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September 25, 2025 51 mins

In this episode of The Positive Pause®, host Claire Gill sits down with integrative and hormonal medicine expert Shivani Doctor, PA-C, BHMS, MPAS, founder of Integrative Health and Aesthetics in Springfield, VA, for a discussion to help demystify midlife women’s health by covering what integrative/functional medicine actually is, how to spot hormone-driven symptoms (beyond hot flashes), when and why bioidentical hormone therapy can help, and the everyday nutrition/movement habits that support thriving, not just “getting through” menopause.

With advanced training in bioidentical hormone therapy and a background in integrative medicine and counseling psychology, Shivani specializes in midlife women’s health, hormonal balance, and lifestyle-based treatment strategies. Her practice helps women navigate perimenopause, menopause, and post menopause with personalized care rooted in both science and compassion. She blends her background in integrative medicine and counseling with advanced training in Western medicine to deliver personalized, functional and integrative care. Her unique approach combines evidence-based medicine, lifestyle therapies, and a deep commitment to whole-person wellness.


Key Concepts Covered:

  • What “integrative/functional medicine” means
  • Midlife focus & hormones
  • Upstream & downstream matters
  • Commonly missed symptoms
  • Bioidentical vs synthetic hormones
  • Guidelines & the evidence gap
  • Advocacy with clinicians
  • Nutrition foundations that support hormones
  • Vitamin D3 + K2 & bones
  • Movement priorities in midlife

Menopause care should be proactive, personalized, and whole-person. If your symptoms are dismissed, seek a menopause-savvy clinician, review reputable resources (e.g., NAMS), and advocate for a plan that matches science and your body. Bioidentical HRT can be life-changing, often restoring sleep, cognition, mood, sexual health, and comfort. Pair therapy with lifestyle pillars for best results.

Connect with Shivani Doctor, PA-C:

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