How the Keto Diet Affects Women’s Hormones After 40 (Science-Backed + What Actually Works)
Women’s Health After 40
How the Keto Diet Affects Women’s Hormones Over 40 — and How the Keto Zone Creates Both Biological and Psychological Transformation
If you’re a woman over 40 and you feel more tired, puffier around the middle, moody, and less like “yourself,” you’re not imagining it.
Hormones are shifting. The good news: your body is not broken. With the right way of eating and living, you can move into what I call
the Keto Zone — a state where your body burns fat efficiently and your mind feels clearer, calmer, and more stable.
By Don Colbert, M.D. | Divine Health
Why Hormones After 40 Feel Like a Storm
Around your forties, your hormones stop behaving politely. Estrogen begins to swing up and down, progesterone quietly drifts downward,
insulin creeps upward, and cortisol can stay “on” far longer than it should. Add in thyroid shifts and suddenly:
- Weight gathers around your waist even if your diet hasn’t changed.
- Sleep becomes lighter and more fragmented.
- Mood swings, anxiety, or low mood feel more intense.
- Hot flashes or night sweats show up at the worst possible times.
- Brain fog makes simple tasks feel exhausting.
For many women, this isn’t a character issue or “lack of willpower.” It’s physiology. When estrogen and progesterone change, they tug on
insulin, thyroid, and brain chemistry. That’s why an approach that only chases symptoms — another sleep aid, another antidepressant, another
diet that ignores hormones — rarely works for long.
your forties, fifties, and sixties can be some of your most energetic, focused years.”
What Is Ketosis — And Why It Matters for Women Over 40
Ketosis is a natural metabolic state where your body shifts from burning sugar (glucose) to burning fat as its primary fuel. When this happens,
your liver produces ketone bodies — mainly beta-hydroxybutyrate (BHB) — which your brain, muscles, and organs can use for energy.
For a woman over 40, this matters because high-carb, high-sugar eating keeps insulin elevated. Chronically high insulin:
- Locks fat inside fat cells (especially belly fat).
- Pushes your body toward inflammation.
- Can worsen estrogen dominance and PMS-like symptoms.
- Makes your energy rise and crash all day long.
A well-designed keto diet — rich in healthy fats, non-starchy vegetables, quality protein, and strategic fiber — lowers insulin,
stabilizes blood sugar, and encourages your body to burn stored fat. At the same time, ketones provide a cleaner-burning fuel for the brain.
What the Science Actually Shows
Before we go further, it’s important to be clear: the research I’m about to share does not test my specific
Keto Zone protocol, and it does not prove that any one diet or supplement will “normalize” hormones in every
woman between 40 and 60. Instead, these studies help explain why nutritional ketosis may support brain function,
inflammation balance, and metabolism in general — foundations that can indirectly help hormone health.
- Ketogenic Diet and Cognitive Function
A 2021 systematic review in Nutrition Reviews looked at ketogenic diets and cognitive outcomes in people with
neurological conditions such as Alzheimer’s disease, Parkinson’s disease, refractory epilepsy, and glucose transporter type 1
deficiency.1 The authors found that ketogenic interventions reliably raised ketone levels and, in several trials,
were associated with improvements in some measures of cognition or daily function compared with control diets. The review
stresses that more rigorous, long-term human data are still needed, especially outside of these disease populations. - Beta-Hydroxybutyrate as an Anti-Inflammatory Signal
A 2017 study in Scientific Reports examined beta-hydroxybutyrate (BHB) — the main ketone body during nutritional
ketosis — in rodent models exposed to acute and chronic stress.2 The researchers showed that BHB acted as an
endogenous inhibitor of the NLRP3 inflammasome, a key inflammatory pathway, and that this was linked to reduced inflammatory
markers and “antidepressant-like” behavior in animals. This is mechanistic work: it suggests how ketones can
calm certain inflammatory signals, but it does not mean BHB supplements or ketogenic diets treat depression in humans.
