Dr. Kirsten Smith, ND

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Dr. Kirsten Smith, ND Integrative Naturopathic Doctor and Menopause Society Certified Practitioner, elevating women through perimenopause & menopause ⚡️

Dr. Kirsten Smith, Naturopathic Doctor (ND) and Menopause Society Certified Practitioner (MSCP), bridges the gap between current medical diagnostics, evidence-based naturopathic medicine, and functional medicine to provide optimal integrative solutions for her patients. She is committed to excellence in her services, offering safe, current, and effective care, and works collaboratively with other healthcare practitioners to offer optimal health care solutions.

“I just don’t feel like myself.”I hear this verbatim all the time in practice.And no, I don’t think every bad mood, forg...
10/11/2026

“I just don’t feel like myself.”

I hear this verbatim all the time in practice.

And no, I don’t think every bad mood, forgotten word, sleepless night, or desire to disappear into the woods is automatically perimenopause. If only it were that simple.

Sometimes these things are caused by other things - no question.

But during a certain age/ stage of our lives obviously hormones have to be considered, once other things have been ruled out.

Estrogen and progesterone impact the brain so the hormonal shifts of perimenopause can very much affect sleep, mood, anxiety, cognition, and stress tolerance.

If you’ve been feeling this way - it may be time to take a closer look. Book with me using the link in my bio.

10/08/2026

Incredibly inspired by my patients. True to form, GenX doesn’t take it lying down.

A pick me up today if you feel like you need a hit of hope.

The future is bright ladies, but you have to choose the wolf you feed.

The Second Spring is real!!!!.

Act accordingly. 🚀💪🏻🫶

Dr Kirsten

Perimenopause happens to your relationships too. Strange to think of it that way, but that’s the reality.Mood is way off...
10/07/2026

Perimenopause happens to your relationships too. Strange to think of it that way, but that’s the reality.

Mood is way off. Brain fog. Sleep is crap. Less patience. No capacity. Libido zapped. We are so focused on how to survive that thinking about what our partners (or kids) are experiencing is not even on the radar.

I can tell you however that men are aware that something major is happening…but are deeply lost.

I wrote this one for them, for the men who love women going through perimenopause and want to make it better; who want to understand.

Knowledge is power and if I can break down the most common changes women go through AND offer some tips on how to make this phase of life feel less tough and more connected, I am here for it.

She doesn’t need fixing because she’s not broken, but she’d surely appreciate it if you’d learn the basics about how she is transforming and understand then, why it’s so taxing.

Having context and curiosity, and having some ideas about how to be supportive is the special sauce of both protecting her while she changes, and protecting your relationship. It is worth the short read, I promise you.

If you’re in a relationship impacted by perimenopause, this one’s for you.

BLINDSIDED: A Man’s Field Guide to Perimenopause is now live on the blog.

Read it at the 🖇️in bio, and send it to someone who may need it. 🚨

10/06/2026

Vaginal health as we age continues to be tolerated and “part of aging”.🤯🤯🤯

NOOOOO. Just no.

The common misconception is that you just need hydration products and that va**nal estrogen is dangerous. It. Is. Not. And l**e and hydration products will not save you, getting estrogen to these tissues is the solution and well studied safe intervention.

Do not hesitate to advocate for your needs and protect your body. This is a pretty simple but deeply important piece of your healthy aging care.

Speak to your primary care provider about it today.

Dr. Kirsten 💪🏻🫶

Vaginal estrogen is one of those treatments that is often talked about as though there is a single “right” way to use it...
10/05/2026

Vaginal estrogen is one of those treatments that is often talked about as though there is a single “right” way to use it.

NOPE.

Some women have primarily internal symptoms. Others have more external v***ar symptoms.

Many have both. That means the formulation, dose, and where it is applied may need to be tailored to the actual symptom pattern rather than defaulting to a one-size-fits-all approach.

This is one of the reasons individualized care matters so much in menopause medicine.

If you’re using va**nal estrogen and still having symptoms, it may be worth revisiting whether the current plan is addressing the right tissues in the right way.

If you’re looking personalized for support, head to the link in my bio or DM me.

**nalestrogen

10/01/2026

Someone reached out to ask if dose needs will change once you find your sweet spot dose for hormone therapy in menopause.

