Tanya Borowski Nutrition & Functional Medicine

Tanya Borowski Nutrition & Functional Medicine Offering an integrated approach to health & wellness. https://www.tanyaborowski.com

13/08/2026

Time for another series of Lessons In Nutritional Chemistry and no better time to dispel some myths and newest “hacks” for improving your help - with some some suggestions of easily accessible and low-cost foods that are absolute nutritional powerhouses with solid evidence to their health benefits.

Starting with - Beetroot!

My hormones are imbalanced" - what test do I need?What if, instead, we looked at this question through a broader and mor...
11/08/2026

My hormones are imbalanced" - what test do I need?

What if, instead, we looked at this question through a broader and more sophisticated lens than a snapshot-in-time test of hormone or metabolite status?

Within Women's Health Mastery, one of the concepts I teach my mentees (and to teach their own clients) is how to read the signs and symptoms the female body offers up across the menstrual cycle. This knowledge is so powerful. For a woman to recognise these signs as direct representations of what's happening hormonally, inside her own miraculous body, is a different kind of literacy altogether.

This is exactly the territory the brilliant Dr Aviva Romm (.avivaromm) shared so generously last week, teaching on a part of the female body that so rarely gets talked about: the cervix.

Across the cycle, her teaching describes two clear phases. In the follicular phase, as oestrogen builds, the cervix sits higher and feels much softer, with lubrication increasing alongside it. After ovulation, as progesterone takes the lead, the cervix drops slightly lower and firms up, more like the tip of the nose, positioned for easier access.

She also shares a lovely, practical point: this isn't something you need to guess at from a diagram. With a clean finger and a little patience (a bit of lubricant helps if things are dry), you can learn to find and feel these changes for yourself, and once you know what you're feeling for, it becomes a genuinely embodied way of knowing where you are in your cycle.

So rather than reaching for the next gadget or test stick, what if we spent more time truly understanding the beauty of the menstrual cycle, and how the body responds within it - knowledge that educators like Dr Aviva are so generous in sharing with us all.

This is exactly what I teach my mentees, too, that without any testing at all, a woman can build a genuinely accurate daily picture of her cycle just by paying attention to a few key signs each day >>> swipe to see.

Put these together daily & a woman has a remarkably clear, cost-free window into her own hormonal rhythm: no labs required!

Sometimes, especially during holiday season, meal times can become a bit of a chore - even for nutritional therapists 😉 ...
10/08/2026

Sometimes, especially during holiday season, meal times can become a bit of a chore - even for nutritional therapists 😉 - and you don’t always “have” to be meeting your “macros.”

Tonight it was more than ok to simply reach for a bowl of shop-bought soup: M&S gazpacho, pimped up with polyphenol-rich EVOO from the wonderful bona food Your Good Health, fresh herbs and a 3-seed omega mix. Alongside that, some stir-fried veggies drizzled in EVOO with avocado - job done.

Let go of the “must meet my macros” mantra, and listen to what your body is actually telling you. Sometimes it just doesn’t want or need what the diet book or app is telling you 💕

06/08/2026

We were taught the menstrual cycle happens in a vacuum. 28 days, job done, move onto the next.

For 70 years the model was tidy: a cohort of antral follicles are "recruited" at day 1 thanks to a rise in FSH, one wins, it ovulates, the corpus luteum takes over in a follicle-free luteal phase.

Then transvaginal ultrasound let us actually watch the o***y in real time, and what we saw instead: multiple waves of antral folliculogenesis, occurring throughout the whole cycle, not just at the start.

The ovaries don't wait for day 1 to recruit: they move in waves. Cohorts of antral follicles emerge together, grow, and either regress or present a dominant follicle, again and again. Not one event, but a continuous, rolling system, each wave preceded by its own FSH rise, including a 2nd rise mid-cycle, well before the existing cycle even ovulates.

Two-thirds of women run two waves per interovulatory interval. The rest run three. Not every wave crests the same way, either:
➡️ Major waves produce a dominant follicle (≥10mm, outgrowing its neighbours by ≥2mm)
➡️ Minor waves never select a dominant follicle at all: they rise and recede without ever producing "the one"
The final major wave of the cycle is always the one that ovulates. Everything before it (however dominant a follicle looked at the time) was never going anywhere. It regressed by design.

So no single wave stands apart from the ones before or after it. The follicle that ovulates this cycle is doing so within an environment shaped by FSH pulsatility, the health of prior cohorts, central signalling from the HPG axis, and every factor that influences all of that.

I picture an ocean: a constant ebb and flow, never static, rising and falling in line with the rhythms around it. This is how I teach it: the cycle answers to the brain above and the environment below, and nature does the rest.

