A nurse practitioner with more than 25 years of clinical experience, Cynthia has become one of the leading voices in the perimenopause space through her podcast, writing, and widely viewed TEDx talk on intermittent fasting. But this conversation moves beyond wellness trends and into the mechanics of what actually changes in midlife: the decline in microbial diversity, the role of the estrobolome in estrogen metabolism, the relationship between cortisol and intestinal permeability, and why chronic inflammation so often sits underneath hormonal symptoms.

As a current Master's in Public Health student focused on nutrition, I find that conversations about hormones come up everywhere - among fellow students, health founders, colleagues, and friends, sometimes in academic settings, sometimes in informal conversations, slowly starting to explore how lifestyle and environment shapes women’s health.

Dear Two Moons Readers, I’m Dr. Maria Muto-Rodriguez, a women’s health and pediatric physical therapist, founder of Holistic Physio, and a mother myself, bringing both clinical expertise and lived experience to support women through hormonal shifts and pelvic floor challenges. Constipation is more than just a minor discomfort - it can be a sign that your hormones and pelvic floor are out of balance...