Get 100% Relief from Core Menopause Symptoms in just 6 Weeks

Led by a Functional Medicine Practitioner with a degree in Molecular Biology, 10 years’ advanced experience, and a 100% success rate reversing menopause symptoms.

Feel like yourself again – naturally, powerfully, permanently.

Are your menopausal symptoms controlling your life?

Are you tired of feeling drained and unhealthy?

  • Constant fatigue affecting your daily activities
  • Weight gain and bloating you can’t shake off
  • Loss of intimacy affecting your relationships
  • Joint pain keeping you from exercising
  • Unmanageable mood swings causing distress
  • Sleepless nights leaving you exhausted
  • Brain fog making focus impossible
  • Feeling alone in your menopause journey

This is not your fault. And it is not your destiny.
Let’s work together to restore balance and put you back in the driver’s seat.

Experience a Life Without Menopause Symptoms

Live fully with a personalised health solution

  • 100% reversal of core symptoms in just 6 weeks
  • Functional medicine approach targeting root causes
  • 10 years expertise in menopausal health
  • Customised plans designed just for you

Functional Medicine is a breakthrough model for health that connects your symptoms to root causes found in genes, food and lifestyle, and gives you the results you want

Hi, I’m Sandra Ishkanes

Functional Medicine Practitioner specialising in menopause

BSc MA DipION

Your health matters, and I can help

With a BSc in Molecular Biology, Functional Medicine clinical training and 7 years post menopause, I understand the science and the struggle.

I bring 10+ years of experience to reverse your menopausal symptoms

I work like a health detective, where symptoms are my clues and poor health is my crime scene. I identify the root causes of unbalanced hormones and create solutions to optimise health.

My cutting edge medical science research applied to your nutrition, lifestyle and stress management

Evidence-based science is the foundation of my approach and I apply it to your specific challenges, along with extensive blood tests, to guide your health protocol.

I am proud that 100% of my clients report significant improvement within just 4 weeks

Helping women achieve hormonal balance in menopause is my passion and my priviledge. All my clients see positive results within just a few weeks.

Your Menopause is Unique
I can help you design a solution targeted to your challenges

Book a discovery call

Discuss your concerns and health history, decide if this approach is right for you and what it would look like to work together.

Have a consultation

Receive expert insights tailored to you, blood test analysis and get your personalised health plan including nutrition, supplements and lifestyle adjustments that work for you.

See results within 4 weeks

Succeed in alleviating pain, mood swings, balance your hormones and living life stress-free. Get help with coming off HRT and other medication. See results within 4 weeks.

“Consultation with Sandra transformed my life. I feel revitalised and healthier than ever.”

Linda M

I felt better almost within a week and 4 weeks later all my symptoms almost gone! Having struggled with just awful menopause symptoms for a few years and feeling more and more at a loss as to how best support my health moving forward, I took the plunge and booked Sandra to work with her 1:1 to get me back on track.

Sandra provided a detailed health review, testing and a healthy eating guide. I found it inspiring to work with her, I felt better almost within a week and 4 weeks later all my symptoms almost gone! My vitality is back! It has made me feel like I’m back in the driving seat of my well-being.
Very marked improvement in almost all of the symptoms I was experiencing. I feel about 15 years younger. I asked Sandra to help me with a selection of menopausal problems I’d been struggling to manage for a few years.

Following her advice has resulted in a very marked improvement in almost all of the symptoms I was experiencing. I feel about 15 years younger, with far greater energy, far less pain and a sense of health that’s been missing for some time now. The results are obvious, and have been noticed and commented on by people around me who haven’t known that I’ve undertaken Sandra’s programme. She is professional, intelligent, capable, knowledgeable and really helpful.
I still cannot believe how much better I feel, 4 weeks later nearly all of my symptoms have gone away. Sandra put together a fantastic, easy to follow plan; personally I don’t like to call it a plan. To me it’s a new way of eating for the rest of my life.

When I started my symptoms included:

  • Frequent sleepless nights
  • Frequent headaches
  • Felt hot all of time and on occasion, hot flushes
  • Bloated and stomach cramps
  • Weight gain since the age of 40 and very difficult to lose
  • No libido
  • Vaginal dryness

I still cannot believe how much better I feel - 4 weeks later and nearly all of my symptoms have gone away and they are still improving. My next stage is to introduce fasting twice a week.
I now understand and can control the flushes!

And on top of this I have shifted 16lbs and feel better than ever.
I went from miserable to feeling great in just 6 weeks!

You’ve been told menopause is something to “get through.”
That your symptoms are normal. That HRT is the only answer.
I’m here to offer a different path.

