The American College of Physicians (ACP) this fall issued new guidance for women with menopausal symptoms, such as hot flashes and night sweats, that calls for hormone replacement therapy as a first line of treatment. Second- and third-line treatment options are also prescription medications. At the Barnard Medical Center, I discuss with women a side effect-free option that can work just as well to eliminate the symptoms that often disrupt work, sleep, and daily life: a whole food, plant-based diet rich in fruits, vegetables, legumes, and whole grains.