Gut Check, Queen: Fixing Leaky Gut & Firing Up Hormone Metabolism | Shay Pausa

Gut Check, Queen: Fixing Leaky Gut & Firing Up Hormone Metabolism | Shay Pausa

From The Menopause Midwife by Missy Miculka

October 23, 2025 · 59 min · Episode 18

About this episode

This episode explores the connection between gut health and hormone balance during midlife and menopause with guest Shay Pausa.

This week, we're diving deep into the critical connection between your gut health and hormone balance—a dynamic that becomes absolutely vital during midlife and menopause. Our incredible guest, Shay Pausa, Co-Founder and COO of Healthy Gut, is here to help you cut through the "gut confusion" and simplify the overwhelm of supplements and fads, giving women the evidence-based knowledge they need to optimize their complex digestive system. Shay breaks down why your gut is truly your hormone detox HQ and immune command center—revealing the surprising truth that 70–80% of your immune system lives in your gut and why this matters for inflammation, mood, and hot flashes. You'll learn the essential link between digestion and hormone metabolism, understanding why midlife bloating, constipation, or reflux is often a sign of hormone traffic jams. We expose the truth behind leaky gut and how a lack of key players like Butyrate and Digestive Enzymes quietly fuels issues like estrogen dominance, fatigue, and brain fog. Get ready for actionable solutions! We cover the “daily poop report” checklist for better hormone clearance and offer simple steps to help you ditch supplement overwhelm. If…

People in this episode

Host: Missy Miculka

Guest: Shay Pausa

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Mentioned in this episode

Organizations: Healthy Gut

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