The Dr. Greg Show

Ep. 13 | Why You Feel Puffy and Inflamed


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If you’ve been waking up puffy, swollen, bloated, or inflamed “for no reason,” this episode explains what your body is really trying to say.

Dr. Greg breaks down the most common root causes of inflammation during perimenopause — from lymphatic congestion and cortisol shifts to blood sugar spikes, gut irritation, and hidden infection or toxicity — and why conventional labs often miss these patterns.

You’ll learn why that heavy, swollen feeling isn’t just “weight gain,” how estrogen fluctuations amplify fluid retention, and what simple daily shifts can help your body drain, detox, and feel lighter again.


By the end of this episode, you’ll understand:

• Why puffiness is a signal, not a personal failure

• How lymphatic stagnation increases inflammation

• The blood sugar–insulin connection to water retention

• How cortisol dysregulation slows detox pathways

• Why gut inflammation contributes to bloating and fluid shifts

• The difference between “normal labs” and optimal physiology


If you’ve been feeling puffy, swollen, or inflamed and wondering what changed — this episode will bring clarity.


Resources & Next Steps:

Preorder “Power Over Perimenopause”

https://go.drgreghealth.com/power-over-perimenopause


Hormone Symptom Tracker

https://drgreg.practicebetter.io/#/5e8a349a2a982306d08c1c14/forms?f=6807f2f8c009a18d7c98e558


Ask Dr. Greg a Question

[email protected]


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Keywords: perimenopause inflammation, puffy face perimenopause, bloating midlife, lymphatic congestion, estrogen fluid retention, cortisol inflammation, blood sugar and swelling, leaky gut symptoms, functional medicine, women’s health podcast


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The Dr. Greg ShowBy Dr. Greg Mongeon