The reason why women experience menopause is far more than hormone fluctuations. Over-consumption of carbohydrates is what Dr. Cutler believes is the underlying cause of menopausal symptoms. Taking a digestive enzyme and avoiding grains has helped her patients. She contends that grains cannot be digested and an autoimmune reaction develops that leads to symptoms of menopause. By simply avoiding grains for three weeks leads to substantial changes in symptoms.