
In midlife, hormones and weight are not separate problems. They’re the same problem.
Hormonal imbalance makes weight loss harder. Carrying excess weight worsens hormone symptoms.
Treating one without the other leaves half the equation unsolved.
The Upleveled Midlife combines:
Menopausal Hormone Therapy (MHT)
Estrogen, progesterone, and testosterone — personalized to your history, goals, and biology. Not a template. Not a script. A plan built for you.
The 4M Pillar Playbook
Four pillars that work together to reset your metabolism and make results sustainable:
Meals — Metabolic-smart, protein-forward, anti-inflammatory nutrition that fits your real life — not a meal plan from 1995
Movement — Strength and stability work that protects muscle and insulin sensitivity. Progressive, beginner-friendly, co-created with you
Mind — Sleep, stress, and mindset tools that address the cortisol and cravings nobody else is talking to you about
Meds — FDA-approved weight loss medications when appropriate — always personalized, monitored, and adjusted
Together, these aren’t a diet plan.
They’re a complete biological reset — guided by a physician who understands all of it.
Too many women are dismissed, undertreated, or handed a prescription with no follow-up.
At Midlife reMDy, hormone therapy is a guided process — not a one-time event.
✓ Told "you can’t have estrogen?” — There are many myths blocking women who could benefit. We look at route, dose, and timing to find what’s safe for you.
✓ Told "you can only use birth control for your symptoms?” — Birth control and MHT are not the same. We explain the difference based on your goals.
✓ Told "you can’t have testosterone?” — We review the actual evidence, safety data, and monitoring so you can make a truly informed choice.

Our most comprehensive program — combining hormone therapy and medical weight loss in a single, physician-led plan built around your body.
What’s included:
✓ 1 × 60-minute Power Hour — your full deep-dive initial consultation
✓ 1 × 60-minute follow-up individual session
✓ 2 × 30-minute individual optimization visits
✓ 16 virtual group sessions led by Dr. Troutman
✓ 20 total touchpoints over 4 months — real ongoing support
✓ Your personalized 4M Playbook (Meals, Movement, Mind & Meds)
✓ Nutrition guidance, movement plan, sleep & stress tools
✓ FDA-approved weight loss medications when appropriate, with monitoring
✓ Hormone therapy: estrogen, progesterone, and/or testosterone as indicated
✓ Messaging support Mon–Fri, response within 48 hours
✓ Schedule visits at your own pace within the 4-month window
A note on group sessions:
Group participation is completely optional. You receive the same expert, personalized care from Dr. Troutman regardless. The group is there for women who want community, accountability, and connection with others on the same journey.
What this is worth:
Think about what you’ve already spent on diets that didn’t account for your hormones, supplements that overpromised, and appointments where you left with no real answers.
The Upleveled Midlife replaces all of that with one precision-medicine plan — built for your body, your biology, and this chapter of your life.
Investment: $2,350
Payment plans available — ask during your Meet & Greet.

Metabolic-smart, protein-forward, anti-inflammatory nutrition that fits your lifestyle and your schedule

Strength, stability, and everyday movement to protect muscle and insulin sensitivity. We co-create simple plan and progressive goals.

Sleep, stress, and mindset supports that actually feel doable: quick tools for cravings and overwhelm.

FDA-approved options—always personalized, monitored, and aligned with your goals.
No insurance hassles. No judgment. Just answers.

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