Your gut is not the problem.
It is the messenger.
And it has been trying to get your attention for a long time. The bloating. The food reactions you never used to have. The moods that arrive without warning. The skin that changed when your skincare routine did not. This is not aging. This is a system asking to be heard — and addressed clinically.
Your body changed the rules.
Nobody told you.
This pathway is not for the woman who just started paying attention to her gut. This is for the woman whose body started reacting differently and nobody in her medical history connected it to what was happening hormonally.
Foods you have eaten your whole life are now a problem
Wine. Leftovers. Avocado. Spinach. Things that used to be completely fine are now starting reactions you cannot predict or explain. You did not suddenly develop new allergies. Your gut environment changed.
Your hormones feel unpredictable and your labs do not explain it
You have done the hormone testing. The numbers look reasonable. But something is still off — moods, energy, the way your body is holding weight. The gut is managing your estrogen. When that system is disrupted, labs cannot always capture it.
Your skin, your mood, and your gut are all signaling at once
Breakouts that started in your 40s. Anxiety that arrived alongside the bloating. Motivation that disappeared around the same time your digestion changed. These are not three separate problems. They are one system communicating in three languages.
Most gut programs
start with elimination.
We start with the hormone connection.
Because your gut does not operate independently of your hormones. Your gut bacteria manage how your body processes and recycles estrogen. When that system is disrupted — by stress, by antibiotics, by the hormonal shifts of perimenopause — the consequences show up everywhere. Mood. Skin. Sleep. Weight. Energy.
This pathway addresses the gut as the hormonal system it actually is. Not just digestion. Not just inflammation. The full picture of what your gut has been trying to tell your hormones — and what your hormones have been doing to your gut.
Which one sounds
like you?
Dr. Stacey Denise observed four patterns through which gut disruption tends to show up in perimenopause. Each one reflects a different point in the gut-hormone system. Most women have a dominant pattern. Finding yours is the clinical starting point.
Histamine Hurricane
Foods that used to be completely fine are now starting wars. Wine. Leftover chicken. Spinach. Your body changed the rules and nobody told you. This is not a food allergy. It is a histamine tolerance shift driven by changes in your gut environment — and it is clinical, not imaginary.
Estrobolome Wrecker
Your gut bacteria manage your estrogen. They determine how much estrogen gets reactivated and recirculated versus cleared. When that system breaks down, hormonal chaos follows that no standard lab panel can fully explain. This is the gut-hormone connection most providers are not trained to address.
Serotonin Sinker
Ninety-five percent of your serotonin is produced in your gut. When the gut is disrupted, mood, anxiety, motivation, and emotional regulation follow. The anxiety that arrived alongside the bloating is not a coincidence. It is the same system signaling in two different languages.
Skin Alarm
Your skincare routine has not changed but your skin has. Breakouts in your 40s you never had in your 20s. Inflammation, dullness, reactivity. The answer is not a better serum. The gut-skin axis connects your microbiome directly to your skin barrier. What is happening on your face started in your gut.
The course and the clinical care.
Both. For 90 days.
The 21-day Gut Reset program is the education layer. It gives you the framework, the food protocol, and the language to understand what your gut has been reacting to and why. The clinical layer is where Dr. Stacey manages your hormones, reviews your labs, and stays in it with you across the full 90 days.
The 21-Day Gut Reset Program
Gut Saboteur identification. Gut-hormone connection education. Baseline gut audit and fridge audit challenge. Anti-inflammatory protocol, elimination framework, histamine load reduction, estrobolome support foods, gut-skin axis, serotonin-gut-brain connection, microbiome rebuilding, and supplement layering. Gut Reset GPT activated throughout.
3 Clinical Visits — One Per Month
A full 30-minute clinical visit with Dr. Stacey Denise each month. Labs reviewed. Hormone and gut protocol adjusted. Clinical picture built visit by visit. You are not interpreting results alone.
6 Drop-In Sessions — Two Per Month
Two 15-minute drop-in sessions per month between full visits. For reactions you did not expect, adjustments that need attention, or clinical questions that cannot wait for the next full appointment.
Priority Messaging — 90 Days
24 to 48 hour response through your Healthie patient portal for the full 90 days. You are not navigating food reactions and protocol adjustments without clinical support between appointments.
Hormone Management — Central to the Program
Estrogen, progesterone, testosterone managed alongside the gut protocol. The gut-hormone relationship runs in both directions. This program addresses both sides of that system simultaneously. Prescriptions sent to your pharmacy.
Baseline Lab Panel — Included
Ordered at the start and included in the program. Pathway-specific labs — including metabolic and inflammatory markers — ordered as the clinical picture develops. You are never working from guesswork.
