Hormone imbalance occurs when hormones are produced in excess or deficiency, or when the body struggles to regulate or metabolise them effectively. Common contributing factors include chronic stress, under-fueling, blood sugar dysregulation, gut health issues, inflammation, poor sleep, and life stages such as perimenopause.

Symptoms can include irregular periods, PMS, acne, weight changes, low energy, mood changes, and disrupted sleep. Nutrition and lifestyle play a foundational role in supporting hormonal balance.

Hormone testing is always personalised and based on symptoms, health history and goals. Where appropriate, we may recommend testing that looks at patterns in key hormones rather than single snapshots.

This can include sex hormones such as oestrogen, progesterone and testosterone, as well as stress hormones like cortisol and relevant thyroid markers.

In some cases, we use the DUTCH Test (Dried Urine Test for Comprehensive Hormones), which provides insight into how hormones are metabolised in the body including assessment of adrenal health and some understanding of nutrient status via testing organic acids. This can be particularly helpful for understanding hormone patterns in areas such as PMS, PCOS, perimenopause and menopause.

Testing helps us move beyond a diagnosis and provides guidance for explaining an individual's symptoms, which allows us to provide targeted nutrition, lifestyle and supplement recommendations.

Yes. Nutrition is a core part of PCOS support. Evidence-based nutrition strategies can help improve insulin sensitivity, support ovulation, reduce inflammation, and manage symptoms such as irregular cycles, acne, and energy fluctuations.

PCOS nutrition is not one-size-fits-all - it’s about personalised dietary support that works with your physiology, preferences and lifestyle rather than extreme or restrictive approaches.

A personalised nutrition approach focuses on identifying root causes, supporting digestion, and improving gut function rather than relying on long-term restriction. For many clients, this leads to sustainable symptom relief rather than short-term fixes.

Nutrition can play a meaningful role in symptom management. Targeted dietary strategies may help reduce inflammation, support gut and immune health, and stabilise blood sugar - all of which can influence pain, fatigue and digestive symptoms commonly experienced alongside endometriosis.

Our approach focuses on supporting the body alongside medical care, not replacing it.

During perimenopause and menopause, hormonal fluctuations can affect mood, sleep, energy, weight distribution, gut health and bone health. Nutrition can help support these changes by stabilising blood sugar, supporting the gut–hormone connection, reducing inflammation, and ensuring adequate intake of key nutrients such as protein, fibre and micronutrients.

Personalised nutrition support helps women adapt their diet to this life stage rather than fighting against their changing physiology.

HRT (Hormone Replacement Therapy) involves prescribing hormones to replace declining levels and can be highly effective for many women, particularly for menopausal symptoms.

Nutritional hormone support does not replace hormones but instead supports the body’s own hormone production, metabolism and regulation through diet, lifestyle and targeted supplements. The two approaches are not mutually exclusive - in fact, an individual on HRT may find it very useful to do a DUTCH Test (Dried Urine Test for Comprehensive Hormones) to help them get the best results from the prescription given.

Peach Health is a digital nutrition clinic based in London, serving clients across the UK.