The Physical Performance Show: Dr Nicky Keay: Sports & Dance Endocrinologist, Hormone Health & Performance Part 2

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Dr Nicky Keay

In episode 244 of The Physical Performance Show Brad Beer shares a conversation with Dr Nicky Keay for part two of an exploration around all things hormone health and performance on this expert edition.

Dr Nicky Keay is a sports and dance endocrinologist with 20 years of extensive clinical and research experience in working with professional ballet dancers and elite athletes.  At the time of recording Dr Nicky Keay is consulting for both Scottish Ballet and also Manchester United whilst also consulting privately and serving as the Chief Medical Officer for Fourth Edge on Hormone Profiling.

Nicky is currently working to monitor female athlete menstruation cycles through athlete management systems to reduce female athletes injury risk. She’s a published author of numerous scientific articles, provides regular reviews for the British Journal of Sports Medicine, and is a go to expert when it comes to the risks of energy deficiency in sports and the female athlete. Her published medical research includes the effects of training and nutrition on the endocrine system and body composition along with bone mineral density. Nicky is an Honorary Fellow of the Department of Sport and Exercise Sciences at Durham University, a member of the British Association of Sport and Exercise Medicine in the National Institute of Dance, Medicine and Science.

During this expert edition, you’ll enjoy learnings around how to optimize our hormones as both male and female athletes across our lifespan and around our sports. Nicky shares around key concepts for both the pre Peri and post menopausal female athlete and also the male athlete when it comes to monitoring and maximising testosterone.

Here is my conversation with Dr Nicky Keay on all things hormone health and performance Part Two hormones across the lifespan.

To listen to Episode 244:


Click the icon to listen to the interview on iTunes or listen using the Soundcloud player below

Don’t forget to SUBSCRIBE at the links to ensure you get performance insights from our future upcoming exciting guests.

Listen in as we delve into the following:

  • Integrated Periodisation Triangle Concept
  • Hormone Profiling
  • The four female hormones
  • Practical Tests for Profiling
  • Monitoring systems
  • How to get your menopausal hormones working for you
  • HRT misconceptions
  • Underactive Thyroid
  • Male hormones
  • Strength and Conditioning to improve testosterone
  • Best Advice
  • Physical Challenge

Show Sponsor: Endure IQ

Whether you’re an athlete or coach, ENDURE IQ aims to empower you with the knowledge, tools, and strategies to optimise your sports performance. To get you started ENDURE IQ will gift you $25 towards your first ENDURE IQ purchase – use the code BRADBEER at the checkout. Information is useful, but knowing how to use it is powerful. ENDURE IQ – hitting the sweet spot of performance, health and enjoyment. Visit Also enjoy ENDURE IQ Founder Dan Plews Expert Edition: ‘Heat Training & Acclimation for the Endurance Athlete’
Dan Plews triathlete

To follow Dr Nicky Keay

Instagram: @nickykfitness
Episode 198 of The Physical Performance Show featuring Dr Nicky Keay: ‘RED-S, Hormones health & performance’
Dr Nicky Keay


Fourth Edge: Sports-specific biomarker profiling to give you unparalleled insight into how your body works, races and recovers, with expert advice tailored to you

Dr Nicky Keay: Working with high performing female athletes Sport Ready course

Blog Article: – Health, Hormones and Human Performance Part 2

Periodisation triangle concept

The EN:SPIRE Clinic
Article: Returning To Sport After Energy Deficiency


“Look at the reliable sources and make the choice for you.”
“You can’t function as well as you would like.”
“Make an informed choice.”
“Factor in strength and conditioning plus recovery.”
“You are an individual.” Best advice
“Do a different type of exercise.” Physical challenge

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0:00 Start
4:30 Introduction to Dr Nicky Keay
6:06 Integrated Periodisation Triangle Concept
10:54 Hormone Profiling
19:30 The four female hormones
33:45 Practical Tests for Profiling
38:40 Monitoring systems
43:00 How to get your menopausal hormones working for you
48:10 HRT misconceptions
51:50 Underactive Thyroid
53:30 Male hormones
57:00 Strength and Conditioning to improve testosterone
1:00:35 Best Advice
1:02:00 Physical Challenge
1:10:29 Finish

People Mentioned

Shona Halson – Associate professor of the School of Behavioural and Health Sciences – Ep 238 of The Physical Performance Show

Dr Amit Mistry – Sports & Exercise Psychiatrist. Athlete Mental Health – Ep 229 of The Physical Performance Show

For questions and comments about this Episode

Send to the show host @Brad_Beer (Twitter) or @brad_beer (Instagram)

The Physical Performance Show

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