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Fiber and Inositol+ in Midlife: Supporting Hormones and Insulin Sensitivity

  • Writer: Dr. Jen
    Dr. Jen
  • 20 hours ago
  • 3 min read

Why two simple tools can make a profound difference in perimenopause and beyond

Midlife metabolism needs different support

As women move into perimenopause and midlife, the rules change.

Hormonal fluctuations, declining progesterone, rising cortisol sensitivity, and shifts in insulin signaling all converge. Many women find that what once worked—cutting calories, exercising more, skipping meals—no longer helps and often makes symptoms worse.

In The Perimenopause Reset, I emphasize that metabolic health and hormone balance are inseparable. Two of the most under appreciated supports for this phase are fiber and inositol, particularly when used intentionally and consistently.

This is where Inositol+ (from Healthy by Dr. Jen) fit beautifully into a midlife hormone-supportive strategy having BOTH fiber and inositol!

Fiber: not just for digestion

Fiber is often reduced to a conversation about bowel regularity. In reality, fiber is one of the most powerful regulators of hormones, insulin, and inflammation. Inositol+ uses a resistant starch as a prebiotic fiber.


How fiber supports hormones in midlife


Improves estrogen clearance

Fiber binds estrogen metabolites in the gut, reducing enterohepatic recirculation. This is especially important in perimenopause, when estrogen fluctuates wildly and clearance becomes less efficient.


Stabilizes blood sugar

Soluble fiber slows glucose absorption, reducing insulin spikes that worsen fat storage, inflammation, and androgen disruption.


Supports the gut–liver axis

Fiber feeds beneficial gut bacteria, lowering beta-glucuronidase activity and supporting healthy detoxification pathways.


Reduces inflammatory signaling

Improved gut integrity means less endotoxin exposure and lower systemic inflammation—both critical for hormone balance.


In midlife, fiber is not about eating less. It is about absorbing differently.

Inositol: a signaling molecule, not just a supplement

Inositol is a vitamin-like compound that plays a critical role in cellular signaling, particularly insulin and neurotransmitter pathways.

While often associated with PCOS, inositol is profoundly helpful for midlife women, even without a PCOS diagnosis.

How inositol supports hormones and insulin

  1. Improves insulin sensitivity

    Inositol enhances insulin receptor signaling, helping glucose move into cells more efficiently. This reduces compensatory insulin elevation that drives fat storage and hormone disruption.

  2. Supports ovarian and adrenal signaling

    Better insulin signaling supports more stable ovarian hormone output and reduces stress-driven androgen excess.

  3. Calms the nervous system

    Inositol supports serotonin and GABA signaling, which is critical in perimenopause when anxiety, sleep disruption, and nervous system reactivity increase.

  4. Reduces cravings and metabolic chaos

    By stabilizing glucose and neurotransmitters, inositol helps reduce the intense cravings and energy crashes many women experience in midlife.


Why Fiber + Inositol together work better

Fiber and inositol address different layers of the same problem.

  • Fiber works primarily in the gut and liver, improving estrogen clearance and glucose absorption.

  • Inositol works at the cellular signaling level, improving insulin response and nervous system regulation.

Together, they:

  • reduce insulin resistance

  • lower inflammatory hormone signaling

  • support estrogen balance

  • protect progesterone by lowering cortisol demand

This combination aligns with the Cleanse → Connect → Cultivate framework from the Perimenopause Reset:

  • Cleanse: fiber supports detox and elimination

  • Connect: inositol improves cellular communication

  • Cultivate: stable insulin allows hormones to rebalance

Why this matters in perimenopause

In perimenopause:

  • insulin resistance can develop even in lean women

  • estrogen becomes more erratic

  • progesterone declines first

  • cortisol sensitivity increases

Fiber and inositol help quiet the metabolic noise that drives:

  • stubborn weight gain

  • estrogen-dominant symptoms

  • fatigue and brain fog

  • anxiety and sleep disruption

These tools do not force weight loss. They restore regulation, allowing the body to respond appropriately.

A gentle, sustainable approach

One of the most important messages in The Perimenopause Reset is that healing does not come from extremes.

Fiber and inositol are:

  • supportive, not aggressive

  • regulatory, not suppressive

  • sustainable for long-term use


Midlife hormone balance is not about doing more—it is about supporting the systems that quietly run everything.

Fiber and Inositol+ provide:

  • better insulin sensitivity

  • improved estrogen clearance

  • calmer nervous system signaling

  • more stable energy and mood

When insulin is supported, hormones follow.

And when the body feels safe and nourished, it often does what it was designed to do.


To explore how Inositol+ fit into a comprehensive perimenopause strategy, this is exactly what we walk through in The Perimenopause Reset and within the Healthy by Dr. Jen protocols.


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The entire contents of this website are based upon the opinions of Dr. Pfleghaar unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Pfleghaar and her community. Dr. Pfleghaar encourages you to make your own health care decisions based upon your research and in partnership with a qualified healthcare professional. These statements have not been evaluated by the Food and Drug Administration. Dr. Pfleghaar products are not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, taking medication, or have a medical condition, consult your physician before using any products

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