What’s New in perimenopause


  • When your breasts hurt and your scans and blood tests are “normal”, it’s easy to blame hormones or HRT alone – but an iodine deficit may be what’s turning the volume up.


  • Pain under your right ribs that creeps round to your back or shoulder is one of those symptoms women often dismiss as “just indigestion” or “I must have eaten too fast.” In my clinic, it’s…


  • If you constantly battle dark circles under your eyes no matter how much sleep you get or concealer you use, excess histamine could be the culprit. Histamine is a chemical involved in immune responses, stomach…

From my Substack

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

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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.