A Root-Cause Approach to Menopause with Mosaic Medical
What Is Menopause?
Menopause is the natural life phase marking the end of reproductive years, defined by 12 consecutive months without a period. This definition can sometimes be misleading, as surgery or certain medications can stop periods without true menopause. Most women transition into menopause between the ages of 45–55, although symptoms often begin years earlier during perimenopause.
How They Affect People
The hormonal shifts of menopause — particularly reductions in oestrogen and progesterone — can impact nearly every system in the body. Even for women who do not have obvious symptoms, the body is still undergoing significant changes. Sleep, mood, weight, bone health, cardiovascular risk, and cognitive function can all be affected.
- Hot flushes and night sweats (often later in the process)
- Mood swings, irritability, or anxiety
- Sleep disturbances or insomnia
- Weight gain and slower metabolism
- Vaginal dryness or low libido
- Brain fog and memory difficulties
- Joint pain and fatigue
- Feeling overwhelmed, even by small stressors
Conventional treatment often focuses on HRT (Hormone Replacement Therapy), antidepressants, or sleep medications. While these may help with symptoms, conventional care rarely addresses the wider picture of inflammation, nutrient status, metabolic health, and lifestyle triggers.
Our Functional Medicine Approach
At Mosaic Medical, we see menopause not as a decline, but as a transition that can be supported for health and vitality. We also recognise that not all midlife health challenges are due to menopause alone — other conditions can emerge at this time, and we take a broad, careful view.
- Hormonal balance (oestrogen, progesterone, testosterone, thyroid, cortisol)
- Blood sugar regulation and metabolic health
- Nutrient optimisation (magnesium, B vitamins, vitamin D3, and more)
- Gut and liver function (to support hormone metabolism)
- Sleep quality and circadian rhythm regulation
- Stress management and resilience-building
- Advanced hormone testing (DUTCH, saliva, and blood tests)
- Personalised nutrition tailored to your body’s needs
- Evidence-based supplements for safe, targeted support
- Hormonal prescriptions when appropriate and indicated
- Lifestyle coaching for stress, movement, and restorative sleep
Together, we build a plan to help you navigate this phase with confidence, safety, and renewed energy.
What Makes Our Clinic Different
- Individualised care – recognising that no two menopause experiences are the same
- Comprehensive testing – going beyond basic bloods to understand hormone metabolism and balance
- Safe supplement guidance – many menopause products on the market are not safe for everyone; we prioritise evidence-based options
- Compassionate support – we provide a validating, respectful environment where your experience is taken seriously
- Medical oversight – as GMC-registered doctors, we can prescribe where appropriate, while integrating nutrition and lifestyle strategies
Common Underlying Elements We Explore
- Nutrient deficiencies (magnesium, B6, vitamin D3)
- Hormonal imbalances, including thyroid and adrenal function
- Blood sugar dysregulation and insulin resistance
- Gut health and liver detox pathways
- Chronic stress and cortisol disruption
- Genetic predispositions (especially relevant if there is family history of cardiovascular disease, osteoporosis, or breast cancer)
FAQ – Menopause & Functional Medicine
Do you offer hormone testing for menopause?
Yes. We use DUTCH testing, saliva, and blood panels to measure sex hormones, adrenal hormones, and metabolites. We sometimes suggest additional tests depending on your personal situation.
Is HRT the only option?
Not at all. While HRT can be very effective and appropriate for some women, we also use nutrition, lifestyle, functional testing, and natural supports to ease symptoms and improve long-term health.
Can you help with perimenopause too?
Absolutely. Perimenopause often begins 5–10 years before menopause. Supporting women at this stage can make the transition much smoother and reduce symptoms significantly.
I have had gender transition and/or do not identify as a woman — can you still help?
Yes. We treat every person as an individual and will always respect your journey, identity, and preferences. A free discovery call is a good first step to discuss your unique needs.
Do you offer remote consultations?
Yes. We work with patients virtually across the UK, with face-to-face consultations available if clinically required.
How do appointments work?
Your first appointment is 90 minutes, with your doctor having reviewed your case in advance. Together, we will discuss your symptoms, history, and the best next steps, including testing if needed.
Does the appointment price include testing?
No. Testing is separate, and we only recommend tests that will directly change your management plan.
I already have test results — can you still help?
Yes. You can upload your results before your consultation. If you have many results, there may be a small preparation fee, which we will always discuss with you first.
How does the nutrition side work?
We provide clear, tailored nutrition advice. For more complex needs, we may recommend you also work with our nutritional therapist, which can accelerate progress and improve outcomes.
Ready to Approach Menopause Differently?
We recommend booking a free discovery call with our menopause specialist, Dr Laura Hamilton-Grey. This gives you the opportunity to discuss your symptoms and personal situation, and decide whether to move forward with us.