Together, these lines of evidence support a cautious, science-based statement: nutritional ketosis can provide an alternative fuel
for the brain and may help reduce certain inflammatory pathways in the body. Clinicians such as neurologist Dr. David Perlmutter
and gynecologist Dr. Sara Gottfried have drawn on this kind of research in their work with brain health, metabolism, and midlife
women, but even they emphasize individualization and the need for more data in perimenopausal and postmenopausal populations.3,4
None of this replaces medical care, and it does not prove that keto, the Keto Zone, or any supplement will “fix” hot flashes,
depression, thyroid issues, or relationship problems. Instead, think of the Keto Zone as one powerful framework that can
support better metabolic health — which your own physician can then integrate into a broader treatment plan.
The Keto Zone: Where Biology and Brain Chemistry Meet
Many people talk about ketosis. I use a bigger term: the Keto Zone.
The Keto Zone is that “sweet spot” where two transformations happen together:
- Biological: Your body is in nutritional ketosis, burning fat rather than sugar for fuel.
- Psychological: Your brain runs on ketones, which may support clearer thinking, more stable mood, fewer cravings, steadier energy, and better sleep.
When you’re in the Keto Zone, you don’t just lose weight. You feel different in your mind and emotions — less panicked, less driven by cravings,
more in control. For women over 40, that’s critical, because hormone swings are felt just as strongly in the brain as in the body.
Every major section of this article is really about that dual transformation:
ketosis + mental clarity
working together.
How the Keto Zone Specifically Impacts Estrogen, Progesterone, and Insulin After 40
Estrogen & Belly Fat
As progesterone falls in your forties, an older form of estrogen called estrone tends to rise, especially when there’s more body fat.
This “old lady estrogen” is produced in fat tissue and is associated with:
- Belly fat and back fat
- Sagging tissue and water retention
- Higher cholesterol and inflammation
High insulin and inflammation encourage this aromatase activity — your body converts more androgens into estrogen inside fat cells.
By lowering insulin and calming inflammation, a keto pattern can help reduce the hormonal drive to store fat around the middle and shift
the internal chemistry away from excess estrone. This doesn’t replace medical care, but it creates a more favorable metabolic environment.
Progesterone, Sleep & Mood
Progesterone is a calming hormone. It helps you fall asleep, stay asleep, and feel less irritable and anxious. It also supports healthy hair growth and
balances some of estrogen’s stronger effects. The problem: progesterone levels start dropping well before menopause.
When blood sugar is unstable — spiking after meals, then crashing — the body responds with cortisol surges. Those surges can aggravate insomnia and
night-time anxiety even further. Many women feel “tired and wired”: exhausted but unable to turn off their minds at night.
In the Keto Zone, blood sugar swings are smaller, insulin is lower, and cortisol demand is reduced. That calmer internal environment makes it easier
for bioidentical progesterone (if prescribed by a knowledgeable doctor) and your own remaining progesterone to do their job:
deeper sleep,
more emotional resilience, fewer evening cravings.
Insulin, Cortisol & Thyroid
Insulin, cortisol, and thyroid hormones are like three gears that lock together. When insulin stays high:
- Cortisol is more likely to stay elevated under stress.
- The thyroid may downshift to protect the body from perceived famine or overload.
- Fatigue, cold hands and feet, and slow weight loss become common.
Ketosis lowers insulin, which can reduce the pressure on both cortisol and thyroid. Early studies suggest ketogenic patterns can improve insulin
sensitivity and support metabolic rate, which indirectly helps thyroid function work more smoothly. It’s not a magic switch, but it is a powerful
tool in the toolbox.
Natural Food, Recipe, and Lifestyle Strategies to Support Hormones
Before we even talk about supplements or programs, let’s focus on the most powerful levers you control every day: what you eat, how you move,
how you wind down, and how you breathe.
A Sample Keto-Friendly Day for a Woman Over 40
Here’s an example of how a gentle Keto Zone-style day might look. This is not personal medical advice, but it shows the pattern:
- Morning: Coffee or tea with a tablespoon of healthy fat (like MCT oil powder or grass-fed butter), plus a small handful of nuts. No sugar, minimal cream.
