The Gut Microbiome in Menopause: How the gut changes and why it matters A LOT!

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The Gut Microbiome in Menopause: How the gut changes and why it matters A LOT! | Felice Gersh, MD

Рет қаралды 7,062

Күн бұрын

In this talk, I explain how the hormone changes in menopause affect the gut microbiome and how this has implications for whole body health.
And of course, I also cover what you can do to protect and nurture your precious microbiome. Watch the video to get my top 10 tips for supporting and healing your gut so you can feel great and protect your health long term.
Watch for my latest Instagram lives at
/ dr.felicegersh
I am a full time practicing doctor. I see patients in my office in Irvine, CA and worldwide via telemedicine. If you need more healthcare assistance than I can provide in a video series, please contact my office:
integrativemgi...
---- Contents of this video --------------------------
00:00 - The role of the Gut Microbiome
04:32 - How menopause changes the gut microbiome
06:26 - Short chain fatty acids
09:12 - Importance of a fiber-rich diet
10:35 - Leaky gut
12:52 - Systemic inflammation
14:19 - Hormone replacement therapy and gut health
15:10 - Best diet for a healthy gut

Пікірлер: 35

@irenemowers9897 Ай бұрын

I subscribed to your channel because of this video! As a 56 yr old menopausal woman I know for a fact that going very low carb for a long time has messed me up! I now eat what I call smart carb!

@j.c.7555 2 ай бұрын

Awesome information just wish I could find someone as knowledgeable as you on this subject. Thank you for putting these videos out for us to hear.💜❤️💜❤️

@carolwong9279 Ай бұрын

You are the best teacher. You are the only menopause doctor that promote a plant based diet. Thank you soooo much for all you do to educate. I love you ❤

@minatohid7855 2 ай бұрын

Thank you for keeping us updated on your amazing lectures

@lucindaloudon989 2 ай бұрын

Thank you so much for all you do for we women!

@Sophie-qt5jx 2 ай бұрын

Thank you dr Gersh, it’s all so interesting!

@Hollowmoon007 2 ай бұрын

This was comprehensive; thank you! LDN, I have discovered during perimenopause, blocks il4, reducing inflammation. It has helped tremendously. Diet/lifestyle wasn’t cutting it. Still afraid taking estradiol would exacerbate the breast lumps. Dr, how does estradiol bhrt impact existing lumps and underarm lymph nodes?

@WENDLELL Ай бұрын

Thank you. Great video - exactly what I’m experiencing right now and it’s a real struggle! Just entered menopause and my gut is really not happy which seems to be impacting my nervous system at night 😢 Will implement your suggestions and look forward to hearing more on the subject.

@blueberrydays5569 Ай бұрын

Wonderful thankyou!❤

@patriciamartin6309 2 ай бұрын

Brilliant info I’m doing all of this . I did get for two years but at 61 felt it was t serving my body. As a mostly clean eater who makers her own kefir I am recognising that we were not intended to prolong what our bodies are naturally transforming but we must support it . I also use wild yam and many supplements plus exercise and meditation

@KarenHarmon-ui9ym Ай бұрын

Thank you! This is such valuable information!

@karenb.2012 2 ай бұрын

Just subscribed. Thank you so much for all of the information you are sharing with us!

@jennybadl7840 2 ай бұрын

Thank you for this information !

@anne-louisegoldie 2 ай бұрын

Thank you Dr Gersh 💛 What do you think about consuming phytoestrogens like soy milk and tofu when we're taking oestradiol? I stopped drinking soy milk because I read it stopped HRT being properly absorbed. That phytoestrogens go to the same receptors, and block the effectiveness of the oestradiol we're taking. What do you think? Or is it actually beneficial to us to have both HRT and soy and other phytoestrogens? 😊xx

@rachidanait707 2 ай бұрын

Soy is full of pesticides like Roundup

@mariepaulegil2233 2 ай бұрын

How and where do you get bio identical hormones ? Certainly not at the gynecologist ‘

@tamih6533 2 ай бұрын

I thought I'd have to pay $1000s at one of those boutique docs & compounding pharmacies (which aren't a good option for reasons other than cost!) but I just found out there are actually bioidentical hormones that are FDA approved, available at the retail pharmacies. My doc said he usually doesn't prescribe it because of the cost, but I insisted on it. Generic micronized progesterone and an estradiol patch cost me less than $40/month. If you don't have insurance, look at Good Rx. Their coupons lower it to about that amount.

