How Gut Health, Bile, And Bioidentical Hormones Restore Energy, Resilience, and Bone Health

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What if bone loss, bloating, and burnout weren’t random midlife woes but connected signals from the same system? That’s the lens we bring to a candid conversation with functional medicine dietitian and “meno guide” Cindy Dupuie, who navigated early menopause at 43, gut dysfunction, and a fresh osteopenia diagnosis to build a plan that actually works. We explore the connections between low stomach acid, bile production, and SIBO, as well as how estrogen decline can subtly hinder fat digestion. Additionally, we examine why symptoms such as cracked heels or heavy meals that feel “like a rock” may indicate gaps in bile support and nutrient absorption.

Cindy shares the tests that change outcomes: comprehensive blood panels with fasting insulin and full thyroid antibodies, stool analysis for enzyme and fat markers, DUTCH for hormone metabolism and cortisol rhythm, and organic acids to see how nutrients are being used. We take a tactical approach to rebuilding bone with resistance training, adequate protein, vitamin D, and bioidentical hormones, including the under-discussed role of testosterone in stimulating osteoblasts. You’ll hear why many women miss their sharpest bone-loss window, how to advocate for an earlier DEXA or pay out of pocket, and why retesting sooner than two years can keep you on track.

Food and lifestyle are the base; hormones are the dial. We walk through taking HCl before meals, digestive enzymes, zinc carnosine for mucosa, choline-forward bile nutrients, and practice smart timing, such as a 12-hour overnight fast. We also address hair changes associated with testosterone, including monitoring DHT levels and supplementing with DIM or saw palmetto as needed. Cindy’s course, Grace in Transition, adds a community layer with CGM insights and recipes that make lower-carb eating joyful rather than austere. The final takeaway is empowering and practical: listen to your gut, gather data that reflects your actual biology, and build a plan that fits your life and goals.

If this sparked a few aha moments, follow and subscribe, share this episode with a friend who needs it, and leave a quick review so more women can find a better map through menopause.

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