At my menopause clinic, I help women reverse hot flushes, fatigue, brain fog, anxiety, and stubborn weight gain by addressing the root causes of hormonal imbalance. Using functional medicine, advanced testing, and nutrition as medicine, I support your body’s natural ability to heal. You don’t need to suffer. You need the right support.

The way women have been taught to manage menopause is unfair. You’ve been underserved, over-medicated, and under-informed. Your symptoms are not a sign of failure. They are messages. Your body is calling out for balance — and you have every right to respond with compassion, not suppression.

At my menopause clinic, I offer a different path. One rooted in science, lived experience, and a deep respect for the body’s ability to heal itself.

Oestrogen declining is natural. But when our modern lifestyle and stress patterns clash with this transition, symptoms emerge: fatigue, fog, anxiety, weight gain, night sweats.

The solution is not to override your body, but to support it in the way it’s built to function.

Menopause is designed to positively impact your brain, body, mind & spirit. All you need to do is adapt to that change to get the benefits.

Menopause is so much more than hot flushes. It’s a whole mind and body, spirit transformation that you can fall in love with. You have the potential to feel the best you ever have and live your life the full, starting now. Let’s work together to understand what you need to turn your life around, with the right nutrition, supplements and lifestyle choices.

As oestrogen wanes, your body is going through big metabolic changes

One of the biggest changes is the metabolic switch of fuel sources – from sugar burning to fat burning, reshaping your brain for the better, creating new power, a bracing clarity, and a laser-like sense of purpose.

I can help you seize these benefits by switching your focus from oestrogen to more testosterone, less insulin and less cortisol, by adjusting your nutrition to burn fat and guiding your muscle building.

Otherwise you can expect…

Oestrogen works hand in glove with insulin to allow us to use sugar and starch for energy. In other words we need both insulin and oestrogen to be able to use sugars and starches for our daily energy – energy that powers our brains to maximum capacity, keeps us awake, alert and energetic during the day and asleep at night.

As oestrogen declines, less insulin is made and sugar burning machinery is converting to fat burning – this means the majority of sugars and starches we eat are turning to fat, leaving our brains and bodies starving.

A lack of energy fires up the flight-fight response via cortisol and leads to the 7 core menopausal symptoms: hot flushes, night sweats, anxiety (and panic attacks), brain fog, low moods, weight gain, and unrelenting fatigue.
Vaginal health thrives on a delicate balance, a balance that oestrogen significantly maintains by feeding the vaginal microbiome which regulates everything from vaginal moisture to tissue elasticity.

As oestrogen declines and the microbiome starves and shrinks, the ripple effects are felt: vaginal dryness, irritation, and increased susceptibility to infections can occur.
Why are there 30+ menopausal symptoms?

Because oestrogen did so much more than just support your fertility – it was a hard working multitasker which:

  • stimulated collagen which kept your skin supple and your bones
  • acted as an anti-oxidant and protected your joints from inflammation
  • stimulated choline production which protected your liver
  • regulated your water balance to prevent water retention boosted dopamine and serotonin keeping you happy and motivated.
Once oestrogen declines, you can take over its work with food and supplements. Knowing which supplements are helpful can prevent wrinkles, loose skin, fatty liver, joint pain, low moods and more.

What should you be eating to adapt to your menopause?

Your metabolism has changed so you need to adapt what you are eating to fuel your body differently.

You need to burn fat, keep your carbohydrate intake low, to keep insulin and cortisol low. You need more protein now and more fibre. And it’s different for different women.

Which supplements are right for you to support your health?

You don’t need oestrogen boosters like soya, red clover or black cohosh. Oestrogen declining is normal.

Now is the time to boost your new fat burning state, brain function and vaginal health with targeted supplements like choline, omega 3, iodine, copper, collagen, vitamin D and probiotics for the vaginal microbiome. Blood testing can pinpoint deficiencies and the level of supplementation you need.

What lifestyle tweaks do you need to make to maximise your health?

All menopausal women need to stop cardio and running – these boost cortisol which increases blood sugar, leading to the 7 core symptoms: hot flushes, night sweats, weight gain, anxiety, fatigue, low moods and brain fog.

What we need now is strength training and building muscle.

Case Studies

Wouldn’t it be amazing if there were was a logical approach to our health, rather than band-aids of anti-depressants, hormonal drugs and surgery? There is.

Personalised nutrition, supplements and a focus on self-care effectively can naturally balance our hormones. And it’s scientifically proven.
  • Brain fog in menopause completely cleared in 8 weeks

    LM was 59 years old when she came to see me asking for help with severe menopausal symptoms. Her most significant concerns were severe brain fog, low energy and wanting to get fit to do a trek. She said: “I have always had a busy, active life and enjoyed walking and cycling holidays. Now when I have an active day at work I get home exhausted and sleep most of…

    Read more

Real stories. Real transformation. Shared wisdom.

