
Sign up to save your podcasts
Or


A patient told Dr. Jen Ashby, a few months into nursing her second baby, that nobody warned her breastfeeding would feel like a second labor, except this one lasts a year. She was talking about more than pain. She was talking about the sheer draw on her body.
In this solo episode, Jen asks what breastfeeding costs the body, and answers through East Asian medicine, which has a precise language for it. Breast milk is understood as transformed qi and blood. Birth and pregnancy already draw heavily on blood, which is why postpartum traditions insist on rest and nourishment. The spleen and stomach generate qi and blood, so low supply is often read as a tired spleen without enough raw material. The liver channel runs through the breast, so blocked ducts are read as stagnation, sometimes with heat.
The through-line: a depleted mother and a blocked mother can look alike, but they need opposite help. One needs rebuilding. The other needs movement. One checklist for everyone misses that.
A NOTE BEFORE YOU LISTEN This is an educational look at how East Asian medicine interprets lactation. It is not medical advice. Breast pain, a hard or red area, flu-like aches, or a fever while nursing can be signs of mastitis, which can become an infection. Contact your doctor, midwife, or an IBCLC promptly. Check with your healthcare provider before starting any herb, tea, or supplement while nursing.
WHAT WE GET INTO
FEATURED The Energy Prescription (Wiley), Jen's book. Pre-order: https://www.amazon.com/dp/1394389663 The newsletter: https://www.drjenniferashby.com/newsletter-sign-up
GO DEEPER Sandy Adler Lactation Consulting: https://sandyadlerlactationconsulting.com/
FIND JEN Website: https://www.drjenniferashby.com/ Substack: https://jenniferashby.substack.com/ Instagram & YouTube: @drjenashby · Email: [email protected]
DISCLAIMER The information shared on Ovary Acting is for educational purposes only and is not medical advice, diagnosis, or treatment. The views expressed are those of Dr. Jennifer Ashby and her guests and do not represent the positions of UCSF or any affiliated institution. East Asian Medicine, including acupuncture and herbal medicine, is a licensed healthcare profession and is not a substitute for care from your physician or other qualified medical provider. If you are experiencing a medical emergency, contact emergency services immediately. Always consult your healthcare provider before beginning any new health practice, supplement, or herbal protocol. Individual results vary. Nothing discussed on this podcast creates a patient-practitioner relationship.
Jen's guest is Sandra Adler Killen, RN, IBCLC, a friend of 25 years. They raised their daughters together. Sandra is an emergency room and pediatric nurse and an internationally board-certified lactation consultant, and since 2024 she has made repeated humanitarian medical missions to Gaza.
She first went in as a trauma nurse. Local clinicians saw her lactation background in action and asked her to come back and teach. She has returned roughly every six months since, training doctors, midwives, and nurses with the GINA Infant Nutrition Alliance, with the goal of making herself unnecessary.
Sandra explains why breastfeeding carries so much weight when formula and clean water can't be relied on, what chronic stress and malnutrition do to milk supply, and what care looks like with almost no supplies. She shares the mothers who stayed with her, and how she carries it home.
A NOTE BEFORE YOU LISTEN This conversation includes firsthand accounts of war, traumatic injury, and the deaths of infants and family members. Please take care of yourself while you listen. The views about the conflict are Sandra's own. Lactation information here is educational and describes care in a humanitarian crisis, not personal medical advice. For feeding challenges with your own baby, reach out to an IBCLC or your pediatric provider. If this stirs up something heavy, call or text 988 (Suicide & Crisis Lifeline, 24/7).
WHAT WE GET INTO
HOW TO HELP GINA Infant Nutrition Alliance: https://www.gina.org.uk/donate Lactation consultants who want to volunteer remotely: [email protected] Glia: https://glia.org/pages/glia4gaza Sandra's GoFundMe: https://www.gofundme.com/f/nourishing-hope-for-mothers-and-newborns And Sandra's ask: keep talking about it, and keep contacting your representatives.
