The UncompliKated Perimenopause Podcast

Episode 11: Unraveling Nausea and Digestive Issues in Perimenopause: Causes, Solutions, and Hormonal Impacts

Kate Grosvenor & Gabriella Grosvenor Season 1 Episode 11

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Ever wondered why nausea in perimenopause feels eerily similar to morning sickness? Today’s episode of the Uncomplicated Perimenopause Podcast dives deep into the labyrinth of digestive problems and nausea during perimenopause, inspired by a question from Kendra in Paris. Join us as we share personal battles with nausea that could rival pregnancy morning sickness and explore the perplexities of hormonal-based nausea, its causes, and why it's more complex than symptoms like dry skin. 

We take a comprehensive look at the spectrum of perimenopause symptoms and solutions, and the impact of hormonal changes on blood sugar levels. Learn why intermittent fasting might not be the best choice during this phase and hear our personal stories of sleep disturbances, including insomnia and neuralgia. We also have exciting news about new supplements designed to aid sleep and relaxation, and we reflect on the immensely rewarding nature of our coaching work.

Balancing life with ADHD and perimenopause is a unique challenge, full of humorous and relatable moments we can't wait to share. From the vestibular sense and its role in balance to Meniere's disease and hormone-related vertigo, we've got you covered. We also unpack how perimenopause can worsen GERD symptoms, adding layers to what can already feel like an overwhelming experience. Finally, we provide valuable resources and support options, including a membership program, a book, and collagen supplements, making sure you have everything you need for your perimenopause journey. Don't forget to subscribe, rate, and review our podcast to help us support more women through this intricate phase of life.

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Speaker 2:

Welcome to the Uncomplicated Perimenopause Podcast. I'm Kate Grosvenor, your friendly perimenopause expert and life coach.

Speaker 1:

And I'm Gabriella Kate's daughter, representing all the women who are nowhere near perimenopause but want to understand it better.

Speaker 2:

Whether you're just starting your perimenopause journey deep into it. Better, whether you're just starting your perimenopause journey deep into it or you're a loved one trying to support someone who is we've got you covered.

Speaker 1:

We'll be answering all of your burning questions, exploring the ups and downs, and sharing expert advice and personal insights.

Speaker 2:

So grab a cup of tea, get comfy and let's dive into the wonderful. Get comfy and let's dive into the wonderful, sometimes wild, world of perimenopause together.

Speaker 1:

And remember, no matter where you are on your journey, you are not alone.

Speaker 2:

Welcome to the Uncomplicated Perimenopause. Hello, my darlings, and welcome to episode 11 of the Uncomplicated Perimenopause Podcast. I'm Kate Grosvenor. I'm a perimenopause expert and life coach.

Speaker 1:

I'm Gabriella Grosvenor, Kate's daughter, here to learn with you all.

Speaker 2:

So, my gorgeous Gabriella, what have the listeners been asking me today?

Speaker 1:

Well, this question has been asked in our perimenopause group.

Speaker 2:

Love that from one of the members. Yeah, from Kendra, who's from Paris. Ooh la la, we love Paris, don't we? We do love.

Speaker 1:

Paris, I love Paris.

Speaker 2:

It has a special place in our heart.

Speaker 1:

Honestly I do. And Emmeline Paris is out. Yes, Watch it.

Speaker 2:

Yes, so as we're recording this, it's the new. Is it season three? Four, four, I think four. Yeah, so the new season's out and we're planning to binge watch it, aren't we Tonight? We're not that kind of spread it out type chicks, are we? That sounds really rude. I just realised that sounds like Ruby, but at least I said it that way and not the kind of other way.

Speaker 1:

But Netflix messed us up because of half the season being that.

Speaker 2:

No, we kind of binge watch, we make plans, but, to be fair, we're very loyal to each other as well. Yes, we don't cheat on, we don't cheat on each other made in chelsea. No, we have, we have, we have very. We don't watch a lot of shows together, yeah, but there's our guilty pleasures emily in paris, bridgerton, made in chelsea we guilty pleasures sorry, we've got a little bit excited about yes so let's go back to the podcast.

Speaker 1:

Rude, so uh kenja yes, sorry, it's not necessarily a question, it's just something she'd like us to talk about. Okay, cool. So kenja would like us to talk about digestive problems and nausea during the perimenopause uh, oh, good one actually.

