Functional Medicine for Perimenopause

The Gut Audit Checklist

A root-cause symptom inventory to help you identify where your gut health is breaking down — and what to do about it. Click each symptom that applies to you.

Most gut symptoms don't start in your gut. Click any symptom you experience at least 2–3 times per week. Your score updates live as you go.

How to use

Tap or click any symptom you experience at least 2–3 times per week. Each section tallies automatically, and your total score appears at the bottom with a personalized next step.

Section 1

Digestion & Elimination

Bloating after meals — especially within 30–90 minutes of eatingEarly bloating often points to low stomach acid or dysbiosis in the small intestine

Constipation or infrequent bowel movements — fewer than one full, formed stool per dayEstrogen decline in perimenopause directly slows gut motility

Loose stools or urgency — unpredictable, soft, or urgent bowel movements

Undigested food in stool

Gas or belching shortly after eatingBelching specifically can indicate low stomach acid or H. pylori

Heartburn or acid reflux

Nausea or a heavy "stuck" feeling after eating

Section total: 0 / 7

Section 2

Inflammation & Gut Permeability

Joint pain or stiffness not explained by injury

Skin flares — eczema, psoriasis, acne, rashes

Seasonal or food allergies that are new or worsening

Autoimmune diagnosis or suspected immune reactivity

Chronic fatigue that doesn't improve with rest

Persistent low-grade inflammation confirmed by hs-CRP on labs

Headaches or migraines with no clear trigger

Reactive to many foods — growing list of "can't tolerate"

Section total: 0 / 8

Section 3

Gut-Brain Axis & Nervous System

Anxiety or mood swings that feel out of proportion to your circumstances95% of serotonin is made in the gut — dysbiosis directly affects mood regulation

Brain fog — difficulty with focus, recall, or word retrieval

Poor sleep quality — trouble falling asleep, staying asleep, or waking unrefreshed

Symptoms worsen under stress — gut flares up when you're overwhelmed or anxious

Low vagal tone signs — poor stress recovery, shallow breathing, social withdrawal, slow digestionThe vagus nerve is the direct communication highway between your brain and gut

Depression or low motivation — especially with perimenopausal hormonal shifts

Section total: 0 / 6

Section 4

Hormones & Estrobolome

Irregular or heavy periods or shifts in cycle timing

Hot flashes or night sweats

Estrogen dominance symptoms — bloating, breast tenderness, weight around hips

Constipation worsens around your cycle

Thyroid dysfunction — diagnosed or suspected

Elevated cholesterol on recent labsEstrogen decline alters bile acid metabolism, directly affecting lipid panels

Blood sugar imbalance — energy crashes, cravings, reactive hypoglycemia

Section total: 0 / 7

Section 5

Lifestyle & Foundations

These aren't symptoms — they're daily foundations. Click the ones you are NOT consistently doing.

Not eating 30+ different plant foods per weekMicrobiome diversity is one of the most powerful predictors of gut health and immune function

Not getting 7–9 hours of quality sleep consistently

High or unmanaged chronic stress with no active recovery practice

Eating quickly or while distracted — not in a parasympathetic state

Low fiber intake — fewer than 25g dailySoluble fiber directly feeds Bifidobacterium, the probiotic strain most depleted in perimenopause

Regular use of NSAIDs, PPIs, or antibiotics without gut repair protocol

Sedentary most of the day — movement below 7,000 steps or minimal activity

Section total: 0 / 7

Your Gut Audit Score

0 / 35 total

0 – 8

Start Here

Begin with the foundations in Section 5 — sleep, fiber, stress, and food diversity. The 8-Week Gut Reset will reinforce and build on these basics.

9 – 20

Ready to Reset

You have real, addressable gut dysfunction. The 8-Week Gut Reset was built for exactly where you are — a structured 4 R's protocol with targeted supplement support.

21 – 35

Dig Deeper

Your symptoms are systemic. The 8-Week Gut Reset is a strong starting point, and you'll likely also benefit from advanced lab testing and one-on-one practitioner guidance.

Your Next Step

The 8-Week Gut Reset

A practitioner-built protocol walking you through all four phases of gut repair — Remove, Replace, Reinoculate, and Repair — with the supplement stack, lifestyle tools, and clinical reasoning behind every step. No guesswork. No shortcuts. Real healing takes real structure.

Get the Program

8-Week Gut Reset

available in our store