If you are experiencing persistent bloating in your late 30s or 40s, especially if it seems to fluctuate, worsen over time, or become more noticeable after meals, you are not alone. Constant bloating is one of the most common digestive concerns I see in perimenopausal women. While it is common, it is not something to dismiss. It is also rarely caused by a single factor such as a food intolerance or weight gain alone. In most cases, perimenopause bloating reflects a combinatio