FIND SANDRA https://sandyadlerlactationconsulting.com/
FEATURED The Energy Prescription: Ancient Wisdom and Modern Science for Thriving Through Menopause (Wiley), Jen's book. Pre-order: https://www.amazon.com/dp/1394389663
FIND JEN Website: https://www.drjenniferashby.com/ Substack: https://jenniferashby.substack.com/ Instagram & YouTube: @drjenashby · Email: [email protected]
DISCLAIMER The information shared on Ovary Acting is for educational purposes only and is not medical advice, diagnosis, or treatment. The views expressed are those of Dr. Jennifer Ashby and her guests and do not represent the positions of UCSF or any affiliated institution. East Asian Medicine, including acupuncture and herbal medicine, is a licensed healthcare profession and is not a substitute for care from your physician or other qualified medical provider. If you are experiencing a medical emergency, contact emergency services immediately. Always consult your healthcare provider before beginning any new health practice, supplement, or herbal protocol. Individual results vary. Nothing discussed on this podcast creates a patient-practitioner relationship.
Dr. Jen Ashby brings on Dr. Thalia Kazakos Omar, L.Ac. — acupuncturist, doctor of Chinese medicine, founder of Muse Medicine in New York — for the conversation the beauty industry would rather you not have: your skin is not a surface problem.
They start with the East Asian medicine face map and immediately complicate it. Under-eyes are kidney, the forehead is liver, the jawline is hormonal — except the chin is also reproductive, the nasolabial folds are colon, and by minute nine Thalia has cheerfully shown that no single map is diagnostic on its own. What she offers instead is how a clinician actually reads a face: quality over region, patterns over pins.
WHAT WE GET INTO
• The face map, region by region — and why regions are clues, not conclusions
• Reading quality before region: oil as dampness, redness as heat, thinning as deficiency
• Upright qi, sagging, and why skin that loses tone is where lines set
• Teen acne, androgens, and the "wood era" of life
• The luteal phase: fiber, blood sugar, lighter products, damp-and-hot foods
• Fascia, lymph, and the upper-body training nobody connects to their face
• Over-exfoliating, "acne-safe" claims, and the over-drying trap
• Pregnancy glow and melasma: one hormone flood, two constitutions
• Postpartum blood deficiency, hair loss, and real replenishment
• What needling does to scars, including surgical ones
• Gut permeability, and the gut–skin axis both directions
• Jen's late-onset eczema and the year of guacamole that caused it
FEATURED
The Energy Prescription: Ancient Wisdom and Modern Science for Thriving Through Menopause (Wiley) — Jen's book. Pre-order: https://www.amazon.com/dp/1394389663
Oliva Flora — botanical skincare powered by olive oil: https://www.olivaflora.com/
FIND THALIA
https://www.themusestudionyc.com/ · Booking: https://musemedicine.janeapp.com/ · Instagram: @muse_medicine
Telehealth for herbs and lifestyle coaching is available subject to state licensing — start with her contact form.
FIND JEN
https://www.drjenniferashby.com/ · https://jenniferashby.substack.com/
Instagram & YouTube: @drjenashby · [email protected]
DISCLAIMER
The information shared on Ovary Acting is for educational purposes only and is not medical advice, diagnosis, or treatment. The views expressed are those of Dr. Jennifer Ashby and her guests and do not represent the positions of UCSF or any affiliated institution. East Asian Medicine, including acupuncture and herbal medicine, is a licensed healthcare profession and is not a substitute for care from your physician or other qualified provider. In a medical emergency, contact emergency services immediately. Always consult your provider before beginning any new health practice, supplement, or herbal protocol. Individual results vary. Nothing discussed here creates a patient-practitioner relationship.
Dr. Jen Ashby sits down in her living room with Oli Mittermaier — co-founder and director of patient care at CIT Clinics, and, in full disclosure, her husband.
Jen asks the questions most people are too polite to ask: if it's a horse tranquilizer, how are people dancing on it? What actually happens in a session? And why does Oli, who makes his living giving people ketamine, open his TEDx talk by saying the ketamine isn't the answer?
