Your Gut: The Quiet Key to Feeling Like Yourself Again
- Monica Simpson, DNP, APRN

- Nov 9
- 5 min read
Updated: Nov 11

Most women don’t think much about their gut until it starts acting up. One day, you realize the foods you used to enjoy now leave you bloated. Your energy dips for no clear reason. Your skin feels dull, or your mind feels foggy. You tell yourself it’s hormones, or maybe just a natural part of aging. But there’s more to the story.
Your gut is at the center of almost everything that helps you feel well. It affects your mood, your hormones, your metabolism, and even how well you sleep. When it’s out of balance, nothing feels quite right. I’ve worked with women for years who come to me with the same question: “Why don’t I feel like myself anymore?” And very often, the answer starts in the gut.
What Your Gut Really Does
Your gut isn’t just a tube that digests food. It’s an active, living system filled with trillions of bacteria that talk to your brain, hormones, and immune system all day long. When those bacteria are in balance, digestion feels easy, your mind feels clear, and your energy stays steady. When they’re not, you may feel bloated, tired, or anxious — even if you’re eating well. Scientists often call this the “second brain.” It makes sense when you realize that most of your body’s serotonin, a major mood-regulating chemical, is produced in your gut. So if your digestion feels off, your emotions can feel off, too.
Midlife Hormone Shifts and the Gut
Perimenopause and menopause bring hormone changes that your gut feels immediately. Estrogen helps protect the gut lining and support healthy bacteria. As estrogen levels fluctuate, the balance of those bacteria shifts too. This can slow digestion and increase bloating or irregularity. Progesterone, which also declines with age, helps keep your digestive muscles moving smoothly. When it drops, things can feel sluggish.
One of my coaching clients, Janet, 51, told me she started feeling bloated “no matter what I ate.” She hadn’t changed her diet or her exercise routine. We focused on simple steps — adding fiber, improving hydration, and cutting down on processed foods. Within a few weeks, her bloating eased, and she said, “I finally feel comfortable in my body again.” When hormones change, supporting your gut becomes one of the best ways to steady the rest of your body.
How Modern Habits Disrupt Gut Health
Today’s pace of life works against the gut. We eat quickly, sleep too little, and push through stress. Processed foods and sugar sneak into nearly every meal. Antibiotics, even when needed, can clear out the good bacteria along with the bad. It’s no wonder so many women hit midlife feeling off balance. I often hear comments like, “I used to handle stress better,” or “I just can’t bounce back like I used to.”

Stress plays a big role. Cortisol is the body's main stress hormone. Chronic stress = chronic elevation of cortisol. High cortisol levels suppress blood flow to the gut and lower digestive secretions. Over time, this slows digestion and weakens the gut’s protective lining. That lining acts as a filter, keeping harmful substances out of your bloodstream. When it becomes irritated or thin, inflammation can spread throughout the body. You might feel that as joint stiffness, brain fog, or fatigue that doesn’t match your activity level. Your gut doesn’t just digest your food — it processes your whole life.
When Your Gut Needs Attention
A struggling gut doesn’t always announce itself loudly. Sometimes it’s a mix of small, persistent signals. You may notice:
Bloating or fullness after meals
Irregular bowel movements
Sudden sugar cravings
Afternoon fatigue or energy dips
Skin changes or breakouts
Mood swings or anxiety that seem new
These are signs that your gut might be out of balance. They’re not failures on your part, they’re feedback from your body. One woman I worked with, Maria, 57, said she felt like she was “running on empty” for years. After making small changes — drinking more water, eating a wider variety of foods, and walking daily — she told me she felt better for the first time in ages. Small adjustments can make a big difference.
A Realistic Path to Healing
Restoring gut health doesn’t require a special cleanse or a list of forbidden foods. It’s about simple, consistent habits that let your body heal itself. Start with awareness. Notice which foods or routines leave you feeling heavy or drained. A short food and symptom journal often reveals patterns you wouldn’t expect. Eat a mix of colorful, whole foods. Each color brings different nutrients and feeds different bacteria in your gut. Add fermented foods like yogurt, kefir, or sauerkraut if you tolerate them well. Drink plenty of water, and slow down at meals. Digestion begins with chewing and relaxation. Movement helps too. Gentle exercise like walking, stretching, or yoga keeps your digestion regular and your stress hormones lower. And don’t underestimate rest — your gut regenerates while you sleep. When you treat your gut with care instead of control, it responds quickly.
The Gut-Brain Connection
The gut and brain are in constant conversation. When your gut is inflamed, your brain receives distress signals that can affect mood and focus. When your mind is anxious or overstressed, those signals travel back down to the gut, tightening muscles and disrupting digestion.

I worked with Karen, 52, who came to me struggling with both anxiety and stomach pain. She assumed the two were unrelated. Once she began eating regularly, adding probiotics, and practicing a short breathing exercise before meals, her stomach pain eased — and so did her anxiety. Her gut wasn’t the whole problem, but it was a big part of the solution.
Why Quick Fixes Fail
Be suspicious of supplements or diet plans that promise fast results. While some can help temporarily, long-term gut health comes from steady habits, not short bursts of effort. Your gut loves consistency; think regular meals, balanced nutrition, good sleep, and a calm environment. Cleanses, extreme fasting, or cutting out entire food groups can actually make things worse by starving the beneficial bacteria your body needs.
Aging Gracefully from the Inside Out
A healthy gut supports much more than digestion. It influences your immune system, heart health, and even bone strength — all areas that matter more as we age. A balanced microbiome helps reduce inflammation, stabilize weight, and keep skin clearer. It also supports brain health and emotional balance. When your gut is healthy, your body works with you instead of against you. That’s why I tell women that focusing on their gut isn’t just about fixing discomfort — it’s about creating resilience for the years ahead.
Healing Takes Patience
It’s easy to feel discouraged when changes don’t happen right away. Gut healing is gradual. Small improvements like less bloating, steadier energy, or better sleep will manifest gradually. Over time, those small wins build on each other. One of my clients, Rhonda, 58, said it best: “I stopped trying to fix everything overnight. I just kept listening to my body. That’s when things started to change.” Healing isn’t about perfection, it’s about a partnership. Gut health occurs when your body and your gut work in synergy.
You Deserve to Feel Good Again
If your gut feels out of sync, you don’t need a complicated plan to fix it. You need the right information and a few consistent habits. That’s why I created a free guide called Top 10 Strategies for Restoring Your Gut Health. It shares practical, science-based steps you can start right now — no drastic diets or detoxes. Inside, you’ll learn how to calm inflammation, support your gut bacteria, and feel lighter, clearer, and more comfortable in your body again.
I have a new tracker that is crucial for monitoring food consumption and symptoms to identify your issues. It is available on Amazon.
Your gut has been quietly supporting you for years. It’s time to return the favor — gently, patiently, and with a little curiosity about how good you can feel.

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