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The hormone-weight connection

When it comes to maintaining a healthy weight, estrogen is our ally: It supports fat and glucose metabolism, curbs appetite, and can help us hold on to lean muscle mass. So when estrogen drops dramatically during the menopause transition, we may put on pounds without any diet changes, feel hungrier, lose muscle, and gain fat (especially around the middle).
A graphic depicting female hormones in relation to weight gain.

Powerful, personalized treatment

Your clinician will work with you to address your weight in the context of your hormonal health and recommend prescription weight loss medications if appropriate.
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Midi taps into a range of solutions to support your healthy weight goals:

Hormones: HRT, to improve bothersome symptoms that contribute to weight gain
Weight loss medications: GLP-1s: Semaglutide (Wegovy, Ozempic), Tirzepatide (Mounjaro, Zepbound); naltrexone/bupropion HCL (Contrave), metformin
Supplements + Botanicals: Fiber, probiotics
Lifestyle: Personalized eating and activity recommendations, sleep optimization, prediabetes counseling

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

MIDI IS CHANGING WOMEN'S LIVES

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“Midi gave me the right advice and weight loss medications—I’ve lost 25 pounds!”

-E.K., 47 years
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“The Midi team was genuinely interested in my entire history, my progress, and my outcomes. I’m finally on the right track. Thank you, thank you!!”

- C.C., 52
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“I came to Midi because I experienced unexplained weight gain. Running marathons, eating keto—none of it was working. I went to multiple providers and couldn’t get answers, but my Midi clinician was able to identify a hormone imbalance. She put me on a regimen of holistic care and now I’m 10 pounds lighter, I’m running, I have energy again.”

- J.W., 45
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“Midlife for me meant weight up, energy down, and foggy brain due to less sleep. Midi helped me take a closer look at my health and re-balance my hormones, giving me just the support I needed. I am back to my ‘regular’ clothes with more energy and a sharper wit!”

C.W., 55
Five star symbols

I came to Midi because I experienced unexplained weight gain. Running marathons, eating keto—none of it was working. I went to multiple providers and couldn’t get answers, but my Midi clinician was able to identify a hormone imbalance. She put me on a regimen of holistic care and now I’m 10 pounds lighter, I’m running, I have energy again.

J.W., 45
Five star symbols

Midlife for me meant weight up, energy down, and foggy brain due to less sleep. Midi helped me take a closer look at my health and re-balance my hormones, giving me just the support I needed. I am back to my ‘regular’ clothes with more energy and a sharper wit!

C.W., 55
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Meet Midi’s Clinical Leaders

Our protocols are defined by Midi’s 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.

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DR. MINDY GOLDMAN

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

cancer & survivorship

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DR. PAULINE MAKI
Professor of Psychiatry, Psychology and OB/GYN at University of Illinois Chicago

Brain health, mental health, depression, & hormonal health

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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

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

botanical medicine, & naturopathic remedies

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Dr. Lauren Greenberg
board-certified plastic surgeon

Menopausal hair & skin changes, breast cancer reconstruction

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

Survivorship & sexual health

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Dr. Robert Aptekar
President, Integrative Women’s Care

Bone health, osteoporosis prevention & treatment

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How it works

In midlife, your body changes. Your care should, too

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What are you experiencing?

Select all of your symptoms.

Trouble sleeping
Period problems
Brain fog
Anxiety
Hot flashes
Weight changes
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Book your virtual visit

Take a few minutes to set up your account, enter insurance, tell us about your symptoms, and choose a time to meet your clinician.

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Cheri Barzottini, NP
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Meet your Midi clinician

Discuss your symptoms and health history in depth with a nurse practitioner trained in perimenopause and menopause.

Hormone levels: FSH, E2, AMH, testosterone free and total
Vitamin & mineral tests: Ferritin, vitamin D, vitamin B12
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Get the tests you need

If bloodwork or imaging can help us personalize your treatment, we’ll send you to a convenient local facility that accepts your insurance

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Dr. Mindy goldman
Follow-up visit

Discuss how your plan is going

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Integrate Midi into your health routine

Get all the virtual follow-ups you need to dial your treatment and take preventative steps. We’ll partner with your other doctors, and refer you for in-person treatment when needed.

Designed to be better for midlife, in every way

What we treat
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Traditional
Healthcare

All clinicians trained in perimenopause & menopause care

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Protocols designed by experts in menopause

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Care coordinator assigned to every patient

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Integrative approach to medicine

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No waitlists for treatment

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24/7 access to guidance & support

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Flexible follow-ups & adjustments, until you feel better

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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

With Insurance

Self-pay

Initial visit

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

Only pay standard co-pay and deductible

$250.00

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

Care coordination

Have questions about insurance, scheduling, anything? We’re here for you. Call or email us and we’ll jump in to help.

Free

Free

Initial visit

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

Insurance

Standard co-pay and deductible

Self-pay

$250

Continued care visits

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

Insurance

Standard co-pay and deductible

Self-pay

$120 - $250

depending on visit length and care complexity

Frequently asked questions

Why does maintaining a healthy weight matter in midlife?

Carrying significant extra weight can contribute to your risk of cardiovascular disease, fatty liver disease, type-2 diabetes, and high cholesterol. Midlife is when most of these problems arise in women, but it’s also a great time to take steps to stay healthy now and into the future. Weight management can be one of those important steps.

What are the most effective lifestyle changes I can make to maintain a healthy weight?

 Fortunately, there’s a lot you can do to combat midlife weight gain. Your options fall into three categories:
- Get quality sleep. Why does this matter? Consistently poor sleep leaves you exhausted, which makes it harder to be physically active. Inadequate rest may also disrupt normal levels of appetite hormones that regulate hunger and satisfaction, and drive cravings for foods high in fat and carbs.
- Move your body, every day.
Not only does exercise help counter weight gain and fat accumulation, it can also improve sleep, mood, and blood sugar metabolism. Strength training is particularly important for building lean muscle mass.
- Eat nourishing foods.
Eating is individual, but almost everyone can benefit from a diet rich in minimally processed plant foods, getting plenty of fiber and protein, and choosing complex carbohydrates over simple carbs. Timed eating (aka intermittent fasting) may help women at midlife as well.

What do weight loss medications do?

Weight medications may be used to suppress appetite, control cravings, and/or stabilize blood sugar levels.

Who should take weight loss medications?

A new class of prescription weight-loss medications called GLP-1 receptors have been shown to help people lose a significant percentage of body weight when paired with a healthy diet and regular exercise. Examples of GLP-1 receptors that are FDA-approved for weight loss include Zepbound (tirzepatide) and Wegovy (semaglutide). Other medications, such as Ozempic (semaglutide) and Mounjaro (tirzepatide), are approved for diabetes but used off-label to help patients lose weight.

However, these drugs aren’t for everyone. They’re typically appropriate for people with obesity (a BMI greater than 30) as well as those with a BMI greater than 27 and one or more weight-related conditions such as high blood pressure, type 2 diabetes, or high cholesterol. And it’s also important to consider potential downsides, such as cost and side effects (like nausea, bloating, and indigestion).

Are there any risks associated with weight loss medications?

All medications carry risks, and these are no exception. If you are a candidate for any weight loss medication, a Midi weight specialist will review all the benefits, potential risks , and possible side effects, so you have all the facts you need to decide on a Care Plan.

Will my insurance cover weight loss medication?

Coverage varies depending on your insurance plan and if you medically qualify for a specific medication. Midi partners with you and your pharmacy to get your medications covered whenever possible.