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Gut health plays a key role in perimenopause. As oestrogen declines, the gut microbiome changes—often reducing bacterial diversity and affecting hormone metabolism. This can lead to bloating, constipation, loose stools, and food sensitivities, compounding common midlife symptoms. Understanding this connection helps women support their gut, balance hormones, and ease the physical and emotional challenges of menopause transition.

Perimenopause is often discussed in terms of hot flushes, erratic cycles and decisions around HRT. For many women, however, one of the most unsettling changes is a sudden shift in their relationship with food and body image.

There is no single reason why someone may develop an eating disorder. Eating disorders are complex and multi-factorial, but functional...