Speaker 2:

Do you know what this has a special place in my heart? I think my tummy no, this is.

Speaker 2:

That was funny. So special place in my heart. So nausea for me. I suffered from it terribly in pregnancy. But nausea in perimenopause was my red herring for the doctors because again, I'm not knocking the NHS, I'm not knocking the GPs that tried to help me, but nausea for me I suffered from terribly about, I'm gonna say four, five ago. So when I was really kind of mid perimenopause, so I'd gone through the early stages of perimenopause and the kind of things don't feel quite right, and my symptoms started when I was going into the kind of I need help and I don't know what's wrong stage. So kind of mid perimenopause, nausea was the one that I struggled with the most because that's when my quality of life started really falling apart and I started getting tested for the gazillion things that they started testing me for. I couldn't cope with nausea. Now, not everyone gets it. What is the? Is the nausea like pregnancy nausea?

Speaker 1:

It's like morning sickness.

Speaker 2:

but it doesn't just happen in the morning, but it's one of those things where you just feel like I can't lift my head up and you feel really grim. It's not nausea like food poisoning or nausea like hangover. It's a very hormonal feeling of nausea.

Speaker 1:

So like when you throw up, when you're on your period kind of vibes.

Speaker 2:

You say that, but you've got endometriosis. 99 of the women in this world will not throw up in their period. So for those of you who're going, say what now? Gabby has, unfortunately, bless her heart, endometriosis. So throwing up on a period is quite normal for you. Most women women don't normally do that darling, that's just. Bless your heart, a you thing. And your fellow endo warriors, um, and some fibro warriors as well. Bless them.

Speaker 2:

Um, yeah, it's a very hormonal based nausea, so it kind of just makes you feel it's not. It's not like you have nausea where you have cramping and then nausea. It's literally from kind of here upwards. It's not a digestive type of nausea. So I'm I'm really glad you asked this problem. Is it kendra? Did you say yeah, kendra, because this is something that I literally suffered from.

Speaker 2:

So, um, there's so many different reasons that it could be, for perimenopause is one of those things where, when people say, why does it happen, there's some things we know exactly like say, for example, why does your skin itch and why is your skin dry in perimenopause? We know estrogen leaving your body means that you have less collagen produced. Therefore, your skin dries out. Therefore, the the solution is to take collagen shameless plug for our perimenopause collagen link in the show notes, um. But we know that this is the reason. This is the solution. Happy days, that's fabulous, but that is the exception to the rule.

Speaker 2:

Yeah, though, things like nausea have a lot of potential causes. So nausea is is not the same. Nausea is the result, but it's not the symptom. Are you with me? So there's, it's like that's that's. It's not the cause of the problem, it's the result of the symptom. So I'm not going to talk much about digestive issues, because digestive issues in perimenopause I could talk for about, I'm going to say probably about 10, 11 hours, ah, and we've got, we've got half an hour, yeah Right. So what I will do is address the nausea side of the digestive problems, because there's so many potential root causes. That's quite good, actually, the fact that it's not the symptom and it's the result. Well, well, the thing about nausea it.

Speaker 2:

Nausea is one of those reactions that your body tells you something's off, like a headache is not the problem, it's something off in your body. So you're dehydrated or you have a neuralgic problem, or you're hungover, or you're hormonal. Nausea is the same. Your body's telling you you have a problem and the answer is like no shit, sherlock. I know that. So first and foremost, as always, it could be hormonal.

Speaker 2:

So estrogen and progesterone, as we know, leave the body. Estrogen fluctuates significantly. We know that. So estrogen can affect the digestive system and fluctuations, in particular in estrogen in the digestive system can lead to symptoms like nausea. Oestrogen fluctuating can produce stomach acid and the speed of which food moves through your digestive tract and these from fluctuations and and all messing around with that can lead to just feelings of nausea. So it's just, it's just to do with your stomach tract, digestive tract and the acid that's produced and not being consistent. That in itself can be a nauseous thing. Stress and anxiety have you ever been really really stressed and felt quite nauseous, you know, like when you've got exams coming up or a boyfriend is messing you around or every exam I'd throw?

Speaker 1:

it beforehand.

