New Book
The Menopause Gut
Balance Your Microbiome to Reclaim Your Health in Midlife and Beyond
A gut-centric approach to women's health through perimenopause and menopause from nurse practitioner and bestselling author Cynthia Thurlow.
Available April 28, 2026 | Rodale Books / Penguin Random House
About the Book
The Missing Piece in Midlife Health
The conversation around menopause has finally shifted toward helping women navigate this transition and easing their symptoms. But medical advice for women at this stage of life has overlooked an essential piece: the powerful connection between our gut and our health as we age.
The composition of the gut microbiome shifts over the course of a woman's
lifetime, peaking at age 40. Cutting-edge research suggests a bidirectional
relationship between our estrogen and progesterone levels and our microbes. As our hormones shift, we become much more vulnerable to inflammation, which impacts our immune function, metabolism, mood, cognition, bone health and much more.
But there are simple steps we can take to get our gut, and our health, back on
track. Inside you'll learn how to:
● Combat bone loss through targeted exercise and nutrition
● Replace hidden gut disruptors with fiber-rich foods that balance your weight
● Practice cutting-edge stress management techniques that work
● Realign your circadian rhythm and prioritize rest
● Restore your immune system by resolving leaky gut
● Understand the benefits of hormone replacement therapy
Actionable and life changing, The Menopause Gut will inspire and empower women to take charge of their health in midlife.
Praise
What Experts Are Saying
"A thoughtful, research-informed guide to understanding gut health during the menopause transition."
Lisa Mosconi, PhD — NYT bestselling author of The Menopause Brain
"The gut-hormone connection in perimenopause and menopause, demystified. Clear, actionable steps to restore balance and feel your best again."
JJ Virgin — NYT bestselling author of The Virgin Diet
"A deeply insightful, scientifically grounded look at the menopause-gut connection, empowering women with practical tools."
Robynne Chutkan, MD — author of Gutbliss and The Anti-Viral Gut
"The gut is the center of good health, and this book helps women optimize this crucial foundation through simple shifts."
Tim Spector — author of Food For Life
"Cynthia shows how the gut and hormones are partners in menopause, and how women can make simple shifts to feel vibrant."
William W. Li, MD — NYT bestselling author of Eat to Beat Disease
"A holistic approach to help us feel healthy, fully alive, and strong in our middle years."
Sara Szal, MD — NYT bestselling author of Women, Food, and Hormones
"To have hormonal balance, you have to heal the gut. This is a necessary read and a sound plan to transform your health."
Dr. Anna Cabeca — bestselling author of The Hormone Fix
"A comprehensive guide from nutrition to stress management, led by cutting-edge research on women's health."
From Nutrition to Wellness Leaders
Bonus Resources
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recommendations, tools, and recipes referenced throughout The Menopause Gut.
Publication Details
About This Edition
Publisher
Rodale Books / Penguin Random House
Publication Date
April 28, 2026
ISBN (Hardcover)
9780593855195
Formats
Hardcover, eBook, Audiobook
Audiobook
Read by the author (Penguin Audio)
Language
English (additional languages TBA)
International Editions
The Menopause Gut is being published in multiple languages worldwide.
Chinese (Simplified)
Publishing House of Electronics Industry
Polish
Wydawnictwo Kobiece
Spanish
Ediciones Obelisco
Additional languages to be announced.
About the Author
Cynthia Thurlow, NP
Cynthia Thurlow is a nurse practitioner, host of the Everyday Wellness podcast, and internationally recognized speaker, with over 15 million views for her second TEDx talk. With over 25 years of experience in health and wellness, Cynthia is a globally recognized expert in perimenopause, menopause, and intermittent fasting, and has been featured on ABC, FOX5, KTLA, CW, Medium, Entrepreneur, and The Megyn Kelly Show. Her mission is to help empower women to live their most optimal lives in perimenopause and beyond.
The Menopause Gut is her second book, following the bestselling Intermittent Fasting Transformation.
Your Gut Changed. Now You Know Why.
Available April 28, 2026