- Late Morning: Scrambled eggs cooked in olive oil or avocado oil, with spinach, mushrooms, and a side of avocado.
- Afternoon: Big salad: mixed greens, arugula, cucumbers, olives, cherry tomatoes, pumpkin seeds, grilled salmon or chicken, olive-oil–lemon dressing.
- Evening: Non-starchy vegetables (broccoli, asparagus, Brussels sprouts) roasted in olive oil, plus a moderate portion of grass-fed beef, wild salmon, or pastured chicken.
- Snacks (if needed): Olives, a few macadamia nuts, celery with almond butter, or a small serving of berries with unsweetened coconut.
Notice what’s missing: sugar, refined flour, sweet drinks, and constant grazing. This pattern allows insulin to fall between meals and encourages
your body to tap into stored fat.
Fiber, Gut Health, and Estrogen Detox
The gut microbiome is deeply involved in estrogen metabolism. Certain gut bacteria produce enzymes that re-activate estrogen in the intestines,
sending it back into circulation. A diet rich in plant-based fiber feeds beneficial microbes and supports more balanced estrogen handling.
High-fiber foods to build into your keto pattern:
- Leafy greens (kale, spinach, Swiss chard)
- Cruciferous vegetables (broccoli, cauliflower, Brussels sprouts, cabbage)
- Avocado, chia seeds, flaxseeds, hemp seeds
- Fermented vegetables (sauerkraut, kimchi) for probiotics
This supports gut health, provides natural “detox” support, and makes it much easier to stay regular when you’re eating fewer carbs.
Sleep, Stress, and Gentle Movement
Hormones don’t respond to food alone. Chronic stress and poor sleep can undo much of the progress from a good diet. Simple but powerful habits:
- Evening wind-down: Dim lights at least an hour before bed, avoid bright screens, and keep your room cool and dark.
- Breathwork: 5–10 minutes of slow breathing (4 seconds in, 6 seconds out) lowers cortisol and helps you fall asleep faster.
- Gentle movement: Walking, light strength training, stretching, and time in natural light help insulin sensitivity and mood.
These lifestyle practices amplify the benefits of the Keto Zone and help your nervous system settle so your hormones can follow.
Watch: Understanding Estrogen & Progesterone After 40 (Hormone Longevity Ep. 1)
In this episode, Mary and I walk through the roles of estrogen and progesterone in a woman’s body, why symptoms often explode after 40,
and how natural strategies — including nutrition, detox support, and bioidentical hormones when appropriate — can help you age with strength
and grace.
What You’ll Learn in This Episode
- The three main estrogens (estradiol, estrone, estriol) and how they change with age.
- Why progesterone is so important for sleep, mood, and coping with stress.
- The difference between synthetic and bioidentical hormone approaches.
- How lifestyle, detoxification, and diet lay the foundation for hormone balance.
What the Science Actually Shows
Let’s look at two powerful lines of research that help explain why the Keto Zone can be so helpful for brain and hormone health — especially as you age.
- Ketogenic Diet and Cognition
A 2021 systematic review in Nutrition Reviews examined ketogenic diets and cognitive function in neurological diseases
(including Alzheimer’s disease, Parkinson’s disease, and epilepsy). The authors found that ketogenic interventions consistently raised ketone levels
and, in many trials, improved cognitive scores, memory, or daily functioning compared with control diets. While more long-term research is needed,
the review concluded that ketones provide an effective alternative fuel for the brain when glucose metabolism is impaired.
Read the Nutrition Reviews article →
- Beta-Hydroxybutyrate (BHB) as an Anti-Inflammatory Signal
A 2017 study in Scientific Reports described beta-hydroxybutyrate (BHB) — the main ketone body in nutritional ketosis — as an
endogenous inhibitor of the NLRP3 inflammasome, a key driver of inflammatory cytokines. By dampening this pathway, BHB reduced inflammatory
signaling in immune cells. This helps explain why nutritional ketosis may calm systemic inflammation and support healthier insulin signaling,
both of which are central to hormone health after 40.
