Michelle Middleton isn't just another healthcare provider prescribing weight loss medications. She's a board-certified Physician Assistant who has spent over a decade in medicine, combined her clinical expertise with her own personal health transformation, and dedicated her practice to helping women like you reclaim their energy, confidence, and health.
As the founder of SPOKEmed, Michelle brings something unique to telehealth wellness: she genuinely understands the frustration of trying diet after diet, the exhaustion of managing multiple responsibilities at the expense of neglecting your own health, and the hope that comes with finally finding an approach that works.
From Orthopedics to Wellness: A Career Shaped by Purpose
Michelle's medical journey began in Orthopedics at Southeast Orthopedic Specialists in Jacksonville, where she worked alongside board-certified surgeons in a fast-paced, highly sophisticated environment. For years, she managed her own clinic of 25-35 patients daily, first-assisted in surgeries, and trained medical assistants and physician assistant students.
But something was missing. Michelle realized that while she could treat injuries and perform procedures, she wanted to address the root causes of health problems rather than just manage symptoms. In March 2020, during the uncertainty of the COVID-19 pandemic, Michelle made a pivotal decision to transition her career entirely toward wellness and weight management.
This wasn't just a professional shift, it was personal. Michelle had her own struggles with weight and health, and she knew there had to be a better way to help people achieve lasting results.
The Personal Journey that Changed Everything
Michelle's approach to health coaching comes from authentic experience. She personally used the Habits of Health® Transformation System to lose weight and regain the energy and confidence she had been missing This wasn't just about looking better, it was about feeling better, sleeping better, and having the mental clarity to show up fully in her life and relationships.
When Michelle speaks about blood sugar stability, the frustration of failed diet attempts, or the challenge of maintaining healthy habits while caring for everyone else, she's not reciting textbook knowledge. She's sharing wisdom gained from her own transformation and from helping hundreds if not thousands of women achieve similar results.
This personal experience allows Michelle to connect with her patients in a way that most clinical providers cannot. She understands the emotional aspects of weight management, the guilt that comes with prioritizing self-care, and the hope that emerges when you finally find an approach that works with your body rather than against it.
What Sets Michelle Apart in Women's Health
Michelle's unique combination of medical expertise, personal experience, and genuine care creates an approach that addresses the whole person, not just the number on the scale.
Medical Expertise You Can Trust
Michelle is a board-certified and licensed Physician Assistant with full prescribing privileges, including a DEA license for controlled substances.
Her decade of experience includes comprehensive training in weight management, hormone replacement therapy, and longevity medicine. She's been prescribing GLP-1 medications since 2021, making her an early adopter with extensive experience managing these treatments and preventing their side effects.
Personal Connection That Makes the Difference
Unlike app-based programs or large telehealth providers where you might see different providers each visit, Michelle personally manages every aspect of your care. You'll have her direct cell phone number and can text or call between appointments. This level of accessibility ensures you never feel alone on your health journey.
Education-First
Philosophy
Michelle doesn't just tell you what to do. She teaches you why it matters. Her approach focuses on helping you understand how blood sugar stability affects your mood, energy, and weight, why protein timing matters, and how to create sustainable habits that last long after you've reached your goals.
Credentials and Continuing Education
Michelle's commitment to excellence extends beyond her initial medical training. She maintains active memberships in leading professional organizations to stay current with the latest advances in women's health and weight management.
Education & Licensure
- Board Certified Physician Assistant
- Master of Health Science, Physician Assistant Program, Nova Southeastern University
- Bachelor of Science in Zoology and Italian, University of Wisconsin, Madison
- Licensed to prescribe medications, including controlled substances
- Menopause Society Certified Provider
Professional Affiliations
- The Menopause Society
- Obesity Medicine Association
- American Academy of Anti-Aging Medicine (A4M)
- Florida Association of Physician Assistants
- 3X4 Genetics Community
Community Leadership
Michelle serves on the Board of Directors for Care Resource Network and as a Neighborhood Captain for Impact the Palm Beaches, demonstrating her commitment to community health beyond her medical practice.
