Midi Protects Your Bone Health

Menopausal hormone changes can raise your risk of osteoporosis and fractures down the line. Set yourself up for a stronger future with Midi’s expert care.

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Accepted by most major insurance plans with more on the way.

Your Bones at Midlife

The normal wear and tear of aging affects your bones, but hormones play a role as well. Estrogen helps maintain bone strength and density by promoting new bone formation. So when estrogen levels decline during menopause, your bone density may drop below normal—a condition called osteopenia.

Without treatment, bone loss can progress to osteoporosis, a disease that dramatically raises your risk of fracture.  

On average, women lose up to 10% of their bone mass during the first five years after menopause. 

Strong from Within

Depending on your age and risk factors, Midi may prescribe bone density testing, and we discuss ways to prevent—and even reverse—bone loss with every patient.

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Midi taps into a range of solutions to support your bone health:
Hormones: HRT, SERMs (Evista)
Prescriptions: Bisphosphonates (Fosamax, Actonel)
Supplements: Calcium and Vitamin D, glucosamine for joint pain
Lifestyle: Weight-bearing exercise, diet changes
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Changing the lives of real women

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“My clinician ordered a bone density scan and surprise! I have osteopenia. She prescribed me an estrogen patch and oral progesterone for my menopause symptoms and the prevention of further bone loss. I feel so relieved to have thorough, knowledgeable care at this critical stage in my life.”

—E.D., 57, Midi patient
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“I already have osteopenia, but now Midi has me on HRT to protect my bones—and help me with sleep and a slew of other symptoms. My clinician also gave me great advice about the right kind of calcium supplements to take, and how to eat and exercise. I really want to age strong, and Midi is helping!”

—J.H., 56, Midi patient

Meet Midi’s Clinical Leaders

Our protocols are defined by our Midi medical advisors, doctors with decades of experience in women’s midlife health.

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Designed by top-tier specialists

Our protocols are crafted by doctors with decades of experience in women’s midlife health, and delivered by trained and certified clinicians.

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Deeply personalized

We listen to your experience and work closely with you to build a Care Plan that fits your medical history, genetics, and approach to health.

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Flexible and proactive

Your body is always changing. We adjust your plan in response, fine-tuning your treatment to provide meaningful, lasting relief.

Dr Mindy Goldman Headshot


Clinical Professor, Department of Ob/Gyn and Reproductive Sciences at UCSF and Midi Chief Clinical Officer

cancer & survivorship

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Dr. Heather HIRSCH
Chief of clinical quality at midi health

hormone health, menopause & chronic disease management

Dr. Lauren Greenberg headshot
Dr. Robert Aptekar
President, Integrative Women’s Care

Bone health, osteoporosis prevention & treatment

Dr. Lauren Greenberg headshot
Dr. Don Dizon
Director of Medical Oncology at Rhode Island Hospital

Survivorship & sexual health

DR. Sheila Bouldin headshot
DR. sheila bouldin
professor of OB/GYN and director of the Women’s Health Division at the University of Mississippi Medical Center

hormone health, obesity & public health

DR. Pauline Maki headshot
Professor of Psychiatry, Psychology and OB/GYN at University of Illinois Chicago

Brain health, mental health, depression, & hormonal health

TORI HUDSON, N.d. headshot
professor and former medical director at national university of natural medicine

botanical medicine, & naturopathic remedies

Dr. Lauren Greenberg headshot
Dr. Lauren Greenberg
board-certified plastic surgeon

Menopausal hair & skin changes, breast cancer reconstruction

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It’s not you, it’s your hormones

The natural downward rollercoaster in estrogen before menopause can lead to dozens of symptoms. Midi's expert clinicians work with you to improve the most common ones, below, and many more.

  • Joint pain, bone loss + fracture risk

  • Hot flashes + night sweats

  • Trouble sleeping

  • Painful sex, vaginal dryness + libido change

  • Weight + body changes

  • Brain fog + memory lapses

  • Depression, anxiety + mood changes

  • Period + urinary tract problems

  • Hair + skin changes

  • Breast + gynecological cancer effects

How it works

After 40, your body changes. Your care should, too.

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Cheri Barzottini, NP

Convenient care from anywhere

We’re completely virtual, which means you don’t have to leave the comfort of your home or wait hours at an office to speak with a Midi clinician. Expert help is just a video call away.

DEXA scan
Vitamin & mineral tests: vitamin D

Listen, test, treat

You want answers, and so do we. We take the time to listen to your concerns, symptoms, and medical history, then we send you to a local lab if you need diagnostic testing to inform your personalized treatment plan.

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Dr. Mindy goldman
Follow-up visit

Discuss how your plan is going


Experts who lead with empathy

Not only are our clinicians trained in menopause and perimenopause, but many of them are also going through it just like you are. Midi will work with you (and partner with your other doctors) to get your bone health back on track.


