Nutritional strategies to manage cholesterol, blood pressure, insulin resistance and metabolic syndrome in perimenopause and menopause. Risk factors to heart health include hormonal changes, autoimmunity, the gut microbiome and oral microbiome . Dysbiosis of the gut microbiome causing systemic inflammation affect scardiometabolic health. Strategies: mediterranean diet, strength training, probiotics, prebiotics

beetroot is high in betaine, a phytonutrient that supports gallbladder health and good bile flow