Speaker 2:

Yeah, okay, what do we know about perimenopause? Everything now, I think I know everything about it all right.

Speaker 2:

What do we know about? When you haven't had sleep, yeah, do you feel nauseous ever? Yeah, okay. What about mood swings? They're real. I'm not even in the perimenopause and they're real okay. So when you've got, when you've been really moody so if you've got pmt, you can feel nauseous. When you get stressed, you can feel nauseous. When you're really anxious, you can feel nauseous. So just the mental health side, yeah, of perimenopause can make you feel nauseous. So all of these things can be triggered. So nausea can be triggered by stress. Nausea can be triggered by anxiety. Nausea can be triggered by mood swings. Nausea can be triggered. All of these things can make nausea more likely.

Speaker 1:

I've got a question and it's not. I don't want to sound, you know, with nausea. Is that just the feeling of wanting to be sick?

Speaker 2:

or is it the actual I'm throwing up? No, it's the feeling Okay. No, it's the feeling okay. So it's just the feeling. Yeah, it's okay, it's not, it's it's. I mean, if you, if you want to be ill, your body will start. You know, your stomach will will be doing something different. Nausea is is is just this feeling of yeah because that's even worse, really.

Speaker 1:

When you feel like something needs to come out, yeah, it's not, that's even worse.

Speaker 2:

Yeah, because actually, if you were nauseous and then you threw up, the nausea would go away. Yeah, that's the point. But this isn't. This isn't a um thing about nausea. A hormonal nausea is. It's not when. When you're if it was, for example, food poisoning you get, you're given the nausea and then you throw it up because your body is getting rid of toxic food or poisonous food or bacteria in the stomach. Your body needs to get it out. This is why, on a side note, I object. I object to imodium, because if people have food poisoning and they take imodium, it stops you expelling the poison. Well, imodium is anti-diarrhea, so imodium. So you know, when we lived in the middle east, you and I, I when you. Egypt, where we used to live, is the food poison capital of the world, pharaoh's Revenge, whatever you want to call it. Well, you know, in India they call it Deli Belly.

Speaker 2:

No, okay, oh anyway, Every hot country, because food poisoning is really really difficult in hot countries. Every different hot country has their own version of Deli Belly Pharaoh's Revenge. I felt the pharaoh's revenge last time I was there. Yeah, okay. So, um, that's so good. But so the point is, in hot countries they will give you things to help you cleanse the bowel, to get it out of your system, because they understand that if it's food that's caused it, it's a bacteria. You need to cleanse and get it away. What typically happens in other countries is they give you something to stop the diarrhea, but that's going to keep all the poisonous stuff inside you, all the toxic stuff, all the bacteria stuff.

Speaker 2:

So anyway, digress better out than in, better out than in. But nausea is just the feeling of not being okay. So in if it's hormonal, it's not that you have to get rid of anything makes a lot of sense actually, especially the mental health part yeah, so that's another one.

Speaker 2:

So another one is because, honestly, there's so many in in very many of us. Another one is changes in blood sugar. So hormonal, hormonal, hormonal changes can affect how the body manages blood sugar, if for want of a better term. So fluctuations in in blood sugar can lead to dizziness, like headedness, and those things can make you feel like you're going to get nauseous. So this is why I talk a lot about in perimenopause, because I get asked how many times a day do I ask the question about supplements?

Speaker 2:

oh yeah, probably more than anything else yeah supplements and then, after supplements, I get asked about fasting and how do I lose weight. So those are big questions that we get asked multiple times and I'm always happy to answer. You know, I am. You know, which is why we have, you know, we talk a lot about supplements and we have our own ranges of supplements and stuff coming out. Oh, spoiler alert big news, oops, oopsies.

Speaker 2:

Um, so the point in perimenopause is fasting does not suit us, and it does not suit us for so many different reasons, one being insulin resistance, one being when we talk about things like histamine intolerance and cortisol levels and all these different things we've got going on, because our body's really working hard in perimenopause, but also in terms of blood sugar, when, because of this insulin resistance and because of all this hormonal stuff going on, our body is just really having a hard time. And when we skip meals in perimenopause or we're doing this intermittent fasting, um, we just end up in this dizziness, lightheadedness, and it really our body will will react with nausea quite quickly because we we just don't have that center, that groundedness that we would have had. Paramount, of course, okay. Another one sleep disturbances, yeah, of course, yeah, okay. So many women, so many women.

