Your gut doesn't lie — and in perimenopause, it's sending distress signals most doctors completely ignore. Nurse practitioner, two-time TEDx speaker, and Everyday Wellness podcast host Cynthia Thurlow joins Dr. Stephanie for a conversation that starts in Morocco (food poisoning, a hospitalization, and a perimenopause wake-up call nobody saw coming) and ends with a clear-eyed framework for supporting your gut, your bones, your immune system, and your sleep through the hormonal chaos of midlife. Episode Overview: (0:00) Intro/Teaser (7:00) How a Parasite Became a Perimenopause Wake-Up Call (11:00) Why Women Resist the Word “Perimenopause” (16:00) The Gut-Hormone Connection Nobody’s Talking About (21:00) The Medical System Was Never Built for Middle-Aged Women (30:00) Body Composition, the Scale, and the Comments That Stick (34:00) The ACE Study: How Childhood Trauma Rewires the Gut and Immune System (41:00) Oral Contraceptives, Antibiotics, and the Developing Microbiome (48:00) The Estrobolome (53:00) The 6–12 Window (56:00) Sleep, Stress, and Nutrition — The Three Biggest Levers in Perimenopause (1:02:00) Advice for Mothers of Daughters (1:05:00) Cynthia’s Personal Daily Protocol (1:13:00) The Menopause Gut: Elevator Pitch and Where to Find It (1:15:00) After Party — Dr. Stephanie’s Key Takeaways Resources mentioned in this episode can be found at https://drstephanieestima.com/podcasts/ep466/ We couldn’t do it without our sponsors: ONESKIN - With age, skin becomes thinner, produces less collagen, proliferates at a slower rate, and accumulates damage. Fight back and save 15% at https://oneskin.co/better with code BETTER. BIOPTIMIZERS - Magnesium Breakthrough contains multiple types of magnesium plus cofactors like B6 to enhance absorption. JUST THRIVE HEALTH - Take the Just Thrive FEEL BETTER challenge today, and save 20% on your first order. Go to https://justthrivehealth.com/better and use the code BETTER to see the difference for yourself. LMNT - Stay hydrated without the sugar, food dye, and other dodgy ingredients found in popular electrolyte and sports drinks. Receive a free LMNT Sample Pack with any order when you make a purchase at https://DrinkLMNT.com/Better COZY EARTH - Cozy Earth helps you feel better by keeping your temperature perfect overnight to facilitate deep restorative sleep. Head to https://cozyearth.com and use my code BETTER for up to 20% off. **************************** P.S. When you're ready, here are two ways Dr. Stephanie can help you: Subscribe: The Mini Pause — My weekly newsletter packed with the most actionable, evidence-based tools for women 40+ to thrive in midlife. Build Muscle: LIFT — My progressive strength training program designed for women in midlife. Form-focused, joint-friendly, and built for real results. Hosted by Simplecast, an AdsWizz company.