Read the Scientific Reports study →
Clinicians like neurologist Dr. David Perlmutter and gynecologist Dr. Sara Gottfried have helped popularize this research, showing how nutritional
ketosis and lower-carb patterns can support brain function, metabolic health, and hormone balance in midlife women — when used wisely and individualized
to each person’s needs.
Supporting Hormones with Superfoods, Collagen, and Gut Health
Beyond macros, the quality of the foods you eat matters for hormone health. This is where targeted superfood powder blends,
superfood greens powder, collagen, and gut-supportive nutrients can play a helpful supporting role.
Many women over 40 benefit from adding a daily serving of a greens-focused blend such as a Green Supremefood or Red Supremefood
style formula. These provide concentrated phytonutrients, antioxidants, and plant compounds that help calm inflammation and support liver detox — both essential
for handling estrogen safely.
As estrogen declines, collagen production in the skin, joints, and gut lining also drops. A high-quality collagen powder that includes
collagen peptides types I, II, and III can support skin elasticity and joint comfort, especially when offered in enjoyable options like
chocolate collagen powder and vanilla collagen powder.
Finally, your microbiome remains a major player. Gut health supplements such as probiotics with prebiotic fiber help shape
the “estrobolome” — the gut bacteria involved in estrogen metabolism. A product similar to a Fiber Zone blend plus a
Zone Biotics Probiotic-type formula can work together to support estrogen detox, bowel regularity, and immune balance.
Dr. Colbert’s Recommended Supplements & Books for Supporting Hormones Over 40
Once diet, lifestyle, and sleep fundamentals are in place, many women choose to layer in targeted support. Here are some of the tools I use most often
in my practice to help women step fully into the Keto Zone and stay there.
MCT Oil Powder (Chocolate, Vanilla, Hazelnut, Coconut)
A high-quality mct oil powder helps you raise ketone levels quickly, curb cravings, and experience smoother, more stable energy — without the
digestive upset some people get from liquid oils. Flavors like chocolate MCT oil powder, vanilla MCT oil powder,
hazelnut MCT oil powder, and coconut MCT oil powder make it easy to enjoy in coffee or smoothies.
Fiber Zone (with Prebiotic Support)
A formula like Fiber Zone combines soluble and insoluble fiber to support regularity, feed beneficial bacteria, and help your body
carry excess estrogen out through the digestive tract. This dovetails with keto by supporting fullness and smoother digestion.
Zone Biotics Probiotic
A robust probiotic such as Zone Biotics Probiotic falls into the category of gut health supplements.
It helps seed the gut with friendly bacteria that support immune balance, mood, and the enzymes involved in estrogen metabolism.
Collagen Powder (Types I, II, III)
A multi-type collagen powder with collagen peptides types I II III supports skin, joints, and gut lining —
all of which feel the loss of estrogen. Enjoyable options such as chocolate collagen powder and
vanilla collagen powder make it easier to be consistent.
Enhanced Multivitamin
A comprehensive, Enhanced Multivitamin-style formula fills in nutrient gaps that affect thyroid, adrenal, and sex hormone pathways,
including B vitamins, magnesium, zinc, and trace minerals often depleted by stress and modern diets.
NAD+ for Cellular Energy & Longevity
NAD+ for cellular energy supports mitochondrial function and healthy aging. While it is not a “youth pill,”
a well-formulated NAD+ powder can support energy production and is often grouped with other longevity supplements.
Nano-Glutathione
Nano-Glutathione focuses on the body’s master antioxidant system. It helps support liver detoxification of hormones and
environmental toxins and is often used as part of a broader anti-inflammatory supplements protocol.
Get the Full Plan
For a deeper dive into the Keto Zone lifestyle and hormone support, I recommend combining my Keto Zone Diet with
Hormone Zone. Together, they lay out the nutritional, hormonal, and spiritual principles I use in my own practice.
