Every Naturopathic Doctor here is registered with the College of Naturopaths of Ontario.
Perimenopause & menopause · Ontario · Virtual
Naturopathic care for perimenopause and menopause in Ontario
Dr. Victoria Posavad, ND
Dr. George Makrides, ND
Dr. Yehia Al-Hashmi, ND
Naturopathic Doctors accepting new patients across OntarioHot flashes, sleep broken at 3 a.m., a shorter fuse, weight moving to the middle, and a cycle that's stopped making sense. Whether you're on HRT, considering it, or can't take it, a regulated Naturopathic Doctor takes the time to work on the pieces that hormones alone don't fix and builds a care plan around your goals.
Not sure if naturopathic care is for you?
Regulation
Coverage
Direct billing with more than 30 insurers. Insurance-ready receipts for the rest.
Access
First appointments within days. No referral, no waitlist, anywhere in Ontario.
01Does this sound familiar
The six things we hear the most.
You're in your forties or fifties, something has shifted, and you've been told it's just your age. Here's what people in that spot tell us first.
- 01Hot flashes or night sweats
- 02Sleep broken by night sweats or 3 a.m. waking
- 03Weight shifting to the middle
- 04Mood changes, anxiety, or a shorter fuse
- 05Cycles getting lighter, heavier or skipping
- 06Brain fog at work
Often with company: joint aches, thinning hair, dry skin, low libido and heavy or flooding periods. Thyroid and iron problems can look identical, which is why we check both. If two or three of these sound like you, talk it through with a Naturopathic Doctor on a free call.
4to 8 yrs
Canada
Perimenopause most often begins in the mid-forties and lasts four to eight years before periods stop. The symptoms usually start well before the cycle changes do.
Source: Society of Obstetricians and Gynaecologists of Canada.
02Why it keeps coming back
Most people have already been told it's just their age.
Normal isn't the same as explained.
A sleeping pill, an antidepressant, or a prescription for HRT with no plan around it. Each can quiet one thing down. None of them addresses sleep, blood sugar, weight, bone and gut health together, which is where a Naturopathic Doctor works.
Six things we work on
- 01The estrogen and progesterone shift, and what it's doing to your sleep and mood
- 02Thyroid and iron, which mimic perimenopause and need ruling out
- 03Blood sugar, insulin and the weight that moves to the middle
- 04Sleep architecture: night sweats, 3 a.m. waking and the wired-but-tired loop
- 05Bone and cardiovascular nutrition for the decades ahead
- 06HRT-adjacent support, alongside your prescriber, or symptom care when HRT isn't an option
03Your roadmap
Your Menopause Roadmap
From the first call to ongoing check-ins, here's how care works at Fitra Health.
- 01A free 10-minute callTell a Naturopathic Doctor what's going on and hear, honestly, whether this is right for you.
- 02Your initial appointmentA full hour on you: your goals, the whole history in one place, what you've tried and what happened, what you're doing about it now, and your diet, supplements and medications. You leave with a map of what's likely driving your symptoms and the targeted blood work that would confirm it.Book your first appointment
- 03Targeted lab work, where neededSome tests can run through your family doctor under OHIP. The rest are passed through at cost and quoted first.
- 04Your personalized care planDiet, supplements, lifestyle and the other tools a Naturopathic Doctor can use, written down and explained.
- 05Ongoing monitoringShort check-ins to see what's working and adjust what isn't.
04Who you'll see
Our Naturopathic Care Team
Every one of them is registered with the College of Naturopaths of Ontario, and they're here to help you reach your health goals with a plan built around you, not a template. Hormonal care at Fitra Health is led by Dr. Victoria Posavad, and we'll match you with the right Naturopathic Doctor for what's going on.
Dr. Victoria Posavad
Naturopathic DoctorCONO 4468
Dr. George Makrides
Naturopathic DoctorCONO 4322
Dr. Yehia Al-Hashmi
Naturopathic DoctorCONO 4267
05Cost and coverage
Prices
Now accepting direct billing via Telus eClaims.
Free 10-minute call
A Naturopathic Doctor hears what's going on, tells you whether this is a fit, and checks your coverage.
$0
First appointment
60 minutes. History, review of existing results, testing decisions, a starter plan in writing. Book your first appointment.
$24960 minutes
Follow-up
30 minutes to review results and adjust the plan. A 60-minute extended follow-up when your Naturopathic Doctor recommends more time.
