Midlife Feels Different. Your Care Should Too.

If you're dealing with unexplained weight gain, blood sugar issues, or low energy in perimenopause or menopause, you're not alone. But you're also not stuck. If you've been told this is "just a normal part of aging," you deserve a second opinion.

Midlife can bring frustrating health symptoms that have serious health consequences if left untreated. Insulin resistance. Visceral fat accumulation. Loss of strength and muscle mass. Interrupted sleep. Decreased energy. Longer recovery times. More propensity to injuries. The changes in midlife can affect seemingly everything in midlife.

We use science + lifestyle medicine to help women who want to improve their metabolic health in midlife. It is comprehensive, integrated, evidence-based care. That means we might adjust exercise programming, nutrition, supplements, and/or medications. We work together to come up with an individualized and effective plan that will fit into your lifestyle.

Personalized Body Composition & Metabolic Care for Women Who Want to Age With Strength

Schedule a call to learn how we can help you thrive during midlife.

Who This Practice is For

This practice is a good fit for you if you:

• Want to take a proactive approach to midlife changes and already invest in your health

• Want more detailed health insights than standard primary care lab evaluations usually provide

• Are experiencing stubborn weight gain, insulin resistance, or body composition changes in midlife

• Want a physician who evaluates the full picture of your health, not just treats individual symptoms

• Are tired of rushed, 15-minute visits and ready for a different type of care

When applicable, treatment will include:

• Comprehensive laboratory testing and guidance on how to interpret your laboratory data

• Lifestyle-based strategies and coaching to improve your metabolic health

• Metabolic medication management

• Advice on evidence-based supplements that may be helpful

• Up-to-date preventive health recommendations and counseling

The goal is to manage the changes happening during midlife and menopause proactively, strategically and deliberately.

Not sure if this is the right fit? Schedule a free 15-minute call to learn more.

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
• Care for uncontrolled diabetes, extremely high blood pressure, or other medically urgent conditions which would benefit from in-person care and monitoring

Patients are asked to maintain a separate primary care provider for acute illnesses, basic preventive screenings, and urgent medical concerns.

How Care Works (The Model)

This practice is built to be a small, membership model "micropractice." However, you do NOT have to be a member to start with care. We understand that choosing your doctor can be a very personal decision that often requires establishing trust first. To that end, every patient starts out with an initial, in-depth medical consultation that is designed to be a comprehensive "state-of-the-union" type visit. We will go through everything relevant to your metabolic health and midlife changes. This includes:

• how your weight and body composition have changed over time

• what you’ve already tried and how your body responded

• sleep, stress, nutrition, and recovery

• medical and health history

• any available labs, in context — though having previous labs is not mandatory in order for me to get an understanding of what might be going on with your health

From there, we will walk through what I think will be helpful to address your specific situation. I'll explain what’s likely driving the changes you’re seeing, as well as come up with a strategy for addressing those health concerns and your personal health goals.

Some patients decide to continue with ongoing membership care, which includes lab ordering/interpretation, prescriptions, and structured follow-up.

Others take the plan and work on it independently or with their existing healthcare team. Either option is totally valid!

If you do decide you want to continue with care, your membership will include ongoing access to me through telemedicine follow up visits and secure portal messaging access, all of which are included in your annual membership. You will also have opportunities to do optional members-only virtual events and coaching sessions, which will be held periodically throughout the year and are included in your membership. I believe we all thrive when we have a supportive group of women who can relate to what we are experiencing, and I hope to create a space where that can happen (for women who are interested).

Fees

Initial Consultation (60 minutes): $350

During the initial consultation, we will review all relevant aspects of your health and medical history, including any previous labs you have available as well as any previous treatments you have tried.

We will work together to come up with an integrated, comprehensive plan of action for optimizing your metabolic health in midlife.

If you decide that ongoing care is a good fit, your initial consultation fee will be credited towards the annual membership.

Annual Membership ($5,500) includes:

• Regular structured follow-up visits to discuss your health strategy, implementation questions, lab work results, and medications
• Regular comprehensive lab assessments with physician review and interpretation
• Secure portal communication for non-urgent questions and updates between visits
• Access to members-only health events, group coaching, and private Q&A sessions

Schedule a free 15-minute discovery call. Board-certified medical doctor specializing in women's body composition and metabolic health.

About Dr. Rowe

Nicole Rowe, MD
Board-Certified Family Practice Physician

Dr. Nicole Rowe is a board-certified family physician who focuses on improving women's metabolic health during midlife. She combines an evidence-based, integrative health perspective with her background as a women's health coach for women who want to improve their body composition. She loves helping women incorporate practical, simple, and effective strategies for improving their health without feeling overwhelmed or burnt out.

Dr. Rowe enjoys helping women manage the complex metabolic and hormonal changes that emerge during midlife, including body composition shifts, insulin resistance patterns, sleep disruption, and changes in energy levels.

She began her career in primary care, caring for patients across the lifespan. Very quickly, she noticed a recurring pattern: midlife women who were experiencing complex, interconnected metabolic and hormonal changes that were difficult to address within a brief, problem-focused visit typical of traditional primary care.

She started this practice so that she could give patients exactly what they wanted (and what, as a provider, she knows they deserve): deeper evaluation, more time, more strategy, and more precision than a short primary care visit structure allows for.

Before medical school, Dr. Rowe studied psychology and neuroscience. That background continues to inform her clinical perspective. Sustainable health changes require more than information alone; they involve understanding stress patterns, motivation, behavior change, neurobiology, and the ways these intersect with hormonal and metabolic health.

