TELEHEALTH · OREGON · IDAHO
Midlife changed your physiology. Your care should change with it.
Structured metabolic and hormonal care, including muscle-first medical weight loss, for individuals in perimenopause — one dedicated provider, from evaluation through long-term stability.
Your A1C is climbing. Your cholesterol is flagged. Your blood pressure needs watching. Your weight has become a risk factor — not a cosmetic concern — and you can see where this trajectory leads in ten or twenty years if nothing changes.
In perimenopause, insulin regulation, hormones, sleep, and stress physiology shift together — the response this requires is medical, not motivational.
The pattern is predictable, it is measurable, and it responds to exactly the kind of structured metabolic and hormonal care this practice provides.
When your trajectory makes it clear that your next step is medical
WHAT SERIOUS CARE LOOKS LIKE HERE
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One provider who holds your whole picture
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Regular 1:1 visits, weekly open office hours, HIPAA-compliant messaging with a guaranteed 48-business hour response — all with the same dedicated provider who knows your full metabolic and hormonal history. No handoffs, no re-explaining.
Weight, metabolism, and hormones — managed as one system
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Your PCP manages metabolic markers in 15-minute visits. Your OB/GYN manages hormones without looking at your metabolic health. Here, the full picture is evaluated and managed together, in one highly integrated and structured plan.
Your board-certified provider is also your strength coach
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In addition to being a board-certified FNP, your provider also holds a degree in kinesiology (exercise science) and worked professionally as a fitness and rehabilitation program designer before she ever prescribed. She builds your strength program herself and progresses it from your body-composition data — so the majority of weight you lose is fat, not muscle.
Decisions from your data, not solely your recall
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A practice built entirely around perimenopause
A clinical-grade, home-based, remote patient monitoring kit tracks your body composition, blood pressure, sleep, and overnight recovery — with data reviewed at every visit and between visits, so every clinical decision is grounded in what your objective data shows and not just what you happen to remember.
The entire practice is built around metabolic health, hormonal care, and medical weight loss in perimenopause — not a generalist practice that also happens to offer these services on the side.
HOW CARE HERE WORKS
A partnership built around your physiology — and a provider who stays with you through the full clinical arc
The Metabolic Evaluation maps your full metabolic and hormonal picture and tells you, in plain language, what is driving your weight loss resistance, how perimenopause is shaping it, and what has to happen, and in what sequence, for you to make progress.
It starts with clarity.
The Metabolic Evaluation
The Metabolic Rebuild is an extended season of structured medical weight loss and hormonal care built on what your evaluation found — sequenced to your physiology, adjusted from your own data, and designed so the weight you lose is fat, not muscle.
Then the real work begins.
The Metabolic Rebuild
Then the relationship continues for as long as you need.
Active Care & Steady Care
Your body’s biological drive to regain lost weight persists for years after meaningful loss. Active Care and Steady Care provide you with a metabolic and hormonal medical home — through menopause and beyond — because results that are not stewarded quietly reverse.
Explore the partnership in full→
Ready when you are.
A Discovery Visit is a no-charge, 15-minute telehealth conversation — ask questions, describe what you are experiencing, and find out whether this is the right clinical fit.