The short answer is probably. Many things can influence this - a short list:

👉 losing or gaining weight
👉 severe stress / trauma
👉 certain medications
👉 big lifestyle changes
👉certain conditions/ diseases
👉va**nal bleeding
👉advanced age (we often need less)

It’s certainly reasonable to assume that follow ups with your provider would be less frequent than during the perimenopause years when there is constant change and turbulence, however this isn’t a “set it and forget it”.

Great questions are coming in. Keep em coming!

Dr Kirsten 🦋

“Wellness fatigue” is real folks. There is a particular kind of exhaustion that comes from feeling as though you should ...
09/30/2026

“Wellness fatigue” is real folks.

There is a particular kind of exhaustion that comes from feeling as though you should always be doing something else for your health.

Another supplement/ podcast/ test/ hormone. Another dietary tweak. Another metric to monitor. I do not enjoy it.

I say this as someone who has spent over two decades studying health for a living: more is NOT better, in fact it’s often worse.

One of the most important things I do with patients is help them determine what actually deserves our attention, and what doesn’t.

Just because something is theoretically beneficial it may be neither important nor strategic for YOU. Knowing where to put your attention is of great value, in this vast landscape of health solutions, let me tell you.

If you’re tired of piecing together your health on your own and want a clear, personalized plan you can realistically follow, you can book an appointment with me through the link in bio.

09/29/2026

Is it that you don’t tolerate HRT or is it that you’re not getting the support that you need?

Yes there are absolutely women for whom HRT is not good. But the majority I see who have had issues were sent out with no follow up and then left holding the bag.

This is a moving target and quite nuanced. Good care =a few touch points a year. Definitely. 🏹

Assuming you’re not a fit for HRT from one tour is no bueno. It is to be expected that your needs will change. 📈

This is a unique experience and one that is new to us all, in the beginning. Going in knowing the gist of what to expect helps.🫶

Dr Kirsten 🏹💪🏻🦋

Vaginal and urinary changes in menopause are common, but they’re also often under-recognized.As estrogen declines, the t...
09/25/2026

Vaginal and urinary changes in menopause are common, but they’re also often under-recognized.

As estrogen declines, the tissues of the v***a, va**na, and urinary tract can become thinner, drier, less elastic, and more sensitive.

That can show up as dryness, burning, irritation, pain with intimacy, urinary urgency, or recurrent UTIs.

This collection of symptoms is often referred to as genitourinary syndrome of menopause, or GSM.

And this is where the distinction between symptom relief and tissue support matters.

A lubricant can reduce friction during intimacy. A va**nal moisturizer can help with ongoing dryness. Both can be useful.

But for some women, those measures are not enough because they don’t address the underlying estrogen-related tissue changes.

Low-dose va**nal hormone therapy can be an important option for the right patient, and it can often be considered even if you are not using systemic hormone therapy.

The bigger point is this:
You should not have to wait until symptoms are severe before bringing them up.

There are options. The right one depends on your symptoms, your health history, and your preferences.

This is a conversation worth having.

If you’re looking for more support, head to the link in my bio or DM me.

Ashwagandha has been one of the botanical medicines I’ve used most often in practice over the years.But emerging reports...
09/24/2026

Ashwagandha has been one of the botanical medicines I’ve used most often in practice over the years.

But emerging reports of liver injury mean it deserves a closer look.

This is not a panic post, and it is not a “herbs are dangerous” post. It is a conversation about what responsible, evidence-informed herbal medicine actually looks like when new safety information emerges.

In the new blog post, I’m breaking down what we know so far, what we still don’t know, who should be more cautious, and what I’m doing differently in practice.

Because “natural” does not mean risk-free. And good medicine means being willing to update our thinking when the evidence changes.

Read the full article at the link in bio🖇️✨

And if you’re interested in more articles like this one - consider signing up to my newsletter where I share updates on my practice and services, as well as updates in terms of research, product recalls or shortages, and generally important information that could impact my patients and women everywhere.

Address

Toronto, ON

Opening Hours

Monday 10:30am - 4:30pm
Wednesday 10:30am - 4:30pm
Friday 10:30am - 4:30pm

Telephone

+14169290707

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