Did you know your gut and your hormones are not two separate conversations? They are the same conversation, and most women in perimenopause are only being handed half the story. You can be doing all the right things, the protein, the workouts, the supplements, even hormone replacement therapy, and still feel bloated, foggy, exhausted, itchy in weird places, and like your body is suddenly working against you. The missing piece for so many women is the gut. In this episode of Hello Hormones, I sit down with my dear friend Cynthia Thurlow, nurse practitioner, two-time TEDx speaker, host of the Everyday Wellness podcast, and author of the brand new book The Menopause Gut, to break down why the gut microbiome is the most underappreciated player in midlife health, what your symptoms might actually be telling you, and the foundational shifts that can completely change how you feel. Cynthia has spent over 25 years in women's health, and she has a gift for taking incredibly complex science and translating it into something you can actually use. We talk about what is really driving bloating, brain fog, mood changes, joint pain, and even those quirky symptoms nobody warns you about. We also dig into why the gut is one of the most malleable systems in your body, meaning every small change you make really does count. This is the conversation I wish every woman could hear before she gets dismissed one more time. What's Discussed: (01:30) Why most women have no idea their gut and hormones are directly linked. (03:15) How the gut quietly ages alongside the rest of you. (04:45) Rapid fire: the most common GI symptom in perimenopause. (06:00) The very unsexy low estrogen sign nobody is talking about. (08:30) Why itchy ears, itchy nipples, and ringing ears might all point to the same thing. (10:15) Rosacea, eczema, and what your skin is trying to tell you about your gut. (12:00) The gut brain connection and the role of the vagus nerve. (14:00) What the gut microbiome actually is and why it matters more than you think. (16:30) The "three Ps" of a woman's microbiome: puberty, pregnancy, and perimenopause. (19:00) Why bloating, mouth issues, and gum problems can all be connected. (22:00) Sudden constipation, brain fog, joint pain, and other red flags. (25:30) The gut bone connection and what it means for osteoporosis risk. (28:00) Mood, anxiety, depression, and the gut neurotransmitter conversation no one is having. (32:00) Estrogen recirculation, the estrobolome, and why detox starts with pooping. (36:00) Where to actually start: sleep, stress, nutrition, exercise, and trauma work. (42:00) Fiber, the new F word, and how to actually add it without misery. (47:00) Cynthia's favorite gut supplements and why TUDCA is at the top of her list. (50:00) How estradiol, progesterone, and testosterone influence your gut. Thank you to my sponsor! Timeline Nutrition: Support your cells and how you age with Mitopure® Gummies from Timeline. Visit timeline.com/DRCARRIE and save up to 39% OFF your Mitopure® Gummies. Cozy Earth: Head to cozyearth.com and use my code DRJONES for 20% off. And if they ask how you found them in the survey, tell them Dr. Jones sent you. ✍️ FREE GUIDES: Top 7 Perimenopause Myths You Need to Stop Believing ASAP: <a href= "http://www.
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