If your gut has gotten harder to manage in perimenopause — the bloating, the constipation, the reflux that appeared from nowhere — this episode is the explanation you were never given.

Most gut health content treats digestive symptoms as a food problem. This episode goes upstream. Miriam walks through four specific physiological shifts that happen during hormonal transition and directly affect how the gut functions — none of which have anything to do with what you're eating.

What we cover:

→ Why stomach acid drops in perimenopause and what it costs your digestion and nutrient absorption

→ How progesterone affects gut motility and why constipation in midlife is hormonal, not personal

→ What cortisol does to the gut-brain axis when the HPA axis is dysregulated by estrogen decline

→ What the estrobolome is  ...