What this episode is about
Learn how to reclaim your power and feel amazing with insights from dietitian and menopause guru Esther Blum.
Key takeaways
- Gabriella says don't give up if hormone care takes some tweaking. It can take time to find the right delivery system, so find the one you'll actually use.
- Esther Blum says a stool test gives a full picture of your gut, including inflammation and leaky gut. It shows you where to start.
- Esther says anxious, sleepless nights in menopause are often a low progesterone problem. She says progesterone calms you and helps you fall asleep.
Moments from this episode
Word for word from the recording. Tap a time to hear it.
Food and sleep, and hot flashes
“Sleep is really important, diet is super important. I have had women reverse their hot flashes just changing their diet.”
Fiber helps clear extra estrogen
“Why fiber? Because fiber actually binds to excess estrogens, mops them up and helps you poop it out.”
Crash diets do not work in midlife
“You are writing checks your body will not cash when you do that in midlife. We can't, we don't have the resilience and the bandwidth to do that.”
“The veil of estrogen drops. I credit estrogen for being that people pleaser, accommodating kind of female hormone.”
Gabriella Espinosaat 39:16
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Show notes
Watch on YouTube:
Happy World Menopause Awareness Month, everyone!
Are you ready to rock menopause from the inside out? What if I told you that thriving through menopause isn't just about managing symptoms, but about healing, starting with your gut and doing some deep inner work?
Today, I'm thrilled to share insights from my conversation with the amazing Esther Blum. We're diving deep into how you can transform your gut health, reclaim your power, and navigate menopause like a total rock star. Let's explore the healing road to menopause together!
Read the full show notesShow less
Meet Esther Blum: Your Menopause Mentor
Esther Blum is an integrative dietitian and menopause expert who has helped thousands of women master menopause over the past 27 years. Her work focuses on empowering women to navigate this life stage through the transformative power of nutrition, hormones, and self-advocacy.
You might know Esther as the bestselling author of multiple books, including "See You Later, Ovulator," "Cavewomen Don't Get Fat," and "Eat, Drink and Be Gorgeous." She's also gained recognition as Gwyneth Paltrow's menopause mentor and has appeared on shows like The Today Show and Good Day New York.
What I love about Esther's approach is her candid and accessible language when talking about menopause. She makes what can feel like a daunting time in life approachable and even empowering.
The Gut-Menopause Connection: Why It Matters
One of the key things Esther emphasizes is the crucial role of gut health in managing menopause symptoms. Here's why it's so important:
- Bloating and digestion issues are common in menopause
- Gut health affects hormone balance and detoxification
- A healthy gut supports better mood, energy, and overall well-being
Esther explains, "We have trillions of bacteria in our microbiome, and then we also have a subset of bacteria called the estrobolome. Those are specifically tasked with detoxifying estrogen in the gut, where you can poop it out."
Key Takeaways for Gut Health:
- Focus on diversity in your diet
- Include fermented foods and probiotics
- Consider gut testing to identify specific issues
- Address any leaky gut or inflammation
Hormones, Honey: Understanding Your Body's Changes
Esther doesn't shy away from talking about hormones. In fact, she's a big advocate for hormone therapy when appropriate. She shares, "Hormones are no different. You simply have a decline and a deficiency in hormones that, when replenished, can actually bring you back from the dead."
Some key points about hormones:
- Estrogen and progesterone play crucial roles in mood, sleep, and overall well-being
- Don't be afraid to discuss hormone therapy with your doctor
- Menopause Hormone Therapy can be a game-changer for many women
Remember, as Esther says, "Menopause is not a Xanax deficiency, it's often a progesterone deficiency."
Emotional Healing: The Often Overlooked Aspect of Menopause
One of the most powerful parts of our conversation was when Esther opened up about the importance of emotional healing during menopause. She shared her own journey of using therapy and even exploring alternative therapies like psilocybin micro-dosing (under medical supervision) to address deep-seated emotional issues.
When I asked how she supports clients in their emotional healing journey, Esther explained that she makes somatic and emotional release practices available to them. She emphasizes, "For everyone, it's different. But long story short, I do refer out to therapists and recommend plant medicines. That is, I don't dole out plant medicines other than nutrients and herbs, but they can be a very, very powerful adjunct to healing."
Steps for Emotional Healing:
- Consider therapy or counseling
- Practice mindfulness and meditation
- Explore breath work techniques
- Set clear intentions for your healing journey
- Surround yourself with supportive people
Advocating for Yourself: Be Your Own Health Hero
One of the most empowering messages Esther shares is about self-advocacy. She encourages women to take charge of their health and not be afraid to speak up to their doctors.
"Make menopause your bitch, right? Like, make it work for you," Esther says. "You're not stuck. It's not a suicide pact you entered with this provider. Find a new provider."
Tips for Self-Advocacy:
- Come prepared to doctor appointments with specific symptoms and concerns
- Research and understand your options for treatments
- Don't be afraid to seek a second opinion
- Trust your instincts about your body and health
Rocking Menopause: Esther's Pillars of Menopausal Health
Esther outlines several key pillars for thriving in menopause:
- Prioritize sleep
- Optimize your diet (focus on protein and fiber)
- Manage stress
- Exercise and strength training
- Nurture supportive relationships
- Consider hormone therapy if appropriate
She emphasizes, "You can never out-hormone your lifestyle or your diet, just as you can't out-supplement hormones, diet, lifestyle habits."
Conclusion: Embrace Your Menopause Journey
As we wrapped up our conversation, I asked Esther what pleasure means to her. Her response beautifully sums up the empowering approach she takes to menopause:
"Oh, my god, big, I mean literal big orgasms or masturbation, yes, please sign me up. But also pleasure to me also is time with my family, making my heart happy, my girlfriends, that oxytocin rush being really soulfully connected to the people in my life... And just connecting to people is really important to me, and then being extraordinarily clear about the direction of my life. All of those bring me great joy, pleasure, and most of all, peace."
Remember, your menopause journey is unique to you. By focusing on gut health, emotional healing, and self-advocacy, you can truly rock this stage of life. As Esther would say, make menopause your bitch!
Connect with Esther Blum:
- Website: estherblum.com
- Instagram: instagram.com/gorgeousesther
- LinkedIn: linkedin.com/in/estherblumrd
About the guest
Esther BlumBestselling author of multiple booksGuest on this episode of Pleasure in the Pause.More about them


