What’s New in archive


  • SB was 43 when he presented with a history of hypertension. His doctor indicated that if his blood pressure was not controlled then he would need to have it managed pharmaceutically. He was keen to…


  • Sue was a 47 year old journalist living in Scotland and working from home. She reported fungal infections for the last 14 years after the birth of her first child, prior to which she reported…


  • Diana was 36 years old when she presented with stomach pain, indigestion and bloating after meals. Her GP had diagnosed a Helicobacter pylori stomach infection and prescribed the first round of antibiotics. She was reluctant to…


  • Dave was 32 when he came to see me about the psoriasis that he had been suffering with for almost 10 years: “Sometime between 2009 and 2010 I started developing psoriasis. Mostly on my scalp,…


  • OT was 33 years when she got in touch with me seeking help for her long-standing daily anxiety and depression, which became much worse before her period. She felt low 80% of the time and…


  • BA was 33 years old and working as a solicitor when she came to see me saying: She said: “Since the age of 13 I have been suffering from what I think is cystic acne.…


  • Tanya was 43 when she came to see me about what she described as severe premenstrual syndrome (PMS): She said: “Two weeks before my period starts and usually around the new moon, I go what…

From my Substack

I write regularly about menopause, symptoms, biology, and the wider story women are so often not told. Some of the articles will be part of my book. If you want to go deeper into the thinking behind my work, you can start here.

The Ultimate Guide to Perimenopause and Menopause: Making Sense of the Chaos
Perimenopause and the ADHD Shift

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Sandra Ishkanes  Natural Menopause Specialist based in Brighton, serving clients worldwide via Online Consultations   
BSc Molecular Biology (King’s College London) | DipION | Functional Medicine Practitioner
Registered member, Association of Naturopathic Practitioners (ANP) – the UK professional body for accredited naturopathic and functional medicine practitioners. ANP members hold accredited qualifications, carry professional indemnity insurance, and follow a strict code of ethics.

© 2026 Sandra Ishkanes  ·  sandraishkanes.co.uk

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The information provided on this website is for educational and informational purposes only and is not intended as medical advice, diagnosis, or treatment. Sandra Ishkanes is a Functional Medicine Practitioner and Molecular Biologist, not a medical doctor. Always seek the advice of your GP or other qualified healthcare provider with any questions you may have regarding a medical condition or before making any changes to your diet, lifestyle, or supplement regimen—especially if you are currently taking prescription medication or HRT. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.