Midlife Feels Different. Your Care Should Too.
Schedule a call to learn more about our practice, and how we can help you reach your health goals.
If you're a woman in midlife dealing with unexplained weight gain, blood sugar issues, or belly fat accumulation, and you've been told it's "just a normal part of aging," you deserve a better answer.
Insulin resistance, visceral fat gain, and body composition changes have real health consequences and are not just something you need to accept. These concerns are treatable. And the best time to treat them is NOW, before you develop more severe health problems. That's my favorite kind of preventative care.
I work with women who are motivated to improve their health in midlife and need expert guidance during this nuanced and often-challenging process. While I can prescribe medications to assist with weight management and metabolic health, this is always accompanied by guidance about the lifestyle changes that will best support your health in midlife.
If you are already trying to be active, already trying to eat well, but your body is changing and you don't want to have to figure everything out alone, this practice is for you. I will help you figure out why, and then build a clear, effective plan to manage it.
Personalized Metabolic & Body Composition Care for Women Who Want to Age With Strength
Schedule a free 15-minute call with Nicole Rowe, MD.
Accepting new patients in Colorado & Maryland
Who is a good fit for this practice?
This practice is likely a good fit if you:
Want a physician who partners with you in improving your health over time, not a one-time fix
Care about investing in your health and wellness
Value evidence-based care, clear reasoning, and strategic health and lifestyle guidance
Are a woman in her 30's - 50's who wants to live the second half of life in vibrantly great health.
This tends to fit women who are high-functioning and motivated, but tired of piecing everything together on their own. They are willing to do the work to take care of their health, but they need help pinpointing exactly where to start and to manage the long-term strategy over time.
Schedule a call with Nicole Rowe, MD. Board-certified physician with 16 years of experience.
What this practice is NOT designed for
This practice is designed for evidence-based, integrative, and comprehensive care.
It may not be the right fit if you are looking for:
Urgent or same-day care
A replacement for your primary care physician
A weight loss prescription with no medical or lifestyle guidance
Management of severe or unstable medical conditions requiring in-person care
This is a small, physician-led practice focused on personalized, in-depth metabolic care over time.
What does care look like?
No one-size-fits-all care. Your plan is tailored to you.
As part of your membership care, you will have access to the following, depending on your goals and health concerns:
Comprehensive metabolic and lab evaluations
Medication and hormonal support (when appropriate)
Nutrition, supplement, and exercise education / counseling / support
Long-term preventive health care guidance to support the menopause transition.
We focus on what moves you forward toward better health and helps you feel like yourself again.
Fees
Initial Consultation (60 minutes): $350
A comprehensive evaluation of your previous history, health goals, and symptoms. You'll leave with a clear, personalized care plan including lab testing recommendations and options for next steps. No medications are prescribed at the first visit, but you may elect to implement recommendations on your own or with your PCP.
If you decide to move forward with care, the consult fee is applied toward membership.
Annual Membership: $5,500
Membership includes:
Regular follow-up visits with easy physician access
Comprehensive lab orders, evaluation and interpretation
Ongoing treatment adjustments
Unlimited secure messaging between visits
Long-term metabolic and preventive health strategy planning
Lifestyle coaching on nutrition, exercise, and health
Access to members-only education and group coaching sessions
Schedule a free 15-minute call with Nicole Rowe, MD.
Accepting new patients in Colorado & Maryland
About Dr. Rowe
Dr. Nicole Rowe is a board-certified family physician who focuses on improving women's metabolic health during midlife. She combines the evidence-based, science-led perspective of a physician 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 strategies for improving their health without feeling overwhelmed or burnt out.
With a background in psychology, neuroscience, and acupuncture, she brings a systems-based perspective to personalized care. She takes a thoughtful, evidence-based approach that addresses not only the medical aspects of health, but also the practical aspects of changing lifestyle and ensuring the long-term sustainability of any treatment approaches.
She provides telemedicine services for women in Colorado and Maryland. She lives in Maryland with her family and enjoys snowboarding, weight training, hiking, reading, and baking.
Frequently Asked Questions
Do you take insurance? No. This is a direct-pay practice. That allows for longer visits, more individualized care, and fewer insurance constraints. Most labs and prescriptions can still be run through insurance or standard pharmacies.
Can I use HSA or FSA funds? Yes.
Do you prescribe hormone therapy? Yes, when clinically appropriate. We use FDA-approved bioidentical hormone therapy including estradiol and oral micronized progesterone. We do not prescribe testosterone at this time.
Do you prescribe weight loss medications? Yes, when clinically appropriate and as part of a broader treatment strategy, weight loss medications are prescribed.
While we do not fill out prior authorization paperwork to get weight loss medications authorized by insurance, patients have access to manufacturer savings discounts.
Can you be my primary care doctor? This is not a general primary care practice. Patients are encouraged to maintain a separate primary care physician for routine and urgent care needs. This practice is focused exclusively on weight management and metabolic health in midlife women.
How do I know this is for me? If you are a woman in midlife who wants to address the full picture of metabolic health during the menopause transition, this is for you. We will work together on lifestyle changes, nutritional/supplement strategies, and evidence-based medication options to manage your symptoms. All within a supportive, accessible framework that gives you the time and medical attention you deserve.
If you want a clear strategy for managing midlife body composition changes:
Dr. Nicole Rowe, MD -- Board-Certified Physician Accepting new patients in Colorado & Maryland
Dr. Nicole Rowe - Midlife Metabolic Medicine
© 2026 Nicole Rowe, MD. All rights reserved.
Telemedicine | Women’s Health | Midlife Care