Why I Started Metis Midlife Medicine

There's a moment I've witnessed more times than I can count. A woman in her mid-forties sits across from me and describes months — sometimes years — of poor sleep, unpredictable moods, weight changes that don't respond to anything she's tried, and a creeping sense that her body has become a stranger. She's been told her labs are "normal." She's been handed a pamphlet. She's been reassured that this is just part of getting older.

She leaves without answers. And she wonders if she imagined it.

She didn't.

The Gap This Practice Was Built to Fill

Perimenopause and menopause are among the most significant physiological transitions a person can experience — and among the most consistently undertreated in conventional medicine. The average primary care appointment runs twelve minutes. Menopause medicine is a specialty unto itself, and most physicians receive fewer than two hours of formal training on it in medical school.

I'm a board-certified family physician and obesity medicine specialist with additional certification in menopause medicine (the Menopause Society Certified Practitioner designation, or MSCP). I've spent years watching patients fall through the cracks of a system that simply wasn't designed to give midlife hormonal health the time, depth, or nuance it deserves.

Metis Midlife Medicine exists because it doesn't have to be that way.

What "Metis" Means

Metis was the goddess of wisdom and deep knowing in Greek mythology — the kind of intelligence that comes not from raw information, but from understanding context, pattern, and the full picture of a person. She was known for counsel rather than commands, and for insight that held up under complexity.

That's the medicine I want to practice.

Midlife health isn't a checklist. It's a conversation between your history, your biology, your goals, and your life. My job is to bring clinical rigor to that conversation — and to actually have it, at the depth it requires.

How This Practice Works Differently

Metis Midlife Medicine is a telemedicine practice serving patients in Colorado and Texas. It operates on a cash-pay model, which means I don't answer to insurance company protocols, prior authorization requirements, or the financial incentives that often shape what conventional practices can offer.

What that means for you:

Appointments that last long enough to matter. Your intake visit isn't fifteen minutes. We'll talk through your full history, your symptoms, what's been tried, and what you actually want — not just what fits a billing code.
Evidence-based menopause medicine, practiced as a specialty. I stay current on the literature, attend specialized menopause medicine training, and treat this as the complex, rewarding field it is.
No gatekeeping. You shouldn't need a referral, a failed trial of something ineffective, or a persistent advocate in your corner to access good care. You can come directly.
Continuity. I see a limited number of patients intentionally — because knowing you over time produces better medicine than starting from scratch at every visit.

Who I See

My practice focuses on women navigating perimenopause and menopause, with or without interest in weight management support. You might be:

In your late thirties or forties, starting to notice changes that don't quite fit any explanation you've been given
In your fifties and frustrated that you've been dismissed, undertreated, or handed a one-size-fits-all approach
Newly postmenopausal and wanting to think carefully about long-term health — bone density, cardiovascular risk, cognitive wellbeing — with someone who takes that planning seriously
Managing your weight alongside hormonal changes and finding that the two are deeply intertwined (they are)

If you've ever left a doctor's appointment feeling unheard, or if you've spent hours researching perimenopause on your own because no one gave you real answers — you're exactly who this practice was built for.

A Note on the Cash-Pay Model

I know that paying out of pocket for healthcare is a real consideration, and I don't take it lightly. My membership model is designed to make high-quality, ongoing care accessible and predictable — not to add financial stress. And because I can generate a superbill for your visits, you may be able to submit to your insurance for partial reimbursement, depending on your plan.

What you're paying for isn't just my time. It's access to a physician who has done the deep work in this area, who isn't double-booked, and who will give your health the attention it actually deserves.

Ready to Talk?

If any of this resonates, I'd encourage you to reach out. The intake process starts with a conversation — not a form — and I want to make sure Metis is the right fit before we begin.

You've spent long enough navigating this alone.