{"podcast":{"title":"Thyroid Pharmacist Healing Conversations with Dr. Izabella Wentz","slug":"thyroid-pharmacist-healing-conversations-with-dr-izabella-wentz-7249643","podcast_index_feed_id":7249643,"rss_url":"https://feeds.megaphone.fm/thyroid-pharm","website_url":"https://thyroidpharmacist.com","image_url":"https://megaphone.imgix.net/podcasts/ee7dda3c-fea0-11ef-a9ab-fbaaff949ba1/image/3f449995b1822bf8ca7c383f7e27b136.jpg?ixlib=rails-4.3.1&max-w=3000&max-h=3000&fit=crop&auto=format,compress","author":"Izabella Wentz","episode_count":109,"summary":"Welcome to Thyroid Pharmacist Healing Conversations, where Dr. Izabella Wentz, pharmacist, researcher and NYT bestselling author dives deep into the root causes of thyroid dysfunction, gut imbalances, fatigue, chronic health issues and autoimmunity. This show brings you deep, insightful conversations with top experts in functional medicine, nutrition, and wellness. We explore topics like gut health, adrenal support, detoxification, diet, and lifestyle changes to help you take control of your health and reclaim your energy. Join Dr. Wentz for solo episodes packed with practical strategies and insightful discussions from her own research and observations. Whether you're navigating Hashimoto’s, hypothyroidism, perimenopause, IBS, struggling with mystery symptoms, metabolism, or looking for holistic ways to optimize your well-being, these conversations will empower you with knowledge and actionable steps. Subscribe now to start your healing journey and discover the tools to thrive.","last_synced_at":"2026-07-06T20:18:40.328389+00:00","page_url":"https://stenobird.com/podcast/thyroid-pharmacist-healing-conversations-with-dr-izabella-wentz-7249643"},"episode":{"title":"99: Perimenopause & Gut Health: Why Symptoms Spike & What Helps With Cynthia Thurlow","slug":"99-perimenopause-gut-health-why-symptoms-spike-what-helps-with-cynthia-thurlow","published_at":"2026-04-27T10:00:00+00:00","page_url":"https://stenobird.com/podcast/thyroid-pharmacist-healing-conversations-with-dr-izabella-wentz-7249643/99-perimenopause-gut-health-why-symptoms-spike-what-helps-with-cynthia-thurlow","show_page_url":"https://stenobird.com/podcast/thyroid-pharmacist-healing-conversations-with-dr-izabella-wentz-7249643","url":"https://traffic.megaphone.fm/LDCBT2980316257.mp3","audio_url":"https://traffic.megaphone.fm/LDCBT2980316257.mp3","summary":"In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews nurse practitioner, author, and menopause expert Cynthia Thurlow about what happens to the gut during perimenopause and menopause – and why so many women suddenly experience bloating, constipation, food sensitivities, brain fog, anxiety, and weight-loss resistance in midlife. Cynthia breaks down the hormone-gut-stress connection, explaining how shifts in progesterone and estrogen can influence digestion, immune regulation, and the gut-brain axis. Together, they explore why chronic stress, and unresolved trauma can amplify symptoms, and why the most effective strategies often start with the basics: sleep, hydration, protein, movement, and nervous system support. What you’ll learn in this episode: Why progesterone loss can hit your sleep, mood, and gut motility first. Cynthia explains how early perimenopause often begins with declining progesterone – which can reduce GABA (a calming neurotransmitter) and contribute to anxiety, sleep disruptions, and slower digestive movement. How estrogen shifts can drive bloating, brain fog, joint pain, and immune changes. Estradiol can fluctuate dramatically in perimenopause, and because estrogen is an immune-modulating hormone, shifting levels may influence inflammation, autoimmunity risk, and even leaky gut. The stress → gut → brain loop that keeps women stuck in symptoms. Chronic stress can impair digestion at the most basic level (your body won’t “rest and digest”), disrupt the vagus nerve, and increase inflammatory signals that impact the brain – which can worsen anxiety, depression, and brain fog. Why estrogen “recycling” can make perimenopause symptoms feel amplified. We discuss the estrobiome (gut-driven estrogen processing), beta-glucuro…","meta_description":"In this episode of Thyroid Pharmacist Healing Conversations, Dr. Izabella Wentz interviews nurse practitioner, author, and menopause expert Cynthia Thurlo…","key_points":[],"chapters":[],"topics":[],"duration_seconds":3920,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/thyroid-pharmacist-healing-conversations-with-dr-izabella-wentz-7249643/episodes/99-perimenopause-gut-health-why-symptoms-spike-what-helps-with-cynthia-thurlow/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/thyroid-pharmacist-healing-conversations-with-dr-izabella-wentz-7249643/99-perimenopause-gut-health-why-symptoms-spike-what-helps-with-cynthia-thurlow.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}