Midlife Metabolic Medicine for Women Who Want Clear Answers
Something shifts in midlife, and it's rarely random (though it can truly feel that way).
You may start to notice changes that feel subtle at first: weight that shifts despite consistent habits, belly fat that starts to accumulate even if you're still exercising and eating right, sleep that becomes fragmented, 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 metabolism, cardiovascular risk, insulin sensitivity and blood sugar regulations, and overall stress resilience.
These changes are not insurmountable, but they benefit from thoughtful medical oversight and attention.
This practice focuses specifically on hormonal and metabolic health for women in Colorado and Maryland.
That includes evaluation and management of perimenopause and menopause symptoms, metabolic changes like insulin resistance and weight gain, cholesterol and blood pressure trends, thyroid function shifts, and long-term cardiovascular risk.
When appropriate, treatment may include evidence-based hormone therapy, metabolic medication management, and targeted lifestyle strategy — 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.
Physician-led, evidence-based telemedicine for midlife women.
Accepting new patients in Colorado and Maryland.
Work directly with a board-certified physician for personalized, high-quality, thoughtful care.
Care is structured around midlife hormonal and metabolic health.
This includes evaluation and management of:
• Perimenopause and menopause symptoms
• Weight gain and body composition changes
• Insulin resistance and prediabetes
• Rising cholesterol and blood pressure
• Thyroid function shifts
• Sleep disruption and energy decline related to hormonal changes
• Evolving PCOS patterns in midlife
• Long-term cardiovascular risk assessment
When appropriate, treatment may include evidence-based hormone therapy, metabolic medication management, and targeted lifestyle strategy. 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 specifically in midlife women’s health.
This is not high-volume primary care. It is not protocol-driven telehealth. It is physician-led, in-depth, focused medical care built around the physiology of women in their late 30's, 40s, 50s, and 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 hormonal transition.
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:
• Comprehensive perimenopause and menopause management
• Evidence-based hormone therapy when clinically indicated
• Medical weight management for midlife metabolic changes
• GLP-1 and other FDA-approved medications when appropriate
• Insulin resistance and metabolic syndrome treatment
• Cardiovascular risk assessment and long-term prevention strategy
• Thyroid optimization within evidence-based parameters
• 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 used when indicated. Compounded hormones and supplements are not required.
The difference is time, specialization, and medical depth, focused entirely on the health realities of midlife women.
Nicole takes the time to understand your unique challenges and goals. Everyone is busy, but she provides unique approaches that allow you to challenge yourself while working within the confines of your schedule.
The support from Nicole and the other women in the group makes it feel less like a program and more like a community. Not only did I receive workouts designed for my goals, but I gained a better understanding of my relationship with food and gradually learned how to eat again for fulfillment and satisfaction.
After years of yo-yo dieting, increasing intensity of workout schedules, and endless frustration as a post-menopausal woman, Nicole helped me reconnect with my body in a new way. I learned to treat my body kindly through rest, nutrition, meditation, and structured workouts without overworking.
Her medical degree, her understanding of the roles hormones play in post-menopause, and her knowledge of fitness and nutrition make her a well-rounded resource. I highly recommend her program.
Heather, 56
Client Feedback
When I reached out to Nicole, I felt betrayed by my body. Despite working out every day and eating (what I thought was) healthy food, I'd still gained 10 lbs that I couldn't lose since 2020 and none of my clothes fit the way that they used to. I felt confused and a bit helpless.
12 weeks later, I feel completely different. I have my energy back and my clothes fit the way I remembered them fitting.
Even better, everything I've learned is for the rest of my life. I don't feel helpless any more and I have a much better understanding of the way that menopause changes how the body works. I felt like it was my fault, but now I feel like I have the tools to work with the body I've got.
Liza, 63
Working with Nicole has changed my perspective on eating and exercise. I’ve dieted a lot in the past and it always required restricting that I couldn’t maintain. My mind is blown that I’m seeing results without having to be hungry and actually enjoying the foods I’m eating.
It has always been challenging for me to keep my priority on healthy eating when when I’m traveling, eating out, etc., but Nicole’s program has made it so much easier to choose the kinds of foods that will satisfy and keep me full longer—and that actually taste great too!
Nicole takes a holistic approach and covers all of the important aspects of achieving a faster metabolism, but also better overall health. A result I didn’t expect to see has been an improvement in my gut health. I attribute that to the holistic nature of this program. I feel better all-around!
Nicole takes the time to explain each part of the process thoroughly and is a great coach and motivator. I felt and feel so supported in this health journey.
The icing on the cake is that I’ve lost 8 pounds so far and my clothes are fitting so much better! I’m excited to have the tools to make these permanent changes. I know I’ll
just keep seeing results.
Christen, 40
This has been different than every other weight loss plan I've tried. I've tried a bunch over the years, from Weight Watchers, to Beach Body and everything in between.
I feel like I can keep doing this forever, and it will easily fit into my life. I have lost weight and now I can zip up my pre-pregnancy jeans! Which I couldn't do before the program.
Alyssa, 38
Dr. Nicole Rowe -
Women's Midlife Health Doctor
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