04/28/2026
If you are over 40 and feel bloated all the time it isn't all in your head and it's NOT always from cortisol.
As we lose estrogen, our gut biome changes (not for the better) and we become more inflamed all over- leaving us feeling bloated and puffy all the time.
So what's the fix?
Well, if you are a candidate for menopause hormone replacement, a low dose of estradiol may be a huge help (along with reducing inflammation from processed foods, alcohol and lack of sleep).
But, if you aren't, or choose not to use hormones, or still need some help even after starting on MHT we have to work on your gut.
Increasing the diversity of organisms is critical, so a good lactobacillus/bifido bacteria probiotic is a good starting place. (If you want to know brands, let me know in comments because this post is already long).
And eating certain foods that increase fiber (shooting to get 30+ grams of fiber a day) like kiwi and figs has also been shown to help this kind of back up.
Plenty of water, regular movement, and in a real pinch, adding a 2 oz shot of aloe vera juice either first thing in the morning or right before bed can be a game changer!
Moral of the story? Don't just blame cortisol! You have a lot that is in your control to ease your symptoms!
Peters BA, Santoro N, Kaplan RC, Qi Q. Spotlight on the Gut Microbiome in Menopause: Current Insights. Int J Womens Health. 2022 Aug 10;14:1059-1072. doi: 10.2147/IJWH.S340491. PMID: 35983178; PMCID: PMC9379122.