Ever leave the doctor's office feeling like you didn't get to say what you actually needed to say? In this episode, Kate sits down with Dr. Elizabeth Bostock — a practicing OBGYN for 30 years, a yogi, an Ayurvedic counselor, and a contributor to Kate's book Everyday Ayurveda for Women's Health — to talk about self-advocacy in the doctor's office, especially around perimenopause and menopause.
Dr. Bostock shares what she's seen across three decades and hundreds of thousands of patients: the number one thing women tell her is that they haven't felt heard. She and Kate break down how symptoms shift by decade, why perimenopause often starts quietly in the late 30s, and why menopause care doesn't end at menopause — it extends through your entire life. Dr. Bostock offers a simple set of questions to bring into any appointment, explains when and how to ask for a referral, and makes the case for symptom tracking (with pen and paper, an app, or your wearable data) so you can walk in prepared instead of going blank.
The conversation also covers the current, more nuanced understanding of hormone therapy — where the evidence is strong, where it isn't yet, and why the framing of "who do you want to be at 80" matters more than chasing a number on a chart. They talk through the cost and insurance side of hormone therapy and physical therapy too, plus Dr. Bostock's take on movement: it should be fun, and it's never too late to start.
Why "I haven't been heard" is the most common thing patients tell Dr. BostockHow symptoms and health priorities shift decade by decade, from the teens through the 80sWhy menopause care is really a lifelong conversation, not a single life stageThree questions to bring to your next doctor's visit — and a fourth for sexual healthWhat to do (and say) if your provider isn't the right fitWhy tracking symptoms — on paper, in an app, or via wearables — changes the conversation with your doctorThe most common perimenopause and menopause symptoms, including lesser-known ones like formication and early joint painA clearer, more current look at menopause hormone therapy (MHT): where it helps most, and the guidance on timingHow family health history (and the Ayurvedic idea of prakriti) plays into these decisionsThe "menopausal Barbie" trend and GLP-1s: Dr. Bostock's honest takeWhy she thinks of physical activity as play, not a prescriptionNavigating cost: hormone therapy affordability, generic options, and why physical therapy access is still a gapDr. Bostock's morning and evening routines, including her "Jamba Juice" anti-inflammatory tonicAbout Dr. Elizabeth Bostock:
Elizabeth is a practicing OBGYN, yogi, Ayurvedic counselor, and women's health leader and advocate who believes that combining medical traditions in a "yes, and" way gives the best of all worlds. She weaves together real science and human living to explore how we all live healthier, happier, more contented lives — and is a fierce advocate for helping people figure out who they are, find their path forward, and speak up for themselves.
Connect with Dr. Bostock:
Instagram: instagram.com/empoweredwomanshealthmd
YouTube: youtube.com/empoweredwomanshealthmd
LinkedIn: linkedin.com/elizabethbostock
Substack: substack.com/@elizabethbostockmdphd
Mentioned in this episode:
Everyday Ayurveda for Women's Health by Kate O'Donnell — paperback edition releases September 16The Menopause Society (provider directory and patient resources)The American College of Obstetricians and Gynecologists (ACOG)Mayo Clinic (patient education resources)GoodRx and Cost Plus Drugs (referred to in conversation as "Mark Cuban Pharmacy") for prescription discountsDr. Bostock's "Jamba Juice" tonic: whole lemon, ginger, turmeric, star anise, and cayenne, simmered and blendedDr. Bostock's current read: The Empire of GoldA preview of an upcoming episode on GLP-1s, out in two weeksThis episode is supported by:
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The information shared on Everyday Ayurveda with Kate is for educational purposes only and is not a substitute for medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider — including regarding hormone therapy — before making changes to your diet, supplements, or wellness routine.
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