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Metis Midlife Medicine is a cash-pay telemedicine practice dedicated to perimenopause and menopause care — currently serving women in Colorado, with Texas coming soon.
Too many women are told their symptoms are just aging. That is not acceptable — and it is not accurate.
Standard panels often miss the full hormonal picture. Symptoms don't require lab confirmation to be real — and real symptoms deserve real answers.
Hot flashes, brain fog, sleep disruption, mood changes, and weight gain are not inevitable or untreatable. They are the result of measurable hormonal change.
The evidence has changed significantly. For most healthy women, hormone therapy is safe, effective, and may offer long-term health benefits — when prescribed thoughtfully.
The metabolic changes of menopause are real and profound. Insulin resistance, visceral fat, and muscle loss are driven by hormonal change — and are addressable.
You deserve to understand your own body. Dr. Sapp takes time to explain the science, walk through your options, and build a plan you genuinely understand.
Menopause medicine is a specialty. The MSCP credential means dedicated training in the evidence base for perimenopause and menopause care — not a generalist guessing.
Every woman's experience of perimenopause and menopause is different. Dr. Sapp's practice is designed to address the full complexity of the hormonal transition — not just the symptoms that are easy to treat.
Comprehensive evaluation and management of the hormonal transition — from early perimenopause through postmenopause. Hot flashes, sleep disruption, mood changes, brain fog, and more.
Evidence-based prescribing of menopausal hormone therapy — individualized by type, route, and dose — grounded in current Menopause Society guidelines and your complete health picture.
The hormonal transition directly affects how the body processes energy, distributes fat, and responds to insulin. Dr. Sapp addresses these changes as part of comprehensive menopause care.
Vaginal dryness, painful intercourse, urinary urgency, and recurrent UTIs are common, treatable, and rarely discussed. Dr. Sapp addresses them directly — with both hormonal and non-hormonal options.
"Clarity where there's been confusion."
Most women going through perimenopause have sat in an exam room and felt dismissed — told their symptoms are normal, inevitable, or not worth treating. Dr. Sapp built this practice specifically to be different.
Every recommendation at Metis is grounded in the current evidence, current guidelines, and a genuine understanding of your full health picture.
No two women experience menopause identically. Treatment is built around your symptoms, history, preferences, and goals — not a one-size-fits-all algorithm.
The science on hormone therapy has evolved dramatically. Dr. Sapp prescribes from what the evidence actually shows today — not the outdated fears of two decades ago.
You leave every visit understanding your options, your plan, and the reasoning behind it. Shared decision-making is not a phrase here — it's the practice model.
Estrogen affects nearly every tissue. Osteopathic training and dual board certification mean Dr. Sapp sees — and treats — the full picture.
Book directly online. New patient visits are designed to be thorough — plan for 60 minutes to discuss your full history and goals.
You'll receive a detailed intake form before your visit. The more Dr. Sapp knows in advance, the more your visit time can focus on you — not paperwork.
A private, secure video visit from wherever you are. No waiting rooms. You'll leave with a treatment plan and clear next steps.
Follow-up visits, lab review, prescription management, and messaging between visits — so your questions don't wait for your next appointment.
Metis is a specialty practice with a specific scope. Here's what you need to know upfront — no surprises.
Still not sure? That's what the free 15-minute intro call is for.
Book a Free Intro CallMetis Midlife Medicine is a cash-pay practice. You pay directly for your care — Dr. Sapp provides a detailed superbill for out-of-network insurance reimbursement if applicable. No billing department, no waiting on insurance approvals, no interference between you and your physician.
Dr. Sapp is accepting new patients. Book a consultation and experience care that was built for exactly where you are.
Metis does not accept Medicare in any form, including Medicare Advantage. Cash-pay only · Superbill provided · HSA & FSA accepted.