Speaker 2:

I mean, I had an for those of you who who, just, I'm very honest, I had insomnia last night. Yeah, you have insomnia on a lot of nights, it's not some. I go through periods of just like, if it's really hot, if it's really muggy, obviously I wear bamboo pajamas. You know, I'm a big fan, so it's not a temperature thing for me, it can be a, it can be a pressure. So I have neuralgia.

Speaker 2:

As you know, and some of you will know, I have a neuralgia disease condition and when it's very muggy I can get pressure in my temporal regions and it makes sleep really difficult when it's muggy, because when the atmosphere tends to be quite, I don't know, in Yorkshire we say it's quite close, it's close, you know, it kind of feels very oppressive, it creates this pressure in my head and it is very difficult sleep. And so many women can find insomnia a companion and again, I've seen a lot of people mention it. Yeah, but it's again why I'm looking at, you know, I'm one of those people, as you know, who I had a client actually asked me about this yesterday because I'm creating a supplement again.

Speaker 1:

Spoiler alert no, we need a bigger. This is a big moment, yeah, but I'm, I'm, I'm creating a supplement Again. Spoiler alert.

Speaker 2:

Yeah, no, we need a bigger. This is a big moment, yeah, but I'm creating, with the help of a beautiful woman, something especially for women who need help sleeping and calming down at night time, and women like me who may have a sweet tooth. I don't know. All those women say, aye, if you're listening at home, you have a sweet tooth, but you also haven't, you know. Know, maybe you need help feeling calmer and more relaxed in the evenings. Raise your hand, say I, and I'm creating it because I'm always of the belief where, if I feel like that, maybe you do too. I'm my own guinea pig, as you know, and we're, we're, we're at the process now of um, sourcing beautiful organic ingredients and testing. So, yeah, you know me.

Speaker 2:

And my client said to me yesterday um, elise, a big shout out to you, darling, if you're, if you're listening. And she said to me how do you have the time to do all this? And I said to her tell me to stop. And she said what do you mean? And I said well, you know, if you look at, for example, the reviews on my website about my coaching, who women say you've changed my life, you, you've saved me, you've saved my marriage. We had a review the other day about the podcast about you know, the one about relationships and somebody says you've saved my marriage.

Speaker 1:

Oh, it brought me to tears. Yeah, it's so cute, right.

Speaker 2:

And then I get you know, you help me with inbox and and forwarding important messages to me and I'm I literally have the best job in the world because I get messages every day saying you've changed my life, you've saved my life, you've altered my life. I couldn't have done this without you. So I think I have the best job in the world when it comes to coaching and stuff. And then even you know, on the lifestyle brand I, you know, I have reviews of the collagen saying now I've been taking the collagen for a few weeks, I can now walk, I have been able to walk and now I can walk. In three weeks three weeks of taking the collagen, I can now walk and I've not been able to do that. Like the pressure's not on my knees anymore after three weeks and I feel so much better. It's my magic. I think one woman said it's my magic potion. Oh, I know so it's and bless her.

Speaker 2:

So cute and yeah yeah we like her, so we love her, she's adorable and so, and then I said so, so bear that in mind, and then tell me to stop, and she went I can't. I said, well, this is exactly, yeah, so there you go. So I just said so, this is why I do what I do and I always feel like if I know it helps me, it'll help millions of women you know potentially. So she was like yeah, I get it. So that's the thing.

Speaker 2:

In perimenopause, insomnia is inevitable in many, many ways. Not everybody. It could be once in a blue moon, it could be something that plagues you and like nausea. Not everyone will have it, but if you have it, you're prone to it. So you have to understand the causes of it because, again, it's not the, it's not the root, it's the result. I wonder how many people actually know this. Again, yeah, you know it's getting the information out there, isn't it? That's why we do this, is why we do what we do. Um, so, yeah, insomnia is a big cause of nausea because it just it causes stress, to basically poor sleep, leads to fatigue, and fatigue will always cause stress, to digestive issues, to anything else that's going on in your life, whether it's mental health issues, whether it's digestive issues, whether it's neuralgia, whether it's endometriosis, whatever else is going on in your body. If you think of lack of sleep, it just almost stretches your body and will kind of put infinite stress on that thing that you've already got. And what else? Medications, yeah. So I think hrt, I think is fabulous for me and for some women. It doesn't suit everybody and you have to.

