All Episodes

April 30, 2025 49 mins

"It's not just about HRT or not...it's about realizing that the landscape has changed, and the playbook has changed. Full stop." 


Powerful words from Dr. Kirsten Smith set the stage for an enlightening conversation about what women really need during the menopause transition. Drawing on her extensive 15+ years of experience as a naturopathic doctor specializing in women's hormonal health, Dr. Smith challenges the simplistic narratives around hormone therapy and offers insights you likely won't hear in a standard medical appointment.


In This Episode: 

  • The true role of hormone therapy—valuable but just one tool in your health toolkit 
  • The shocking connection between hormonal changes and mental health, including increased suicide risk in women aged 45-55 
  • Why conventional antidepressants might fail during perimenopause 
  • The art and science of hormone dosing, and why your perfect dose might be completely different from your friend's 
  • Red flags that your hormone dose might need adjustment 
  • The critical gaps in medical training around women's health 
  • How to find healthcare providers who understand the complexities of menopause 
  • Practical strategies for building a complete approach to lasting health during menopause and beyond


Dr. Smith expands the conversation beyond hormones to address the complete picture of women's health during this transition, acknowledging that midlife health "does require more work.” But she also offers the reassurance that perfection isn't required—just consistent attention to the foundations of health. Whether you're currently on hormone therapy, considering it, or seeking alternatives, this conversation provides important information to help you advocate for yourself and make informed decisions about your health.


This podcast is brought to you by IRIS. Daily care products made with clean ingredients for hydrated vulva and vaginas. Use code TIP20 for 20% off at lovemyIRIS.com. 


Connect with Mikelle & Michelle at This is Perimenopause



Dr. Kirsten Smith, ND | MSCP (cand.) | Visionary Women’s Health Expert | Integrative Hormone Specialist


For over 16 years, Dr. Kirsten Smith has redefined care for women navigating perimenopause and menopause, blending cutting-edge evidence-informed science with the wisdom of naturopathic medicine. Her pioneering work bridges the gap between conventional diagnostics and holistic healing, offering women a third path - one where bioidentical hormones (HRT), targeted nutrition, and evidence-backed botanicals work in harmony to restore vitality.


Based between Ontario’s forests and Costa Rica’s Pacific coast, Dr. Smith aims for the balance she teaches: mornings analyzing menopause research and doing patient consul

Mark as Played

Advertise With Us

Popular Podcasts

Stuff You Should Know
Dateline NBC

Dateline NBC

Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com

On Purpose with Jay Shetty

On Purpose with Jay Shetty

I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!

Music, radio and podcasts, all free. Listen online or download the iHeart App.

Connect

© 2025 iHeartMedia, Inc.