Hormones, Metabolism and Menopause

Endocrinologist Dr Norman Chan joins EverCalm to explain what menopause is from a hormonal perspective and why estrogen’s decline affects so many systems at once. He outlines the classic lab pattern with estrogen, FSH and LH, then walks through physical, psychological, bone and metabolic changes, including central fat gain, fatty liver, rising LDL and blood pressure. Dr Chan discusses monitoring with health checks, the limited role of supplements like calcium, vitamin D and selected antioxidants, and the nuanced risk–benefit profile of hormone therapy. He also introduces emerging non‑hormonal options for hot flushes and the growing role of the gut microbiome in symptom severity and chronic disease.