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Current leadership initiatives focus on mindset, skills and traits but ignore physiological state: the internal conditions that set the ceiling for mental clarity, energy, and resilience. This oversight is catastrophic, especially for women.
Performance dips linked to menstrual cycles, perimenopause, and other transitions often strike at the peak of their careers – draining pipelines and costing organisations millions.
20 years ago, companies ignored mindset and dismissed resilience as “soft skills.” Today, mindset is mainstream.
Physiological state is the next evolution. When leaders understand and support the systems that shape their state, they can perform with confidence and consistency under any conditions.
Organisations that act early will attract, retain, and elevate female leaders – removing invisible barriers that have held women back for decades, while also delivering measurable ROI through stronger retention, productivity, and leadership continuity.
When physiological state is overlooked, performance dips are inevitable, especially for talented women at the peak of their careers.
One example is perimenopause; 79% of peri/meopausal women whose symptoms negatively impact them at work report reduced concentration, while 68% report increased stress. 1 in 10 women aged 40-55 have left a job due to menopause symptoms.
The result goes beyond individual performance; it’s lost revenue, fractured pipelines, and wasted investment that organisations can’t afford, with menopause-related productivity loss costing the UK an estimated 1.5 billion annually.
Millions in training and coaching are lost when physiology makes a leader’s most valuable traits and skills inaccessible.
Unaddressed memory and concentration issues, anxiety, low mood, overwhelm and stress silently drain productivity.
Brilliant leaders falter without warning; high-potential women vanish from pipelines due to insufficient support.
Companies invest in tech efficiencies but neglect the physiological efficiencies of their leaders to think clearly, manage stress and execute at their full potential.
Projects stall, recruitment costs spiral, and momentum is lost.
Physiology is the next frontier of performance. Early adopters will gain the edge; laggards will watch pipelines collapse.
In elite systems – sport, military, aviation – optimising physiological state is a baseline, not a luxury. Business leadership is the only high-performance arena where physiology is ignored.
That is no longer tenable. The companies that act first will reap retention, resilience, and ROI.
High-value women stay and rise instead of stepping back or leaving.
Leaders regain energy, clarity, and decisiveness, driving measurable gains across teams.
Female talent progress without hidden barriers holding them back.
Women remain visible at senior levels, strengthening equity and shaping a culture where performance is possible at every stage of a career.
Early adopters of physiology-first leadership keep talent, continuity, and profitability others can’t match.
Leading UK healthcare company Merz identified two female leaders who were displaying a drop in impact and motivation when delivering key projects, despite being highly skilled and experienced.
The company’s goal was to support these valued leaders to restore their energy, confidence and leadership capacity, to remove performance barriers, safeguard team-wide productivity and restore strategic project delivery.
By restoring energy, clearing brain fog and re-engaging the leaders fully in their roles, productivity gains exceeded £100,000. An estimated 1000% + ROI.
One senior leader had written her resignation letter before the programme. Retaining her saved over £61,000 in recruitment and onboarding costs – and protected critical projects from disruption.
Within months, participants reported being “on fire” at work, with renewed confidence, sharper focus, and stronger leadership presence. One secured an international promotion whilst leading a major HR system implementation with clarity and authority.
Engaged leaders inspire teams. This created powerful ripple effects: improved energy, engagement, and resilience. Zoe Dunbar, the company’s Country Manager stated that the programme sent a powerful message; that the organisation values and supports female leaders at every stage of their careers.
Spark awareness, challenge assumptions, and drive action across your organisation. Our high-impact talks and workshops blend science, storytelling, and practical tools to reframe physiological state as a business advantage.
Elizabeth’s Perimenopause Decoded Lunch and Learn was brilliant, it was full of invaluable insights and practical advice for navigating this life stage at work. She fostered a supportive environment that encouraged openness and honesty. We’re already looking forward to welcoming her back.
Liz was phenomenal – her depth of knowledge and magnetic energy left every woman in our BEYOUROWN Mastermind feeling empowered, connected to her body, and ready to perform at the highest level. Through Well Nourished, she guides women to truly understand their health and hormones so they can optimise every area of life. She’s not just an expert but a true advocate for women’s health, and her presence elevated our mastermind beyond measure.
A physiology-first approach can seem challenging to implement. So it has remained in the realm of EAP until now, despite the fact that physiological state underpins human performance.
Instead of asking “what will this cost”, the real questions should be “what would it cost if we don’t?”
Neglecting women’s health (thus, physiology) in the workplace costs the UK economy billions.
(AXA Health & Centre for Economics and Business Research)
Companies working with us have reported upwards of 1000% ROI after working with us, as a result of measurable productivity uplifts and retaining senior leaders who had planned to resign.
Unlike many corporate initiatives, physiology-first leadership simultaneously advances equity and profitability. Few strategies so neatly align inclusion and performance – this is one of them.
Organisations are pouring millions into leadership training, coaching, and tech efficiencies, while neglecting one of the biggest performance drivers: physiology. Until companies close this gap, they’ll keep leaving millions in untapped leadership capacity and productivity on the table.