Why You're Bloated After 40 — And What No One Tells You About Your Gut & Liver | S4E5

You're bloated after almost every meal. Your digestion is unpredictable. And your feed won't stop pushing liver cleanses, celery juice, and microbiome pills you've probably already bought. This week I sit down with Dr. Supriya Joshi, a gastroenterologist, hepatologist, and metabolic health specialist, to cut through the noise and tell us what's actually happening inside our bodies during perimenopause and what's worth our money (spoiler: almost none of the supplements).

We get into the stuff nobody explains properly:

– Why bloating ramps up in your 40s and 50s (it's hormonal, and it's real).

– What your microbiome actually is — and why probiotic pills don't colonize you.

– The liver "detox" industry, and why your liver doesn't get sluggish or plugged.

– Why one glass of wine wrecks you at 55 the way it never did at 35.

– Fatty liver (now called metabolic dysfunction–associated steatotic liver disease, or MASLD): tied with alcohol as a leading cause of liver transplant in North America — and how it shows up in women who barely drink.

– The supplements that can actually harm you (ashwagandha, high-dose curcumin, apple cider vinegar shots).

– GLP-1 medications like Wegovy and the new liver indication.

– The simple liver test (called FIB-4) you may need to ask for.

– Plus a rapid-fire round on celery juice, seed cycling, coffee, and intermittent fasting.

It comes back to the same handful of things every time: sleep, movement, muscle, and what you actually put in your body. Boring? Maybe. But it's the truth, and it works.