Speaker 2:

When you start taking hrt, I think you have to be willing to say, going into hrt, saying I am gonna give it a go and I'm willing to try a few different combinations. Because I started taking hrt and, as you know, I said to you quite honestly I have the marina coil, which you also have for different reasons and then they gave me a tablet for my oestrogen and it gave me nausea. Quite simple, I I got nausea, really bad nausea, from the first tablet she gave me and I had to go straight back to and go listen. This is making me feel really unwell. And then they gave you and I have the patch and I'm absolutely correct. So it's just trial and error. Trial and error, yeah, so hrt impairmentables could make you feel nauseous, so you have to be willing to go okay. Well, I'll try this and I'll try this yeah, but not all of hrt.

Speaker 1:

It could be the no, no no, no, no.

Speaker 2:

And this is the thing some of them go it doesn't suit me, yeah, okay, please try something else. Don't give up. Yeah, yeah, all right, so it could just be worth a try. Absolutely Another one, another one, yeah, another one. Migraines. So that's if just you're prone to it. If you're prone to it, and obviously again, lack of fluctuating hormones, lack of oestrogen Oestrogen, we know, is an anti-inflammatory in the body. So if you're prone to migraines and your migraines exacerbated, some swelling, or you have sinus problems or something, and lack of estrogen will make that more intense. So hormonal changes can often trigger a migraine. Migraines make you nauseous.

Speaker 1:

Are they hereditary as well?

Speaker 2:

migraines can be Like you're prone to them. They run in families, but whether that's a lifestyle thing, whether it's a diet thing, you suffer from migraines, don't you I?

Speaker 1:

used to, because I'm not that kind of person.

Speaker 2:

No, I used to, but I think it was being a head teacher, yeah.

Speaker 1:

Maybe heat as well.

Speaker 2:

Yeah, I don't get them. I mean, it was my life, I think. Yeah, I wasn't the happiest little bunny in the field. That's kind of cute. Sorry the way you put that was kind of cute. Yeah, yeah, life was a bit bit hard. No, that makes sense. I mean, now I get I have neuralgia, so they're not, they're not my brains there. That's something else.

Speaker 2:

Yeah, it's vestibular changes. I'm sorry, say, say what now? Um, vestibular, your vestibular balance is to do with your inner ear, okay, okay, so you have. So inside your inner ear, you have like a water level. Have you ever seen blokes and women I'm not judging looks, see spanish versus yorkshire. Um, that would be a strange mix, um, so, by the way, we're both, we both are from yorkshire, we both, we had this conversation this morning. We both live in yorkshire, so we're not remotely taking the place and I'm very proud. So this is where we're having this conversation today, because Gabby said but you're from Yorkshire and I was, like Gabby found out today that I actually spent the first few years of my life in Exeter how did I not know?

Speaker 2:

this, I know you weren't born in Sheffield.

Speaker 1:

Yes, I know you're born in York.

Speaker 2:

Yes, and I thought at six weeks old, literally six I moved to Exeter.

Speaker 1:

I genuinely thought you were born there. I'd consider myself Yorkshire. I'm very Yorkshire and Egyptian.

Speaker 2:

There's no, in between, fair enough. So anyway, back to the inner ear. So you have, like this kind of water balance in your inner ear. So you know when you see. Do you know what a spirit level is? No, so you know when looks or people, women, anybody, anybody who's diy minded, which is not me. I sent gabby this really funny tiktok video the other day.

Speaker 2:

So I love to pretend. Well, no, I, I am a strong, independent woman, but I have no sense of measurements, directions, balance. No, we all bit girl master that, not neither of us. So I try and pretend that I could put a shelf up, but I am the kind of person who genuinely couldn't nail, put a nail into a wall because I, I don't, I don't have measurements so I could, I could play any musical instrument you give me, but I can't put a nail into a wall and I have. I'm adhd as well.