Memberships & Professional Affiliations
Michelle is proud to be affiliated with The Menopause Society, the Obesity Medicine Association, and the American Academy of Anti-Aging Medicine (A4M), three of the most respected organizations in women's health, metabolic medicine, and longevity.
These memberships reflect our commitment to staying at the forefront of evidence-based, precision care so that every protocol we design for you is rooted in the latest clinical standards.
A Mission Rooted in Personal Experience
Michelle's mission extends far beyond individual patient care. Having lost her mother at age 16 and grown up without parental guidance, she understands the profound impact that healthy parents can have on their children's lives.
This personal motivation fuels Michelle’s holistic approach to health. She understands that when you sleep better, feel better, and have more energy, you show up differently—for your family, your work, and yourself. Children mirror what they see. When parents prioritize their health, they model habits for their kids that can last a lifetime.
Michelle has witnessed this transformation firsthand—not just in her own life, but in the families she's worked with where entire households have improved their health together.
This personal motivation fuels Michelle’s holistic approach to health. She understands that when you sleep better, feel better, and have more energy, you show up differently—for your family, your work, and yourself. Children mirror what they see. When parents prioritize their health, they model habits for their kids that can last a lifetime.
Stories of Better Health and Renewed Confidence
Many patients arrive feeling frustrated with fatigue, weight challenges, or hormone imbalance.
Through personalized care and a whole-body approach to wellness, they begin to regain energy, confidence, and control over their health.
These experiences shared by patients reflect the impact thoughtful medical care can have on everyday life.
The Meaning Behind Our Logo
Our brand mark was designed to represent more than just a symbol, it reflects the heart of SPOKEmed’s mission.
At the center of the wheel is you, our client. Surrounding you are the four essential pillars of wellness, nutrition, exercise, mindset, and sleep, depicted as spokes that keep the wheel balanced and moving forward. Together, they embody the idea of well-rounded care and the belief that true health is propelled when every part of your well-being works in harmony.
Our logo is a reminder that your journey is always supported, steady, and moving forward.
Accessible Care That Fits Your Life
Michelle understands that as a busy woman managing work, family, and multiple responsibilities, you don't have time for complicated healthcare. That's why she's designed SPOKEmed to work around your schedule, not the other way around.
Direct Access When You Need It
You'll receive Michelle's cell phone number and can text or call between appointments. No waiting days for callbacks or navigating through administrative staff when you have questions or concerns.
Flexible Scheduling
Virtual appointments eliminate travel time and allow you to receive care from the comfort of your home or office. Michelle offers consultation appointments Monday through Wednesday from 8:30 a.m. to 6:00 p.m. and is available on Thursdays and Fridays by request.
Comprehensive Follow-Up
Your care does not stop after the first visit. Follow-up appointments allow the provider to monitor your progress, review lab results, adjust treatment plans when needed, and provide ongoing support so you continue moving toward your health goals with confidence.
The SPOKEmed Difference: Why Women Choose Michelle
Michelle's patients consistently describe her as knowledgeable, trustworthy, easy to talk to, and genuinely invested in their success. Here's what makes working with Michelle different from other weight management approaches:
Comprehensive Health Assessment
Michelle begins with thorough lab work to identify underlying issues like hormonal imbalances, metabolic dysfunction, or nutrient deficiencies that may be affecting your weight and energy.
Medication Safety and Quality
All medications are either FDA-approved or, when compounded options are necessary, sourced from FDA-registered compounding pharmacies that provide certificates of authenticity. You’ll always know exactly what you’re receiving—and that it’s safe, effective, and high quality. I’ve also personally commissioned third-party testing to verify the purity, potency, and safety of compounded medications, so you can feel fully confident in what you’re putting into your body.
Sustainable Habit Formation
Rather than quick fixes, Michelle focuses on teaching you habits that will serve you for life, addressing not just what you eat but how to manage stress, improve sleep, and create lasting change.
Family-Centered Approach
Michelle understands that your health affects your entire family. She can work with multiple family members and provides guidance that benefits everyone in your household.
Let's be friends
