04/05/2026
I’ve seen a lot of discussion after a recent podcast clip where I spoke about early perimenopause, hormones, and lifestyle interventions.
Some people agreed.
Some didn’t.
But I stand by what I said.
Hormones can be life-changing. I prescribe them myself and have seen the huge positive impact they can have on women’s lives.
However… good medicine should never be reduced to “symptom = prescription.”
A clinician who ignores women and refuses treatment when it’s genuinely needed is dangerous.
But equally, a clinician who jumps straight to medication without looking at sleep, stress, nutrition, exercise, metabolic health, alcohol intake, muscle mass, or lifestyle foundations can also be doing patients a disservice.
Medicine is nuanced.
Healthcare is individual.
And women deserve more than extremes from either side.
I always explain it like building a house…
There’s little point decorating the house if the foundations underneath are unstable.
Hormones can be an incredible tool.
But foundations still matter.
This isn’t anti-HRT.
It’s pro holistic, evidence-based, individualised care.
And honestly, social media has made these conversations far too black and white.
You’re either labelled “anti-hormone” for mentioning lifestyle… or “reckless” for prescribing them.
The reality?
The best clinicians usually sit somewhere in the middle.
Interested to hear your thoughts and experiences below 👇