In this powerful and honest conversation, our co-founder Rowan Sanderson joins Zora Benhamou to pull back the curtain on what’s really happening with hormone replacement therapy and weight gain during perimenopause and menopause.
Together, they explore why so many women on HRT still struggle with energy, mood, and unwanted fat—despite being told it should be the solution.
Rowan shares why misdiagnosis is rampant, how estrogen excess is often mistaken for deficiency, and how proper hormone metabolism testing (like the DUTCH test) can radically shift your outcomes.
They also dive into the impact of stress, gut health, inflammation, and why “doing more” (fasting, cardio, biohacks) can sometimes do more harm than good.
If you’re tired of hearing “this is just how it is,” this episode offers hope—and practical tools to help you take back control.
Show Notes:
In this episode, Nathalie Niddam is joined by hormone optimization specialist and co-founder of the Hormone Balance Clinic, Rowan Sanderson. Together, they unpack the truth behind what’s really driving symptoms during perimenopause and menopause — from estrogen dominance and endocrine disruptors to overlooked thyroid dysfunction and flawed HRT protocols.
Rowan shares a compassionate and science-backed roadmap for women who are tired of being told to “just deal with it.” They explore the importance of personalized functional testing (including the DUTCH and genetic panels), why many women are misdiagnosed, and how to create a safer, more effective hormone replenishment strategy.
Key Topics Covered:
What perimenopause actually is — and why symptoms can start a decade earlier
Why so many women on HRT still gain weight and feel off
The truth about estrogen dominance vs. deficiency
How toxins in cosmetics and everyday products mimic estrogen
Why thyroid issues are epidemic — and often missed in blood tests
DUTCH testing vs. blood work — and when to use both
How to support healthy estrogen metabolism through diet, supplements, and testing
Testosterone’s role in female vitality, libido, and mood
Natural vs. bioidentical hormones: what’s safe and what’s hype
Summary:
In this insightful episode of Hack My Age, host Zora teams up with functional medicine practitioner Rowan Sanderson to dissect her DUTCH hormone test results live.
Together, they explore how estrogen, progesterone, and testosterone levels—and their metabolites—paint a much deeper picture than lab numbers alone.
Rowan explains the nuances of hormone therapy, why many women don’t thrive on HRT, and how personalized data interpretation (rather than a one-size-fits-all approach) is the key to true hormonal balance.
With practical advice on adjusting estrogen ratios, optimizing testosterone and DHEA, improving methylation, and supporting hormone pathways, this conversation offers a masterclass in biohacking perimenopause and menopause.
Helping you navigate peri/menopause with confidence and clarity.
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