Team Gut Girls

16: Why Your Gut Changes in Perimenopause

Team Gut Girls

Show Notes

Why Your Gut Changes in Perimenopause: The Truth About Hormones, Histamine & Bloating If you've been told your bloating is just a "cortisol belly," this episode is for you. On social media, it seems like every symptom in your 40s is blamed on cortisol. But the reality is much more complex. In this episode of Team Gut Girls, Dr. Christina Carew, ND, Dr. Whitney Baxter, ND, and Dr. Dominique Vanier, ND unpack what is actually happening inside your gut during perimenopause. You'll learn why estrogen and progesterone changes can dramatically affect digestion, gut motility, water retention, histamine release, and even how your brain interprets normal digestive sensations. We also explore the fascinating connection between the gut microbiome, the estrobolome, mast cells, and hormone metabolism—and why so many women suddenly feel bloated despite eating the same foods they've always tolerated. Most importantly, we discuss the symptoms that should never be dismissed as "just hormones," including persistent bloating, pelvic pressure, early fullness, unexplained weight loss, and changes in bowel or bladder habits that deserve further medical investigation. Whether you're waking up with a flat stomach but looking six months pregnant by dinner, struggling with worsening IBS symptoms, or wondering why your body suddenly feels different, this episode will help you understand the physiology behind these changes—and what you can do about them. What You'll Learn Why "cortisol belly" is an oversimplification How estrogen affects gut motility and digestion Why progesterone protects your digestive system The connection between histamine, MCAS and perimenopause How the estrobolome influences estrogen metabolism Why bloating often worsens later in the day How hormones can mimic IBS and SIBO symptoms When hormonal bloating becomes a medical red flag Practical strategies to support gut health during perimenopause Questions to ask your healthcare provider

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