At the Women's Health Practicum this year,  shared a case that's stayed with me: a woman with endometriosis, decades of ...
04/08/2026

At the Women's Health Practicum this year, shared a case that's stayed with me: a woman with endometriosis, decades of debilitating chronic pain, countless gynaecologists and specialists, multiple surgeries, every medical and holistic intervention going - all built on the same assumption: reduce the lesions, reduce the pain.

Yet nobody had ever told her that endometriosis pain correlates poorly with lesion burden. Minimal disease can mean agony. Extensive disease can mean relatively pain-free. If we're still explaining pain purely by "how much endo is there", we're missing most of the picture. Entirely.

A new review in Endocrine Reviews lays out why: Endo pain isn't generated by lesions alone - it's generated by the convergence of several dysregulated systems:

➡️ Oestrogen (from lesions) & progesterone resistance sits upstream - promoting chronic inflammation, immune dysregulation, and sustained neuroimmune activation within endometriotic lesion microenvironment
➡️ That immune activation (macrophages, mast cells, inflammatory mediators) actively drives new blood vessel and nerve growth into lesions, sensitising the area and lowering pain thresholds
➡️ NGF and BDNF are the key players making those nerves sprout, remodelling ion channels so nociceptors become hyperexcitable —-literally more reactive to stimulation than they should be
➡️ Enough of this peripheral input over time and the spinal cord and brain rewire too - which is the mechanism behind why pain can persist after excision or hormonal suppression. The lesion's gone, but the sensitisation isn't

This is why "just take these hormones" or "just have the excision" so often falls short for clients. The lesion might be the spark but by the time someone's had pain for years, the fire is burning in the nervous system itself, independent of what's happening pelvically.

FOR PRACTITIONERS: this is the case for genuinely multimodal, mechanism-based care - not lesion-focused alone but addressing the neuroimmune-endocrine web as a whole.

30/07/2026

Today is the last Women’s Health Mastery session before summer break ☀️ and we’ll be diving deep for one more live session on Hormone Testing – The Reproductive Years.

This session gets into the real merits and drawbacks of blood, urine panels, so affiliates know not just what they show, but where they fall short.

🧬 We’ll also be spending time on nutrigenomics with Emma Beswick on how genetic variants shape hormone metabolism & where that should (and shouldn’t) steer your testing strategy

🩸 Serum & Urine Testing with yours truly: when to test which hormone, what urine panels can & can’t tell you, and how to build a testing rationale you can defend clinically

Then we break for a well deserved summer (although I know some of my lovely group will be dipping back in to catch up and refresh on some recordings) ☀️

Looking ahead to September we have a stacked curriculum of 3 hr lectures to still come:
🦋 Thyroid & Hashimoto’s
🧠 Endometriosis through neuro-immuno-endocrinology
🌙 Perimenopause — neurological effects & solutions
🔄 Menopause — metabolic effects & solutions
🔬 Metabolic flexibility & cancer metabolism, with
💊 MHT 101 + supporting client-GP conversations
📊 Final session: nutrigenomics of metabolics + live case studies

Plus more drop-in clinic sessions and a THRIVING facebook group. It’s going to be a busy autumn!!!

Over the summer I’ll be planning enrolment for the Jan 2027 cohort, opening up this autumn - keep an eye out 👀

This brought a smile to my face 😊 I still have this Kilner jar ( loves a Kilner jar 😉) from 13 years ago - IFM's Advance...
29/07/2026

This brought a smile to my face 😊 I still have this Kilner jar ( loves a Kilner jar 😉) from 13 years ago - IFM's Advanced Practice Module in GI Health.

Back then, all these modules were in person, and there was such joy in being in the room with colleagues, learning directly from the IFM faculty masters: the likes of Rob Rowntree (the king of analogies), Patrick Hannaway, and Michael Stone, a long-standing IFM faculty member who taught clinicians how to use functional medicine toolkits and championed the importance of the Nutrition-Oriented Physical Exam. And of course Liz Lipski, author of the GI bible Digestive Wellness: Strengthen the Immune System and Prevent Disease Through Healthy Digestion.

My love of continued learning was ignited in those lecture halls (thank you Nutri-Link, Michele Ash and Claire Gardin), long-standing friendships were formed and maintained, and my passion for pushing the envelope and questioning old narratives continues to this day.

All reminded, this morning, reaching for my chia seeds stored in a 13-year-old Kilner jar 🙂
..Oh, and the book in the background - The Everyday High Fibre Plan is no other than another friend and colleague met through IFM: the wonderful ❤️

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