
Since moving into your 40s, have you started noticing changes in your digestion or gut health—like more bloating, constipation, other changes in bowel movements, reflux or heartburn, food sensitivities, or feeling heavier and more sluggish after meals?
You’re not imagining it—and you’re definitely not alone. During perimenopause, our shifting hormone landscape doesn’t just affect our mood or periods—it has a profound impact on the gut too.
In this episode, I’m unpacking the key ways that gut health changes in perimenopause, including:
- How declining oestrogen and progesterone affect gut motility and the gut lining
- Changes in the microbiome, including the estrobolome
- Why gut permeability (“leaky gut”) might become more of an issue
- The gut-brain axis and how it impacts mood, anxiety, and sleep
- How blood sugar and stress hormones can feed into gut imbalances
- What this all means for symptoms like bloating, constipation, food sensitivities, and more
Whether you’re noticing gut symptoms for the first time, or previous issues coming back with a vengeance, this episode will help you make sense of it all and feel more empowered to support your gut in this phase of life and beyond.
Dive in and listen to episode 36 on your favourite podcast platform. Enjoy!
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Get in touch!
If you have any questions from this episode that you’d like me to address on a future episode or if you have suggestions for topics and or guests you’d like me to cover and chat with on the show, let me know! You can email me on francesca@francescaliparoti.com or drop me a DM on Instagram.


