The Perimenopause Blueprint
Perimenopause shouldn't be a decade of "just getting by" with brain fog, night sweats, and stubborn weight gain. We use precision Bio-identical Hormone Replacement (BHRT) and data-driven metabolic signaling to sync your hormones and restore your vibrancy. Reclaim your mood, your sleep, and your Second Act
Step 1: The Audit ($99) — Comprehensive lab review. Step 2: The Roadmap — 50 mins to build the strategy. Step 3: The Vitality Phase — Ongoing mastery and wholesale med access.
While we hold a deep specialization in post-surgical metabolism, our DNP-led protocols are built on advanced diagnostic science that benefits anyone seeking genuine metabolic and hormonal balance.
If you are experiencing unexplained fatigue, stubborn weight gain, difficulty building muscle, or hormonal imbalance, you don't have to settle for standard primary care answers.
Is This Right for Me?
This path is ideal for individuals seeking evidence-based management of:
PCOS & Insulin Resistance: Advanced strategies to quiet inflammation and restore hormonal signaling.
Low Testosterone (TRT): Optimization for improved energy, libido, and muscle retention.
Perimenopausal & Age-Related Weight Gain: Targeted solutions for women facing metabolic slowdown and hormonal shifts.
General Longevity & Anti-Aging: Utilization of advanced peptide therapies (NAD+, Sermorelin) for cellular repair and mental clarity..
How Our Approach Works
The Perimenopause Bio-Audit: Uncovering the Hormonal Shift Perimenopause can last up to a decade, yet many women are told their labs are "normal" while they struggle with weight gain, insomnia, and brain fog. We don't settle for normal; we look for optimal.
How It Works:
Order Your Hormone Panel: Pay a one-time audit fee of $99. This covers your 50-minute strategy session and specialized lab coordination.
The Data Collection: We go beyond basic testing. I order a comprehensive "Transition Panel" looking at FSH, Estradiol, Progesterone, DHEA-S, and Fasting Insulin.
The Roadmap Session: We meet via secure telehealth to identify the exact phase of the transition you are in. Note: Your audit fee is 100% credited toward your first month of the Vitality Membership..
Precision Solutions for PCOS, Low T, and Age-Related Metabolic Drift
The 50-Minute Roadmap Consultation
The Pivot Point: From Data to Decision
Your 50-minute virtual intensive to sync your hormones and reset your metabolism
This is the pivotal session where we transform your raw lab data into a precise, actionable, and personalized health strategy. Since this consultation is designed for the General Metabolic Wellness patient (no bariatric surgery history), the focus is primarily on insulin, sex hormones, and inflammation..
What to Expect:
The Lab Deep Dive & The "Clinical Why" (20 Minutes)
We move beyond standard "normal" ranges to diagnose optimal ranges for metabolic health. We review your Rupa Health lab results, focusing on the true roots of your symptoms:
Insulin Resistance Diagnosis: We look beyond simple fasting glucose to calculate your HOMA-IR (Insulin Resistance Index) using your fasting insulin. This reveals why you may struggle to lose weight despite dieting.
Hormonal Imbalance: We review your Free T3, DHEA-S, and Sex Hormones to identify if your fatigue and poor sleep are caused by thyroid issues, adrenal/stress dysregulation, or shifts related to PCOS/perimenopause.
Inflammation Markers: We check your hs-CRP (systemic inflammation) to target issues that might be preventing your body from responding to treatment.
2. Your Customized Protocol Design (15 Minutes)
Based on the clinical data, we design a precision Triple Threat Protocol tailored to your body's specific needs and goals:
Metabolic Reset: If high insulin resistance is the primary blocker, we design your GLP-1 (Semaglutide/Tirzepatide) titration schedule. We focus on managing dosage and administration for optimal efficacy and tolerance.
Hormone Restoration: We determine the precise need for Bio-identical Hormone Replacement Therapy (BHRT/TRT) to address low energy, mood instability, and loss of lean muscle mass.
