Before labs. Before protocols. Before anything else.

There is one question I ask every woman who comes to me in midlife with symptoms she cannot explain.

How is your digestion?

Not because digestion is the only thing that matters. Because the answer tells me more about what is happening systemically than almost any lab value she could bring me.

The brain fog. The mood instability. The disrupted sleep. The bone loss. The weight that will not move. In my clinical experience, the gut is underneath more of these symptoms than most women — or most clinicians — realize.

Full article is up now. Link in bio.