Hormonal & Circadian Regulation

When signalling rhythms lose coherence

Many people I work with don’t have a single “hormone problem”.
They have systems where timing, rhythm, and signalling are no longer well coordinated.

This can look like sleep disruption, energy crashes, mood changes, temperature dysregulation, or hormone-related symptoms that don’t fully match blood test results — or that improve only temporarily with treatment.

If your symptoms follow patterns, cycles, or predictable crashes rather than staying constant, this pattern may be relevant for you.

What this pattern often looks like

People with hormonal and circadian regulation issues often recognise some of the following:

  • Difficulty falling asleep, staying asleep, or waking feeling unrefreshed

  • Waking during the night, particularly in the early morning hours

  • Energy crashes at predictable times of day

  • Sensitivity to stress, missed meals, or disrupted routines

  • Temperature dysregulation (feeling unusually cold or heat intolerant)

  • Cycle-related symptom flares, mood shifts, or worsening inflammation

  • Thyroid or hormonal symptoms that don’t clearly align with lab values

These patterns are rarely caused by a single hormone being “low” or “high”.
They usually reflect disrupted signalling between systems, rather than isolated deficiencies.

Why common approaches don’t always help

Hormonal symptoms are often approached by targeting individual hormones in isolation.

While this can be useful in some cases, it doesn’t always address why signalling rhythms became dysregulated in the first place.

Sleep, stress physiology, immune activity, metabolic stability, and nervous system load all influence hormonal signalling.
When these inputs are unstable, simply adding or suppressing hormones may blunt symptoms without restoring coherence.

This is why some people feel temporarily better, then plateau — or why treatments seem to work only under very controlled conditions.

The issue isn’t that hormones aren’t important.
It’s that timing and context matter as much as levels.

How I approach hormonal and circadian regulation

I don’t start by chasing individual hormones.

I look at:

  • Sleep–wake rhythm and circadian cues

  • Stress signalling and recovery patterns

  • Metabolic stability across the day

  • How immune activity and nervous system load are influencing hormonal output

From there, the focus is on:

  • Restoring rhythm before intensifying intervention

  • Supporting predictable energy availability

  • Reducing physiological noise that interferes with signalling

  • Aligning interventions with what the system can currently sustain

This work often overlaps with immune reactivity, gut tolerance, and stress physiology — which is why hormonal issues are rarely addressed in isolation.

Who this approach is especially suited for

This way of working may be appropriate if:

  • Your symptoms follow clear patterns rather than being constant

  • Sleep disruption plays a major role in how you feel

  • Hormone treatments or supplements have helped only partially

  • You feel better with routine, rhythm, and predictability — and worse when these break down

Many people with this pattern also recognise elements of the other system profiles.

How to start

If this description resonates, the best place to begin is a personalised consult.

This allows me to assess how your hormonal and circadian signals are interacting with the rest of your physiology, and decide what needs stabilising first — rather than chasing individual markers in isolation.

Personalised Consults

You may also find the Immune & Inflammatory Reactivity or Stress Physiology & Recovery pages helpful.