
Heads and Tails
Episode 33: Hormones, Herbs & Hot Flashes: What Integrative Menopause Care Really Looks Like with Dr Suzanne Gilberg
What if menopause care didn't have to be a choice between conventional medicine and "natural" medicine? In this episode of Heads & Tails , Dr. Kate White and Jay White sit down with Dr. Suzanne Gilberg-Lenz , board-certified OB/GYN, integrative medicine physician, clinical Ayurvedic specialist, herbalist, breast cancer survivor, and author of Menopause Boot Camp . Together, they explore what menopause care can look like when we stop treating it as a one-size-fits-all problem. Dr. Suzanne reframes menopause as a developmental and physiologic transition—not simply a collection of symptoms to eliminate. She shares how she integrates conventional medicine with lifestyle interventions, botanicals, Ayurveda, mindfulness, and individualized hormone and nonhormonal options. They discuss: • Why perimenopause can leave women saying, "I just don't feel like myself." • Menopause as transformation rather than simply loss • What Ayurveda can teach us about individualized health and lifestyle • The difference between "natural" and automatically "safe" • Botanicals commonly discussed in menopause care, including chasteberry/Vitex, Siberian rhubarb, black cohosh, ashwagandha, and berberine • Why supplement quality, dosing, interactions, and sourcing matter • Hormone therapy—and why it should not be framed as the only tool available • Options for women who cannot or do not want to use systemic hormone therapy • Why sleep, exercise, resistance training, mental health, and stress regulation still matter even when using hormones • The changing gut microbiome in midlife • Why treatment sometimes requires experimentation, adjustment, and patience • How to find a clinician willing to listen, learn, and partner with you • Why trusting your own body can sometimes be lifesaving One of the biggest messages from this conversation: you do not have to choose a camp. Good menopause care can include evidence-based medicine, lifestyle, appropriate complementary therapies, curiosity, and shared decision-making. And perhaps most importantly: if something feels different in your body, keep asking questions. Heads & Tails — where midlife gets a reframe. Share this episode with a friend who is trying to figure out her own menopause toolkit, and send your questions to the Heads & Tails team. This podcast is for education and entertainment and does not substitute for individualized medical or mental health care.

