Sustainable medical weight loss finally works when science and support come together. Our program combines advanced medical management with personalized health coaching and in-depth education, so you know exactly what to do and why it works.

Health Coaching That Finally Works

Transform Your Relationship with Food, Energy, and Your Body

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Health Coaching

Get support for lifestyle changes that complement your hormone therapy

Gut Health & Microbiome Testing

Gut health influences hormone metabolism and overall hormonal balance

Weight Loss & Weight Management

Hormonal changes can affect metabolism and weight; address both for optimal results

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HRT

Get support for lifestyle changes that complement your hormone therapy

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Virtual Health Coach Services

You've tried everything – diets, apps, programs that promised results but left you frustrated. At SPOKEmed, we understand that lasting health transformation requires more than willpower. Our comprehensive health coaching program combines medical expertise with evidence-based coaching strategies that help patients finally break free from food obsession and reclaim their energy. Our health coach approach focuses on sustainable lifestyle changes that improve health outcomes for life.

Lasting Health Transformation Requires More Than Willpower

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Medical Weight Management That Goes Beyond the Scale

Tired of losing weight only to gain it back? Our medical weight management approach combines GLP-1 medications, nutritional guidance, and health coaching to help you lose weight safely while preserving muscle mass. We address the root causes – blood sugar instability, hormonal imbalances, and the "food noise" that keeps you stuck. Our health coaching helps patients understand chronic conditions that may impact weight loss success.

Michelle Middleton, PA-C, has been prescribing GLP-1 medications since 2021, giving her extensive experience in minimizing side effects while maximizing results. Research shows that health coaching combined with medical treatment improves overall health outcomes.

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"This program has helped me transform my lifestyle and shift my mindset. Not only did I lose 25lbs in just a few months, it helped control my PCOS symptoms, I got my energy back, which is huge for me since I’m a truck driver, my bloating has gone away, I don’t have brain fog as often anymore and I just flat out feel alive again. Thank you Michelle for showing me how to get my life back!"

Xiomara Aponte

Real Women, Real Transformations, Real Life Changes

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"Being a Type 1 diabetic, my goals were to gain control over my blood sugar levels, lose weight and gain muscle. After 1 week my blood sugars stabilized, my sleep improved and my energy level increased. Michelle was instrumental in guiding me to healthy behaviors and habits that resulted in long term stability with my blood sugar, fat loss and muscle gain."

Woodward

My journey began February 2018. This tired, depressed 230lb mom was desperate for help. Exercising 5x a week, avoiding and numbing the hard things in life. Just barely surviving, married with 2 beautiful kiddos and managing 3 jobs. I was a people pleaser, I was comfortable, I was sitting on the sidelines of my life. Scrolling social media one day I stumbled across an acquaintance whose story was very similar to mine. One decision to message her changed everything in our lives. I became a coach 1 month and 15lbs later. I knew I needed the accountability. I knew I was more likely going to follow through if I had to do it for others, not just for myself. I knew others needed this same simple solution. 80lbs down and over 6 years later, I am becoming who I desire to be.

The physical weight was only the beginning, releasing the mental baggage has been the true transformation. This program has changed everything in our lives. My relationship with my husband, my kids, our family and friends and food. Boundaries I have created, fears I have released, limiting beliefs that have held me back for so long that I am overcoming. This community inspires and encourages me to want more and dream bigger.

Lenee Rogers

Personalized Health and Wellness Coaching That Meets You Where You Are

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Whether you're managing menopause, struggling with energy crashes, or feeling overwhelmed by conflicting health advice, our health and wellness coach provides the clarity and support you need. We address all four pillars of health:

Nutrition
Exercise
Stress
Sleep

Our coaching program focuses on behavior change and goal setting to help you achieve your health goals.
You'll receive weekly coaching sessions, direct access to Michelle, and evidence-based education to make informed decisions about your health for years to come. Our health coaching program can help you navigate chronic conditions and make sustainable lifestyle changes that improve your overall health and well-being.

With over a decade of experience as a Physician Assistant and over four years specializing in weight management, Michelle brings both medical expertise and personal understanding to your health journey. As a health coach, she's walked this path herself, using the same evidence-based coaching program she recommends to her patients.

Michelle's mission is to help parents get healthy so their children can be healthy too. Her integrative health approach ensures you gain the knowledge and tools for lifelong wellness. Our practice of health coaching helps patients build sustainable habits that address various health conditions and improve health outcomes.

Meet Michelle Middleton, PA-C – Your Health and Wellness Coach

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(561) 823-0040

support@SPOKEmed.com

Not sure which approach is right for you?

Book a complimentary 15-minute discovery call with Michelle Middleton, PA-C. During this no-pressure conversation, you'll discuss your health goals, current challenges, and learn about your options. Michelle will help you understand which services might be the best fit for your unique situation and lifestyle.

This brief call gives you the opportunity to ask questions, get expert guidance, and determine if SPOKEmed's evidence-based health coaching approach and if needed medical weight loss magament aligns aligns with your wellness journey. No commitment required – just honest, professional advice from a from a Certified Physician Assistant and Wellness Coach who truly cares about your success.

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Hormone Replacement Therapy That Actually Works for Your Life Stage

Hot flashes, night sweats, mood swings, and sleep disruption don't have to define your menopause experience. Michelle Middleton, Physician Assistant and Health Coach helps patients manage chronic conditions related to hormonal changes.

Symptom Relief

Reduce your risk of heart disease, osteoporosis, and cognitive decline with properly timed hormone therapy. Evidence-based treatment helps improve health outcomes.

Protective Benefits

We avoid pellets and focus on FDA-approved patches, creams, and oral options you can control. Our integrative approach considers all health conditions.

Safe Delivery Methods

Includes nutritional support because lifestyle changes dramatically impact hormone effectiveness. Our health coaching services support your overall wellness journey.

Comprehensive Care

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Discover the Hidden Root Cause of Your Health Struggles

Your gut health affects everything – weight management, mood, energy, skin, immune function, and even how well your hormones work. If you're struggling with unexplained symptoms or difficulty losing weight, your microbiome might hold the answers. Our health coach can help you understand how gut health impacts chronic conditions and overall health.
Our comprehensive stool testing reveals harmful bacteria, beneficial deficiencies, and inflammation markers. Then we create a personalized healing protocol using targeted nutrition changes and when needed supplements. This evidence-based approach helps patients improve their health through sustainable lifestyle changes.

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“

This program has helped me transform my lifestyle and shift my mindset. Not only did I lose 25lbs in just a few months, it helped control my PCOS symptoms, I got my energy back, which is huge for me since I’m a truck driver, my bloating has gone away, I don’t have brain fog as often anymore and I just flat out feel alive again. Thank you Michelle for showing me how to get my life back!

X. APONTE

“

The program has helped me in so many ways. It has helped me stay healthier. I have not only lost the weight I wanted but gained so much more.

M. HELBEIN

“

The healthy habits I have learned through Michelle Middleton and the Optavia program have improved every aspect of my life… not just maintaining my goal weight but also broadening my definition of overall healthy habits.