Hormone Health Hub: Expert Insights on Testing, Balance & Better Living — hormone imbalance and menopause

Why does weight gain accelerate at menopause? Can estrogen dominance cause low cortisol? Is saliva testing better than blood? Hormone Health Educator Candace Burch of ZRT Laboratory answers the most common questions from women struggling with hormone-related weight gain — covering everything from adrenal fatigue and vitamin D deficiency to birth control, bioidentical progesterone and why “your hormones are fine” from a standard blood test may not tell the whole story.

When sex hormone test results show both oestradiol (E2) and progesterone (Pg) within normal ranges, yet symptoms persist, the Pg/E2 ratio provides a critical additional layer of clinical insight. A low ratio points to oestrogen dominance; a high ratio to progesterone dominance — each requiring a different therapeutic response. This article explains how the ratio is calculated, when it is clinically relevant, and how a real-world case illustrates its practical value.

Estrogen dominance — an excess of oestrogen relative to progesterone — is one of the most common hormonal imbalances in women. From heavy periods and mood swings to breast tenderness and weight gain, the symptoms are wide-ranging. Discover the causes, what to test, and how to restore balance.