The Importance of Gut Health Assessments for Women Over 40
- Marcia Howard
- Nov 24, 2025
- 4 min read
Navigating the changes that come with perimenopause and menopause can feel like a juggling act. Sleep disruptions, weight creep, mood swings, and stubborn bloating often tag along. What if I told you that a big piece of this puzzle lies in your gut? Yes, your gut health plays a starring role in how you feel day to day. Understanding it better through a gut health assessment can be a game-changer. Let’s explore why this matters and how it can help you feel lighter, clearer, and more in control - in weeks, not months.
Why Gut Health Matters More Than You Think
Your gut is not just about digestion. It’s a complex ecosystem that influences inflammation, hormone balance, immune function, and even your mood. When your gut is out of sync, it can amplify the symptoms of perimenopause and menopause. Think of inflammation as the volume knob on hot flushes and night sweats - turn it down, and those symptoms often ease.
Here’s the practical bit: ultra-processed foods nudge up inflammation, while a diet rich in protein, fibre, and whole foods helps calm it. But how do you know if your gut is happy or stressed? That’s where a gut health assessment comes in. It’s like a health check for your digestive system, revealing imbalances that might be driving your symptoms.
Because your gut lining is where nutrients meet your bloodstream, a leaky or inflamed gut can throw your hormones off balance. This can lead to cravings, weight gain around the belly, and even sleep chaos. So, understanding your gut health is not just about avoiding bloating - it’s about steadying your blood sugar, calming inflammation, and supporting your hormones.

The Importance of Gut Health in Hormonal Balance and Weight Management
Hormones and gut health are best mates. When your gut is balanced, it helps regulate oestrogen and cortisol - two key players in perimenopause and menopause. Cortisol, often called the stress hormone, can turn up the volume on inflammation and weight gain if it’s too high. A healthy gut helps keep cortisol in check.
Weight creep during this phase is frustrating but not your fault. It’s often linked to inflammation and blood sugar swings. Your gut bacteria influence how your body processes sugar and stores fat. When the balance tips, cravings spike, especially for sugary or ultra-processed foods, which then fuel inflammation further.
A gut health assessment can pinpoint if your gut bacteria are out of whack or if you have food sensitivities that might be causing bloating and inflammation. This insight lets you make smarter food choices without the misery of restrictive diets. Remember: protein first, then the rest. Aim for 25-30g protein each meal to support satiety and lean muscle mass, which helps keep your metabolism humming.

What are the 5 R's for Gut Health?
If you’re ready to take action, the 5 R’s offer a clear, step-by-step plan to restore your gut health. These are practical, evidence-based steps that help calm inflammation and support your hormones:
Remove - Identify and reduce foods or factors that irritate your gut, such as ultra-processed foods or known sensitivities.
Replace - Add digestive support like enzymes or bile salts if needed to help break down food properly.
Reinoculate - Introduce beneficial bacteria through probiotics or fermented foods to rebalance your gut flora.
Repair - Support the gut lining with nutrients like glutamine, zinc, and omega-3s to reduce inflammation and heal damage.
Rebalance - Focus on lifestyle habits that support gut health long-term, including stress management, sleep, and gentle movement.
Because your fringe is telling you secrets - like hair shedding or scalp issues - these can be early warning lights of gut or hormone imbalances. The 5 R’s help you tackle the root cause, not just the symptoms.
How a Gut Health Assessment Can Guide Your Journey
You’re not failing - your plan is. Sometimes, the best way to break the cycle of bloating, cravings, and weight creep is to get a clear picture of what’s happening inside. A gut health assessment offers that clarity.
This assessment uses non-invasive technology to analyse your gut environment, inflammation levels, and digestive function. It’s like having a health coach and savvy clinician rolled into one, giving you personalised insights. From there, you can make targeted changes that calm inflammation, steady blood sugar, and support hormone balance.
Because small hinges swing big doors, even one clear next step from your assessment can make a noticeable difference. For example, adding 20g protein at breakfast or swapping ultra-processed snacks for whole foods can start to shift your symptoms within weeks.
Taking Control: Your Next Step to Gut Health and Hormonal Calm
Feeling lighter, clearer, and more in control is possible. Start by booking a gut health assessment to understand your unique needs. From there, focus on:
Protein first, then the rest: Prioritise protein and fibre at every meal.
Walk 10 minutes after dinner: This blunts the glucose spike and supports blood sugar balance.
Step away from the biscuits: Swap ultra-processed snacks for nuts, seeds, or a boiled egg.
Prioritise sleep and stress care: Hormones love routine, so aim for consistent bedtimes and gentle stress relief like Pilates or meditation.
Remember, compassion first, perfection never. This is about progress, not perfection. You’re not alone on this journey - think of me as the mate who texts you at 9pm, “Step away from the biscuits, I’ve got you.”

Gut health is a powerful lever for hormonal calm and weight management during perimenopause and menopause. By understanding your gut through a gut health assessment and following practical, evidence-based steps, you can calm inflammation, tame the bloat, and feel like you again.
Educational, not medical advice. Always check with your healthcare provider before making significant changes to your diet or lifestyle.




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