“All these things that we think are adaptive, become maladaptive.” – Cynthia Thurlow

So many of the women we work with have spent decades being really good at pushing through. We can function on too little sleep, fit in the hard workout, restrict our food when our weight starts creeping up, take care of everyone, build a career, and keep going. Then we hit perimenopause and suddenly those same strategies don’t work the way they used to. Recovery is slower, sleep changes, body composition shifts, and our tolerance for stress is different. Trying harder won’t necessarily get us where we want to go.

There’s also a gut piece to this that we don’t talk about enough. As estrogen shifts through perimenopause and menopause, the gut microbiome changes too, with downstream effects on the immune system, brain, heart, bones, metabolism, and hormonal health. Then layer chronic stress, under-fueling, poor sleep, or too much intense exercise on top of that, and we can start to understand why simply prescribing more protein, more exercise, or intermittent fasting isn’t always the right answer. Sometimes the most therapeutic thing we can help a woman do is eat enough, recover better, slow down, and gradually rebuild resilience.

In today’s episode, I’m joined by Cynthia Thurlow, nurse practitioner, Everyday Wellness podcast host, and author, to talk about the gut microbiome in perimenopause and menopause. We discuss how declining estrogen changes the microbiome, the connection between gut and immune health, autoimmune and post-viral conditions, and why stress management has to be part of the clinical conversation, how her approach to intermittent fasting has changed, when fasting may do more harm than good, the importance of eating enough protein and fiber, protecting muscle and bone as we age, diet culture and GLP-1s, why midlife often requires women to rethink the habits that got them here, and more.

Enjoy the episode, and let's innovate and integrate together!

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Learn more or watch the video version of this conversation at https://integrativewomenshealthinstitute.com/menopause-and-the-gut-microbiome-with-cynthia-thurlow/.

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