$9930 min · $199 for 60
Lab testing
Targeted from your initial conversation and personalized to help identify the potential root cause of your symptoms. Passed through at the lab's price.
At cost
Have extended health benefits?
We bill your insurer directly through TELUS eClaims. If your plan isn't on the network, an insurance-ready receipt lands in your inbox after every visit, with the CONO registration number and treatment code your insurer asks for.
Manulife·Canada Life·Desjardins·Industrial Alliance·30+ more
06Is this right for you
An honest read.
A good fit if
- Your symptoms have gone on for months or years with no clear explanation
- You've been offered HRT with no plan around it, or told to wait it out
- You're looking for a science-based holistic approach to healthcare
- You live in Ontario and you're comfortable with video or phone appointments
Not sure? That's what the call is for.
Tell a Naturopathic Doctor what's going on and they'll tell you plainly whether this is the right next step. If it isn't, they'll say so. You've spent ten minutes, not $249.
07Perimenopause and menopause questions
The questions people search first.
Straight answers, in plain language.
What are the first signs of perimenopause?
Rarely hot flashes. Cycles get shorter or heavier, sleep breaks around 3 a.m., mood is less steady, and weight shifts to the middle, often years before periods stop. Thyroid and iron problems look identical, which is why we check both before calling it perimenopause.
Can a Naturopathic Doctor prescribe HRT?
Naturopathic Doctors in Ontario don't prescribe hormone replacement therapy. If HRT is something you're considering, your Naturopathic Doctor will say so and point you to your physician. If you're already on it, we work alongside your prescriber on the pieces HRT alone doesn't always cover: sleep, weight, gut health and stress.
What helps hot flashes without HRT?
Evidence supports a few things: paced breathing, cooler sleep environments, limiting alcohol and late caffeine, steady blood sugar, and some non-hormonal options your physician can prescribe. A Naturopathic Doctor builds the lifestyle and nutrition side and coordinates the rest.
Why am I gaining weight in perimenopause?
Falling estrogen changes where fat is stored and how insulin behaves, sleep loss raises appetite hormones, and muscle declines without resistance training. The fix is metabolic, not a stricter diet: protein, strength work, blood sugar and sleep, in that order.
Is it perimenopause or my thyroid?
It can be either, or both. Fatigue, weight gain, mood changes and cycle changes belong to both lists. A full thyroid panel and ferritin sort it out early, so you're treating the right thing.
How much does a naturopath cost in Ontario?
At Fitra Health the first call is free, the first 60-minute appointment is $249, and follow-ups are $99 for 30 minutes or $199 for 60. Lab work is passed through at cost. Most extended health plans cover naturopathic visits, and we bill more than 30 insurers directly.
Is naturopathic medicine covered by OHIP or insurance?
OHIP doesn't cover naturopathic visits. Most workplace and private extended health plans do, up to an annual maximum. We bill through TELUS eClaims where your insurer is on the network and issue an insurance-ready receipt where it isn't. Visits are HST-exempt and may qualify for the medical expense tax credit.
Do I need a referral?
No. You book directly. Bring any results you already have and your Naturopathic Doctor starts from there rather than repeating work.
08Read next
Rather read first?
- PerimenopauseToo young for perimenopause? The symptoms that say otherwise5 min read
- SleepTired but can't sleep: what's behind the wired-but-tired loop5 min read
- ThyroidAlways cold? Thyroid, ferritin and the full panel to ask for5 min read
- HormonesHormone testing and hormonal care in OntarioCondition
- MetabolicWeight and metabolic health in menopauseCondition
- QuizAm I in perimenopause? Free 2-minute check2 min
Medical notice
This page is general education, not medical advice, and it is not a diagnosis or a treatment plan. It does not create a practitioner-patient relationship. Nothing here is a promise of an outcome. Anything on this page that applies to you should be discussed with a Naturopathic Doctor or your physician, who can look at your history and your results.
Fitra Health connects Ontario residents with Naturopathic Doctors registered with the College of Naturopaths of Ontario. Care is virtual and available across Ontario. Naturopathic Doctors are regulated health professionals; they do not replace your family doctor or emergency care.
Your next step
Still not sure?
Take the two-minute menopause quiz and get an honest read on whether naturopathic care is for you. If it looks like a fit, book a free call with a Naturopathic Doctor from there. Both are free.