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In this Longevity and Lifestyle Podcast episode, host Claudia von Boeselager welcomes back Elena Letiagina, founder of Gut Philosophy and a registered nutritional therapist. Elena discusses her recent focus on perimenopause and how hormonal changes intersect with gut health, explaining functional medicine’s emphasis on root‑cause investigation versus conventional symptom‑treatment. The conversation delves into the gut‑brain axis, describing how gut inflammation can drive mood, anxiety, and cognitive issues, and offers practical dietary steps—brightly colored vegetables, anti‑inflammatory foods, and removal of vegetable oils, excess sugar, and alcohol—to reduce neuroinflammation. They critique standard blood‑test “normal ranges,” urging listeners to aim for optimal personal ranges and to track trends over time. Elena outlines testing options for children (urine organic acids, saliva genetics) and stresses the need for tailored diets for kids, especially around sugar and processed foods. Alcohol is portrayed as broadly damaging, with no truly low‑inflammatory option, though non‑alcoholic alternatives can help with the psychological ritual. Common gut complaints (bloating, constipation/diarrhea, belching) are addressed with a three‑phase functional‑medicine protocol: remove triggers, replace digestive enzymes and support acid/pancreatic function, then rebuild microbiome diversity with fermented foods and fiber. Favorite fermented foods (organic miso, kefir, kombucha) and fiber sources (flaxseed, linseed) are shared, alongside high‑quality protein recommendations (grass‑fed meat, small‑fish, organic eggs, soy, legumes). Elena highlights personalized food sensitivities such as histamine intolerance and excessive fiber for IBS patients, recommending careful re‑introduction and symptom journaling. For peak performance, she introduces the “Wheel of Life” framework, suggests modest elimination diets (e.g., dry January, sugar reduction), and recommends daily habits like cold showers, breathwork (box breathing), and meditation. The episode wraps with rapid‑fire insights on bio‑hacking trends (David Sinclair’s biological‑age tracker, Oura Ring), favorite tools (Sensate vagus‑stimulating device), and resource recommendations (David Sinclair, Matthew Walker, Andrew Huberman, the book “Gut”). Elena’s final message encourages continual personal growth and proactive health stewardship.

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