
ESTROGEN
Triggers/Causes:
Relative progesterone deficiency
Impaired estrogen clearance )
Xenoestrogen exposure
Insulin resistance, blood sugar
swings, and chronic stress
Obesity
Build up of exogenous estrogens
Genetic slow metabolizer
Common Symptoms:
Heavy, prolonged, or clotty periods
Cyclic breast tenderness, fibrocystic
breasts
PMS: mood swings, irritability,
headaches, anxiety
Weight gain (hips, thighs, abdomen)
Bloating, water retention
Reduced libido, endometriosis,
fibroids
Migraine around ovulation or
premenstrually
Management:
Prioritise liver and gut support:
cruciferous vegetables, bitters, daily
fiber, probiotics
Identify and reduce xenoestrogen
exposure
Balance blood sugar and insulin with
protein, healthy fats, and slow carbs
Target healthy body composition with
gentle movement, not crash diets
Consider specific nutrients: DIM,
calcium-D-glucarate, magnesium, B6,
and choline-rich foods
Address stress, sleep, and trauma
patterns that can drive relative
progesterone deficiency
Triggers/Causes:
Perimenopause, menopause, or early
ovarian insufficiency
Over-exercising, under-eating, rapid
weight loss, or hypothalamic
amenorrhea
Post-contraceptive
Surgical removal of ovaries, some
chemo/radiation, or autoimmunity
Pituitary or hypothalamic dysfunction
Chronic stress, trauma, or HPA axis
dysfunction
Common Symptoms:
Irregular, short, or absent cycles
Vaginal dryness, discomfort with
intercourse, recurrent UTIs
Hot flashes, night sweats, poor sleep
Low mood, anxiety, loss of motivation
(“flatness”)
Bone loss, increased fracture risk
Poor skin elasticity, dry hair/skin
Poor memory or “brain fog”
Management:
Address root causes: stress, under-
eating, over-exercising, or
hypothalamic suppression
Focus on nutrient-dense, warming
foods (protein, healthy fats, bone
broths)
Include phytoestrogens (flaxseed,
lentils, sesame) if tolerated
Maintain or rebuild muscle mass and
bone density with resistance
movement
Regularly monitor bone and heart
health post-menopause
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