consultations

One-to-one perimenopause and menopause consultations

Restore your health with a plan, personalised to you

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Hot flushes. Brain fog. Anxiety. Exhaustion. Joint pain that won’t quit. These symptoms make sense in an unsupported transition.

Let’s work together to reverse your symptoms so you can move to a clearer, steadier version of who you actually are.

1.

Book a discovery call

Have a short chat with me so you can decide if this is the right approach for you and what it would look like to work together.

If you decide to go ahead we will arrange your first consultation.

 Consultations are usually booked a week later, so that you have enough time to complete your assessment forms and I have enough time to do a in depth analysis.

Fee: Free
Time: 30 minutes
Telephone call

book a discovery call

2.

First consultation and health optimisation plan

Restoring your health begins with a one-to-one consultation with me. This is a full evaluation to determine the root causes of your symptoms and formulate a plan to achieve your goals, grounded in evidence-based research.

This includes:

  • Pre-consultation Assessment:
    You will be sent an invitation to join my online portal where you will find 4 forms to fill out, one of which is an extensive health assessment form which includes a body systems metabolic health assessment. There is also a 3 day food and lifestyle diary to complete, and a peri/menopause symptoms assessment. Prior to your consultation I will spend time reviewing your forms, previous lab tests (10 page limit), current diet and supplements. I will make an analysis and formulate a draft protocol that will be discussed with you at your first consultation.
  • Consultation:
    This includes going through your health history, working together through my analysis of the root causes of your symptoms, and discussing the draft protocol. I order an in-depth blood test (54 markers). I will assess your need for specialised biochemical tests and make recommendations.
  • Post-consultation Health Optimisation Plan:
    After your consultation I get to work finalising your personalised protocol, tailored to your unique needs including nutrition, supplementation, lifestyle recommendations.
  • 7 Day Detox:
    The initial Health Optimisation Plan most often starts with a 7 Day Detox to rapidly decrease pain and inflammation, balance blood sugar, eliminate sugar cravings and give your liver and gut a break.
  • Check ins between consultations are included in your fees.

Fee: £365
Time: 1.5 hours
Video call

What your optimisation plan includes:

I take the time to understand how your life actually works, so that every recommendation is realistic and specific to you: nutrition, supplements, and lifestyle changes built around your biology, your stage, and your circumstances. A complete protocol so you can get started straight away.

Personalised nutrition

A precise dietary framework built to support your metabolic state, your symptoms, and the specific shifts your body is navigating right now.

Top view of Ginkgo Biloba capsules with a leaf on a marble surface, symbolizing natural supplements.

Targeted supplements

Only what your biology actually needs, at the right doses, in the right forms. Every supplement is tied to a specific finding.

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Stress regulation

Hormonal balance cannot happen in a body under chronic stress. We work on the conditions your body needs to repair, regulate, and stabilise.

First consultation
Fee: £365
Time: 1.5 hours
Video call

3.

Follow-up consultations


This time frame allows for an extended discussion on updates to your plan, questions, check-ins, and/or actioning lab results:

  • A review of your progress:
    Tracking your symptoms and progress and adjusting your health plan so you are sure to achieve your goals.
  • Reviewing blood tests and updating your plan
  • Check ins between consultations
  • I expect to see results within the first 4 weeks

Fee: £165
Time: 45 minutes
Video call

Success starts with a plan

Sandra provided a detailed health review, testing and a healthy eating guide. I found it inspiring to work with her, I felt better almost within a week and 4 weeks later all my symptoms almost gone!

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MY APPROACH IN ACTION

Familiarise yourself with my approach to supporting your health and what it would look like to work together.

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Knowledge Hub

Locating the root causes of symptoms forms my foundation in helping you to take control of your health and your life.

Perimenopause and menopause symptoms explained HRT redefined Complex conditions: endometriosis, adenomyosis, fibroids, PCOS Clinical notes Cultural wake-up calls
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Case studies

Take a look into how my functional medicine approach, consultations and protocols could work for you.

Helen, perimenopausal, came off HRT Linda, severe brain fog reversed in 8 weeks
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Testimonials

Real lives, real results. It’s my privilege to share these stories from my clients, in their own words.

Testimonials
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THE 68-SYMPTOM PERI/MENOPAUSE QUIZ

Not sure where you are in the transition or how your symptoms are connected?

Take the 2-minute quiz to see your pattern.

Take the quiz

MENSTRUAL MIGRAINES in PERIMENOPAUSE

“I suffered with menstrual migraines all my adult life, sometimes 2 a month – wiped out for 2 days at a time. In perimenopause they got worse, longer, and with exhaustion, aching body, and weight gain.

Then I met Sandra who is a functional nutritional genius. I have lost 2 stone, and haven’t had a migraine for 11 weeks! That has not happened since I was 15.”

book a discovery call
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FAQs

Frequently asked questions

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Peri/menopause is not one event but four overlapping shifts in the body’s biology — Progesterone (progesterone crashing causing oestrogen dominance), Energy (fuel switching), Oestrogen (intracrine production), and Emotional (HPA axis and nervous system). Most women have a combination. I work out the drivers, so your plan targets the root, not the surface.

There is a real gap in the UK menopause landscape. The functional medicine doctors who specialise in menopause are all GPs who prescribe HRT alongside their functional protocols. The non-prescribing menopause specialists – nutritionists, dietitians, nutritional therapists – are not functional medicine practitioners. As far as I am aware, I am the only practitioner in the UK who is trained as a functional medicine practitioner, who works exclusively in menopause, and who works non-hormonally. The MenoMorphosis Method is the clinical framework I have developed over a decade of focused, non-prescribing work in this space.

Generic menopause nutrition is written for the average woman. Your plan is written for your biology – your shifts, your labs, your history, your constraints. The principles may overlap with what you have read, but the sequencing, the emphasis, and the detail are specific to you.

Supplements are matched to what your results show you actually need – nutrient gaps, metabolic markers, gut findings, inflammatory signals. The aim is the smallest effective protocol, reviewed and adjusted as your body changes. The supplements I recommend are professional- grade and are usually sourced from professional online dispensaries.

A detailed written plan delivered through the client portal, covering nutritional, supplement, and lifestyle recommendations specific to your shift and your data. It is structured around the Three Pillars – Nutrition, Gut and detoxification, and Hormones-stress-sleep – sequenced so you know what to do first, what to add later, and what to expect at each stage.

You work with your plan, and track what changes – sleep, energy, symptoms, cycle if you still have one. I am available through the client portal for questions that come up between sessions. Follow-up – optimise -consultations are where we review what is working, refine what isn’t, and decide what to adjust.

Most women complete the core arc within 3 months – the initial Evaluate consultation, then 2-3 Optimise sessions spaced four weeks apart. Some women stay longer for more complex histories or because they want continued refinement. We work together until you achieve your goals.

Yes, if that is what you want. Coming off HRT safely means preparing your biology for the transition first – supporting intracrine oestrogen production, metabolic resilience, and adrenal capacity – then tapering with your prescriber in a sequence your body can hold. I do not pressure women off HRT. I support the women who have decided they want to come off.

All consultations are online, by video, so you can work with me from anywhere in the UK or internationally. Booking is via my online calendar.