People Also Ask
What are the best supplements for women over 40?
There is no single “best” supplement, but many women over 40 benefit from a quality multivitamin, extra magnesium, omega-3s, a
gut health supplement (like a probiotic), and targeted support such as collagen powder,
mct oil powder, and gentle hormone-supportive formulas when needed.
What supplements should women take for hormone balance?
Start with diet, sleep, and stress first. Then consider nutrients that support hormone pathways: a strong multivitamin, magnesium, vitamin D3 with K2,
omega-3s, and gut-focused tools like Fiber Zone-type blends and probiotics with prebiotic fiber.
Work with a knowledgeable practitioner before adding any hormone-specific supplements.
How to support hormones naturally during perimenopause?
Eat a lower-sugar, nutrient-dense diet (such as a Keto Zone-style plan), prioritize sleep, manage stress, build in daily movement,
support gut health with fiber and fermented foods, and reduce exposure to environmental toxins. These foundations help your body use and clear hormones
more effectively.
What is the best collagen powder for skin and joints?
Look for a collagen powder that contains multiple types of collagen peptides, especially
collagen peptides types I II III, sourced from grass-fed animals and free of unnecessary sugars or additives.
Flavors like chocolate collagen powder and vanilla collagen powder can make daily use more realistic.
Is MCT oil powder good for weight loss and energy?
MCT oil powder can raise ketone levels, support appetite control, and provide a smoother energy curve for many people.
It’s not a magic bullet, but when combined with a well-designed keto or low-carb plan, it can help you enter and stay in the Keto Zone more easily.
What does NAD+ do for aging and metabolism?
NAD+ is a molecule involved in cellular energy production and DNA repair. Levels often decline with age. A carefully formulated
NAD+ for cellular energy supplement may support mitochondrial health and healthy aging, especially when paired with a
nutrient-dense diet and regular movement.
Is glutathione good for detox and inflammation?
Glutathione is one of the body’s main antioxidants and plays a central role in liver detoxification. A form like Nano-Glutathione
can help support your natural detox pathways and antioxidant defenses, but it should be part of a broader strategy that includes diet, hydration, and
reduced toxin exposure.
better sleep, daily walking, and some quiet time with the Lord. Supplements work best on top of strong foundations — not instead of them.
Scripture & A Short Prayer
“For I will restore health to you, and your wounds I will heal, declares the Lord.” — Jeremiah 30:17
Heavenly Father, thank You for the way You have designed my body — with the ability to heal, adapt, and renew.
Give me wisdom to care for my hormones, my mind, and my metabolism in a way that honors You.
Help me make daily choices that move me toward the Keto Zone — clarity, peace, and steady energy — so I can serve You and love others well.
In Jesus’ name, Amen.
Infographic Outline: “The Keto Zone & Hormones After 40”
- Panel 1: “Hormone Roller Coaster After 40” – visual of estrogen, progesterone, insulin, cortisol curves.
- Panel 2: “What Is Ketosis?” – simple graphic of glucose vs. fat as fuel.
- Panel 3: “The Keto Zone Defined” – body (ketosis) + brain (clarity, mood, cravings, energy).
- Panel 4: “Estrogen & Belly Fat” – link between insulin, aromatase, and estrone.
- Panel 5: “Progesterone & Sleep” – how blood sugar stability supports restful nights.
- Panel 6: “Natural Daily Rhythm” – sample Keto Zone day (meals, movement, sleep).
- Panel 7: “Gut & Estrogen Detox” – fiber, probiotics, and the estrobolome.
- Panel 8: “Tools for Support” – subtle icons for superfoods, collagen, gut health, NAD+, and glutathione.
Medical Disclaimer: This information is for educational purposes only and is not intended as a substitute for personalized medical advice,
diagnosis, or treatment. Always consult your healthcare provider before starting or changing any diet, exercise program, hormone therapy, or supplement regimen,
especially if you have existing medical conditions or take prescription medications.