Cellular Optimization: We finalize your Peptide Protocol (Sermorelin for growth hormone support; NAD+ for energy) aimed at improving deep sleep, cognitive clarity, and tissue repair.
3. Implementation & Safety Coaching (10 Minutes)
We dedicate time to ensure you feel 100% confident and safe launching your treatment plan.
Medication Administration: We walk through how to administer your specific medications (oral vs. subcutaneous injection) and review proper storage.
Side Effect Management: We provide actionable steps for managing common side effects (e.g., nausea or constipation) using our clinical protocols and supportive therapies.
Refill Timeline: We establish your schedule for pharmacy coordination and set the date for your next required lab draw (typically 90 days).
4. The Walkaway Deliverable (5 Minutes)
The session concludes with final Q&A and immediate access to your critical resources.
Your Metabolic Roadmap PDF: A clear, written summary of your finalized dosages, titration schedule, nutrition targets, and monitoring dates.
The Empowerment Library Access: Video guides on injection techniques, high-protein meal planning, and detailed side-effect troubleshooting protocols.
The Goal: You will leave the consultation with a deep understanding of why your body has been struggling and a personalized, evidence-based strategy designed by a DNP to move you toward optimal metabolic health.
Once you have completed the initial 90-Day Reset and achieved your primary metabolic goals, you transition into the Vitality Phase. This is our commitment to a long-term partnership focused on maintenance, preventative care, and maximizing your longevity.
The goal shifts from aggressively fixing imbalances to proactively protecting your newly optimized state and preventing metabolic drift.
What the Metabolic Wellness Vitality Phase Includes:
1. Optimized Maintenance Dosing
Hormone Balance: We fine-tune your BHRT (Progesterone, Estrogen, Testosterone) to eliminate night sweats, stabilize mood, and restore sleep. No more 'rollercoaster' weeks—just consistent, predictable vitality
GLP-1 Stability: We work to find the lowest effective dose of Semaglutide or Tirzepatide needed to silence "food noise," prevent weight regain, and sustain insulin sensitivity.
2. Advanced Quarterly Monitoring
We continue rigorous testing to catch and correct issues before they become problems.
Clinical Lab Review: Every 90–120 days, we monitor your lipid profiles and bone-turnover markers. As estrogen shifts, heart and bone health become the priority. We catch 'metabolic drift' before it impacts your long-term health
Proactive Adjustments: We make micro-adjustments to your dosages based on the latest data, ensuring your body never settles into a stall or plateau.
3. Longevity & Anti-Aging Focus
With metabolic stability achieved, we shift focus toward sustained vitality.
Cognitive Preservation: Utilizing NAD+ and GHK-Cu peptides to protect brain health and skin elasticity, ensuring your 'Second Act' looks and feels as vibrant as your first.
Preventative Care: Guidance on minimizing visceral fat and maintaining lean muscle—the two most critical factors for long-term health and longevity.
4. Your Direct DNP Partner
You maintain your secure line of communication to Rachel Millard, DNP. This provides peace of mind knowing your specialist is actively managing your anti-aging and metabolic health journey month after month.
4. The “Graduation Promise”
Once you reach your goal weight, you unlock our exclusive Maintenance Pricing (approx. 50% savings).
The Vitality Phase: Sustained Metabolic Mastery
Protecting Your Progress for the Long Term
The Roadmap Summary
(The “At-A-Glance” Box
The Roadmap Deliverables:
50-Minute DNP Intensive: A deep-dive screen-share of your specific labs.
The "Triple Threat" Protocol: Your personalized plan for Metabolism, Hormones, and Peptides.
The Metabolic Roadmap PDF: Your written "Operating Manual" (dosages, schedule, and goals).
Wholesale Med Access: Immediate setup with Stonegate, Empower or Redrock Pharmacy for at-cost medication.
The Empowerment Library: 24/7 access to video guides on injections and troubleshooting.
Request an Appointment
Your Metabolic Roadmap is One Click Away. Tired of being told your labs are "fine" while you feel exhausted? Get a specialized DNP audit, locked-in pricing, and priority access to GLP-1, Hormone, and Peptide protocols.