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Why Organic Acid Testing (OAT) Can Be Helpful for Women After the Menopause

Charlotte Dillon
1 day ago
3 min read
Test tubes and a pipette

Sometimes, knowing what you’re feeling isn’t enough. You may be dealing with tiredness, poor sleep, digestive changes, low mood or feeling less resilient to stress, but still be unsure what might be contributing to it. The Organic Acids Test (OAT) can provide another layer of information by looking at a range of markers involved in areas such as energy production, nutrient status, oxidative stress and gut-related processes.


What the OAT measures

The OAT looks at a wide range of organic acid metabolites in urine. These markers reflect how the body is functioning day‑to‑day across areas that often shift after the menopause — energy production, nutrient demand, detoxification, neurotransmitter turnover and gut‑related processes.


  • Intestinal Microbial Overgrowth

Shows patterns linked to bacterial, yeast and fungal activity in the gut. Helpful when exploring digestion, bloating, sensitivities or changes in bowel habits.


  • Oxalate Metabolites

Reflects how the body processes oxalates, which can influence gut comfort, urinary symptoms and inflammation.


  • Glycolytic Metabolites

Shows how the body breaks down glucose for energy — useful when fatigue, blood sugar swings or “energy crashes” are present.


  • Mitochondrial Markers (Citric Acid Cycle)

Indicates how efficiently the body is producing energy at a cellular level. These markers often shift when women describe feeling “flat” or “sluggish.”


  • Mitochondrial Markers (Amino Acids)

Reflects mitochondrial stress and how well certain amino acids are being used for energy.


  • Neurotransmitter Metabolites

Shows patterns in dopamine, norepinephrine and serotonin turnover — helpful for mood, sleep, focus and stress tolerance.


  • Pyrimidine Metabolites (Folate Metabolism)

Reflects folate‑related pathways involved in DNA repair, cell growth and methylation.


  • Ketone and Fatty Acid Oxidation

Shows how the body uses fats for energy — relevant for fatigue, metabolic flexibility and blood sugar steadiness.


  • Nutritional Markers

Highlights nutrient demand or insufficiency, especially B‑vitamins, antioxidants and CoQ10. Many women in midlife show increased need here.


  • Detoxification Markers

Shows how well the body is managing detoxification, methylation and glutathione pathways — often relevant when sensitivity to alcohol, caffeine or fragrances increases.


  • Amino Acid Metabolites

Reflects how the body breaks down and uses amino acids — helpful for understanding energy, mood, repair and metabolic balance.


  • Mineral Metabolism

Shows phosphoric acid levels, which can relate to bone turnover, mineral status and dietary patterns.


Why Organic Acid Testing (OAT) can be helpful during the menopause years


Organic Acid Testing (OAT) offers a clear snapshot of how your body is functioning during the menopause years, highlighting patterns in energy, nutrient status, detoxification, neurotransmitters and gut health that often shift as hormones decline.


  • Energy and metabolism

Mitochondrial markers help show whether energy production is running smoothly or under pressure — useful when tiredness feels disproportionate.

  • Mood, sleep and stress tolerance

Neurotransmitter metabolites can highlight patterns in dopamine and serotonin turnover. These don’t diagnose mood disorders, but they can help explain why stress feels heavier or sleep feels fragile.

  • Nutrient demand

Markers such as B6, B12, B5, B2 and vitamin C can indicate increased nutrient need — something many women experience in midlife.

  • Detoxification and methylation

Post‑menopausal women often notice changes in sensitivity to alcohol, caffeine, fragrances or stress. Detox markers help show how these pathways are functioning.

  • Gut‑related processes

Digestion often shifts after the menopause. Microbial markers can offer insight into yeast, bacteria and microbial activity when relevant.


A realistic, grounded tool — not a diagnosis

The OAT doesn’t diagnose medical conditions or replace blood tests. But it does give a personalised snapshot of how your body is functioning biochemically — something many women find reassuring when symptoms feel blurred or hard to explain.


How the OAT fits into a nutrition plan

For post‑menopausal women, OAT results can help shape:

  • more personalised food choices

  • targeted nutrient support

  • gentler strategies for sleep and stress

  • realistic expectations around energy

  • a clearer understanding of what your body needs now


It’s not about chasing perfection — it’s about insight.


A steadier way forward

The menopause marks a major shift in how the body works. The OAT offers a calm, practical way to understand that shift and support your health with more confidence.


To learn more please don't hesitate to get in touch.



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