Expert trainer Laura Tarbell in a pair of red pants and black tube top teaching you about gut health.

Gut health and performance are far more connected than most people realize. It’s easy to think of digestion as simply the process of breaking down food, but in reality, it’s a central control system for how the body produces energy, recovers from training, regulates inflammation, and adapts to stress. When this system is functioning well, the body responds correctly to training by getting stronger, leaner, and more conditioned. But when it’s not, progress can slow or stall altogether, regardless of how disciplined your training or nutrition habits may be.


Where Performance Starts

At a certain point, results are no longer determined by how hard you’re working but rather by how well your body can actually utilize what you’re giving it; namely, how efficiently the body can use the nutrients it receives. The gut is central to this process, influencing the breakdown and absorption of amino acids for muscle repair, the regulation of carbohydrates for training fuel, and the availability of micronutrients that drive cellular energy production. When digestive efficiency is compromised, these systems become less reliable—and the body’s ability to recover, adapt, and perform begins to decline.

This is where the connection becomes measurable. Research has shown that chronic stress and elevated cortisol can suppress muscle protein synthesis while simultaneously increasing protein breakdown, shifting the body away from an anabolic (building) state, even in the presence of adequate training and nutrition. In other words, the same workout that once drove adaptation now doesn’t produce a response.


The Gut Health Drop-Off

Gut dysfunction can manifest as a lack of training progress. When the digestive system is inflamed or imbalanced, the body shifts into a more protective state; more specifically, inflammatory signaling and elevated cortisol can impair fuel utilization, disrupt electrolyte balance, and increase perceived effort during training, making your workouts feel even harder. At the same time, poor digestion limits access to key nutrients like magnesium, potassium, amino acids, and B vitamins—nutrients essential for hydration, metabolism, and sustained energy output. Add in sluggish motility that impacts normal bowel movements, and the result can be a physique that doesn’t look the part despite being on plan. 

In the face of this shift, athletes may decide to increase cardio and “tighten up” their nutrition, only to find themselves feeling flatter, more fatigued, and holding more water. In many cases, this isn’t a discipline issue but an underlying system issue.


The Stress-Gut Connection

One of the fastest ways to disrupt digestion (and therefore your gut health) is through stress, and for many women, it comes from multiple directions at once. High training output, long cardio sessions, under-fueling, and inadequate recovery all signal stress to the body. In response, blood flow is diverted away from the digestive system, stomach acid and enzyme production decline, and motility slows. The body becomes less efficient at breaking down and absorbing nutrients—ironically, the same nutrients needed to recover and improve.

Layer on the mental stress of modern life—career demands, parenting, poor sleep, and constant decision fatigue—and the system becomes even more taxed. Chronic sympathetic dominance (also known as fight-or-flight) leaves little room for the parasympathetic state required for optimal digestion.

Over time, this chronic stress can begin to impact the integrity of the gut lining itself. Under prolonged stress and inflammation, the tight junctions that regulate what passes through the intestinal barrier can become less selective, a condition known as increased intestinal permeability. When this occurs, unwanted particles and bacterial byproducts can enter circulation, triggering immune activation and systemic inflammation. For high-performing women, this often shows up as persistent bloating, skin flare-ups, water retention, increased food sensitivities, and a body that feels inflamed, fatigued, and resistant to change.


When digestive efficiency is compromised … the body’s ability to recover, adapt, and perform begins to decline.


Your Internal Performance Regulator

Farther along the digestive tract lies the microbiome, a complex ecosystem of trillions of bacteria that influences everything from metabolism to recovery to immune function. When this ecosystem is balanced, it supports efficient digestion, stable energy, and proper inflammatory control. But when it becomes disrupted, whether from stress, diet, or lifestyle factors, the ripple effects can be widespread.

Microbial imbalances can impact gut health by affecting nutrient absorption, increasing inflammation, altering insulin sensitivity, and even influencing neurotransmitter production. This includes compounds like serotonin, known as the “feel-good neurotransmitter,” which plays a role in regulating mood, promoting feelings of happiness, calmness, and emotional stability. The result is often subtle at first: inconsistent energy, poor recovery, disrupted sleep, or stubborn changes in body composition. But over time, these small shifts add up to noticeable performance decline.

And even the most dialed-in training program can fall short if the system supporting it is compromised.


Hormones, the Gut, and the Female Athlete

Hormonal shifts add another layer to the gut-performance connection, particularly for women. Three major phases—puberty, pregnancy, and perimenopause—can significantly influence the microbiome. Changes in estrogen and progesterone affect gut motility, enzyme production, microbial diversity, and even the integrity of the gut lining.

During perimenopause, these changes often become more pronounced due to shifts in the estrobolome, the collection of gut bacteria responsible for metabolizing estrogen. When this system is disrupted, estrogen balance can be affected, leading to increased inflammation, water retention, and changes in fat distribution.

Supporting gut health during this phase becomes critical. Prioritizing fiber intake (25 to 35 grams per day), especially from prebiotic sources like oats, flaxseeds, legumes, and vegetables, can help nourish beneficial bacteria. Incorporating fermented foods such as yogurt, kefir, or kimchi, along with polyphenol-rich foods like berries, dark chocolate, and green tea, can further support microbial diversity and overall gut function.


When Your Gut Is Limiting Performance

If you suspect your gut may be curbing your results, the solution isn’t to immediately add supplements—first you need to remove what’s overwhelming the system.

Start by reducing the total stress load on your body. This means taking an honest look at training volume, excessive cardio, under-fueling, sleep debt, and the demands of a constantly “on” lifestyle. From there, focus on restoring digestive capacity by supporting the parasympathetic “rest and digest” state. Slow your meals down, sit while eating, chew thoroughly, and create space between stress and food. Simple habits like getting outside, incorporating breathwork, and scheduling deload periods can significantly improve how your body processes and utilizes nutrients.

Only after these foundations are in place should you consider more targeted strategies. Rather than guessing with supplements, personalized testing can help identify whether the issue lies in digestion, absorption, inflammation, or microbial imbalance, allowing for a more precise and effective approach.


Performance Gut Check

There are clear signals that your digestive system may be holding back your performance, and they’re often easy to overlook or brush off. Chronic bloating, inconsistent digestion, or frequent discomfort aren’t just minor inconveniences, they’re signs that recovery and nutrient absorption are already compromised. Eating quickly, on the go, or in a stressed state can limit how effectively your body breaks down and uses nutrients, regardless of how well your diet is structured. Large day-to-day fluctuations in weight, persistent water retention, or a constant feeling of inflammation may point to internal stress rather than a need to further restrict calories. And if progress has stalled despite consistency in training and nutrition, it may be time to look beyond macros and consider how well your body is actually processing what you’re giving it.


At higher levels of athletic performance, success is no longer just about doing more. Training hard and eating well are only part of the equation. The systems that support those efforts, especially the digestive system, determine whether that work translates into results. If your body isn’t responding the way it should, the answer may not be in your program—it may be in your gut.


Written by Laura Tarbell

Photography by Paul Buceta

Hair & Makeup by Lori Fabrizio

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Laura Tarbell
Trainer and competitor Laura Tarbell is an IFBB Bikini Pro, a NWHBC board-certified wellness coach, and certified hormone health coach. She also appeared on the cover of STRONG's Best Body Guide Volume 10.