By Michelle White, The Inspired Wellness Coach, NTP
Inspired Wellness Podcast – Episode 14 Recap
What if the gut issues you’re experiencing in perimenopause — the bloating, fatigue, and weird food reactions — aren’t random? What if they’re actually rooted in your shifting hormones?
This is something most women don’t even think about. But the connection between hormone fluctuations, food sensitivities, and your gut microbiome during perimenopause is real — and surprisingly powerful.
In Episode 14 of Inspired Wellness Podcast, I sat down with gut health expert and fellow Nutritional Therapy Practitioner, Patti McCoy, to unpack what’s really going on in your digestive system during midlife, and what you can do to start feeling better.
Whether you’ve started reacting to foods you used to love, feel more sluggish after meals, or are simply curious about eating for longevity and lower inflammation, this conversation is full of insight and practical strategies.
Why Gut Health Feels So Different in Midlife
During perimenopause, declining levels of estrogen and progesterone don’t just affect your cycle or mood — they also impact digestion and your gut microbiome. Patti explained how these hormonal changes can lead to:
- New or worsening food sensitivities
- Sluggish digestion or constipation
- More bloating and gas
- Higher inflammation levels
- A weakened gut barrier (“leaky gut”)
If you’re thinking, “I used to eat this just fine — why do I feel awful now?”… you’re not alone.
The Gut-Hormone Connection
So what’s really going on?
Patti broke it down like this: your gut is home to trillions of microbes — and many of them actually help metabolize estrogen. As hormone levels shift, the diversity and balance of those microbes can change, leading to digestive discomfort, immune reactions, and even mood shifts.
This gut-hormone connection is especially important because so many symptoms women experience in perimenopause — like brain fog, fatigue, and stubborn weight gain — can actually start in the gut.
What is the KBMO Food Sensitivity Test?
One tool Patti uses regularly with clients is the KBMO food sensitivity test — a comprehensive test that measures immune responses (not just basic IgG markers) to foods and food chemicals.
Unlike traditional elimination diets, this test can reveal hidden sensitivities that may be contributing to:
- Brain fog
- Bloating and digestive issues
- Low energy
- Skin flare-ups
- Headaches or joint pain
She walked us through the different test options KBMO offers — from foundational panels to advanced ones that test for gut barrier function and inflammation — and shared how the results can guide personalized nutrition strategies.
So You Took a Sensitivity Test… Now What?
One of my favorite parts of the episode was when Patti explained how to use test results in a realistic way — without falling into restrictive or overwhelming patterns.
“The goal isn’t to avoid these foods forever,” she said, “It’s to calm the immune system and support healing so that your gut can tolerate more over time.”
She also shared tips on how she supports women in:
- Phasing in gut-healing foods
- Rebalancing their microbiome
- Improving digestion with simple lifestyle tweaks
- Managing stress, sleep, and movement — all of which play a major role in gut health
Quick Tips for Busy Women in Midlife
Gut healing doesn’t have to mean a 10-step protocol or hours in the kitchen. Patti shared these simple, doable tips for women juggling kids, careers, and hormonal shifts:
- Start your morning with warm lemon water or bone broth
- Make time for daily movement — even a walk counts
- Prioritize rest and blood sugar balance throughout the day
- Incorporate fermented foods like sauerkraut, kefir, or plain yogurt
- Use a high-quality magnesium glycinate supplement for stress and sleep support
Final Thoughts: One Step You Can Take This Week
If you’ve been feeling like your digestion or energy is “off,” Patti recommends starting with this:
“Keep a food and symptom journal for 3–5 days. It’s an eye-opener. Notice what meals make you feel great vs. what leaves you foggy, bloated, or tired — and that awareness alone can help guide your next steps.”
Want to Learn More from Patti?
You can connect with Patti McCoy and learn more about her 1:1 work, KBMO food sensitivity testing, and nutrition offerings at:
🔗 Nurture by Nature Nutrition (insert actual URL)
📲 Follow her on Instagram: @nurturebynature_nutrition (insert actual handle)
Thanks for reading! If this resonated with you, share it with a friend — and make sure to subscribe to Inspired Wellness Podcast for more conversations that help you feel great in your body again.
With love and inspired wellness,
Michelle White
Nutritional Therapy Practitioner | The Inspired Wellness Coach
Ready to feel strong, clear, and energized again?
📩 Reach out to book a free discovery call and let’s talk about how to support your goals.
Listen to the Full Episode
Catch this conversation and more on Episode 14 of Inspired Wellness Podcast on your favorite podcast platform!
Listen to the full episode here on Apple or here on Spotify
Want more frequent tips and knowledge? Follow me on Instagram and Facebook @theinspiredwellnesscoach
Want to submit a question? Email me
And check out my Services page to learn more about my nutritional therapy services for women in perimenopause and beyond.
DISCLAIMER This blog post is for educational and informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider before making any health-related decisions. By reading this post, you agree to take full responsibility for your health and well-being.