@mariepaulegil2233 2 ай бұрын

@@tamih6533 Thank you !

@cleanqueen75 Ай бұрын

@@tamih6533 I thought only the synthetic kind like Premarin is FDA approved.

@tamih6533 Ай бұрын

So did I! I took the synthetic stuff for a year and it cured my hemorrhaging but I was miserable! I went off for a year and felt even worse, so I started doing more research. Micronized progesterone is bioidentical and there are studies that show its safer than Provera (which is what is usually prescribed.) For estrogen replacement, I am on the generic version (made by Mylan) of Vivelle dot. This is also bioidentical. Today is Day 8 on these meds and I am already seeing tremendous improvement in my mood, motivation, energy level, sleep quality, hot flashes. Plus my skin looks better and I love my husband again 😂 I'm lucky that my doc will give me whatever I want, but if yours won't, keep looking. Don't go to those BS clinics that want to charge you thousands a month for pellets (which aren't FDA approved!) Good luck!

@tamih6533 Ай бұрын

sometimes progesterone can make you tired, so take it at night. I was taking the Provera at night and was completely dysfunctional during the day. I literally had to nap every day! Idk if it was the medicine or a menopause symptom, but either way, that has drastically improved since I started on the micronized progesterone

@jenniferleivestad9006 2 ай бұрын

Except you can't have whole wheat with hypothyroidism

@Petunia-fl9lu 2 ай бұрын

don't just eat a salad for breakfast you need protein in your first meal, I'm sure she meant 'in addition' to protein sources. "dietary sources of glutamine include plant and animal proteins such as beef, pork, poultry, milk, yogurt, ricotta cheese, cottage cheese...

@judyculang3766 13 күн бұрын

You did not mention any plant proteins…

@debiwillis9045 2 ай бұрын

How about pregnenalone and dhea?

@erikacavalcante1811 Ай бұрын

❤

@anonanonymous1970 2 ай бұрын

what about progesterone and DHEA?

@tranquilityseeker581 Ай бұрын

Hi Dr. Gersh - Exactly how much physiologic estrogen do I need? I am on .05 of vivelle dot.

@girl38rockify Ай бұрын

Don't take HRt if you had any cancer

@swarovskikris1 24 күн бұрын

This is old info. The studies back in the 80s were skewed data and done on ladies ten years post menopause. It’s nuanced. You can read Dr. Mary Claire Haver’s book the New Menopause as well as Dr. Sara Gottfried. I’ll never not be on HRT. It scared us to death and we ladies have suffered ever since ❤

@smartin5817 Ай бұрын

CATCH 22...all the foods recommended are HIGH OXALATE!! another hurdle...WHAT IS THE TRUTH???

@russvet 4 күн бұрын

You have your own mind, look for solution. I eat small qty of plants, prefer fermented.

@michelel1852 Ай бұрын

Insurance especially Medicare won’t pay for doctors like you or your labs so it’s not affordable for most. Doctors like you here in az, if there are any, call themselves functional medicine docs or concierge medicine both types don’t even accept insurance any more because insurance companies / Medicare won’t pay. Medicine in America is not preventative, you are not treated as a whole person but parts to be sent to this specialist and that specialists. You PCP just gets you in and out doesn’t take the time needed to put the pieces together to find solutions but rely on others and then they only deal with their specialty. You can’t even go to get labs done again if you change doses you have to wait 6 months because Medicare will only pay twice a year. So you end up going to the ER when dose is to high. They think that doesn’t cost a pretty penny? So messed up