A More Complete Approach to Midlife Women’s Health
SPOKEmed offers five telehealth programs for women in perimenopause and menopause:
- Medical Weight Loss & Management
- HRT Hormone Replacement Therapy
- Gut Health and Microbiome Testing
- Health Coaching
- Peptide Therapy
Most women who find this page have already tried a diet, a medication, and a provider who ran standard labs and said everything looked fine. SPOKEmed exists for what comes next: a clinical model that finds the actual cause, addresses it directly, and stays with you through the process.
Every service is delivered by Michelle Middleton, PA-C, who gives patients her personal cell number and builds every care plan herself. Medical services are available in Florida and New York. Health Coaching is available nationwide.
How the Services Work Together
SPOKEmed offers five telehealth programs for women in perimenopause and menopause. Services are frequently combined based on what your situation requires.
GLP-1 Medications (Tirzepatide, Semaglutide)
Used in Medical Weight Loss & Management to regulate blood sugar, reduce appetite, and support fat loss. Sourced from an FDA-certified compounding pharmacy.
Bioidentical Hormone Replacement Therapy (BHRT)
Used in HRT to address hormonal decline during perimenopause and menopause. All methods are FDA-approved; pellet delivery excluded.
DNA-Based Microbiome Sequencing
At-home stool sample testing used in Gut Health and Microbiome Testing to identify gut composition and imbalances.
Comprehensive Metabolic Lab Panels
Heart health, metabolic function, and hormone markers. Used during intake and follow-up across Medical Weight Loss & Management and HRT.
Optavia Nutritional Protocol
A structured meal replacement program available as an optional framework within Health Coaching and Medical Weight Loss & Management.
Peptide Protocols
Targeted amino acid compounds used in Peptide Therapy as a complement to the primary clinical services.
Services Within This Category
Medical Weight Loss & Management
If you have tried diets, medications, or programs and keep ending up back where you started, that is a clinical problem, not a willpower one. This program investigates the hormonal, metabolic, and gut-level factors driving weight resistance and builds a plan around what it finds.
HRT Hormone Replacement Therapy
Hot flashes, night sweats, mood changes, brain fog, disrupted sleep, these are signals, not inevitabilities. SPOKEmed uses bioidentical hormone replacement therapy (BHRT) with treatment plans individualized to your hormone levels and symptoms.
Gut Health and Microbiome Testing
When symptoms persist despite reasonable effort, the gut microbiome is often where the answer is. DNA-based analysis of your stool sample identifies the specific imbalances contributing to weight resistance, inflammation, digestive issues, or fatigue, and produces a personalized plan to address them.
Health Coaching
Clinical interventions work better when the habits around them are solid. Health Coaching provides personalized support for women building lasting habits around nutrition, stress, sleep, and movement, with or without a concurrent clinical program.
Peptide Therapy
Targeted peptide protocols to support fat metabolism, cellular repair, and healthy aging, offered as a complement to Medical Weight Loss & Management and HRT for patients focused on longevity.
Is This the Right Fit?
Who SPOKEmed is designed for
Weight loss & regain
You have tried multiple approaches to weight loss and keep regaining. That is often a clinical problem.
Perimenopause or menopause symptoms
Your perimenopause or menopause symptoms are affecting your daily life.
Habits that actually hold
You want to build habits that actually hold.
How Care Works
Four steps to your personalized care plan
Every service is delivered by Michelle Middleton, PA-C, who gives patients her personal cell number and builds every care plan herself. Medical services are available in Florida and New York. Health Coaching is available nationwide.
Is This the Right Fit?
What to know before you start
Key Facts About Clinical Services
Five programs, one provider
All services are delivered by Michelle Middleton, PA-C.
Medical services in Florida and New York
Health Coaching is available nationwide.
Initial consultation: $60
Covers health history, symptoms, goals, and current medications. Michelle builds your care plan from this session.
Prescription medications
Sourced from an FDA-certified compounding pharmacy.
Follow-up adapts to your progress
Direct access to Michelle by call or text between appointments.
Ready to Get Started?
Michelle Middleton, PA-C, gives patients her personal number, builds every care plan herself, and stays in it with you. If you are ready to find out what is actually going on, the first step is a conversation.
Let's be friends
