy cortisol balance. However, disruptions, especially during phases like perimenopause and menopause, can upset your metabolic rate. A well-known consequence of a decreased metabolic rate is weight gain, especially around the midsection, a concern for many women.

A common question I encounter from patients revolves around ways to manage or reduce this newly accumulated fat. While there’s no magic solution, a combination of hormonal balance, regular exercise, and a mindful diet can boost metabolic rates, enhancing fat burn. Additionally, managing stress is essential as heightened stress levels can surge cortisol production. Opting for a diet low in sugar ensures the carbohydrates consumed are nourishing rather than simply contributing to fat storage.

Lastly, always seek comprehensive information regarding any suggested treatment or medication. Being informed empowers you to make decisions that best suit your needs.

09/05/2024

Misdiagnosis of the perimenopause is a huge concern to women and understandably so. During your 40s, major life events often overwhelm us, without considering the hormonal changes that are just beginning to challenge us every day.

Your children have become teenagers and they need you almost more than when they were little: you have to guide them rather than bribe them, but with that come the heated debates, uncomfortable silences and challenging behaviours. You’re feeling jaded, faded and irritable. Chaos seems to rule your homelife and the workplace no longer feels like an escape or a morale booster. Then you lose a parent and grief hits you like a juggernaut and you don’t know how you’re going to cope.

An experienced and accredited menopause practitioner can help you differentiate between symptoms and what’s causing them at this delicate time.

The symptoms you are feeling may be connected to the perimenopause, so make sure the practitioner you choose has the right credentials and experience before seeking medical care. You may be advised to follow a course of anti-depressants, without a look at the whole picture. When you’re in your 40s or early 50s, mood swings, low moods, fatigue, brain fog, and a variety of physical discomforts are more likely to come from hormonal changes than mental illness. This could be the perimenopause when the hormones are in a state of flux.
ur experiences and ability to cope with whatever life throws at us are at their peak at this time of our lives, contrary to popular belief and poor media coverage. It’s a question of turning the negatives into positives and understanding what exactly is happening in our bodies. As a practising GP, Menopause specialist and Gynaecologist, Dr Saadia Meyer has the knowledge and experience to look at a client from the inside out and prescribe the most suitable perimenopause treatment for that individual. She uses an integrative holistic approach in her medical practice. Every woman is an individual and her ethos is to formulate a management plan that is personalised.

Ou

09/05/2024

Menopause & Anxiety

There is medicine for 100 problems, but laughter is my best healing friend!’
- A Hindi adage.

But how can you laugh when you’re feeling anxious? The more we worry about everything the more stressed and anxious we feel. The symptoms we experience during the menopause may be exacerbated if we are feeling stressed on a daily basis by external factors, whether that be at work or at home. Factors might include: household chemicals, pesticides in our foods, pollutants in the air, the glare of our various devices and the relentlessness of our jam-packed lifestyles. This can overwhelm our already challenged body’s ability to cope, to cleanse and repair. In turn this leads to insomnia, tiredness, anxiety, depression and some physical illnesses, all or some of which we may already be experiencing during the menopause. If we are not careful we can find ourselves in a far more ‘burnt out’ situation than necessary.

We can all try to improve our lifestyles by fitting in yoga, swimming, running, or an exercise class, but how do we look after ourselves from the inside? Good eating habits and avoiding too much sugar and fat are both well documented ways of nourishing our bodies and dealing with our weight, which can be an additional factor to worry about during the menopause, but what other natural substances are good for us?

If we turn to the help of nature we will find some amazing plants and herbs that can support our body’s natural healing system until we are back on an even keel. Likewise, during the menopause, with all the changes it throws at us, we can also benefit from exploring the world of adaptogens.

Adaptogens are non-toxic plants that can help the body resist stressors of all kinds, whether physical, chemical or biological. Many of these plants have been used for centuries in Chinese and Indian Ayurvedic healing traditions, but are currently having a renaissance within the general population, not just women going through the menopause.

09/05/2024

From puberty to menopause our hormones go up and down like a roller coaster. Whether it’s premenstrual or pregnancy a dip or spike in estrogen and testosterone can send our skin into haywire leaving our mood and complexion feeling high jacked
So, what can we do to help?

Exercise.
Yup, it’s probably not what you want to hear when the dreaded PMS strikes and all you want to do it cosy up on the sofa with a hot water bottle but exercise is your best friend. It reduces levels of the body’s stress hormones, such as cortisol which can cause sebaceous glands to produce excess oil in the skin. Instead of HIIT workouts which can stress the body try long walks or weight / resistance band training.

Sleep.
Again, it’s about fending off those stress hormones that can trigger the skin to become unsettled. Adopting a relaxing night time ritual will help to unwind & improve sleep quality.

Diet.
Reduce your intake of high carb foods such as sugar, white bread & processed products. We know, this is particularly hard when you’re feeling hormonal & have an overwhelming urge to dive into a pot of Nutella. These foods, along with dairy, can exacerbate acne flare ups so it’s best to limit them as much as possible.

Oil control.
Often hormones can increase oil production in the skin so ensuring you’re using a great skin health system is critical when keeping breakouts at bay. The GSR system from@zoskinhealth_uk consists of 3 steps - cleanse, exfoliate, control oil
- to ensure our complexion is clear and pores remain dirt free.

Retinol.
Is an amazing ingredient that not only helps with signs of ageing but also helps to treat acne due to its anti inflammatory benefits and ability to unclog pores. Whilst we can’t always stop our breakouts we can speed up the recovery by using retinol to boost the skins cell renewal.

04/03/2024

Our bone mass is at its best at the age of 30.
In the first year of menopause, we lose 5% of our bone mass and 1% every year after that.
How strong are your bones?
HRT helps maintain a healthy bone cycle i.e it allows the old bone to be taken away and new bone to be deposited by our body cells.
Something well worth considering is to ask your GP for a DEXA scan (dual energy x-absorptiometry scan). This simple, painless, noninvasive imaging test will calculate your T score.

If you are premenopausal you will probably receive a Z score. The T score indicates whether you have osteopenia or osteoporosis. Osteopenia refers to the thinning of the bone microstructure.
It means that you are likely to break bones more easily, but is not as severe as osteoporosis, which means your bones have lost much of their integrity, leaving you increasingly vulnerable.
More women with osteopenia break.

The bones most likely to break include your ankle, your rib or wrist. It’s not not always the hip in this age group. HRT helps prevent fractures by maintaining a healthy bone cycle.

If you are premenopausal you will probably receive a Z score. The T score indicates whether you have osteopenia or osteoporosis. Osteopenia refers to the thinning of the bone microstructure.
It means that you are likely to break bones more easily, but is not as severe as osteoporosis, which means your bones have lost much of their integrity, leaving you increasingly vulnerable.
More women with osteopenia break
The bones most likely to break include your ankle, your rib or wrist. It’s not not always the hip in this age group. HRT helps prevent fractures by maintaining a healthy bone cycle.

By using HRT you will be assisting your normal bone cycle to continue for much longer, so reducing the risk of either osteopenia or osteoporosis developing.
As a result of better bones women will remain far more active well into the menopausal and post-menopausal phase of their lives. This reduction means they can be more confident about what their bodies are capable of well into older age