01 Chronic exhaustion
Always tired - even though you sleep.
Chronic exhaustion is more than tiredness. It is a persistent sense of having no energy that does not improve despite sufficient sleep - and that measurably limits everyday life.
Hormonal causes: The cause often lies in a cortisol imbalance driven by chronic stress, or in an underactive thyroid. Oestrogen deficiency in perimenopause and menopause also leads to persistent exhaustion. The body spends an enormous amount of energy compensating for hormonal imbalance.
Liver & metabolism: An overloaded liver can slow detoxification and sustain inflammatory processes in the body - both cost energy. After periods of high strain, poor nutrition or alcohol in particular, the liver is frequently involved.
Our experience: Many patients report noticeably more energy within a few weeks of treatment. The first step is a thorough laboratory analysis covering all relevant hormone and liver values.
02 Unable to lose weight despite dieting
The scale will not move - despite everything.
Calorie deficit, exercise, intermittent fasting - and still no change. This is not a question of discipline. It is often a metabolic problem that stays invisible without medical analysis.
Hormonal causes: Insulin resistance is one of the most common hidden reasons. Cortisol promotes fat storage, particularly around the abdomen. Thyroid hormones regulate basal metabolic rate - when the thyroid is underactive, it drops considerably. Oestrogen deficiency fundamentally changes how fat is distributed in the body.
Liver & metabolism: The liver plays a central role in fat metabolism and hormone regulation. An overloaded liver cannot break hormones down efficiently, which leads to oestrogen dominance and fat storage. A targeted liver reset is often the missing first step.
Our experience: The combination of laboratory diagnostics and targeted liver fasting with HepaFast regularly produces rapid and lasting results in our patients - because we treat the cause, not the symptom.
03 Brain fog & concentration
When your mind stops keeping up.
Brain fog describes a sense of mental sluggishness, forgetfulness and missing sharpness. Many people describe it as "thinking through cotton wool" - they function, but not really clearly.
Hormonal causes: Oestrogen and progesterone are directly involved in brain function. Their decline in perimenopause frequently comes with cognitive changes. Thyroid hormones and cortisol also considerably affect memory, focus and mental stamina.
Liver & metabolism: Toxic load from an overloaded liver can cause systemic inflammation that directly affects the brain. Blood-sugar swings caused by insulin resistance lead to dips in concentration across the day.
Our experience: Mental clarity is often one of the first things to improve after hormone optimisation. Many patients report feeling "like themselves again".
04 Emotional pressure & mood
When your mood turns - for no reason.
Irritability, lack of drive, inner restlessness or mood swings with no explanation from the outside. People often struggle for years and are given a diagnosis of "stress" or "psychological strain" - without ever being investigated for hormonal causes.
Hormonal causes: Progesterone has a directly calming effect on the nervous system. Its decline frequently leads to anxiety, sleep problems and emotional instability. Cortisol dysregulation from chronic stress acts directly on serotonin and dopamine levels.
Our experience: Hormonal imbalances are massively underdiagnosed in a psychiatric context. Our patients often feel enormous relief after the very first appointment - not only from the treatment, but from understanding the cause.
05 Reduced performance
Below your own level.
Physical exhaustion after minimal effort, low resilience in everyday life, or a noticeable loss of strength and stamina - with no apparent reason. The level of performance you know feels out of reach.
Hormonal causes: Testosterone plays a significant role in muscle building, energy and motivation in both women and men. Its decline often goes unnoticed. Thyroid hormones regulate muscle metabolism, heart rate and general vitality.
Our experience: With the right diagnostics and targeted treatment, this drop in performance is in many cases reversible - and often faster than expected. A complete hormone analysis is the decisive first step.
06 Sleep problems
No sleep. No recovery.
Trouble falling asleep, waking in the night, waking too early - or the persistent feeling of getting up just as tired as you went to bed. Sleep is the body's most important process of regeneration. When it fails, everything else suffers with it.
Hormonal causes: Progesterone promotes sleep - its decline in perimenopause is one of the most common reasons for sleep disturbance in women. Cortisol dysregulation (levels too high in the evening) keeps the nervous system on alert. Oestrogen deficiency causes hot flushes that interrupt sleep.
Our experience: Better sleep is often the first positive feedback after hormone therapy. Many patients report markedly more restful sleep within just a few weeks.
07 Weight gain & abdominal fat
Fat that changes - without you changing anything.
Abdominal fat that increases despite an unchanged lifestyle. Fat distribution that shifts. A body that feels unfamiliar. This is not a question of how you live - it is frequently a hormonal and metabolic one.
Hormonal causes: Oestrogen deficiency shifts fat distribution away from the hips and thighs towards the abdomen. Cortisol promotes visceral fat. Insulin resistance prevents effective fat burning and leads to further fat gain.
Liver & metabolism: The liver is the central organ of fat metabolism. An overloaded liver cannot process fat efficiently - and stores it instead. Targeted liver relief with HepaFast is often the first effective step towards resetting the metabolism.
Our experience: With this symptom in particular, the combination of hormone diagnostics and liver fasting shows the clearest and fastest results in our practice.
