Upleveled Midlife
Where Weight Wellness Meets Hormone Harmony
Midlife is not a decline—it’s a transition.
But when weight feels stuck, energy is gone, and hormones are shifting, it can feel like you’ve lost your spark.
That’s where the Upleveled Midlife comes in.
This track blends Weight Wellness and Hormone Therapy—two powerful, science-backed approaches—to restore clarity, balance, and momentum so you can thrive in this next chapter.
Why Upleveled Midlife Works
Most programs focus only on food and exercise, or only on hormones.
That’s not enough.
In midlife, biology and lifestyle are intertwined.
By combining Weight Wellness (4M Pillar Plan) with personalized Hormone Therapy,
we target the root causes of symptoms
and help your body work with you, not against you.
Investing in yourself during midlife doesn’t just change how you feel today — it rewrites your future.
That’s what improving healthspan is really about.
First Step is Hormone Therapy:
Restoring What’s Missing
When estrogen, progesterone and testosterone decline,
metabolism, mood, sleep, and body composition all take a hit.
FDA-approved Menopausal Hormone Therapy (MHT) can be a powerful tool when tailored to your story, history, and goals.
Hormones are never a one-size-fits-all solution. We decide together what’s safe, effective, and aligned with your priorities.
Midlife reMDy: 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.
Told that you can only use birth control for relieving symptoms of menopause?
Let's explain the difference based on your goals.
Told you can’t have FDA-approved testosterone?
Let’s review the actual indications, safety, and monitoring so you can make an informed choice.
This is the mark of a specialist: we explain the options and the science, then partner with you in shared decision-making to design a plan that fits your body, history, and goals.
Estrogen
The CEO of our Brain.
Estrogen is the powerhouse hormone of midlife. It helps regulate mood, memory, sleep, and metabolism, while also protecting bone, brain, and heart health.
Progesterone
Progesterone is the calming counterpart to estrogen. It balances the uterine lining, supports sleep, and helps regulate mood.
Testosterone
Though often overlooked, testosterone plays a vital role for women. It supports energy, motivation, strength, sexual health, and cognitive sharpness.
The choices you make in midlife become the story your body lives tomorrow.
Healthspan rises when you decide you’re worth the investment.
The Hormone Map
Navigating Your Weight & Metabolism
Your body runs on signals from four key hormones that drive hunger, fullness, fat storage, and stress.
Together, they create your Hormone Map.
Ghrelin – the hunger starter. Leptin – the fullness signal.
Insulin – the blood sugar guide. Cortisol – the stress responder.
Here’s where the 4M Playbook —Meals, Movement, Mind, Meds—comes in.
Once we map which hormone is steering you off course, we adjust your pillars to bring you back into balance.
Weight Wellness:
Reset Your Metabolism
Through the 4M Playbook—Meals, Movement, Mind, and Meds—we address the shifts in hunger hormones, metabolism, and stress that drive midlife weight gain.
You’ll learn how to eat, move, and live in a way that makes fat loss sustainable and muscle maintenance doable, without relying on willpower alone.
Your Personalized 4M Playbook
Meals
Metabolic-smart, protein-forward, anti-inflammatory nutrition that fits your lifestyle and your schedule
Movement
Strength, stability, and everyday movement to protect muscle and insulin sensitivity. We co-create simple plan and progressive goals.
Mind
Sleep, stress, and mindset supports that actually feel doable: quick tools for cravings and overwhelm.
Meds
FDA-approved options—always personalized, monitored, and aligned with your goals.
Meals — Metabolism-Smart
Midlife metabolism isn’t broken — it’s misunderstood.
Your hormones, hunger cues, and blood sugar patterns shift dramatically in perimenopause and menopause, which means the old “eat less, move more” advice no longer works.
That’s where medical nutrition meets real-life meals.
As an Obesity Medicine and Culinary Medicine–trained physician and Certified Diabetes Care & Education Specialist (CDCES), I help you understand why your body is changing — and how to feed it for balance, not battle.
You’ll learn to:
Understand how insulin, cortisol, and midlife hormone changes affect hunger, cravings, and fat storage
Build meals that balance hunger and satiety — without rigid diets or deprivation
Identify hidden drivers of weight gain like inflammation, sleep disruption, and stress eating
Reconnect to hunger and fullness cues through mindful and metabolic eating
Movement — for Metabolism
At midlife, movement is no longer about burning calories — it’s about building capacity.
Hormonal changes, especially the drop in estrogen, directly affect muscle mass, bone density, and energy levels. The right kind of movement can restore strength, stabilize metabolism, and reignite confidence.
Redefine fitness from punishment to partnership — moving because it feels good, not to “earn” food
Use strength training to counteract the muscle loss
Incorporate recovery and flexibility to reduce inflammation and stress load
Discover time-efficient routines that work for your life.
Mind - The 3 Rs of Regulation
Your mind is where healing begins—and where it can get stuck.
Working on the Mind Pillar we help you regulate your nervous system, restore healthy sleep, and reshape the thoughts that guide your daily choices.
When stress, poor sleep, or negative self-talk go unchecked, they keep your metabolism, hormones, and motivation out of sync..
Regulate Stress
Restore Sleep
Reshape Mindset
Meds - Evidence-Based
Sometimes the body needs a reset — not more restriction.
At midlife, shifting hormones, metabolic slowdown, and insulin resistance can create an uphill battle that no amount of willpower can fix alone.
That’s where medical precision meets personalized coaching.
We use advanced, evidence-based therapies to help your body work with you again — not against you.
Shared decision-making: Clear risk-benefit conversation based on your history, labs, and goals.
Pair medications with nutrition and mindset tools to maximize results and minimize side effects
Recognize that medications are not “shortcuts” but bridges to restore balance and capacity
Build confidence in knowing when — and why — a medical tool is the right fit for your body
Monitoring & adjustments: Side-effect minimization, weight trends, hunger/fullness cues, sleep, stress, and labs to guide next steps.
Your future health isn’t determined by age — it’s shaped by action.
Nourish your body today so you can live the life you love longer
What’s Included in the Upleveled Midlife Track
Comprehensive Intake & Strategy Session
Your story, symptoms, goals, medical history, and lifestyle context—translated into a clear plan.Risk–benefit evaluation for hormone therapy with ongoing monitoring
Personalized 4M Playbook
Understand the modern science of weight and create step by step strategy to address them. No overwhelm.Nutrition & Prep Tools
Real-life suggestions. Customized to your day. Online lifestyle platform with guided education and video content library available 24/7Movement Plan
Beginner-friendly strength roadmap. Start with what small steps.Sleep & Stress Toolkit
Self compassion guides the journey. Addressing stress through thought work.Medications
Evidence-based prescribing with safety monitoring and follow-up.Virtual Group Sessions
At least 1 touchpoint/week for accountability, coaching, workshops and masterclasses with Dr. Troutman, RDs, and other trained specialists
In-Person Group Sessions
1 live event /month for monthly connection and hands-on support
7-day Group Challenges
Help create the habits 1 small step at a time.
Messaging Support
Quick questions between visits to keep you moving.
Membership format: Schedule the visits within the 4 months. At your own pace.
Messaging support M–F within 48 hrs.
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
The Upleveled Difference
When you put Weight Wellness and Hormone Therapy together, you don’t just get symptom relief—you get synergy.
Hormones restore the foundation.
The 4M Playbook builds the structure.
Together, they give you back momentum.
This isn’t about chasing a number on the scale or turning back the clock. It’s about creating a version of midlife that feels energized, confident, and deeply sustainable.
Your health is your most valuable asset.
Living the Upleveled Midlife is a health investment. Your plan is personalized, physician-led, and grounded in precision medicine. Pricing reflects the level of care and customization you receive—because you’re worth it, and a better you means a better everyone.
Results You Can Expect
Relief from disruptive menopause symptoms
Easier, more sustainable weight loss
Rebuilt energy and focus
Better sleep and mood
Confidence that midlife can be your peak, not your plateau
Why Group Sessions?
At Midlife reMDy, we do care differently—because midlife health deserves more than 15-minute checkboxes.
Our Group-Supported Model blends expert medical guidance with the connection and accountability of a small, supportive community.
Each session is led by Dr. Troutman, a quadruple board-certified physician and certified empowerment physician coach, who helps you understand your hormones, metabolism, and mindset—while learning alongside other women walking a similar path.
More Touchpoints, More Support
Community & Connection
Expert Guidance, Shared Wisdom
Real Coaching + Real Medicine
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
Ready to Uplevel?
Your next chapter doesn’t have to be defined by symptoms or struggle.
Let’s design a plan that combines the best of both science and compassion.
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.
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