Midlife Metabolic Medicine for Women Who Want Clear Answers

Midlife changes are real, measurable, and treatable. They deserve medical depth, not dismissal.

You might notice changes that feel subtle at first: weight that shifts despite consistent habits, sleep fragmentation, a thickening waistline, energy dips, or labs that are trending in the wrong direction.

Individually, these changes might seem minor. But together, they form a pattern that can disrupt your life and feel overwhelming to tackle.

Perimenopause and menopause are not just hormonal events. They influence your metabolism, cardiovascular risk, insulin sensitivity and blood sugar regulation, and overall resilience.

These changes can be managed effectively, and they benefit from thoughtful medical oversight and careful attention.

This practice focuses specifically on hormonal and metabolic health for women in Colorado and Maryland.

Physician-led. Evidence-based. Unhurried care.

Accepting new telemedicine patients in Colorado and Maryland.

Work directly with a board-certified doctor for personalized, high-quality, thoughtful care.

Care is structured around midlife hormonal and metabolic health.

When appropriate, treatment may include evidence-based hormone therapy, metabolic medication management, supplement advice, and targeted lifestyle strategies.

All guided by your laboratory data, personal health goals, and overall risk profile.

The focus is not on chasing isolated symptoms. It is on understanding the pattern and managing it deliberately over time.

What Makes Us Different

You work one-on-one with a board-certified physician who specializes in midlife women’s health.

This is not high-volume primary care. It is not a protocol-driven hormone mill. It is physician-led, in-depth, focused medical care built to support the physiology of women in their late 30's through early 60s.

Your visits are deliberately longer and unhurried. We have the time to review your full history, trends in your labs over time, metabolic patterns, cardiovascular risk, sleep, body composition, and hormone-related symptoms.

Your labs are interpreted in context, not in isolation. Decisions are grounded in current medical evidence and your individual data. No trends, influencer protocols, symptom dismissal, or rushed prescribing.

When appropriate, care may include:

• Perimenopause and menopause symptom management
• Medical management for midlife metabolic changes
• GLP-1 and other FDA-approved weight loss medications, when appropriate
• Insulin resistance and metabolic syndrome treatment
• Cardiovascular risk assessment and long-term prevention strategy
• Thyroid optimization
• Structured, sustainable lifestyle strategy tailored to midlife physiology

Labs are ordered through standard laboratories whenever possible so you can use insurance benefits. FDA-approved medications are always used when indicated. Compounded hormones and supplements are not required for treatment.

The difference is time, specialization, and medical depth, focused entirely on the health realities of midlife women.

Who This is For

This practice is designed for women in midlife who are experiencing:

• Stubborn weight gain and body composition changes

• Perimenopause or menopause symptoms affecting sleep, mood, or energy

• Insulin resistance, cholesterol changes, blood pressure shifts, or thyroid concerns

• Frustration with lack of clarity around the best treatment options for their health concerns

Book A Consultation

Scope of Care

This practice is designed for women seeking in-depth medical care focused on midlife physiology and metabolic health.

It is not structured to provide:

• Emergency, urgent, or same-day care
• One-time prescription requests
• Comprehensive primary care services

Patients are expected to maintain a separate primary care provider for acute illness, preventive screening, and urgent medical concerns.

Fees

Initial Consultation (60 minutes): $750

If ongoing care is appropriate, membership is $299 per month and includes:

• Six 45-minute follow-up visits annually
• Ongoing lab review
• Evidence-based medication management
• Secure portal communication between visits

This is a direct-pay practice.

Any necessary laboratory testing and medications can be processed through your insurance when applicable.

About Dr. Rowe

Nicole Rowe, MD
Board-Certified Physician

My background is in primary care, where I treated patients across all stages of life. Over time, I became increasingly aware of a consistent pattern: midlife women presenting with complex, interconnected changes that didn't always fit nicely into one simple diagnosis.

Weight shifts, metabolic changes, brain fog, sleep disruption, rising blood sugar...these concerns called for deeper evaluation and a more comprehensive plan than a brief visit could provide.

I found myself drawn to understanding these patterns more deeply. Eventually, I chose to build a practice focused specifically on midlife women because this stage of life demands thoughtful, systems-based care that often exceeds the short, problem-focused visits that are typical of traditional primary care.

Before medical training, I studied psychology and neuroscience. That foundation continues to inform my work. Sustainable change requires more than information — it requires understanding motivation, stress physiology, how to regulate our nervous systems, and the ways that hormones influence cognition and behavior.

In addition to conventional medical training, I am certified in Japanese acupuncture. That experience strengthened my systems-based approach to physiology and reinforced the importance of recognizing patterns rather than treating symptoms in isolation. My current practice remains grounded in evidence-based Western medicine, but that broader lens informs clinical reasoning.

Over time, I have helped numerous midlife women improve metabolic markers, body composition, and cardiovascular risk profiles. In my own life, I prioritize strength training, cardiovascular fitness, nutrition, and mind–body practices as foundational health strategies. I help women develop practical, sustainable approaches that fit the realities of full, demanding lives.

Care is delivered via telemedicine to women located in Colorado and Maryland.

FAQ's

Q: Do you take insurance?
A: This is a direct-pay practice. Visits are not billed to insurance. When possible, laboratory testing and prescriptions may be processed through your insurance.

Q: Do you prescribe hormone therapy?
A: Yes. When clinically appropriate, hormone therapy may be part of a comprehensive treatment plan. Decisions are guided by current medical evidence, individual risk factors, and overall health goals. Compounded hormones are not required.

Q: Do you prescribe GLP1 medications?
A: Yes, when clinically appropriate, GLP1 medications can be part of a balanced treatment plan.

Q: Do you do the paperwork to get GLP1 medications approved by insurance?
A: Partly. If you would like to use health insurance coverage for a GLP1 medication, you are responsible for contacting your insurer, requesting prior auth forms, and confirming benefits/eligibility. We can fill out the clinician portion of the prior authorization form up to once every 6 months. We do not contact insurance companies about appeals, denials, or peer-to-peer discussions. We can provide resources for manufacturer coupons or savings cards to help with direct-pay costs of GLP1 medications if needed.

Q: Can I use my insurance for labs and medications?
A: In most cases, yes. Labs are ordered through standard laboratory services when appropriate. Medications can be sent to the pharmacy of your choice.

Q: Is this primary care?
A: No. This practice focuses specifically on midlife hormonal and metabolic health. Patients are encouraged to maintain a primary care physician for general medical needs, preventive care, and urgent concerns.

Q: Do you work with women in their 30s or 60s?
A: Yes, when concerns relate to midlife metabolic or hormonal transition patterns. However, by law we cannot accept any patients who are enrolled in Medicare or Medicare Advantage plans.