10/30/2025
If perimenopause feels like it’s hitting you harder than everyone else… it’s not in your head.
For some women, hormonal changes in perimenopause are amplified by another issue that goes completely undiagnosed:
👉 MCAS — Mast Cell Activation Syndrome.
Mast cells are immune cells that release histamine and other inflammatory chemicals in response to triggers. And in MCAS, those mast cells overreact — to food, stress, hormones, smells, supplements… almost everything.
So when estrogen and progesterone start fluctuating in perimenopause (which already makes you more sensitive), MCAS turns those fluctuations into a full-blown storm:
✅ Night sweats
✅ Itchy skin
✅ Migraines
✅ Panic attacks
✅ Unexplained rashes
✅ Food sensitivities out of nowhere
✅ “Wired but tired” insomnia
Now add SIBO on top of that?
That’s like pouring gasoline on the fire.
Small Intestinal Bacterial Overgrowth (SIBO) means bacteria are growing in the wrong part of your gut — and many of them produce histamine too.
So every time you eat, your gut is adding fuel to the mast cell fire.
Your body can’t keep up with the overload. You bloat, flush, itch, can’t sleep, and wonder:
“Why do I feel like I’m falling apart?”
Most women are told it’s just hormones. But it’s more than that.
It’s your gut. Your immune system. Your nervous system.
And that’s exactly what I work on inside my 1:1 coaching program.
We don’t just throw supplements at your symptoms.
We calm the inflammation, repair your gut, support your hormones — and create a personalized protocol that makes your body feel safe again.
Because you can feel normal again. Even in perimenopause.
👉 If this sounds like you, DM me and I’ll be happy to give you a free exploratory call
Let’s finally get to the root.