Hi,
I’m Sandra Ishkanes

I came to this work through a mixture of a love of science, curiosity about the human body, and my lived experience.

My first training was in Molecular Biology at King’s College London, which taught me to look closely at the intricacies of molecular pathways, biochemistry, and how all of life fits together.

Later, Social Anthropology widened that lens and made me understand that our biology is contextual – it responds in different ways in different cultures and environments. Our experiences – the stress we carry, the food we eat, the light we live in, and the relationships we navigate – all shape how our bodies respond at a cellular level. This perspective stayed with me, and the beauty of it is that it means we can change the expression of our health, by changing the context of our lives.

The Clinical Bridge: Functional Medicine

My clinical practice is built on the framework of Functional Medicine. While molecular biology provides the “map” of the body, functional medicine provides the tools to navigate it.

It is a systems-biology approach that moves away from the drug-based model of suppressing symptoms and toward a patient-focused model of restoring function. By understanding the underlying drivers of your specific case – your gut health, adrenal resilience, and metabolic markers – we can identify exactly where the “interference” lies. This training allows me to take the high-level research of endocrinology and neuroscience and translate it into a precise, actionable roadmap for your daily life.

The Logic Beneath the Symptoms

Over the last decade, I have worked with hundreds of women in clinic, and that work has changed the way I understand menopause completely. Again and again, I saw women arriving with symptoms affecting every part of life—sleep, mood, weight, energy, and resilience—and yet the explanations they had been given felt partial, reductive, or simply unhelpful.

What interested me was not only the symptoms themselves, but the logic beneath them.

Why did one woman sail through this transition while another felt blindsided? Why did symptoms cluster in such recognisable ways? These questions shaped the work I do now and became the foundation for the MenoMorphosis Method.

A Biology-First, Systems-Thinking Approach

My clinical practice is informed by functional medicine, but also by a wider body of research spanning endocrinology, metabolism, neuroscience, and evolutionary biology. I am interested in the body as an integrated system, and in menopause as something far more dynamic than a simple “decline narrative” allows.
I know what it is like to live with questions that are not fully answered by the standard script. That has made me both rigorous and compassionate. I don’t believe women need more noise or generic advice; they need clearer thinking, better questions, and support that reflects the reality of what they are living through.

So that is what I offer:

• A place where menopause is taken seriously.
• A place where complexity is not brushed aside.
• A place where you can understand more, fear less, and feel at home in your body again.

I do not believe women need more noise, more panic, or more generic advice. I think they need clearer thinking, better questions, and support that reflects the reality of what they are living through.

If that sounds like the kind of support you have been looking for, you are very welcome here.