DOC MAC'S GUT PROTOCOL MODULE SEVEN MENOPAUSE GUT and L -GLUTAMINE “Doc, in ​Module One​, we learned that we are nothing but tubes filled with trillions of microorganisms. In ​Module Two,​ you wrote about how we need to feed these microbes with plant fibers called prebiotics. In ​Module Three​, we learned that increasing the variety of bacteria within our microbiome can be achieved by consuming fermented foods and supplementing with specific probiotics. In Module Four, we learned how the gut’s lining, a one-cell-thick epithelium, becomes damaged by inflammatory processed foods, medications, and environmental toxins. In ​Module Five​, we learned how to make and use Bone Broth to heal the damage done to the gut’s inner lining. In Module Six, we learned about the function of collagen and how to supplement it effectively. Are there any other supplements that will help? Introduction: Yes, and if you think your gut is leaking and the odds are high that it is, if you are in menopause, then you should look into consuming a sufficient amount of an amino acid called L-Glutamine. Recall that amino acids are the building blocks of proteins. L-Glutamine is classified as an essential amino acid, meaning our body cannot make it on its own. I suppose it's best to call it an almost essential amino acid, as the body can produce L-glutamine. Still, we require additional L-Glutamine when menopausal. The ovarian hormones play a crucial role in maintaining the integrity of the gut lining. As estrogen levels decline and ovulation ceases, ovarian progesterone and testosterone production cease; this disruption in hormones defines menopause. Menopause has an adverse effect on the gut’s microbiome and its mucosal barrier. The decline in hormones makes the epithelium more permeable, increasing the risk of a “leaky gut,” where toxins, undigested food particles, and harmful microbes can escape into the bloodstream. This breach not only triggers systemic inflammation but also contributes to bloating, food sensitivities, and autoimmune responses. In essence: "Menopause doesn’t just pause your period—it can unravel your gut lining, leaving your digestive and immune systems more vulnerable than ever." When the gut is damaged, the stress caused by this damage necessitates L-Glutamine supplementation. L-glutamine builds proteins, hormones, and neurotransmitters, and if you have read any of my content, you know I am all about protein, hormones, and neurotransmitters. I shared a story in the collagen module about how my mother repaired my fishing net while I learned to surf fish in Mazatlan, Mexico. I joined a group of men who were fishing for baitfish. If the net’s mesh is too large, the small baitfish would slip through the apertures. Mine had a hole in it and my mother not only knew how to fix it but did so. In the last module, you learned that when the gut is damaged, collagen builds a scaffold-like structure around the damage. L-glutamine is the amino acid that acts as the workers on the scaffold, repairing the mesh and making it less permeable. It does this in various ways. It feeds the epithelium’s cells, produces a protective mucus layer, and tightens the epithelial junctions. L. - Glutamine Feeds the Beneficial Microbiota L-glutamine can serve as a fuel source for gut bacteria, particularly beneficial bacteria such as Lactobacillus and Bifidobacterium, leading to an increase in the population of these beneficial bacteria, which are essential for overall gut health and digestion. L - Glutamine Feeds the Epithelium: L-glutamine is a food for our enterocytes, the cells that make up the epithelium. It provides them with the energy they need to function, repair damage, and regenerate. L - Glutamine Helps Make Mucin: L-glutamine supports the production of mucin—a key component of the protective mucus layer that lines the gut. Mucin is composed of large, heavily glycosylated proteins, which L-Glutamine helps nuild. Mucin playz a crucial role in maintaining gut health and homeostasis by physically and chemically shielding the epithelial cells. L - Glutamine as a Sealant: L-glutamine forms a seal between intestinal cells, preventing menopausal-induced "leaky gut" and maintaining a strong intestinal barrier. L - Glutamine as an Anti-Inflammatory: With L-glutamine feeding these cells, creating mucin to protect it, and sealing the junctions, there will be less inflammation, and the less the inflammation, the better our health and life spans will be. L-glutamine is also essential for the next line of defense, our Lamina Propria, where our lymphocytes, immune cells, reside. L-GLUTAMINE AND COLLAGEN Collagen builds the framework for repair, while L-glutamine provides the resources to actively fix and regenerate the gut lining. Without L-glutamine, the collagen may remain unused—without L-glutamine, the gut can't rebuild efficiently. However, with both, you have a complete and functional repair system. FOOD SOURCES OF L-GLUTAMINE Animal-Based Sources:
As you can see, the Meso-Menu supplies all the animal proteins necessary to provide the body with L-Glutamine. You can see why I love being a carnivore. Plant-Based Sources:
L-GLUTAMINE Vs GLUTAMINE FYI: L-glutamine is one of two forms of glutamine, the other being D-glutamine. L-glutamine is the form that is naturally produced by the body and found in foods and supplements. D-glutamine is less common and has limited biological activity in humans. A SCIENTIFIC QUOTE ABOUT L-GLUTAMINE “Recent research has shown that the amino acid glutamine can positively affect gut health by supporting the gut microbiome, gut mucosal wall integrity, and by modulating inflammatory responses.” ​Food Science and Human Wellness​ L-GLUTAMINE SUPPLEMENTATION The standard daily dose for gut health is approximately 5 grams (approx. 1 teaspoon) once or twice daily. When repairing your gut, science usually calls for more. Most gut experts recommend taking several 5–10 grams per dose, up to 20–30 grams per day (divided into 2–3 servings). When using this dosage, it should be used only for a short term. ⚠️ Always consult with your healthcare practitioner to guide you on dosage and frequency of any supplement. I prefer to take 5 grams daily and take the longer, safer course. I also prefer the powder form. It’s more absorbable and gut-friendly than capsules. I mix it in water, not hot drinks (heat can degrade it). When I am using it for gut repair, I avoid taking it with protein or other amino acids, as they may compete for absorption. Below is a powdered form of L-Glutamine you can investigate at Amazon. ​L-GLUTAMINE POWDER​ I know that many people would rather use a capsule. I also know that when using a capsule of any supplement, I am more consistent. If you would rather use a capsule, here is an Amazon link. ​L-Glutamine Capsules​ Precautions Avoid mega-dosing (more than 10 grams) long-term without supervision—it can affect ammonia levels in some people. People with liver or kidney disease, or a history of cancer, should check with their provider first. Side effects include mild stomach upset if dosed too high too fast—start low, go slow. Doc’s Tip Combine L-Glutamine with Prebiotics, Probiotics, Bone Broth, and collagen. ​ ​Garlic-Ginger Beef & Spinach Sauté​ ​​​ ​TAME MENOPAUSE The chasm menopause causes between two of your ovarian hormones becomes larger and larger the deeper you enter menopause, and the larger the chasm, the more symptoms related to menopause you will have. Here are the symptoms of the hormone condition menopause causes, called estrogen dominance.
If you have developed these symptoms once ovulation ceased, the most important step to taming them is to lose your belly fat. "Belly fat makes you even more estrogen dominant." I have learned over the past 45 years of practice that everyone is unique. They have different hormone problems, metabolisms, food likes and dislikes, personalities, and schedules. If you would like me to customize a menu for you to lose your belly fat, which is more than half the battle when it comes to taming menopause and its estrogen dominance, text me to schedule a free menu planning consultation. Remember, I am retired. I do this because I am excellent at optimizing hormones and weight and lousy at golf. It is also my God-given purpose. I say it is my God-given purpose, without my tongue in my cheek, because I have never done anything else. She better not tell me when I meet Her that I was supposed to be a rockstar, or we are going to have words. Kidding aside, I honestly will tell you the exact menu to eat to rid yourself of menopausal belly fat and its coinciding estrogen dominance. The old ways of cutting calories and exercising will no longer work when you become menopausal because you no longer produce fat-burning hormones, and you can’t burn fat without them. "If you don’t tame estrogen dominance, you will gain your weight back." If you want me to customize a menu for you to lose your menopausal excess weight and belly, text me. Why text? I have had hundreds of women schedule a consultation with me through my scheduling software, and I have had hundreds not answer when I call. I am traveling most of the time, and I do my best to be stationary when I consult with you. It is so disappointing when she doesn’t answer, even with several reminders. I've found that if you want to know the best menu for you, you’ll have the courage to text me. Once we find a time that works for both of us, you'll usually answer. I do this for you. It’s free! Text me at 209-345-9799, and I will schedule a consultation that is convenient for both of us and I will create a customized menu tailored to your needs. Again, text "I'm interested" to 209-345-9799. ​ ​This Week's US-IE Visiting Clearwater Florida This is a photo of Vicky and I as we visit our eldest son and our three grandchildren he has provided us in Florida. ⛱️ The Macs Hormone and Weight Optimization Author and Coaches HOPE isn’t just a feeling. It’s a protocol—and it’s waiting for you. 💖 ​ ​ ​ Disclaimer: The information provided in this newsletter is for educational purposes only and is not intended as medical advice. Always consult with your healthcare provider before starting any new supplement, including zinc, especially if you have a medical condition, are pregnant, or are taking medications. Individual needs may vary; this content does not replace the advice of a professional medical expert. © 2025 Doc Mac Coaching. All rights reserved. |
I have practiced hormone and weight optimization for over forty-five years. I retired 10 years ago; at least, that is what I thought. When I retired, my wife and I owned and operated several medical clinics specializing in hormone and weight optimization. We discovered that as a woman enters menopause, her hormones become disrupted, causing many women to gain weight rapidly, and no matter what they do, not be able to lose it. If that has happened to you, text me at 209-345-9799. I have found that those who text me are serious about creating the body they desire. Once I receive your text, I will find a convenient time for you to speak with me. During our conversation, I will customize a gourmet weight loss menu for you, and tweak it until it works. Our menus have no caloric restrictions or frequency of meals. There is no charge! 👍 Doc
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