In addition to her conventional medical training, Dr. Rowe is also a certified physician acupuncturist. Acupuncture training further strengthened her systems-based approach to health, and reinforced the importance of recognizing patterns across multiple body systems. It gave her a broader appreciation and respect for other ways of defining and managing health besides simply taking medications.

Over the course of her career, Dr. Rowe has worked with many midlife women seeking to improve metabolic markers, body composition, and long-term cardiovascular health. Her approach focuses on practical, sustainable strategies that integrate strength training, cardiovascular exercise, nutrition, sleep regulation, stress management, mind-body connection, and metabolic medical management.

In her own life, she prioritizes strength training, fitness, nutrition, and mind-body practices as foundational health habits. These principles shape the strategies she recommends to patients. She has three wild and beautiful young children who keep her laughing daily, and a marathoner husband who has filled their garage with trophies. She loves snowboarding, baking, coffee (always with creamer), and reading.

Dr. Rowe provides care via telemedicine for women in Colorado and Maryland.

FAQ's

Q: Do you accept insurance?
A: No. The practice operates on a membership model and does not bill insurance for visits. This allows for longer visits, more individualized care, and greater flexibility in testing and treatment decisions. Patients may still use their insurance for many laboratory tests and prescriptions obtained through traditional pharmacies. When patients prefer to pay directly for labs, we are able to access substantially lower pricing than typical billed insurance rates.

Q: Can I use my HSA/FSA card?
A: Yes. You can use FSA and HSA benefits to pay for care.

Q: Who is this practice designed for?
A: This practice is for women in midlife who want a thoughtful, physician-led approach to metabolic health, body composition, and hormonal changes. Read more here.

Q: Who may not be a good fit for this practice?
A: This practice may not be the best fit if you are primarily seeking quick prescriptions, urgent visits for medical issues, or insurance-based primary care. It is not a good fit for women who have poorly controlled diabetes, poorly controlled high blood pressure, or other serious medical conditions which require urgent stabilization. This model works best for patients who want an ongoing physician relationship and are interested in a comprehensive, proactive approach to metabolic health in midlife. Read more here.

Q: Why a membership model?
A: Traditional medical care is limited by short appointments, fragmented follow-up, and insurance requirements that prioritize volume over thoughtful care. A membership model allows our practice to operate differently. By only working with a limited number of patients, we spend more time understanding the full picture of your health over time. This allows for more thorough evaluations, more thoughtful treatment plans, and more ongoing guidance than brief, problem-focused visits allow. Membership also allows care to remain independent of insurance restrictions that can limit visit time, testing options, or treatment approaches. The membership model offers a more deliberate, relationship-based approach. That makes care proactive, personalized, and easier to access whenever questions arise.

Q: Do you prescribe hormone therapy?
A: Yes. When clinically appropriate, FDA-approved hormonal therapy including estrogen (estradiol) and progesterone may be prescribed as part of a comprehensive treatment plan. Decisions are guided by evidence-based medical society guidelines, individual risk factors, and overall health goals. Compounded hormones are not currently prescribed, as we prescribe bioidentical hormones using FDA-approved therapies such as transdermal estradiol patches and oral micronized progesterone.

Q: Do you prescribe weight loss medications?
A: Yes, when clinically appropriate, weight loss medications are prescribed as part of a balanced treatment plan, particularly when insulin resistance or metabolic dysfunction is contributing to weight gain. We prescribe weight loss medications alongside lifestyle-based health measures when appropriate, because these medications can lead to muscle loss if used without appropriate nutrition and exercise interventions.

For some patients, medications will be part of a broader treatment plan. For others, meaningful improvement occurs through lifestyle changes and accountability/support, without the need for medication. Treatment decisions are individualized and based on shared decision making and a comprehensive medical evaluation. This is not a one-size-fits-all approach.

Q: Can I use my health insurance for labs and medications?
A: In many cases, yes. Labs are ordered through standard laboratory services when appropriate. Medications can be sent to the pharmacy of your choice and most of them can be processed through your insurance. Please note that weight loss medications are often subject to insurance coverage restrictions.

Q: Is this direct primary care? Can you be my primary care doctor?
A: This is not direct primary care. This practice focuses exclusively on women's metabolic health and midlife body composition management. Patients are encouraged to maintain a separate 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 and body composition goals. However, by law we cannot accept any patients who are enrolled in Medicare or Medicare Advantage plans.

Q: What is included in the membership?
A: Great question! Find out more here.

Q: What happens during the initial consultation?
A: The initial consultation is a comprehensive medical and strategy visit. We will go through your health history, symptoms, previous bloodwork, and any metabolic and hormonal changes that are contributing. We will discuss medical and lifestyle factors, and develop a comprehensive strategy for addressing your concerns.

Q: Do I have to join the membership after the initial consultation?
A: There is no obligation to join the membership after the consultation. The initial visit is an opportunity to review your health history and current concerns in detail, develop a thoughtful plan of action, and determine whether the practice is the right fit for ongoing care and implementation of your health strategy. If you decide to continue with membership care, the consultation fee is applied toward your annual membership. If you decide not to join, you will receive a comprehensive summary of recommendations and strategy that you can implement on your own.

Q: How do I know if this is right for me?
A: If you've been told your labs are "normal" but things don't feel right with your body, this is for you. If you're struggling to lose belly fat or perimenopausal weight gain and no one has given you helpful options for treatment, this is for you. If you are a woman who values her health and you want comprehensive, thoughtful, evidence-guided care, this is for you.

Nicole Rowe, MD - Board-certified family practice physician. Accepting new patients in Maryland and Colorado.

If you want evidence-based, comprehensive care for midlife weight and body composition concerns: