Clinical Services
SPOKEmed provides physician-assistant-led care through telemedicine for women navigating perimenopause, menopause, and the years beyond. We help you lose weight sustainably, balance your hormones, and address the root causes of how you feel, not just the symptoms.
Every service is overseen by Michelle Middleton, PA-C, and built around your health history, labs, and goals. We offer both telemedicine and in-person services, based out of Florida.
The same four steps, whatever you start with
How Care Works at SPOKEmed
We believe care should never be one-size-fits-all. Whatever service you start with, the process is the same.
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Five integrated, root-cause services
Our Clinical Services
Weight & Metabolism
Medical Weight Loss & Management
A comprehensive, medically supervised approach to losing weight and keeping it off. We combine GLP-1 medications, when appropriate, with nutrition guidance, accountability, and root-cause care, addressing hormones, gut health, and habits rather than just calories.
Best for: anyone stuck in the diet-and-regain cycle who wants sustainable, medically supported weight loss.
Hormone Therapy
HRT - Bioidentical Hormone Replacement
Personalized bioidentical hormone therapy to relieve hot flashes, night sweats, mood changes, sleep issues, and other symptoms of perimenopause and menopause. We focus on FDA-approved bioidentical options with flexible dosing, and we do not use pellet therapy.
Best for: women navigating perimenopause or menopause who want evidence-based relief and long-term protection.
Peptide Therapy
Targeted Peptide Support
Clinically guided peptide therapy designed to support metabolic health, body composition, tissue repair, recovery, and healthy aging. Each protocol is personalized following a comprehensive clinical evaluation and prescribed only when medically appropriate.
SPOKEmed carefully evaluates peptide sources through certificates of analysis (COAs) and third party testing to assess purity, concentration, and potential contamination.
Best for: individuals looking to optimize longevity, energy, metabolic health, recovery, tissue repair, inflammation, body composition, and overall cellular and mitochondrial function.
Microbiome & Digestion
Gut Health & Microbiome Testing
At-home microbiome testing with results interpreted by a clinician, not just an algorithm. We identify imbalances that may be contributing to bloating, IBS, constipation, diarrhea, food sensitivities, difficulty losing weight, skin concerns, insulin resistance, diabetes, fatigue, and other chronic symptoms. From there, we develop a personalized plan that may include targeted nutrition, probiotics, supplements, and lifestyle strategies to help restore gut health and overall wellness.
Best for: anyone with digestive issues, unexplained fatigue, or chronic concerns that haven't responded to conventional care.
Lifestyle & Mindset
Health Coaching
Personalized, one-on-one coaching focused on sustainable lifestyle change. Together, we address nutrition, movement, blood sugar regulation, stress management, sleep, and mindset to build habits that support long-term health, energy, and resilience.
Best for: anyone ready to break the yo-yo cycle and build sustainable, whole-health habits with expert guidance.
Not sure where to start?
Many Patients Combine More Than One Service
At your consultation, Michelle will help you understand which combination makes sense for where you are.
Advanced Functional Testing
Go beyond routine lab work with advanced testing designed to uncover the root causes of symptoms and identify opportunities to optimize health and longevity.
Metabolic Testing
Gain deeper insight into blood sugar regulation, insulin resistance, cardiovascular risk, inflammation, and overall metabolic health.
DUTCH Hormone Testing
Comprehensive functional hormone testing that evaluates sex hormones, hormone metabolism, cortisol patterns, and key markers involved in energy, mood, sleep, and overall wellbeing.
3X4 Genetics
Personalized genetic insights that help identify factors influencing metabolism, detoxification, hormone balance, cardiovascular health, brain health, inflammation, and nutrient needs. Your results are interpreted by a clinician and translated into actionable recommendations designed to support optimal health and address root causes rather than simply managing symptoms.
The bigger picture: it's all connected.
How Hormones, Weight, Gut Health, and Habits Connect
SPOKEmed primarily supports women in perimenopause, menopause, and the years that follow. During this stage of life, shifting hormones can make weight harder to lose, disrupt sleep, affect mood, and change how the body responds to food. These systems are connected, so your care should be too.
Hormone therapy can address the imbalances that stall weight loss. Microbiome testing can reveal gut issues affecting metabolism. And coaching helps turn short-term progress into lasting habits. That's why so many of our patients combine services rather than treating each concern in isolation.
At your consultation, Michelle will help you understand which combination makes sense for where you are and what you want to feel like.
Care without the commute
Who We Serve
SPOKEmed delivers care primarily through telemedicine, making expert support available to women across the country without the commute. In-person visits are available in Florida, and prescription services are currently available in Florida and New York.
Telehealth coaching & wellness
Care for women, nationwide
Non-prescription services are available to patients anywhere in the country. From Jupiter to Jacksonville and beyond, expert care comes to you, wherever you are.
Prescription services available in
Proudly serving
By appointment only. In-person visits available in Florida; telehealth available nationwide.
YOUR PROVIDER
Michelle Middleton, PA-C
Every plan, delivered by one clinician
Meet Your Provider
All SPOKEmed care is delivered by Michelle Middleton, PA-C, a board-certified Physician Assistant with over a decade of clinical experience in weight management, hormonal health, and metabolic medicine.
Her approach blends medical expertise with nutrition and lifestyle knowledge, along with her own personal health journey, to give you care that is both clinically sound and genuinely supportive.
Real women. Real results. Real change.
Real Patients. Real Results.
Our patients don't just lose weight. They gain energy, sleep better, stabilize their moods, and often reduce their reliance on medications. See the real before-and-after stories.
Hub-level questions across all services
Frequently Asked Questions
- SPOKEmed provides multiple clinical services delivered via telemedicine
- Services include medical weight loss, bioidentical hormone replacement therapy, targeted peptide support, gut health and microbiome testing, and health coaching
- All care is delivered by Michelle Middleton, PA-C, a board-certified Physician Assistant
- Each service includes consultation, evaluation, and ongoing monitoring where applicable
- Care plans are based on clinical assessment and patient-specific factors
- Prescription services are available to patients in Florida and New York
- Services are provided to adult patients
- Delivery model: Telemedicine
Ready to take the first step?
Ready to Take the First Step?
A consultation with Michelle Middleton, PA-C, is where it starts. She'll review your history, labs, and goals, and explain exactly which services make sense for you, what to expect, and what your plan will cost. There is no obligation.
SPOKEmed, LLC · 601 Heritage Dr #496, Jupiter, FL 33458 · (561) 823-0040 · support@spokemed.com
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