What follows is a plain-language tour of how ketamine is used clinically — dosing, screening, environment, and the integration work Oli argues is at least half of it — plus why the hormonal transitions of perimenopause and menopause put so many women in the population these clinics see.
WHAT WE GET INTO
FEATURED The Energy Prescription: Ancient Wisdom and Modern Science for Thriving Through Menopause (Wiley) — Jen's book. Pre-order: https://www.amazon.com/dp/1394389663
Oliva Flora — botanical skincare powered by olive oil, made to European standards: https://www.olivaflora.com/
Women's Lib — non-hormonal daily tincture formulated with botanicals traditionally used to support desire, vitality, and energy: https://womens-lib.com/
FIND OLI CIT Clinics: https://citclinics.com/ · (415) 675-1335
15 Minutes of Positivity — free, Monday–Friday, 12:00–12:15 PM Pacific, open to anyone: https://citclinics.com/practice/
His TEDx talk: https://citclinics.com/tedx/
LinkedIn: linkedin.com/in/olimittermaier ·
Instagram: @olimittermaier
FIND JEN Website: https://www.drjenniferashby.com/
Newsletter: drjenniferashby.com/newsletter-sign-up
Substack: https://jenniferashby.substack.com/
Instagram & YouTube: @drjenashby ·
Email: [email protected]
\\
Five weeks after brain surgery, Dr. Jen Ashby takes both chairs — interviewer and interviewee. Her Chiari malformation type I, the decompression surgery, and the recovery she hadn't planned for: a long medication list, an ER detour, and coming off narcotics. Plus the gratitude that cracked her open, and the question she's still sitting with.
FEATURED
The Energy Prescription: Ancient Wisdom and Modern Science for Thriving Through Menopause
👉 Pre-order: https://www.amazon.com/dp/1394389663
5 KEY TAKEAWAYS
TIMESTAMPS
00:00 START
01:10 – What Chiari malformation type I is, and her symptoms
01:50 – The surgery: suboccipital decompression, duraplasty, C1 laminectomy
03:10 – Prep, and hypnotherapy to turn fear into excitement
04:50 – "The morning of, I was a mess"
05:55 – The anesthesiologist who actually listened
07:10 – Waking up to "Mama, you're done"
09:15 – Five days in the hospital, and a long medication list
11:30 – How her community and her kids showed up
12:35 – The part nobody warned her about: the ER
14:35 – Recognizing narcotic withdrawal, and owning it
18:20 – What she planned for vs. what actually got her
21:40 – The Stoics, and "who do I want to be when I grow up?"
🔗 CONNECT
Newsletter: https://www.drjenniferashby.com/newsletter-sign-up Substack: https://jenniferashby.substack.com/
Website: https://www.drjenniferashby.com/
Instagram: https://www.instagram.com/drjenashby/
YouTube: https://www.youtube.com/@drjenashby
Email: [email protected]
RESOURCES
Something different this week. Jen is taking a short beat to rest and recover before the next new episode — she's doing beautifully, and a proper update is coming in the next few weeks. In the meantime, a conversation many of you haven't heard: Dr. Jennifer Ashby as a guest on Simply Walk The Talk, hosted by Joshua J. Holland — trainer, holistic health coach, and author of The Awareness Shift. It's one of the most complete explanations of the Epic Eight she's ever given.
5 KEY TAKEAWAYSPlus: what feet reveal about self-care, toe yoga and balance, and Jen's fourth exercise category — yin exercise, movement that gives back more than you put out.
