Hormones, digestion, stress physiology, and metabolic health.

While my work focuses on supporting women with ADHD, many of the symptoms people struggle with are connected to broader systems in the body — including hormones, digestion, stress physiology, and metabolic health.

Below are some of the key areas where nutrition and lifestyle support can make a meaningful difference.

Michele Tagliani smiling in a kitchen, holding a glass of red juice

Gut Health, Energy & Nervous System Support

When your body feels stuck — exhausted, reactive, and hard to shift — it’s rarely one thing.

Digestive health, energy, and nervous system regulation are deeply interconnected. Poor gut function affects nutrient absorption, which affects brain chemistry and mood. Chronic stress dysregulates the nervous system, which disrupts digestion and sleep. Burnout depletes the very resources needed to recover from burnout. These systems talk to each other constantly — which is why addressing them together tends to work better than treating each one in isolation.

For women with ADHD, these patterns are especially common. A nervous system already working harder to manage daily demands has less resilience left for everything else.

Woman smiling outdoors in warm sunlight

You might recognise some of these:

In your gut and digestion

Bloating, discomfort after eating, indigestion, irregular bowel movements, food sensitivities, feeling worse after meals, or the sense that your digestion has never quite worked properly — even when you’re eating well.

In your energy and nervous system

Persistent fatigue that doesn’t improve with rest, feeling wired but exhausted, cycles of pushing through and crashing, difficulty switching off, or slow recovery from stress or illness.

Across the picture

Brain fog, low mood, emotional reactivity, unexplained weight changes, or the sense that everything just takes more effort than it should.

What we look at

Rather than treating each symptom in isolation, we explore how your digestive health, stress physiology, nutrient status, sleep, and daily rhythms are interacting — and where the most meaningful leverage points are for you.

This might include:

  • Gut health and digestion

    absorption, inflammation, and gut-brain communication

  • Nervous system regulation

    stress response, adrenal function, and resilience

  • Blood sugar balance

    energy stability, mood, and focus across the day

  • Nutrient status

    deficiencies that affect energy, mood, and recovery

  • Sleep quality

    and what’s disrupting it

Where it makes sense, functional testing can help clarify what’s happening beneath the surface and make support more precise.

What this can feel like, in practice

When these foundations begin to settle, many women notice changes they weren’t expecting — not just in digestion or energy, but in emotional resilience, cognitive clarity, and the sense that life takes slightly less effort than it used to.

That’s not a coincidence. It’s what happens when your body finally has what it needs.

Whether gut health, energy, or nervous system regulation is your primary concern — or all three — I’d love to hear what’s been going on for you.

Hormonal Health

Hormonal symptoms are rarely ‘just hormones.’ They’re usually a signal that your body is asking for broader support — and that several things need to be understood together rather than in isolation.

For women with ADHD, three hormones matter most:

  • Oestrogen

    influences dopamine and serotonin production. When it drops — before a period, after ovulation, or during perimenopause — focus, mood and emotional regulation often worsen noticeably.

  • Progesterone

    is your calming hormone. When it fluctuates or declines, it can show up as irritability, low mood, fatigue and brain fog — symptoms frequently mistaken for depression or burnout.

  • Testosterone

    is often overlooked in women, but essential for drive, motivation, energy, confidence and vitality. Changes in testosterone can quietly erode a woman’s sense of capability without an obvious explanation.

Women with ADHD are also significantly more likely to experience PMDD (Premenstrual Dysphoric Disorder) — a severe form of PMS driven by acute sensitivity to hormonal shifts in the second half of the cycle. If your symptoms follow a clear monthly pattern and feel disproportionate to what’s happening in your life, that pattern is worth investigating.

Where appropriate, functional testing — including the DUTCH Test — can build a clearer picture of what’s happening beneath the surface. And when replacement therapy is advisable, I work collaboratively alongside your GP or specialist.

Hand brushing through tall grass in golden sunlight

You might recognise some of these:

Cycle-related symptoms

PMS or PMDD, mood shifts before your period, painful, irregular or heavy periods, or a diagnosis of PCOS that hasn’t fully been addressed.

During perimenopause or menopause

Increasing anxiety or low mood, disrupted sleep, hot flushes, brain fog, or the feeling that your body and mind are harder to manage than they used to be.

Across the picture

Low libido, loss of drive or confidence, unexplained weight shifts, skin changes, or symptoms that seem to move around without a clear cause — often connected to testosterone changes that are rarely discussed or tested.

What we look at

We work with the full context of your health and life stage to understand what your body needs most. This might include:

  • Blood sugar regulation

    which directly affects hormone balance and mood stability

  • Gut health

    including how hormones are metabolised and cleared

  • Nutrient status

    key nutrients that support hormone production and signalling

  • Stress physiology

    chronic stress profoundly disrupts hormonal balance

  • Sleep quality

    and its relationship with hormonal rhythms

  • Hormonal patterns across your cycle, or through perimenopause and menopause

What support can look like

Hormonal health rarely shifts overnight — but with the right foundations in place, many women notice real improvements in energy, mood stability, sleep, and cycle regularity. The goal isn’t to override your hormones, but to give your body the conditions it needs to find its own balance.

If you’re navigating hormonal symptoms — at any life stage — I’d love to hear what’s been going on for you.

Supporting Children & Families

ADHD is often a whole-family experience. Many of the women I work with are also navigating focus difficulties, emotional regulation challenges, or digestive concerns in their children — and sometimes a parent’s own diagnosis comes precisely because they recognised something familiar in their child.

Children’s bodies respond remarkably well to nutritional support — often faster than adults. Small, targeted changes to diet, gut health, and daily rhythms can make a meaningful difference to focus, behaviour, sleep and emotional regulation.

You might be concerned about your child experiencing:

Gut and digestion

Bloating, stomach aches, food reactions, constipation, or a very limited diet driven by sensory sensitivities around food.

Behaviour, focus and emotional regulation

Difficulty concentrating, emotional outbursts, low frustration tolerance, impulsivity, or struggles with transitions and routine.

Energy, sleep and immunity

Persistent fatigue, disrupted sleep, frequent infections, eczema, or a sense that your child is never quite well.

Eating and nutrition

Extreme picky eating, strong food aversions, or anxiety around mealtimes — which can make it hard to ensure they’re getting what they need. Or they can show signs of food addiction or overeating.

My approach

I work closely with parents rather than placing pressure on the child. Mealtimes in ADHD households can already feel stressful — the goal is always to reduce pressure, not add to it.

Where it makes sense, I take a family-wide view. Supporting shared routines, nutrition and nervous system regulation often brings relief for everyone, not just the individual who sought help first.

I primarily specialise in working with women, but I do offer support for children and families where there’s a clear fit. If you’re unsure whether this is right for your child, the discovery call is a good place to start.

Mother carrying her smiling daughter on her back outdoors

What past clients have to say

“I had a number of issues before working with Michele, including a funny belly and old man joints. She not only provided sound advice but she also helped me to understand how my insides work. I now understand my body (and mind) much better, and through supplements and an improved diet, I now feel a lot better generally.…”

— R.M.

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