Our expertiseHormonal health

Hormonal health

Hormonal health influences far more than reproductive function. Hormones regulate energy, mood, metabolism, sleep and recovery. When this system is under strain, the effects are often felt across the body rather than in any one place.
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Why Hormonal
health matters

Hormonal changes can affect how you feel day to day and over time. Depending on the pattern, they may be linked to sleep disturbances, mood changes, weight fluctuations, cycle-related concerns, changes in libido and poor recovery.

Because hormones are chemical messengers that communicate across almost every system in the body, an imbalance in one area can generate effects that appear unrelated. That is why hormonal health is best assessed in context, not in isolation.

Concerns where
Hormonal health
may play a role

Together with Dr Fiona Forbes and the medical team, we use over 400 biomarkers to understand the underlying factors contributing to symptoms.

FatiguePoor recoverySleep disturbancesBrain fogFatiguePoor recoverySleep disturbancesBrain fog
Mood changesLow resilienceIrregular or painful cyclesPMSMood changesLow resilienceIrregular or painful cyclesPMS
Perimenopausal patternsThyroid-related patternsFertility-related concernsWeight fluctuationsPerimenopausal patternsThyroid-related patternsFertility-related concernsWeight fluctuations
PCOSChanges in libidoReduced muscle massHot flushesPCOSChanges in libidoReduced muscle massHot flushes

These concerns are not assessed in isolation, but always in the context of the full biological picture.

How hormonal health
connects to other systems

Hormonal imbalance is not always a standalone issue. It frequently arises from or is worsened by patterns in other systems.

Chronic stress elevates cortisol, which can suppress sex hormone production and disrupt thyroid function
Gut dysfunction affects how hormones are metabolised and cleared from the body
Liver health influences the processing of oestrogen and other hormones
Inflammation can interfere with hormone receptor sensitivity
Sleep quality directly affects hormonal regulation and recovery

Our approach

At Forbes.health, we take a systems-based approach to hormonal health. We look beyond individual hormone values to understand the broader biological context, and how this system interacts with others.

That means assessing how hormonal health may be connected to stress response, thyroid function, metabolism, inflammation, recovery and the wider symptom pattern.

Our role is not only to identify what is out of range, but to understand how the body is functioning as a whole, and what may be driving symptoms beneath the surface.

Dr Fiona Forbes

Dr Fiona Forbes,

Chief Medical Officer

How we assess

Relevant testing panels

The most relevant tests depend on the individual, their symptoms and their medical history. For hormonal health, the following panels are frequently used:

Stress and Hormone Panel (SHP)

Measures cortisol patterns throughout the day alongside DHEAS, sex hormones and thyroid markers. Provides a comprehensive picture of hormonal balance, adrenal function and how the body is managing stress. One of the most important panels for hormonal health concerns.

Thyroid Panel Plus Hormones and PSA

Assesses TSH, Free T4, Free T3 and TPO antibodies alongside sex hormones. Thyroid dysfunction is a frequent driver of hormonal symptoms including fatigue, weight changes and mood disturbance.

Organic Acids Test (OAT)

Evaluates nutrient cofactors essential for hormone metabolism including B vitamins, zinc and magnesium, as well as neurotransmitter markers. Adds important context where hormonal symptoms overlap with mood, fatigue or cognitive function.

Oxidative Stress Panel

Chronic oxidative stress impairs hormone production and clearance. This panel assesses DNA damage markers and antioxidant capacity, relevant where hormonal dysfunction is accompanied by fatigue, poor recovery or inflammatory patterns.

From insight to direction

Whether navigating persistent symptoms or taking a proactive approach, the goal is always the same: to understand what your body is doing and why.

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Questions and answers

Frequently asked questions

Yes. Hormones regulate energy, metabolism, mood, sleep, stress response and recovery. Their effects extend well beyond reproductive function, which is why we always assess them within the broader biological picture.

Because symptoms like fatigue, mood changes and weight fluctuations are rarely caused by one hormone alone. They often reflect patterns across multiple systems that only become visible when assessed together.

Yes. Standard reference ranges are based on population averages, not optimal function. Many markers that fall just within range are still clinically significant when combined with symptoms and patterns across other systems.

Start with a free discovery call. We will explore your symptoms, health history and goals to determine whether hormonal health is the primary area to address, and whether our approach is the right fit.