Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — menopause insomnia

Weight loss failure is rarely just about willpower or diet — hormones are almost always involved. In this Q&A, Dr. Alyssa Burns-Hill of ZRT Laboratory tackles the most common questions from people struggling to lose weight despite their best efforts: from thyroid interference by the contraceptive pill and stress-driven cortisol cravings, to estrogen-reducing supplements, natural progesterone for menopause, and why 5-HTP can be a game-changer for mood, sleep and comfort eating.

Hot flushes, night sweats, anxiety, insomnia and brain fog — menopause can feel overwhelming. But what is actually happening biochemically? In this case study, Dr. Kate Placzek and Dr. Allison Smith walk through the test results of Julia, a newly postmenopausal woman, showing exactly how hormone and neurotransmitter imbalances drive menopausal symptoms — and what can be done about it.

In perimenopause, falling estradiol doesn’t just trigger hot flashes — it disrupts serotonin production, driving mood swings, brain fog and sleepless nights. Discover the hormonal science behind “the change” and how testing can help.

Nearly a third of the UK population suffers from insomnia — yet many are still unaware of the powerful connection between hormones and sleep. When cortisol and melatonin fall out of rhythm, or when neurotransmitters are disrupted by menopause or chronic stress, restorative sleep becomes elusive. Find out whether hormones are contributing to your sleep loss — and what you can do about it.

The Women’s Health Initiative (WHI) trial cast a long shadow over hormone replacement therapy — but it enrolled women well over a decade past menopause. Two newer trials, ELITE and KEEPS, specifically studied HRT started early in the postmenopausal period. Their findings on cardiovascular health, sexual function, sleep, mood and cognition paint a more nuanced and encouraging picture. Here is what the latest research shows.