Very marked improvement in almost all of the symptoms I was experiencing. I feel about 15 years younger.

Sandra listened to me carefully and offered a programme that was easy for me to follow to achieve great results

I now understand and can control the flushes! And on top of this I have shifted 16lbs and feel better than ever.

I went from miserable to feeling great in just 6 weeks!

Overcoming the worst of my symptoms meant changing my approach to nutrition

All my symptoms are under control, I’m healthier and slimmer.

I can’t believe how much better I truly feel!

I recommend this to all women who are experiecing any menopausal symptoms

It makes such obvious sense, once you know what it’s all about.

Sandra gives really clear explanations and the rationale underlying the re-programming of what I eat now.

Explore My Resource Library

The science, the breakthroughs.

My Resource Library is a curated collection of research, reads, and reviews that inform my clinical work and challenge the conventional view of menopause.

This isn’t fluff — it’s real, evidence-based insight to help me help you make informed choices about your health.

News, views and reviews

Latest news, views and reviews from around the web

  • The Centre for Longitudinal Studies presented findings from more than 50,000 women participating in nine studies worldwide. The results showed women who have never given birth or been pregnant have twice the odds of reaching menopause before the age of 40. They’re also 30 percent more likely to begin menopause between ages 40 and 44.In… Read more


  • Only humans and a few toothed whales undergo the menopause, many sources will tell you. But a paper by Ivana Winkler and Angela Goncalves at the German Cancer Research Center claims that the menopause is, in fact, widespread among mammals. So which is right? The surprising answer is both. Goncalves studies how the female reproductive tract ages in… Read more


  • In post-menopausal women, the earliest change in the brain appears to be a fall in the amount of glucose used by the brain, indicating reduced brain activity. This is due to falling estrogen levels, this hormone being vital for brain glucose metabolism. Vasomotor symptoms (VMS) are the symptom characteristic of the menopausal transition but may… Read more


  • Hot flashes during sleep may be an early marker of a woman’s risk for developing Alzheimer disease (AD), according to the results of a study presented at the 2023 Annual Meeting of the Menopause Society held September 27 to 30, in Philadelphia, PA. “These findings indicate that women who experience frequent hot flashes, particularly during… Read more


  • In the absence of estradiol, brain glucose transport diminishes significantly. This effectively starves the brain for energy inducing severe bioenergetic deficiencies with all of the concordant neuronal damage one might expect. The reduction in glucose affects the mitochondria severely. Recall that glucose is one of the major fuel substrates of the brain, particularly where the… Read more


  • Women who have used hormone therapy for menopausal symptoms may be more likely to develop gastroesophageal reflux disease, or GERD, a new analysis suggests. The study, published online June 27, 2023, by the journal Menopause, analyzed data from five earlier studies involving more than one million women, none of whom had been diagnosed with GERD before… Read more


  • Reduced levels of oestrogen and progesterone seem to be what makes post-menopausal women more likely to have symptoms of sleep apnoea, including snoring, irregular breathing or gasping at night. Middle-aged women who have lower levels of oestrogen and progesterone are more likely to snore, breathe irregularly and gasp while sleeping, which are all symptoms of sleep apnoea.… Read more


  • People who have been pregnant or have breastfed a baby are less likely to experience an early menopause. This may be because ovulation is temporarily stopped during pregnancy and slowed down during breastfeeding, maintaining a reserve of eggs for longer. The team found that people who had experienced pregnancies that lasted at least six months… Read more


  • Social stress may release hormones that affect bone loss, a finding that might be linked to the higher incidence of bone fractures after the menopause. In a study of more than 8000 women aged 50 to 79, researchers found that those who reported higher levels of social stress – defined as strained relationships or stress… Read more


RESEARCH

Latest primary scientific research into menopause

My functional medicine approach to menopause is for you, if you:

  • are looking for a natural and life-affirming approach to reversing and/or managing symptoms
  • want to optimise your health in menopause – alleviate anxiety, brain fog, hot flushes, night sweats, joint pain, insomnia, rashes, vaginal dryness and more
  • want targeted recommendations for your nutrition, supplements and lifestyle
  • want to protect your brain and prevent dementia
  • want to avoid HRT, you are on HRT or want to come off HRT or
  • have experienced premature menopause
  • are happy to do a wide range of blood tests
  • had your last period over 1 year ago
  • are not vegan and vegetarian (I don’t work with women who are committed to vegan or vegetarian nutrition)