How to Restore Gut Health: A Comprehensive Guide for Women Over 40
- Cris Amato, MSN, APN,RNFA
- May 22
- 4 min read

Why Gut Health Matters Now More Than Ever
Your gut is more than just a digestive powerhouse. For women navigating their 40s and beyond, it's a central player in everything from hormone balance to mental clarity. Bloating, fatigue, mood swings, and stubborn weight gain often trace back to the microbiome–the vast ecosystem of bacteria, fungi, and other microorganisms that live in your gut.
The good news? Healing your gut is entirely possible. And when you do, the ripple effects can be transformational.
Understanding the Gut Microbiome and the Gut–Brain Axis
Your gut microbiome is a vibrant community that supports digestion, immune health, and emotional regulation. Through the gut–brain axis, this system communicates directly with your central nervous system. In fact, more than 90% of serotonin (the hormone that influences mood and well-being) is produced in the gut.
hen gut bacteria are balanced, we tend to feel more emotionally grounded, energized, and mentally clear. When they’re not, issues like anxiety, brain fog, and poor sleep often arise.
Signs Your Gut Needs Healing
Gut imbalances can manifest far beyond the digestive tract. Some common signs include:
Persistent bloating or constipation
Brain fog or low energy
Increased anxiety or low mood
Sugar cravings or poor blood sugar control
Skin issues like eczema or acne
Heightened food sensitivities

Nutritional Foundations for How to Restore Gut Health
Food is one of the most powerful tools for healing your gut, and where I make a lot of recommendations for lifestyle changes. The choices you make at each meal can either help repair your gut lining, feed beneficial bacteria, and reduce inflammation–or contribute to imbalance and discomfort. For women in midlife, focusing on nourishing, whole foods can make a dramatic difference in digestion, hormone function, and mental clarity. Below are several foundational strategies that support a thriving gut:
Eating the rainbow: Plant diversity feeds different beneficial bacteria.
Incorporating fermented foods: Sauerkraut, kimchi, kefir, and miso offer live probiotic cultures.
Fueling with fiber: Prebiotic-rich foods like garlic, onions, oats, and asparagus support healthy bacteria.
Adding enzyme-rich foods: Papaya (papain), pineapple (bromelain), and sourdough bread (naturally fermented) help break down food and ease digestion.
Minimizing gut disruptors: Ultra-processed foods, artificial sweeteners, excessive alcohol, and chronic stress can all contribute to dysbiosis (gut imbalance).

Lifestyle Shifts That Strengthen the Gut–Brain Connection
True gut healing happens when we support the body holistically. Consider these daily practices:
Sleep hygiene: Aim for 7–9 hours of quality sleep to allow the gut lining to repair.
Movement: Gentle exercises like walking or yoga stimulate digestion and regulate stress.
Stress management: Chronic stress alters gut permeability and microbiota. Breathwork, journaling, and nervous system regulation techniques are key.

Smart Supplementation and Enzyme-Rich Foods for Targeted Support
Sometimes food alone isn’t enough, especially if you're experiencing long-term digestive distress. I always remind my clients: if your gut has been out of balance for a while, it may need more focused support to heal. Think of supplements as tools in your toolbox–used thoughtfully and alongside nourishing foods, they can help restore balance more efficiently and comfortably. The goal isn't to rely on them forever, but to give your body what it needs to reset and rebuild. Here's what I often recommend to clients who are looking to gently support their gut healing journey:
Digestive enzymes: These help break down fats, proteins, and carbs when your body isn’t producing enough on its own.
Probiotics and prebiotics: Look for strains tailored to your needs and rotate periodically.
L-glutamine: An amino acid that supports gut lining integrity.
Food-based options are equally powerful:
Papaya (papain) and pineapple (bromelain) support protein digestion.
Sourdough bread offers easier-to-digest carbohydrates.
Raw honey and miso provide a gentle enzyme boost and beneficial microbes.
Personalized Healing Through Testing and Guidance
Because each microbiome is unique, what works for one woman may not work for another. That’s why we don’t guess–we test. Functional lab work can uncover imbalances that may be hiding beneath the surface and holding you back from feeling your best. With real data in hand, we can stop spinning our wheels and start taking targeted action that works with your body, not against it. Consider functional lab testing to identify:
Bacterial overgrowth (SIBO)
Yeast or parasitic imbalances
Food sensitivities
Inflammatory markers
Partnering with a provider who specializes in integrative or functional health can help tailor your approach with precision and compassion.
Your Gut Is Worth Prioritizing
Restoring your gut is more than a checklist–it’s a process of reconnecting with your body’s needs and rhythms. Whether it’s clearer skin, better moods, or more resilient energy, a healthy gut sets the foundation for all of it.
At Grace Concierge, we believe healing is personal. If you’re ready for deeper support, reach out to explore our holistic health coaching or inquire about functional lab testing to start your own gut restoration journey.