Speaker 2:

God is fair. This is what gabby keeps telling me. God is fair because, you know, I started the day. I said, toby, I can't paint nails, I'm really bad at painting nails. And she went well, that's fair. Yeah, you can do makeup and hair. You might not be able to do nails. This is what I said. So she went well, god's fair, because you're great at makeup. And I was like, oh, okay, and to be fair. So I was like, oh all right, fair play. Yeah, I get that, but I'd love to be able to do good nails and I can't because I get bored. So I do one layer and it may go pretty much okay, but then I can't be bothered to wait for the next one.

Speaker 1:

This is why you have daughters. I'm good at nails, I'm not as, anyway.

Speaker 2:

So back to the analogy that I was using so I could explain the inner ear. We're coming off on a squirrel. When you are measuring things or you want something to be level, there's this like wooden thing that you see them use, or plastic thing these days, and it's got like a little bubble inside it. So when they want something to be level, they have this anyway and it's got a little bubble inside and they use it to balance and when the bubble gets, when the line is straight, the bubble lines up in the middle. Anywho, well, that's like your inner ear. Okay, so your inner ear actually has like fluid inside and it's so that you know where you are and that you're you're straight, kind of ish. Not the most accurate, anywho. So your vestibular sense basically is making sure that you're. Yeah, it keeps you straight long, not quite, but something like that. But when you're not balanced, so it keeps you balanced, when you're not balanced, perimenopause can make your vestibular sense go funny and make you go dizzy and make you feel wobbly and make you bang into things, and so that in itself, so you can get very clumsy. Yeah, do you remember that question once? That would be a good another episode. Yeah, so you can get very, I walk into things anyway because, again, adhd, so I can forget that I'm supposed to be concentrating. Oh, okay, that's right, so I could be having two or three conversations in my head and listening to a song in my head, right, and then forget that I'm supposed to be walking and walk into something. All right, it's joyful, sounds it. So I was listening to the day I was listening to Lana Day Row song in my head whilst the summer nights, anyway. So I was listening to summer nights in my head and I was listening to Summer Nights in my head and I was changing the bed sheet and I was rehearsing a conversation with Scott and I was thinking about something we needed to do with work. Okay, and I remember because I was thinking about those four things and then I banged into the dressing table behind me because I already had four browser tabs open, so I couldn't then remember that I needed to watch where I was going. Does that make sense? Yeah, so anyway.

Speaker 2:

But yes, the vestibular changes and then, if you're so, vestibular goes off. So there's conditions like is it meneos disease, different problems like inner ear problems that you can get outside of perimenopause, and it's awful and people complain of it a lot. You'll hear people say I've got inner ear problems or meneos disease, all these kind of diseases, and that is awful and people complain of it a lot. You'll hear people say I've got an aniridia problems or Meniere's disease, all these kind of diseases, and it's horrible and people really. But you can get that just as almost like standard in perimenopause and it's really really uncomfortable. So again, that would definitely lead to nausea and it can also lead to vestibular migraines or hormone-related vertigo where you feel like you're falling grim.

Speaker 2:

I'm really really doing well today, aren't I enjoying this episode? It's lovely. It's like and this will go around and this can go around me a lot to think about. You're gonna enjoy the next one then. Right, gastro, and it's called good g-e-r-d gastro. It's like I can never remember. It's like to do with your esophagus and I can never remember I'd say that properly. But it's like gastroesophageal.

Speaker 2:

I'm gonna say okay, reflux disease, which is so. It's like when your stomach acid kind of comes back up through the esophagus. Is that when you get heartburn for no reason as well? No, you get to like heartburn and you can get nausea and you can even get vomiting, right, but basically you can get it worse than perimenopause. But you call it gerd g-e-r-d, I don't. Yeah, I mean it just gets exacerbated. You can also get food sensitivities as well. Yeah, of course you can. Well, we'll be shooting giggles, right, right. So if you, if you, if you get, you can.

Speaker 2:

So some foods that you could tolerate, for example, before perimenopause, suddenly can now irritate your bowel so you can get more acid reflux. You can get digestive, just problems in general. So there's some foods like I would be quite okay with onions before perimenopause and then in perimenopause, a, I can't stand the smell, it can make me feel quite nauseous. Onions, yeah, okay with cooked it's raw onions, um, and some spices as well. So I I'm less tolerant of chili, I'm less tolerant of just spicy food in general can make me feel quite acidy. And you know, when women say to me if you can give me some advice in perimenopause, what would you say? And I would say look after your gut. Yeah, because you've got just changes in general. So, but yeah, just be careful of which foods you eat and just keep a food diary if you feel like there's something. I've done it again. I forgot to put my mic near my.

