2 × 60-minute Individual Sessions (Power Hour + Visit 2)
2 × 30-minute Individual Optimization Sessions
16 Virtual Group Sessions
20 total touchpoints over 4 months
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.
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 is the calming counterpart to estrogen. It balances the uterine lining, supports sleep, and helps regulate mood.
Though often overlooked, testosterone plays a vital role for women. It supports energy, motivation, strength, sexual health, and cognitive sharpness.


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.

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.
Comprehensive Intake & Strategy Session
Your story, symptoms, goals, medical history, and lifestyle context—translated into a clear plan.
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 24/7
Movement 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
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.
More Touchpoints, More Support
Community & Connection
Expert Guidance, Shared Wisdom
Real Coaching + Real Medicine


After registering, you’ll receive a Pre-Chat Questionnaire
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.
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