Megan Pfiffner, Perimenopause Expert

Megan Pfiffner, Perimenopause Expert Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Megan Pfiffner, Perimenopause Expert, Health & Wellness Website, New York, NY.

✨ Perimenopause Expert
✨ Creator of The Perimenopause Matrix™
✨ Helping women who do it all feel like themselves again - with energy that lasts, focus that sticks, and hormones that aren’t running the show.

01/02/2026

Not all bacteria are bad - in fact, healthy guts have some "bad" bacteria like C. diff and E. coli. 🦠

The problem isn't the bacteria themselves. It's when they get too much real estate in your gut.

Here's what can happen when your microbiome is out of balance:
✨ Autoimmune diseases
✨ Skin issues (psoriasis, eczema, rosacea)
✨ Fatigue and sleep disruptions
✨ GI symptoms (gas, bloating, constipation)
✨ Mood challenges (depression, anxiety)
✨ Hormone and metabolic issues
✨ Allergies, asthma, cardiovascular disease

That's a LONG list. And here's the thing: the connection often goes BOTH ways. The condition can influence gut issues, and gut issues can influence the condition.

In perimenopause, dropping estrogen is already disrupting your microbiome - which is why so many symptoms suddenly appear in your 40s.

This isn't about killing all the bacteria. It's about creating balance.

🎧 Want to know how? Listen to my 2-part podcast series on gut health in perimenopause (link in bio). I break down exactly what's happening and what you can do about it.

https://meganpfiffnernutrition.com/gut-digestive-health/why-your-gut-went-rogue-in-perimenopause-part-1/

You're not crazy. You're not broken. Your gut just needs support.

12/31/2025

🧠 Your gut and brain are in constant conversation - and in perimenopause, that conversation can get LOUD.

Hippocrates said "all disease begins in the gut," and while that's not entirely true, the gut is connected to

A LOT:
→ Hot flashes and night sweats (via inflammation)
→ Mood, sleep, and pain (90% of serotonin is produced in your gut!)
→ Weight gain and energy crashes (insulin resistance)

Here's what most people don't know: Your gut serotonin doesn't cross into your brain, but your gut microbiome DOES influence your brain's serotonin production through the gut-brain axis.

So when we heal the gut? We're often improving multiple perimenopause symptoms at once.

This is exactly why I created a 2-part podcast series on gut health in perimenopause. If you're dealing with bloating, brain fog, mood swings, or unexplained weight gain—your gut might be screaming for help.

🎧 Listen to the full episode (link in bio) to understand what's happening and what to DO about it.

https://meganpfiffnernutrition.com/gut-digestive-health/why-your-gut-went-rogue-in-perimenopause-part-1/

Your gut isn't broken. Your perimenopause isn't in your head. Let's fix this together.

Here's the thing about overwhelm: most of it comes from tasks you didn't even choose. 😤If you wake up with a million thi...
12/28/2025

Here's the thing about overwhelm: most of it comes from tasks you didn't even choose. 😤

If you wake up with a million things on your plate that someone else assigned you - things that don't seem like a big deal but are bringing you to your knees - try this:

Pick ONE thing YOU want to do and make it happen.

Adding when you're overwhelmed seems backward, but we're changing the RATIO. More things you chose, fewer things you didn't.

Because here's the key: it's not about how hard the task is. It's about whether YOU put it on your plate or not.

Take back some control. Your nervous system will thank you.

https://meganpfiffnernutrition.com/mental-emotional-health/why-nothing-changed-but-the-holidays-feel-impossible/

What's ONE thing you're choosing for yourself today? 👇

12/27/2025

Here's the thing about overwhelm: most of it comes from tasks you didn't even choose. 😤

If you wake up with a million things on your plate that someone else assigned you - things that don't seem like a big deal but are bringing you to your knees - try this:

Pick ONE thing YOU want to do and make it happen.

Adding when you're overwhelmed seems backward, but we're changing the RATIO. More things you chose, fewer things you didn't.

Because here's the key: it's not about how hard the task is. It's about whether YOU put it on your plate or not.

Take back some control. Your nervous system will thank you.

What's ONE thing you're choosing for yourself today? 👇

https://meganpfiffnernutrition.com/mental-emotional-health/why-nothing-changed-but-the-holidays-feel-impossible/

Your bandwidth is PRECIOUS. 🎯In perimenopause, you cannot give 100% to everything - and that's not a failure, that's bio...
12/26/2025

Your bandwidth is PRECIOUS. 🎯

In perimenopause, you cannot give 100% to everything - and that's not a failure, that's biology.

So here's the question: Where do you WANT to spend your energy?

Do you love cooking? Is Thanksgiving your Super Bowl?

Then spend your bandwidth there and delegate the cleaning.

Take pride in a spotless house? Lean into that and order the sides.

Hate cleaning? Hire someone or delegate it. Why spend your precious bandwidth on something you detest?

You get to choose. And that choice matters more than you think.

What are you spending YOUR bandwidth on this week? Drop it in the comments 👇

12/24/2025

Your bandwidth is PRECIOUS. 🎯

In perimenopause, you cannot give 100% to everything - and that's not a failure, that's biology.

So here's the question: Where do you WANT to spend your energy?

Do you love cooking? Is Thanksgiving your Super Bowl?

Then spend your bandwidth there and delegate the cleaning.

Take pride in a spotless house? Lean into that and order the sides.

Hate cleaning? Hire someone or delegate it. Why spend your precious bandwidth on something you detest?

