08/31/2026
Comment LABS and I’ll send you my free Functional Lab Guide. ↓
Hot flashes? Perimenopause.
Brain fog? Perimenopause.
Bloating? Perimenopause.
Fatigue, anxiety, poor sleep, weight changes? Perimenopause.
Maybe. 🤔
But symptoms alone don’t always tell us WHY you’re feeling the way you do.
→ What if some of that fatigue is also connected to low iron or mineral status?
→ What if the bloating is coming from your gut?
→ What if constipation, fatigue + hair changes warrant a closer look at your thyroid?
And what are your hormones actually doing within the bigger picture?
This is why I love functional testing alongside conventional labs + your clinical history. 🔬
For hormones, I may use DUTCH testing to look at:
✓ Estrogen + progesterone patterns
✓ Androgen metabolites
✓ Cortisol patterns
✓ How estrogen is being metabolized
For example, we can look at the relative activity of the 2-OH, 4-OH + 16-OH estrogen pathways and methylated estrogen metabolites.
One DUTCH result doesn’t decide whether you “can” or “can’t” use HRT.
It gives us more information to personalize the conversation — while also asking whether your gut, thyroid, nutrient + mineral status, stress physiology or other systems deserve attention.
Because perimenopause isn’t a reason to stop investigating your symptoms.
TEST. DON’T GUESS. 🔬
Want to know which labs I use for gut, hormones, minerals, thyroid + more?
Comment LABS and I’ll send you my free Functional Lab Guide. ↓