The Turd Nerds
The Turd Nerds
the integrative gastroenterology podcast
#76 - The Hormonal Shift: Understanding Insulin Resistance in Perimenopause
40 minutes Posted Feb 10, 2026 at 6:00 pm.
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Show notes

This conversation delves into the intricate relationship between perimenopause, insulin resistance, and the microbiome. Dr. Rebecca Sand discusses how hormonal changes during perimenopause affect insulin sensitivity, fat distribution, and overall health. The importance of dietary adjustments, particularly increasing protein intake and maintaining gut health, is emphasized as a means to manage symptoms and improve well-being during this transitional phase. The discussion also touches on the implications of aging and inflammation on mental health, highlighting the need for a holistic approach to treatment.


Music provided by Blue Dot.


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Rebecca Sand ND, LAc, MSOM

Ilana Gurevich ND, FABNG, LAc, MSOM

Ami Kapadia, MD, ABFM, ABIHM