You get to choose. And that choice matters more than you think.

https://meganpfiffnernutrition.com/mental-emotional-health/why-nothing-changed-but-the-holidays-feel-impossible/

What are you spending YOUR bandwidth on this week? Drop it in the comments 👇

12/21/2025

Women are MORE THAN TWICE as likely to develop Alzheimer's after 60 than breast cancer. And we make up 2/3 of all Alzheimer's patients.

One of the risk factors? Undiagnosed sleep apnea.
If you're snoring, waking up gasping, or sleeping through the night but feeling like you got zero rest - this is for you.

5 signs you should talk to your doctor about sleep apnea + what to do about it in this week's episode: Why You're Still Tired (Even When You Sleep) 🎧
https://meganpfiffnernutrition.com/metabolic-health/why-youre-still-tired-even-when-you-sleep/

Link in bio to listen!

12/20/2025

Your body is waking you up all night to save your life. And you have no idea it's happening.

This is what sleep apnea actually does - your brain keeps jolting you awake because no oxygen = no life. So you never get into deep or REM sleep, which means you wake up exhausted even though you "slept" 8 hours.

And here's the perimenopause connection nobody talks about: declining estrogen affects muscle tone in your airway, making sleep apnea MORE common now.

5 signs you should talk to your doctor about sleep apnea + the full sleep toolkit in this week's episode 🎧

https://meganpfiffnernutrition.com/metabolic-health/why-youre-still-tired-even-when-you-sleep/

Link in bio!

12/17/2025

Wait - you're telling me my morning coffee could be sabotaging my sleep 12 hours later? 😳

Most of us are doing caffeine timing all wrong. And if you're caffeinating the second your feet hit the floor, you're actually working against your body's natural cortisol rise.

Here's what actually works (and when to cut yourself off based on YOUR body, not some generic rule).

Full breakdown in this week's episode: New Episode: Why You're Still Tired (Even When You Sleep)🎧

https://meganpfiffnernutrition.com/metabolic-health/why-youre-still-tired-even-when-you-sleep/

Link in bio to listen!

12/14/2025

Sleep deprivation is literally torture. As in, prohibited by the Geneva Convention.

And many of us are torturing ourselves. 🫠

So I'm going to ask you something that would have made me flip the bird a decade ago:

Can you wake up without an alarm on a Tuesday morning?

Not sleeping in on Saturday to "catch up" (which BTW you can't actually do - we'll get to that). I mean on a work day. Kids to get ready. Meetings to attend. Life to live.

If you didn't have an alarm, would you wake up close to when you need to?

If you're currently flipping me the bird, I love you. I'm asking from a place of care, not malice.

I used to be a sleep-deprived monster who couldn't walk like a coordinated adult human with two working legs. I said "no, it doesn't affect my life" when doctors asked.

I was very, very wrong.

This question isn't about making you feel bad. It's about helping you see what you might be missing.

Full episode: Why sleep deprivation tanks your blood sugar by 25%, causes brain fog, and might be behind that stubborn weight gain. Link in bio.

https://meganpfiffnernutrition.com/metabolic-health/why-you-cant-walk-straight/

So... can you wake up without an alarm? (Honest answers only) 👇

12/13/2025

Detective work time: Let's Nancy Drew your sleep environment. 🔍

Cool, dark, quiet - which one is the problem?

→ Waking up hot? Cooling sheets, less clothing, fan on, window open
→ Lights sneaking in? Blackout curtains or a sleep mask (sleep masks are clutch for travel too)
→ Phone lighting up and buzzing all night? Turn off notifications or kick it out of the bedroom

And here's the math that nobody wants to hear: You can't get 8 hours of sleep if you only have a 6-hour sleep opportunity window.

Meaning: If you're going to bed at midnight and waking up at 6am, your body is doing the best it can with what you're giving it.

This is Clue #3 in your sleep detective series. Pick ONE thing to investigate this week. Just one.

Is your room basically a sauna with strobe lights? Let's start there.

Full episode on sleep, blood sugar, and perimenopause foundations - link in bio. Next week: supplements and breathwork.
https://meganpfiffnernutrition.com/metabolic-health/why-you-cant-walk-straight/

Which one is YOUR problem - hot, bright, or noisy? 👇

12/12/2025

Detective work time: Let's Nancy Drew your sleep environment. 🔍

Cool, dark, quiet - which one is the problem?

→ Waking up hot? Cooling sheets, less clothing, fan on, window open
→ Lights sneaking in? Blackout curtains or a sleep mask (sleep masks are clutch for travel too)
→ Phone lighting up and buzzing all night? Turn off notifications or kick it out of the bedroom

And here's the math that nobody wants to hear: You can't get 8 hours of sleep if you only have a 6-hour sleep opportunity window.

Meaning: If you're going to bed at midnight and waking up at 6am, your body is doing the best it can with what you're giving it.

This is Clue #3 in your sleep detective series. Pick ONE thing to investigate this week. Just one.

Is your room basically a sauna with strobe lights? Let's start there.

Full episode on sleep, blood sugar, and perimenopause foundations - link in bio. Next week: supplements and breathwork.

https://meganpfiffnernutrition.com/metabolic-health/why-you-cant-walk-straight/

Which one is YOUR problem - hot, bright, or noisy? 👇

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New York, NY

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Monday 9am - 5pm
Tuesday 9am - 6pm
Wednesday 9am - 6pm
Thursday 9am - 5pm
Friday 9am - 5pm

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