Speaker 2:

You're gonna have to keep an eye, yeah, yeah, yeah, you're bad yeah I'll take this one, um, but if you, if you just keep an eye on if you feel like you're getting more acid reflux or you feel like you're getting digestive issues, I think it's just an important thing. To just keep a food diary is my best thing, my best bit of advice, and just make note of when you're getting acid reflux, when you're getting gastro problems, and just keep an eye on the foods and eliminate one at a time. So if you, if you, if you have a regular food that you eat a lot so I eat a lot of I don't know. I I quite like, for example, vegetarian curries, because I'm eating less and less red meat. I found that eating too much red meat doesn't agree with me in perimenopause, so I try and eliminate red meat as much as I can. It's like anything again trial and error with, yeah, what works for you, and you may find that things like caffeine, things that too, I've got too much stimulants in, don't suit you as much, so you need to cut them down as well. I feel like I'm, I feel like we're going to be. Am I going to go? Am I massively over in time? I just feel that it's such an important topic, but we're going to go way over, aren't we? Good question, kendra, I know, I know, I know, so I'll go more quickly. Just a few more.

Speaker 2:

Dehydration, yeah, yeah, it can lead to nausea. Thyroid function so if you already have thyroid issue, you can get hyperthyroidism in perimenopause. Liver function as well. Hormonal changes can lead to more bile production and bile production can result, can make digestive problems in general worse and that can lead to nausea. You can end up being nutritionally a little bit deficient. What do you mean? So there's certain nutrients in perimenopause that you might find are a problem. So typically, women in perimenopause might be deficient in things like vitamin D, some B vitamins you might find that you just need to keep an eye on. Yeah, magnesium is one vitamin D. Some of the B vitamins I usually say to women top up on your omega-3s. So because you might be deficient in some some nutrients, you might end up with gastro um, gastrointestinal issues, and so that can lead to nausea as well.

Speaker 2:

Also, I'm gonna all right, this is the last one I promise because I feel like no two more. One quickly, because the thing is it's thing is. It's such, honestly, it's an issue so close to my heart on the basis of. I went through all of this, so that's why it's like I could probably honestly talk for another 10 minutes just on nausea. Okay, two more things. One is you're going to be hypersensitive to smells, so like you were in pregnancy where you could smell a wet dog at 29 miles away. That's one thing as well. And the last one is, if you, um, you may find that your normal exercise routine that you could do before perimenopause, afterwards you may just find that it it wears your body out in a way that it didn't used to and that might just mean that you, you just can't carry on with the same exercise routine because it stresses your body out and it causes you to feel nauseous, because the stress on your body just doesn't work anymore.

Speaker 1:

Yeah, these all make sense actually. Once you've explained them all. They do all make sense, Okay.

Speaker 2:

Sorry, I feel like I've gone full on this today, but that's just such an important topic and for me it was such a big deal because I went through it myself. So, Kendra, thanks so much for your question. We really appreciate it and, as always, if you want to know anything about my perimenopause membership or book or anything our collagen or anything like that you will find all the details below, and if you want to ask us a question, you can WhatsApp us or you can find us in the group. All right, my darlings.

Speaker 2:

Thank you so much as always for listening and we will speak to you soon. Bye, thanks for joining us today on the uncomplicated perimenopause podcast. We hope you found this episode helpful and inspiring.

Speaker 1:

Don't forget. If you have any questions or topics you'd like us to cover, you can reach out through our perimenopause group or on WhatsApp.

Speaker 2:

For more information on my coaching, perimenopause supplements, books or upcoming events, please visit wwwhategrovernercom.

Speaker 1:

And if you've enjoyed today's episode, please subscribe, rate and review our podcast. It really helps us reach more listeners, just like you.

Speaker 2:

Until next time remember, perimenopause doesn't have to be complicated. We're here to help you every step of the way.

Speaker 1:

Stay uncomplicated, bye-bye, bye-bye.