The 38 Trillion Residents Controlling Your Weight
This is the part that most people find hardest to believe.
Inside your gut, right now, live approximately 38 trillion microorganisms. Bacteria, fungi, viruses — collectively called your microbiome. And they are not passengers. They are actively involved in how many calories you extract from food, how your hormones behave, and whether your body stores or burns fat.
The research on this has exploded in the last five years. And what it shows about women over sixty is sobering.

The technology making this measurable:
- Zoe — a British company that analyses your gut microbiome alongside glucose response and blood fat levels. Their programme gives you a personalised food scoring system based on your biology, not a generic guideline.
- Atlas Biomed — posts you a home testing kit, analyses over 500 bacterial species, and produces a detailed report on which foods your specific microbiome processes well or poorly.
- Thryve Inside — combines microbiome analysis with a custom probiotic formulation based on what’s missing in your individual gut profile.
What this means for your weight — the finding that changes everything:
One hundred and sixteen calories a day. Every day. That is over 4 kilograms of difference in a year — not from eating differently, but from how differently two guts process identical food.
hat is over 15 kilograms of difference in a year between two women eating the same food.
More specifically: a bacterium called Akkermansia muciniphila — which regulates fat storage and insulin sensitivity — drops sharply after menopause. Women with low levels of this bacterium consistently show higher visceral fat accumulation and greater insulin resistance, regardless of diet.
Here is what makes this particularly cruel: the antibiotics commonly prescribed to women in their sixties can devastate gut diversity for months. And without active intervention, many women never rebuild it.
The hunger you feel after “enough” food. The sugar cravings you can’t explain. The low mood that arrives without reason. These are frequently gut signals — not character flaws.
What comes next is perhaps the most overlooked driver of weight gain in women over sixty — and it happens while you sleep.
Page 3 of 7