All the follow-up care you need

Midi's experts stick with you to adjust treatments and address new issues with a wide range of solutions, from hormonal medications to supplements and lifestyle changes.

Transparent pricing

Our care coordinators help you get maximum coverage from your insurance. If you're uninsured or Midi care is out of network under your plan, we also offer cash payment for services.

Service offering



Initial visit

The Midi Essential Visit gives you ample time for an in-depth conversation.

Only pay standard co-pay and deductible


Continued care visits

Follow up visits fine-tune your Care Plan and safeguard your future health.

Only pay standard co-pay and deductible

$120 - $250

depending on visit length and care complexity

Initial visit

The Midi Essential Visit allows time for an in-depth conversation with a trained clinician.


Standard co-pay and deductible



Continued care visits

Ongoing visits let us fine-tune your care, address new symptoms, and safeguard your future health.


Standard co-pay and deductible


$120 - $250

depending on visit length and care complexity

Frequently asked questions

Who should be screened for osteoporosis? 

Screening for osteoporosis is recommended for women 65 years and older and should be considered for younger women who have one or more risk factors for osteoporosis.

What are the risk factors for osteoporosis? 

The risk factors for osteoporosis and fractures include: 
- Having early menopause
- Having a family history of osteoporosis or a parent with a history of hip fractures
- Having a personal history of fractures 
- Having a history of falls
- Being a thin Caucasian or Asian woman
- A lower weight or body mass index (usually <18.8)
- Poor nutrition
- Smoking cigarettes
- Inadequate physical activity
- Consuming more than three alcoholic drinks a day
- Taking certain medications, including steroids or aromatase inhibitors (for breast cancer)
- Having certain health conditions, including early ovarian failure (before age 40), rheumatoid arthritis, chronic liver disease, inflammatory bowel disease, or a history of hyperthyroidism

What can I expect from a bone density scan?

Bone density is most often assessed by Dual-Energy X-Ray Absorptiometry (DEXA), which is a simple X-ray test that looks at the hips and spine. No anesthesia is required and the amount of radiation used is extremely low. During the test, you’ll lie fully clothed on a padded platform while an X-ray machine arm passes above you. The test lasts about 10 minutes. 

What does my bone density result mean?

The results of a bone density test are called a T score. The lower the T score, the greater the risk of fracture. 
- Normal bone density: People with normal bone density have a T score of -1.0 or above
- Low bone density (osteopenia): People with low bone density, or osteopenia, have a T score between -1.0 and -2.5
- Osteoporosis: People with osteoporosis have a T score of -2.5 or below

How can hormone replacement therapy (HRT) help with bone loss?

A large body of recent research shows that if women start hormone replacement therapy within 10 years of their last period, not only do they enjoy significant relief from menopausal symptoms but they also have a lower risk of bone loss (as well as heart disease). HRT causes estrogen levels to increase, which helps prevent bone loss and reduce your chance of breaking a bone or developing osteoporosis.

How can I help prevent osteoporosis?

Certain lifestyle measures can help prevent osteoporosis. These include:
- Getting sufficient calcium and vitamin D. The suggested intake for postmenopausal women is 1200 mg/ day of calcium and 800 IU/day of vitamin D. 
- Doing weight-bearing exercises, such as strength training or aerobic fitness, for 30 minutes three times a week
- Avoiding smoking cigarettes
- Reducing your risk of falls by placing anti-slip material below rugs (or removing rugs altogether), adding grab bars to bathtubs and showers, placing nightlights in rooms, securing electrical cord placement, and having ambulatory assistive devices available, if needed
- Avoiding heavy alcohol intake (more than three alcoholic drinks a day)

What is Midi?

Midi is a virtual clinic that provides specialty care for women 40+. In our video visits, you meet with a clinician trained specifically in perimenopause, menopause, and other aspects of female midlife health. We collaborate with you to improve your symptoms with a Care Plan personalized to your medical history, genetics, and approach to health. Midi care is holistic, and may include prescription drugs, supplements and botanical remedies, wellness therapies, and lifestyle coaching. Midi orders any blood work and/or imaging needed to track and treat your unique hormonal transition, and we refer you to your regular doctors or specialists for any necessary in-person care.

How are Midi clinicians trained?

Our clinicians are licensed nurse practitioners (NPs), CNMs (nurse midwives), doctors (MDs), and naturopathic doctors (NDs) who specialize in women’s midlife health. In addition to their invaluable clinical experience, they receive intensive training from nationally-recognized experts in perimenopause and menopause. All Midi treatment is overseen by menopause doctors who work closely with clinicians to create a Care Plan personalized to every patient.