TIMESTAMPS00:00 Why this week is a featured archive share
00:37 Josh welcomes Dr. Jen Ashby — from a client's home
04:00 Where the Epic Eight came from
06:30 Translating qi and yin/yang into plain English
12:00 The Epic Eight, listed — foundations before fads
20:30 Josh's five pillars, The Awareness Shift
23:30 Self-care vs. selfish behavior
27:00 Scholarships, free resources, all effort counts
37:00 Josh on his late father
45:00 Four types of exercise — and yin exercise
47:30 Foot health, toe yoga, balance
51:00 Prenatal vs. postnatal qi
59:00 Acupuncture doesn't have to hurt
61:00 Orthopedic vs. constitutional acupuncture
67:00 Everything affects everything
🔗 THE HOST — JOSHUA J. HOLLANDPodcast: https://www.simplywalkthetalk.com/ Website: https://www.joshuajholland.com/ Instagram: https://www.instagram.com/joshuajholland/ Book, The Awareness Shift: https://www.amazon.com/Awareness-Shift-Unearth-Pillars-Wellness/dp/1953153690
🔗 CONNECT WITH DR. JEN ASHBYWebsite: https://www.drjenniferashby.com/ Newsletter: https://www.drjenniferashby.com/newsletter-sign-up Instagram: https://www.instagram.com/drjenashby/ YouTube: https://www.youtube.com/@drjenashby Book — The Energy Prescription: https://www.amazon.com/dp/1394389663
A short, direct solo follow-up to Dr. Jennifer Ashby's conversation with Calista Wilson about parenting a neurodivergent child. Nobody hands you a manual when you become a parent — but most of us pick up a phantom pamphlet anyway: milestones, a rough script for how this is supposed to go. Then you have a kid who didn't read it. Jen speaks straight to the parent in that gap, with the sentence she says nobody said clearly enough when she needed it.
5 KEY TAKEAWAYS00:00 Welcome + why this week is a follow-up to the Calista Wilson episode 00:35 The phantom pamphlet: the manual nobody hands you 01:20 When your kid doesn't read it — and the cereal-aisle meltdown that isn't about discipline 01:55 Nothing is wrong; something is different 02:12 The grief nobody prepares you for 03:00 Take the picture down and rebuild it 03:30 The exhaustion is real: constant translation 04:33 IEPs, 504s, waitlists & becoming the advocate 05:05 The professionals know the research — you know your kid 05:30 Averages are not verdicts; sideways still counts 06:00 Find your people 06:30 Delight in them, don't just manage them 07:01 You are not failing 07:30 Wrap-up + go watch the Calista Wilson episode
🔗 CONNECT WITH DR. JEN ASHBYNewsletter: https://www.drjenniferashby.com/newsletter-sign-up Website: https://www.drjenniferashby.com/ Substack: https://jenniferashby.substack.com/ Instagram: https://www.instagram.com/drjenashby/ YouTube: https://www.youtube.com/@drjenashby
RESOURCESDr. Jennifer Ashby talks with her friend Calista Wilson — a former fashion stylist turned writer, advocate, and "proud autism mama" — about parenting a child whose arrival sent her life on an unexpected one-eighty. Calista describes the mother-knowing she felt from the first minutes, a year of being dismissed through the pandemic, the fifteen-minute visit that finally produced the word autism, and the turn: her son Ransom, a self-described "scientist of everything," and why she believes neurodivergent kids may be exactly where evolution is pointing.
FEATURED OFFERSThe Energy Prescription — Dr. Jennifer Ashby's new Wiley book, ancient wisdom and modern science for thriving through menopause. Out October 20th. Please buy AND review it. 👉 Pre-order: https://www.amazon.com/dp/1394389663
Women's Lib — a non-hormonal daily libido tincture for women navigating midlife stress and low desire. 👉 https://womens-lib.com/ Oliva Flora — woman-owned Santa Barbara olive-oil botanical skincare, clean and European-made. 👉 https://www.olivaflora.com/
5 KEY TAKEAWAYS00:00 Welcome + meet Calista Wilson
03:10 The mother-knowing: "laid in my arms like a grenade"
05:35 Dismissed for a year through the pandemic
09:30 "I think it's autism" in fifteen minutes
11:15 Aging out into the school system; years to full scaffolding
15:10 The spectrum is a wheel, not a line
16:30 Rigidity, priming & no spontaneity
22:30 The grief of the unexpected life
24:00 How the body keeps the score
26:35 Daily rituals that sustain her
29:35 Isolation — grieve, then see the magic
36:45 Meet Ransom: engineering, Greek mythology & the body as a machine
43:25 Three things families should take away
46:00 Call us, check on us, invite us
🔗 CONNECTDr. Jen Ashby — Website: https://www.drjenniferashby.com/ · Instagram: https://www.instagram.com/drjenashby/ · YouTube: https://www.youtube.com/@drjenashby
This week Dr. Jennifer Ashby does something different — she shares the TEDx talk she gave a few years ago. Raised alongside an elephant, lion cubs, bears, wolves, and dozens of other animals, Jen learned early that the energy of every living thing moves in a natural cycle of balance, harmony, and healing — and she spent 30+ years in East Asian Medicine turning that lesson into something usable. She makes the case that your physical energy is the base of all your health, explains the two kinds of energy that run it, and gives you eight daily guidelines to protect them. She closes on the balance she saw on safari: we, too, are nature.
