The Menopause Midwife

episode artwork

Missy Miculka

23 October 2025

58m 35s

Gut Check, Queen: Fixing Leaky Gut & Firing Up Hormone Metabolism | Shay Pausa

00:00

58:35

This week, we're diving deep into the critical connection between your gut health and hormone balance—a dynamic that becomes absolutely vital during midlife and menopause. Our incredible guest, Shay Pausa, Co-Founder and COO of Healthy Gut, is here to help you cut through the "gut confusion" and simplify the overwhelm of supplements and fads, giving women the evidence-based knowledge they need to optimize their complex digestive system.

Shay breaks down why your gut is truly your hormone detox HQ and immune command center—revealing the surprising truth that 70–80% of your immune system lives in your gut and why this matters for inflammation, mood, and hot flashes. You'll learn the essential link between digestion and hormone metabolism, understanding why midlife bloating, constipation, or reflux is often a sign of hormone traffic jams. We expose the truth behind leaky gut and how a lack of key players like Butyrate and Digestive Enzymes quietly fuels issues like estrogen dominance, fatigue, and brain fog.

Get ready for actionable solutions! We cover the “daily poop report” checklist for better hormone clearance and offer simple steps to help you ditch supplement overwhelm. If you're navigating peri or menopause and feel "off" but can't pinpoint why, this episode is your game-changer for glowing skin, a sharper mind, and better sleep—making you the ultimate CEO of your digestion.

Ready to support your gut lining?

Purchase directly from Healthy Gut here: https://healthygut.com/shop/?rstr=609&coupon_code=ohm15 and get a 15% discount with my code OHM15

Or visit my website to buy directly from me: https://www.ohm406.com/search?q=healthy+gut&type=products

Get Shay's favorite gut-friendly food here: https://www.olivemypickle.com/

Listen to my episode on digestion and the microbiome here: https://themenopausemidwife.alitu.com/episode/694f97bb-6fc1-4a0b-ac4f-b54b45847db3

Shay Pausa Social Media Info

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Timestamps

00:00 Intro

00:52 Introducing Shay Pausa, COO of Healthy Gut

05:14 Shay's Mission: Empowering Women to Take Charge of Their Well-Being

09:55 How much of your immune system is in your gut?

11:45 Actionable Steps to Improve Health Through Gut Wellness

16:50 Butyrate and the Gut Lining

20:57 The 7 Dwarfs of Menopause

22:11 Supplement Strategy: Butyrate, Enzymes, and BHRT

26:03 Butyrate 101

32:40 Butyrate and GLP-1: The Connection to Weight Management

36:29 The Story Behind HoloImmune

42:31 HistaHarmony: Shay's Perimenopause Survival Kit

45:27 Dosing Guide: When and How to take Tributyrin-X, Holozyme, & HoloImmune

53:25 Rapid-fire questions

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