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

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.

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.

Over 25 million women enter menopause each year and face decisions about hormone replacement therapy. But HRT dosing is far from standardised — and the testing method used makes all the difference. This article explores why doses vary so widely and how saliva, blood spot and urine testing can help optimise outcomes.