FEATURED OFFERThe Energy Prescription — Dr. Ashby's new Wiley book — turns this talk's framework and eight guidelines into a daily system for thriving through perimenopause and menopause. Out October 20th. 👉 Pre-order: https://www.amazon.com/dp/1394389663 (No sponsor read this episode.)
5 KEY TAKEAWAYS00:00 Welcome + why this week is different
00:47 The talk begins: energy, balance & a true story
01:20 Growing up among wild animals
03:30 Why one single "fix" rarely works
06:30 Physical energy is the base of all your health
08:30 Prenatal (finite) vs. postnatal (infinite) energy
15:30 The Epic Eight: diet, hydration, sleep, breathing
18:00 Movement, bowel movements, joy, not embodying stress
24:30 One more story: safari in Kenya & Tanzania
26:00 We too are nature + thanks
🔗 CONNECT WITH DR. JEN ASHBYNewsletter: https://www.drjenniferashby.com/newsletter-sign-up Website: https://www.drjenniferashby.com/
Instagram: https://www.instagram.com/drjenashby/
YouTube: https://www.youtube.com/@drjenashby
RESOURCESDr. Jennifer Ashby talks with Grace Kraaijvanger — founder of The Hivery, the Bay Area women's coworking space and inspiration lab — about the restless yearning so many women feel and can't quite name. Grace first felt it at 27, as her dance career was ending; she's felt it in grief and again at 51 as an empty-nester. Out of that "wrestling" came The Hivery and a mission to elevate the voices of women. Together they reframe a woman's whole life as an act of creativity: treating your life like a work of art gives you permission to keep working on it — to experiment, and to not have it all figured out yet.
FEATURED OFFERSThe Hivery — Grace's women's coworking space, inspiration lab & mentorship community in Mill Valley, CA, plus a digital membership (relaunching this summer) with local chapters. Events open to everyone. 👉 https://www.thehivery.com/ The Energy Prescription — Dr. Jennifer Ashby's new Wiley book turning her whole-body approach into a daily toolbox for thriving through perimenopause and menopause. Out October 20th. 👉 Pre-order: https://www.amazon.com/dp/1394389663
5 KEY TAKEAWAYS00:00 Start
04:10 what The Hivery is for
05:30 A dancer from age four
09:45 The yearning at every life stage
15:30 The title lands: Life as Art
17:30 Grief as a creative force
20:15 8,000 women later
24:05 Finding your inner artist when you don't feel creative
28:00 why midlife can be the most powerful chapter
33:05 Invisibility vs. being seen
36:25 Loneliness as a health crisis: community as medicine
46:00 The myth of readiness
48:50 The thing she almost didn't do
54:00 Radically inclusive
Dr. Jen Ashby — Website: https://www.drjenniferashby.com/ · Instagram: https://www.instagram.com/drjenashby/ ·
YouTube: https://www.youtube.com/@drjenashby
Grace / The Hivery — https://www.thehivery.com/ ·
Events: https://www.thehivery.com/events
From the publisher's feed
Welcome to Ovary-Acting — your ecosystem for all things women, where we take your health and wellness seriously, but ourselves? Not so much.
Dr. Jennifer Ashby is a doctor of East Asian…
Because you deserve to feel informed, empowered — and maybe a little entertained.