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80%
HAVE LITTLE TO NO KNOWLEDGE OF PERI OR POST-MENOPAUSE
75%
GO UNTREATED AFTER SEEKING MENOPAUSE CARE
1 in 4
WORKPLACES FORMALLY ADDRESS MENOPAUSE
04
ANNUAL VISITS
Once a year • $500
After you've completed your 6- or 12-month program and are stable, we transition to annual care. A comprehensive visit per year where we assess new risk factors, review your recent labs and imaging, tweak your regimen as needed, and refill your prescriptions.
01
CLARITY CONSULTATION
60 minutes • Virtual • $395
For the woman who needs answers. A comprehensive conversation (no ongoing access or prescriptions) where I review your existing labs, assess your weight and metabolic health, bone and breast health, evaluate your cardiovascular risk, and create a personalized care plan.
You leave with clarity on your health picture and a path forward.
02
THE RISING METHOD
6 months • $2,800
Hormones aren’t a one-and-done conversation. Your body changes. Treatment needs adjusting. Questions come up.
6 months together allows comprehensive assessments, lab reviews, messaging access, HRT + GLP1A when appropriate, sexual health exploration, tracking how you respond, and coordination with other providers.
Once you're stabilized, we transition to annual check-ins to assess your risk factors, review changes & refill your Rx.
03
THE MIDLIFE SHIFT
12 months • $4,500
For complex cases or women committed to a longer stretch of real transformation. Everything in the 6-month experience, with more time to monitor changes, adjust your regimen, go deeper into sexual health work, and build genuine confidence in your care.
Once you're stabilized, we transition to annual check-ins to assess your risk factors, review changes & refill your Rx.
WE LOOK AT YOU AS A WHOLE PERSON
Your Body Doesn't Work in Silos. Neither Do I.
Here's what that means for our work together:
WEIGHT & METABOLIC HEALTH:
Weight gain in midlife is not a character flaw. Estrogen declines and your metabolism changes. Your body is not broken, and neither are you. I assess your current metabolic picture along with your overall labs & reports and discuss weight loss options. If you're a candidate for treatment, I prescribe and manage it.
BONE, BREAST & BEYOND:
I review your mammograms and calculate your breast cancer risk using validated risk scores. I assess your bone density and function. I read your labs holistically: what your body is telling you, what your history predicts, what interventions will serve you best.
CARDIOVASCULAR HEALTH:
Heart disease is still the #1 killer for women, so I order imaging that standard care ignores. I'll assess your lipids, blood pressure, family history, lifestyle, and stress, so I have a complete picture of your cardiovascular health and can develop a strategy accordingly.
SEXUAL HEALTH & LIBIDO:
Your libido, arousal, orgasmic capacity, and pleasure are not optional add-ons to menopause care. They are health metrics that menopause can drastically impact. As a Certified Sex Counselor, I ask all the questions about your sexual health, and if yo
INTERACTIONS:
Your sleep, stress, medications, supplements, exercise, alcohol use, sexual health, cardiovascular risk, family history. Your body is one integrated system. Your care should be, too.
the care midlife women deserve
Midlife is badass. Burnout is not a badge. Midlife is not over the hill. Menopause is not the end.
Midlife is badass. Burnout is not a badge. Midlife is not over the hill. Menopause is not the end.
WHAT CLIENTS SAY
"After my breast cancer, I didn’t think I had any options, Miranda walked me through everything. Life is not over after your diagnosis. I would highly recommend her to all."
- K. W.
WHAT PEOPLE SAY
"I was hesitant about a membership model while I already had insurance, but this is well worth it for Miranda’s expertise and knowledge.
- T. W.
WHAT PEOPLE SAY
“Is this all in my head or do I actually feel more awake, less fog and more energy with just a few doses. You are the first person who hasn’t made me feel like I was crazy!”
- L. L.
WHAT PEOPLE SAY
"Your work to unravel the systemic treatment of perimenopausal women is so important. You do the most basic, empathetic thing: listening and believing. You’ve given me so many tools, thank you."
- L. M.
WHAT CLIENTS SAY
"You invest in everything else, why wouldn’t you invest in yourself. Miranda is so knowledgeable and truly listens."
- K. L.
ABOUT YOUR SPEAKER, MENTOR & PROVIDER
Meet Miranda, DMSc, PA-C
Miranda Zuhlke, DMSc, PA-C, is a certified menopause practitioner, sexual health counselor, and speaker on a mission to arm midlife women with the support, care, and education they need to thrive in midlife (and never hear, "it's just stress" again).
As a woman in the military and a healthcare provider who was repeatedly dismissed by the very system she worked in, Miranda decided she wasn't going to accept that as the standard.
Now, Miranda's determined to set a new standard.
She combines evidence-based medicine with conversations too many tiptoe around. Hormones, menopause, libido, brain fog, weight gain, aging, and everything in between. Nothing is off limits when it comes to midlife..
Whether she's speaking on stages, mentoring other providers, or working one-on-one with midlife women, Miranda brings equal parts science and unfiltered real talk. She's here to challenge the status quo, raise the standard of care, and give women the support they deserve.
it's time to reclaim your power