The Hormone Tests Every Woman Needs in Perimenopause

In this episode, Becca sits down with Matt Jones, owner of Rebalance, a women’s hormone testing company, to explore why so many women in their 40s and 50s feel like they’re doing everything “right” but still struggle with fatigue, stubborn weight gain, hormone symptoms and poor health.

They discuss why standard blood tests often miss the bigger picture, the hormone markers that matter most during perimenopause, and why testing can remove the guesswork when it comes to understanding your body.

They also explore why calories alone don’t explain weight loss resistance, how thyroid function, liver health, gut health and chronic stress all influence hormones, and why some women respond well to HRT while others don’t.

Whether you’re navigating perimenopause, struggling with stubborn symptoms, or simply want a better understanding of your health, this episode explains how the right testing can help uncover the root cause instead of simply managing symptoms.

In this episode you’ll learn:

• Why it’s not just calories in vs calories out during perimenopause
• Which blood tests provide a more complete picture of your health
• Why thyroid testing is often incomplete
• How liver health affects hormones
• The connection between gut health and oestrogen
• Why stress impacts every system in the body
• How under-eating can slow your metabolism
• When Dutch testing may be useful
• Why some women don’t respond well to HRT
• Why testing should come before supplements

Chapters:

[00:00] Why weight loss gets harder in perimenopause
[00:36] Why hormone testing matters
[01:45] It’s not just calories in vs calories out
[04:37] What’s missing from standard GP blood tests
[08:00] Why a full hormone panel gives a clearer picture
[09:00] The most common problems found through testing
[10:09] Why liver health is so important
[12:00] How to support your liver naturally
[19:14] Why testing beats guessing with supplements
[21:11] Stress isn’t just psychological
[24:06] Why protein, fibre and strength training matter
[26:09] Why fat loss changes in your 40s and 50s
[27:35] Gut health, IBS and hidden root causes
[31:16] Oestrogen dominance explained
[33:00] Why HRT doesn’t work the same for everyone
[39:05] Where to start with hormone testing
[41:00] Can you heal your gut and reintroduce foods?
[45:00] The biggest mistake women make with their metabolism
[49:33] Connect with Matt Jones

CONNECT & LEARN MORE:

Becca Holland

You can connect with me on Instagram, TikTok, Facebook and YouTube – @healthwithholland, where I share practical education on nervous system regulation, women’s health, and sustainable behaviour change.

If you enjoyed this episode, I’d really appreciate you subscribing, leaving a review, or sharing it with someone who might find it helpful. 

You’ll also find courses, resources, and more podcast episodes at: ⁠https://healthwithholland.com⁠

Matt Jones

You can connect with Matt Jones on Instagram at @rebalancehealth_, where he shares evidence-based education on hormone health, blood testing, metabolism, thyroid health, gut health and perimenopause.

Matt is the founder of Rebalance, a women’s hormone testing company offering comprehensive blood testing, functional testing and personalised support to help women uncover the root causes of symptoms rather than simply manage them.

You can learn more about Rebalance and the range of hormone and functional health tests they offer at https://www.rebalance.health.

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