Restore Integrative Health
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Leslieville’s leading integrative health clinic providing the ultimate in family wellness through patient-centred collaborative care.
East Toronto’s Leading Clinic with Naturopathic Doctors, Chiropractors, Osteopaths, Registered Massage Therapists, Acupuncturists, Nutritionists, Nurse Practitioners, Psychotherapists and Menopause Society Certified Care We’re a dedicated team of practitioners offering Naturopathic Medicine, Chiropractic Care, Registered Massage Therapy, Osteopathic Manual Therapy, Psychotherapy, and Headache and Migraine Care.
Fatigue. Brain fog. Anxiety. Poor sleep. Changing periods. Weight changes.
These can all occur during perimenopause—but that does not always mean hormones are the only explanation.
Some symptoms may also be influenced by:
• Thyroid concerns
• Iron, B12 or other nutrient deficiencies
• Sleep apnea or restless legs
• Blood-sugar changes
• Medication effects
• Depression, anxiety or chronic stress
• Other underlying health conditions
Even changes in menstrual bleeding that are common during perimenopause may sometimes need further investigation. Conditions such as thyroid disorders, elevated prolactin, fibroids, polyps or adenomyosis can also contribute to cycle changes.
This does not mean your symptoms are “not hormonal.”
It means you deserve an assessment that looks at the whole picture—rather than assuming every midlife concern is simply something you need to live with.
During a Simply Menopause consult, we explore your symptoms, menstrual history, health risks, medications and other possible contributors. From there, we can decide whether further investigation is needed and create an individualized treatment plan.
Because good menopause care is not about blaming everything on hormones—or dismissing hormones entirely.
It is about asking the right questions.
07/24/2026
Can you start hormone therapy at any age?
This is a great question—and one that doesn’t have a simple yes-or-no answer.
Menopausal hormone therapy generally has the most favourable benefit-risk profile when started before age 60 or within 10 years of the final menstrual period.
But that does not mean there is one strict age cutoff for everyone.
For someone who has been menopausal for many years, starting hormone therapy may still be considered, particularly when persistent symptoms are significantly affecting quality of life. However, initiating it later may carry different risks and requires a careful, individualized assessment and appropriate follow-up.
During a Simply Menopause consult, we consider factors such as:
• Current symptoms and treatment goals
• Age and time since menopause
• Cardiovascular and blood-clot risk
• Breast and endometrial health
• Bone health
• Personal and family medical history
• The type, dose and route of hormone therapy being considered
Together, we review the potential benefits, risks and alternatives—and make an informed decision about whether hormone therapy is an appropriate option for you.
There may not be a universal cutoff—but there should always be a thoughtful risk-benefit conversation.
Wondering whether hormone therapy may still be an option for you? A Simply Menopause consult can help you better understand your individual benefits and risks.
07/16/2026
Alzheimer’s disease is a significant concern for many women as they age.
I find that patients who have watched a parent or another family member live with Alzheimer’s are often highly motivated to understand what they can do now to reduce their own risk or potentially delay the disease.
Did you know that over 50% of Alzheimer’s cases have been attributed to 7 potentially modifiable risk factors?
These include:
• Diabetes mellitus
• High blood pressure in midlife
• Obesity in midlife
• Smoking
• Depression
• Cognitive inactivity or low educational attainment
• Physical inactivity
And importantly, the optimal time to intervene may be during midlife, rather than waiting until older age.
This list might feel like a lot, but you do not need to tackle everything at once. In fact, I would much rather help you identify which areas are most relevant to you and build a realistic plan that fits your actual capacity.
This is work I can help with. We can look at your personal risk factors and create a strategy to start addressing the areas that are changeable.
If this is something you have been thinking about, reach out and let’s chat.
💙 Dr. Steph Peltz, ND
🏃♀️ Running isn’t just about logging more kilometres—it’s about running smarter.
Whether you’re training for your first 5K, chasing a marathon PB, or dealing with those recurring aches and pains, a running analysis can help identify what’s holding you back.
During your assessment, we’ll look at:
✔️ Running mechanics
✔️ Mobility & strength
✔️ Training load
✔️ Injury risk factors
✔️ Personalized exercises to improve efficiency and performance
The goal isn’t to make you run a certain way—it’s to help you run in the way that’s most efficient and sustainable for your body.
Ready to feel stronger, run more efficiently, and spend less time sidelined by injuries?
📍Available at Restore Integrative Health
👩⚕️ Dr. Rebecca Temertzoglou, Chiropractor
Do women need to work out differently based on their hormone cycles? Or should I be “Cycle Syncing” my workouts?
Quick answer is no! While it’s true that hormones can affect how workouts feel, such as energy, mood, sleep, recovery, perceived exertion, it doesn’t mean the workout is ineffective or that the program needs to change based on the first or second half of your cycle.
Consistency matters more than perfect hormone-based timing.
An overly complex training plan based on your menstrual cycles can actually create more rigidity, thus making consistent adherence harder. Consistent training, rather than hormone patterns, is the key to muscle strength and long term gains. We usually recommend 2 x a week as part of your overall exercise plan.
Let’s not overcomplicate our lives! Women can progressively build strength and benefit from consistent resistance training throughout their lifespan. Hormones may influence how training feels, but they usually do not require a totally different program.
Save this for the next time cycle syncing advice makes your workout plan feel more complicated than it needs to be.
Menopause is more than hot flashes.
During the menopause transition, cardiometabolic risk factors can start to shift — including cholesterol, blood pressure, blood sugar regulation, insulin resistance, inflammation, and body composition.
And often, these changes happen quietly.
That’s why this stage of life is such an important time to get a clear baseline, monitor changes over time, and create a plan that reflects your personal and family history.
This isn’t about fear. It’s about prevention, clarity, and feeling informed about your health.
Midlife is a window of opportunity — and the right plan can support your health for decades to come.
Book a Simply Menopause™ consult to better understand your cardiometabolic health through perimenopause and menopause.
06/18/2026
Vaginal dryness, painful intimacy, urinary urgency, recurrent UTIs, irritation, and low libido are common in perimenopause and menopause — but they’re often under-discussed.
These symptoms can be part of Genitourinary Syndrome of Menopause, or GSM.
GSM happens when lower estrogen levels affect the tissues of the v***a, va**na, bladder, and urinary tract. And while it’s common, it’s not something women should be expected to simply tolerate.
There are treatment options — from lubricants and moisturizers to pelvic floor therapy, va**nal estrogen, DHEA, and other individualized approaches.
If these symptoms sound familiar, it may be time to bring them up with a menopause-informed practitioner.
You deserve care that takes these symptoms seriously.
At Restore, our Menopause Society Certified Practitioners support women through perimenopause and menopause with evidence-based, individualized care.
Book a Simply Menopause consult through the link in bio.
06/11/2026
PCOS has officially been renamed—and it’s a meaningful shift. I for one, am a big fan!!
As of May 2026, a global consensus published in The Lancet introduced the term:
Polyendocrine Metabolic Ovarian Syndrome (PMOS).
This change reflects something many patients (and clinicians) have known for a long time:
👉 This condition is not just about the ovaries.
It involves multiple hormone systems, metabolism, and long-term health risks, and the old name didn’t capture that well.
It also matters because language shapes care.
The term “PCOS” has been linked to delayed diagnosis, fragmented treatment, and confusion around what’s actually happening in the body.
✨ What’s important to know:
This is a reframing, not a redefinition.
The diagnostic criteria have not changed.
If you’ve been diagnosed with PCOS, this doesn’t change your diagnosis,
but it does change how we understand and talk about it.
And that’s a step forward.
📌 Save this if you’re navigating PCOS/PMOS or trying to make sense of your symptoms.
If you’d like to make sense of your symptoms and build a thoughtful & personalized plan, book with Dr. Steph Peltz today!
04/29/2026
We’re so excited to announce that we’ll be hosting a community screening of The M Factor 2 on May 23rd at The Fox Theatre 🎬
A powerful, empowering look at perimenopause—designed to help you better understand your body, feel more in control, and connect with others in the community.
✨ Stay for a live Q&A with Dr. Sue Love, Dr. Sapna Patel Flower, and Dr. Stephanie Peltz—Menopause Society Certified NDs
✨ All proceeds will be donated to the Red Door Shelter
👉 Grab your friends, sisters, mothers, partners—and come join us!
Tickets available through link in bio 👆
The film is produced by Women in the Room Productions and Take Flight Productions
Feeling that mid-afternoon energy dip hitting harder lately?
For many women in their 40s and beyond, shifts in sleep, stress, and hormones can make energy feel less steady throughout the day.
One simple, supportive option to consider: green tea.
Unlike coffee, green tea contains a combination of caffeine + L-theanine — a pairing that’s been shown to support:
• more sustained, stable energy
• improved focus and attention
• fewer jitters or abrupt crashes
It’s not a fix-all (and it won’t replace sleep, nutrition, or stress support), but it can be a helpful part of a more balanced energy strategy.
For women navigating perimenopause and beyond, small, consistent habits like this can make a meaningful difference in how you feel day to day.
✨ Think: steadier energy, not just more stimulation.
If you’re relying on multiple coffees to get through the day, this might be a gentle place to start.
As a sidenote, if taking iron supplements, avoid taking them with any tannin-containing drinks, including matcha, other black/green teas and coffee!
🧐 Interested in learning more?
📆 Book a Simply Menopause consult today with Dr Sue Love and Dr. Sapna Patel Flower NDs and Menopause Society Certified Practitioners via the link in bio
📍321 Carlaw Ave Unit 208, Leslieville Toronto + 💻 virtual appointments for Ontario residents
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