Are you ready for a Change?
Your Midlife Transformation Begins Here
The first step is a 1-hour Power Hour with Dr. Caissa Troutman
Your physician expert that can help you "feel like yourself again".
The Midlife Power Hour
A 60-Minute Deep Dive into You — Your Hormones, Health, and Hope
This visit is perfect if you’re a woman who:
Suspects perimenopause (or is postmenopausal) and wants expert guidance, not guesswork.
Wants help with weight — especially new belly fat, stubborn plateaus, or weight gain despite "doing what used to work."
Feels unlike yourself: sleep changes, brain fog, mood swings, low libido, hot flashes, fatigue.
Has tried diets, supplements, or generic plans and needs a science‑backed, personalized approach.
Wants clarity on hormones (estrogen, progesterone, testosterone) — what’s safe, what’s effective, and what’s right for your body.
Is ready for a plan that integrates Meals, Movement, Mind, and Meds (the 4M Pillar Playbook) instead of one‑size‑fits‑all.
What happens during your Midlife Power Hour:
Review your symptoms and health history through a midlife-specific lens
Discuss lab testing (if already available or ordered after the visit)
Learn how hormone therapy works — routes, safety, and evidence
Leave with clarity about your next steps — whether that’s lab testing, hormone therapy options, or lifestyle strategies tailored for you
Understand why we gain weight in midlife and define your next steps if you are joining the Upleveled Midlife Track
What this isn’t
❌ A rushed “prescription-only” visit
❌ A cookie-cutter plan copied from the internet
❌ A promise to put everyone on hormones
Instead, it’s a clarity session — where medical science meets personalization.
Your Options After the Power Hour
Choose the level of support that fits your season:
MHT Focus – Hormone‑forward care + safety monitoring with the education you need.
Weight Wellness - Weight loss + restore metabolic health using the 4M Pillar Playbook—Meals, Movement, Mind, and Meds.
Upleveled Midlife – Comprehensive, personalized care that integrates hormones and weight with group support and our on‑demand library.
Expert Care in Estrogen, Progesterone & Testosterone
If you’ve been told “you’re not a candidate” — let’s talk.
Told you can’t use FDA-approved estrogen?
Let’s look at why (lots of myths prevent women who could get it) and whether a different route, dose, or timing could make it safe for you.
Tried micronized progesterone and had side effects?
There are ways to adjust formulation, timing, or safe alternatives.
Told you can’t have FDA-approved testosterone?
Let’s review the actual indications, safety, and monitoring so you can make an informed choice.
Do you want to get it right from the start?
You can get expert help from the very beginning and know your options and with shared decision-making, design a plan that fits your body, history, and goals.
Expert Care in Metabolism & Weight Management
Struggling to lose weight despite "doing all the right things"?
Told your weight gain is “just menopause”… and to accept it?
Let’s look together at why your body has changed — and what actually works for women in perimenopause and menopause.
Tried all the diets and “just move more”… and nothing changed?
There are evidence-based strategies that respect your hormones, metabolism, sleep, stress, and muscle health — not quick-fix blame games.
Told weight-loss medications aren’t for you… without a full evaluation?
Let’s review your true cardiometabolic risk, your symptoms, and your goals — so you can make an informed decision with a physician who understands women’s physiology.
Do you want to get it right from the start?
You deserve personalized care — not generic advice.
Get expert guidance from Day One
Hormone Therapy Power Hour
If your goal is to start FDA-approved hormone therapy and "feel like yourself again"
Create your Personalized Risk-Benefit Profile- a comprehensive assessment designed to identify the safest, most effective hormone therapy options for your unique body, symptoms, and goals.
Explain the physiology of midlife changes.
Decide on evidence-based targeted labs to clarify baseline health.
Map out your best first step forward.
The start of MHT Focus or Upleveled Midlife Track
You’ll walk away with clarity, options, and a plan.
Investment: $550 (applied to your membership when you enroll)
Weight Loss Power Hour
If your goal is to lose weight
and reclaim your metabolism
Discover your Personalized Profile — a deep dive into the unique biological and lifestyle factors that have made weight loss challenging, so you can finally unlock a plan tailored to your body and your goals.
Explain the Modern Science of weight and why its not all about calorie in /calorie out
Decide on evidence-based targeted labs to clarify baseline health.
Map out your best first step forward.
The start of Weight Wellness Track
You’ll walk away with clarity, options, and a plan.
Investment: $550 (applied to your membership when you enroll)
You will be prompted to our medical record system Hint Health to sign up.
Transformation you Want
Choose the Path
The $550 consult fee is credited towards any track.
Pick the level of support that matches your goals
MHT FocuS
$1,550 total for the 6 months
Symptom-relief. Feel like yourself again.
Creating your FDA-approved, safe, and evidence-based regimen.
6-month partnership
WEIGHT WELLNESS
$2,150 total for the 4 months
4M Pillar Plan to Lose Weight for the last time.
Lose weight with a proven physician guided plan
4 month partnership
UPLEVELED MIDLIFE
$2,350 total for the 4 months
The Full Transformation. Comprehensive midlife care.
Everything in MHT Focus and Weight Wellness Track rolled into one personalized roadmap
4 month partnership
If you decide not to proceed with the membership, you can bring the information we discussed to your own provider.
We cannot guarantee what your provider will do with our recommendations.
The Process: What to Expect after You Book
Getting Started Is Simple
Once you book your Initial Consultation, everything is handled electronically to make it seamless:
1️⃣ Sign Up in the System – You’ll receive a secure link to create your account in Hint Health (medical record)
2️⃣ Fill Out Medical History – Complete your intake forms online. Ensure completion before appointment.
3️⃣ Self-Schedule Your Appointment – Choose a time that works best for you. In-person and virtual options available.
4️⃣ Prepare for Success – Review the short videos and FAQs I’ve created so you arrive informed and ready.
By the time we meet, you’ll feel prepared and confident to begin.
Clarity for Midlife
Expert Care.
Not Cookie-Cutter.
Too many women are told “this is just aging.”
Let's change that narrative together.
Too many women are denied hormone therapy and given outdated advice.
Let's change your life together.
With quadruple board certifications and years of guiding women through midlife, I combine science, compassion, and personalization.
Let’s Chat!
Does this sound like what you’re looking for?
A medical practice that helps you lose weight, balance hormones, and feel like yourself again?
If you’re curious whether our approach is the right fit, join Dr. Troutman for a Free Virtual Group Meet & Greet, held once a week. See calendar for details.
In this meeting, you can understand what makes our care model different and discover if Midlife reMDy is the right place for you to start your transformation.
Free Virtual Group Meet & Greet
After registering, you’ll receive a Pre-Chat Questionnaire
Log in to your Alterra Library
Note that you need to be signed up for Alterra first, if you didn't get your sign-up link, please email us
Are you looking for a Premium High-Touch Experience?
For women who desire deeper support, we offer Limited Concierge Boutique Access.
This option is ideal if you prefer more private 1:1 guidance.
Spaces are intentionally limited.
If you feel this level of support would be the right fit, please inquire about current availability.
Your Upleveled Midlife Starts Here
The first step is simple: book your Midlife Power Hour ($550).
Gain the clarity you deserve.
($550 credited to any of the 3 Tracks)
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