- 21-day Gut Reset program and Gut Reset GPT
- 3 full clinical visits — one per month
- 6 drop-in sessions — two per month, 15 minutes each
- Priority messaging — 24 to 48 hour response, 90 days
- Hormone management — estrogen, progesterone, testosterone
- Baseline lab panel through Quest — included
- Metabolic and inflammatory labs ordered as picture develops
The Reset Foundations Consult is the clinical entry point. The full pathway is confirmed from there. Consult fee absorbed into pathway price if you enroll within 30 days.
How the three months
actually work.
Month one — the baseline and the audit
Labs ordered. Gut Saboteur pattern identified. Fridge audit and food reactivity tracking begin. The 21-day Gut Reset runs alongside the clinical work. Anti-inflammatory protocol initiated. Hormone management started. You are building the picture and treating the system at the same time.
Month two — the elimination and the rebuild
Your second full visit reviews what the data showed. Elimination framework adjusted based on your reactivity pattern. Estrobolome support deepened. Microbiome rebuilding begun. Two drop-ins keep the clinical conversation active. Priority messaging means you are never stuck waiting when a reaction comes up.
Month three — the integration
Your third full visit locks in your protocol. Estrogen clearance support, metabolic-hormone picture reviewed, insulin and cortisol gut connection addressed. Two final drop-ins close the program. You leave with your labs, your Gut Saboteur Pattern Summary, your food protocol, and a clinical record you own.
Clarity before
you commit.
No surprises. Here is exactly what is in the pathway and what sits outside it.
Included
- 21-day Gut Reset program
- Baseline lab panel through Quest
- 3 clinical visits, one per month
- 6 drop-in sessions, two per month
- Hormone management
- Metabolic and inflammatory labs
- 90-day priority messaging
Not included
- Prescription medication costs
- Advanced functional labs (GI Map, DUTCH)
- Supplement costs
- GLP-1 management
- In-person services
- After-hours urgent care
“You will know exactly what your gut has been reacting to, why your hormones have been unpredictable, and what to eat to support the system that was managing your estrogen all along.”
Start With the Foundations ConsultAfter Fuel and Be Fierce,
what comes next.
Each Reset pathway is entered based on your dominant pattern — not in a fixed order. Gut Reset addresses the estrobolome, histamine reactivity, and the metabolic-inflammatory picture. If stress architecture or sleep disruption are also present, those pathways are available based on what your clinical picture calls for next. Ongoing hormone management continues through the Hormone Membership after any Reset pathway.
Hormone Membership Program
Graduates who want to continue clinical oversight join the Hormone Membership. Quarterly visits, lab monitoring, and ongoing hormone management on a recurring basis. Your clinical relationship continues without restarting from zero.
Stress Less and Be Radiant
The Color Reset Clinical Pathway addresses stress architecture, the HPA axis, and nervous system regulation through the Color Archetype framework. Entered when stress dysregulation is the dominant clinical picture.
Sleep and Be Fabulous
The Sleep Reset Clinical Pathway addresses the five Sleep Saboteur patterns — progesterone, estradiol, testosterone, cortisol, and melatonin as the sleep hormones. Entered when sleep disruption is the dominant clinical picture.
She kept seeing
the same woman.
Brilliant. Dismissed. Her gut, her mood, her skin, and her hormones all signaling at once — and every provider treating them as separate problems. Nobody connected the dots. Nobody had the time.
The Gut Reset Clinical Pathway exists because the gut-hormone connection is real, it is clinical, and it deserves a physician who understands both sides of it. I am not handing you off. I am staying in it with you.
Book the Foundations Consult
Clinical care in
seven states.
I provide clinical care to patients physically located in the following states at the time of their visit.
Outside these states? Start here →Clinical care is provided through SDM Medical PLLC after a formal intake establishes a doctor-patient relationship. This page is educational and does not constitute medical advice. Results vary. Pricing subject to change based on availability.
Your gut has been trying
to tell you something.
The Reset Foundations Consult is where the pathway starts. Your labs, your pattern, your clinical plan. Thirty minutes that changes what comes after.
Physician-Led Perimenopause Gut and Hormone Care — Telehealth in CA, GA, KY, MD, OH, TX & VA
Fuel and Be Fierce is a 90-day physician-supervised gut and hormone reset program for perimenopausal and menopausal women experiencing histamine reactivity, food sensitivities, estrobolome disruption, mood changes, skin changes, and hormonal unpredictability. Led exclusively by Dr. Stacey Denise Moore, MD, FACS through SDM Medical PLLC.
This program integrates hormone management — including estrogen, progesterone, and testosterone — with the Neuroaesthetic Reset Method™ and the four Gut Saboteur patterns observed by Dr. Stacey Denise: Histamine Hurricane, Estrobolome Wrecker, Serotonin Sinker, and Skin Alarm. Anti-inflammatory protocol, elimination framework, estrobolome support, and gut-brain axis education are core components.
Available to patients physically located in California, Georgia, Kentucky, Maryland, Ohio, Texas, and Virginia at the time of service. Telehealth only. All care provided directly by Dr. Stacey Denise Moore, MD, FACS.