Complete Care for Your Complete Health
We focus on four interconnected areas of women’s health.
Most practices address one.
We integrate them with intention.
Hormone Therapy
Hormonal shifts are not something to ignore. They are physiological transitions that deserve thoughtful evaluation and strategic optimization.
Untreated symptoms are more than inconvenient. Poor sleep can increase cardiovascular risk, and mood instability can impact relationships and work performance. Hormonal changes influence brain function, metabolism, and long term health.
Using advanced testing, including the DUTCH test when appropriate, we design individualized, evidence-based hormone therapy protocols focused on precision optimization, not just replacement, to restore vitality, clarity, and metabolic stability.
Medical Weight Loss & Metabolic Management
Weight loss is not about willpower. It is about understanding your metabolism, insulin sensitivity, and the biological factors contributing to weight retention.
Through comprehensive metabolic testing and data-driven protocols, which may include GLP-1–based therapies and peptides when clinically appropriate, we develop sustainable strategies focused on improving body composition, metabolic function, and long term health outcomes.
Gut Health & Microbiome Optimization
Your gut influences hormones, metabolism, immune balance, energy, and inflammation.
Using advanced microbiome analysis such as GI-MAP, and when indicated genetic pathway testing, we identify imbalances and build targeted strategies to restore digestive integrity and systemic stability from the inside out.
Health Coaching & Lifestyle Optimization
Medical data provides clarity. Daily behaviors determine long term outcomes.
Your care plan includes structured guidance in nutrition and hydration, exercise, restorative sleep, and stress regulation. These core drivers directly influence hormones, metabolism, cognitive function, and overall health.
Through personalized health coaching, we help you implement sustainable changes that align with your medical strategy and fit into your real life, supporting measurable long term success.
Health Concerns We Address
Metabolic Dysfunction
Insulin resistance, visceral adiposity, elevated lipids, inflammation, and difficulty losing weight despite effort.
Hormone Imbalance
Perimenopause, menopause, PCOS, cycle irregularities, estrogen and progesterone imbalance, low testosterone, and cortisol dysregulation.
Digestive Disorders
Bloating, reflux, IBS patterns, microbiome imbalance, food sensitivities, and impaired nutrient absorption.
Thyroid Disorders
Hypothyroidism, Hashimoto’s thyroiditis, hyperthyroidism, and subclinical thyroid dysfunction affecting energy, mood, and metabolism.
Autoimmune Conditions
Immune dysregulation contributing to chronic inflammation, joint pain, fatigue, skin changes, and organ-specific autoimmune disease.
Common Symptoms We Treat
Many of the women and families we work with come to us experiencing symptoms like:
Energy & Metabolism
- Fatigue or low energy
- Low energy or sleepiness after meals
- Difficulty losing weight
- High visceral fat or abdominal weight gain
- Sugar cravings
- Elevated blood pressure
- Elevated triglycerides or ApoB
- Acanthosis nigricans (darkened skin folds)
Hormonal Changes
- Irregular cycles
- Heavy or painful periods
- Hot flashes or night sweats
- Mood swings
- Anxiety or irritability
- Low libido
- Vaginal dryness
- Hair thinning
- Acne
- Sleep disruption
Cognitive & Mood
- Brain fog
- Difficulty concentrating
- Depression
- Fluctuating symptoms
Digestive Health
- Bloating
- Gas
- Constipation or diarrhea
- Food sensitivities
- Reflux
- Abdominal discomfort
- Digestive disturbances
- Nutrient deficiencies
Thyroid & Autoimmune Patterns
- Weight gain
- Cold intolerance
- Dry skin
- Puffy face
- Slow heart rate
- Heat intolerance
- Palpitations
- Tremors
Thyroid & Autoimmune Patterns
- Frequent bowel movements
- Chronic fatigue
- Joint pain or stiffness
- Skin rashes
- Hair loss
- Temperature sensitivity
- Unexplained inflammation
Why Standard Care Falls Short
You've probably heard it before: "Your labs are normal," "It's just aging," "You need to try harder." But normal isn't optimal. And if you're struggling, with weight, energy, hormones, or digestion something in your system needs attention.
The problem isn't you. It's that conventional medicine often uses a one-size-fits-all approach. It doesn't dig deep. It doesn't test comprehensively. And it doesn't account for how everything in your body is connected.
That's where precision medicine changes everything.
Your Health Deserves Better Than Guessing
Precision medicine means we test, we listen, and we build a plan that's uniquely yours.
We Test Comprehensively
We don't rely on basic labs. We use advanced diagnostics including DUTCH hormone testing, GI-MAP microbiome analysis, genetic pathway testing (3x4 Genetics), and metabolic markers to see the full picture of your health.
We Use Evidence-Based Protocols
Every recommendation is rooted in clinical research and data from your own labs. We combine functional medicine principles with rigorous medical oversight to create protocols designed for your specific situation.
We Provide Personalized Support
You're not a number. We maintain intentionally low patient volume so every woman receives the time, attention, and education she deserves. You'll understand the "why" behind every recommendation.
Your Path to Precision Health
Guided by Clinical Expertise & Deep Listening
Michelle Middleton, PA-C, is a Board-Certified Physician Assistant and Menopause Society Certified Provider with a Master of Health Science from Nova Southeastern University. But credentials alone don't tell the story.
Michelle built SPOKEmed because she saw the gap: women falling through the cracks of conventional medicine, searching for answers, and not finding providers who would dig deep enough or care enough to listen.
Her approach combines rigorous clinical training with genuine partnership. She doesn't prescribe from a protocol, she partners with you to understand your unique needs and build a plan that works for your life.
Board Certified &
Clinically Trained
- Board Certified Physician Assistant (NCCPA)
- Menopause Society Certified Provider (The Menopause Society)
- Master of Health Science, Nova Southeastern University
- Physician Assistant License
Real Women. Real Results. Real Change.
Positive Patient Outcomes- turn it into me telling general Patient’s stories but don’t use names.
The SPOKEmed Difference: Intentional, Integrated, Individualized
Intentionally Limited Patient Load
We don't scale by seeing more patients. We scale by going deeper with each patient. This means you get genuine time, real listening, and personalized attention—not rushed appointments or templated protocols.
Everything Works Together
Your hormones influence your weight, mood, and sleep. Your gut health impacts your energy, skin, and inflammation. Your metabolism shapes your overall health and long term well being.
These systems are not separate. They are interconnected.
We do not treat isolated symptoms. We evaluate how your body is functioning as an integrated system and address the root causes driving imbalance, not just the surface level effects.
You'll Understand the "Why"
We believe informed patients make better decisions. Every recommendation comes with explanation. You'll understand what your labs mean, why we're recommending specific interventions, and how to support your own health long-term.
Ready to Find Out What's Really Going On?
Your health is too important for guessing. Book a consultation with Michelle to discuss your unique situation, explore comprehensive testing, and discover what precision medicine can do for you.
Questions first?
Email support@spokemed.com
or call (561) 823-0040
Let's be friends
Primary Business Type: Weight loss service
Primary Services: Weight Loss and Weight Management, Gut Health and Advanced Gut Microbiome Testing, Bioidentical Hormone Replacement Therapy, Holistic Health and Wellness Coaching
Client Types: Individual Patients (Teens and Adults)
Service Area: United States (National)
Delivery Model: Remote (Telemedicine)