In this episode, I sit down with Dr. Heather Hirsch, a board-certified internist and the founder of The Collaborative, a concierge telemedicine practice designed specifically for women navigating midlife. Dr. Hirsch specializes in caring for women from perimenopause through menopause, helping patients move from feeling confused, symptomatic, and dismissed to becoming educated, empowered, and symptom-free. Her clinical expertise focuses on women’s midlife health and its intersection with chronic disease, hormone therapy, and longevity-focused care. After completing a fellowship at the Cleveland Clinic, Dr. Hirsch founded The Menopause Clinic at Brigham and Women’s Hospital while serving as faculty at Harvard Medical School. Her fellowship training emphasized women’s health curriculum development, clinical research, leadership, and scholarly activity. In 2020, she began educating other clinicians using her signature approach to evidence-based hormone therapy combined with integrative longevity practices for perimenopause and menopause patients. Today, she leads an expertly trained clinician team at The Collaborative, where women’s midlife care has been reimagined through an integrative, concierge model. Together, we break down perimenopause, what’s happening hormonally beneath the surface, why so many women are told nothing is wrong despite very real symptoms, and how care should be individualized during this pivotal phase of life. If you feel off, unheard, or unsure whether what you’re experiencing could be perimenopause, this episode is for you.