About this episode

The episode discusses the causes of bloating after 40 and the realities of gut and liver health during perimenopause with Dr. Supriya Joshi.

You're bloated after almost every meal. Your digestion is unpredictable. And your feed won't stop pushing liver cleanses, celery juice, and microbiome pills you've probably already bought. This week I sit down with Dr. Supriya Joshi, a gastroenterologist, hepatologist, and metabolic health specialist, to cut through the noise and tell us what's actually happening inside our bodies during perimenopause and what's worth our money (spoiler: almost none of the supplements). We get into the stuff nobody explains properly: – Why bloating ramps up in your 40s and 50s (it's hormonal, and it's real). – What your microbiome actually is — and why probiotic pills don't colonize you. – The liver "detox" industry, and why your liver doesn't get sluggish or plugged. – Why one glass of wine wrecks you at 55 the way it never did at 35. – Fatty liver (now called metabolic dysfunction–associated steatotic liver disease, or MASLD): tied with alcohol as a leading cause of liver transplant in North America — and how it shows up in women who barely drink. – The supplements that can actually harm you (ashwagandha, high-dose curcumin, apple cider vinegar shots). – GLP-1 medications like Wegovy and the…

People in this episode

Guest: Dr. Supriya Joshi

Topics covered

• bloating
• digestion
• perimenopause
• liver health
• microbiome
• supplements
• metabolic health

Mentioned in this episode

Organizations: Estra Media

Products: Wegovy, ashwagandha, high-dose curcumin, apple cider vinegar shots

Books & works: celery juice, seed cycling, coffee, intermittent fasting

Explore listener stats, chart rankings, contacts and more on the This Time of the Month podcast page.