Your sleep has become a 4 a.m. TED Talk.
Your brain is doing mental gymnastics, planning tomorrow, or rehashing a conversation from 2017 that absolutely did not need a replay.
Hormone care for midlife women
Stop piecing together your hormone care.
A medically guided approach to midlife hormones with labs, prescribing access and ongoing support, so you no longer have to figure this out one appointment, podcast and Google search at a time.
Take the 2-minute eligibility quiz to see which level of care may be right for you.
You know something is off.
You’re just tired of being the one who has to figure out what.
Your brain occasionally leaves the building.
You walk into a room and immediately forget why. You know you had a point. It was probably a good one.
Your body changed the rules without telling you.
The same food and workouts that used to work now act like they’ve never met you. The scale, meanwhile, has become weirdly committed to its new storyline.
Your internal thermostat has gone rogue.
One minute you’re fine. The next you’re stripping off layers and wondering who turned the room into a sauna. Spoiler: apparently, you did.
Your libido went on sabbatical.
And your vagina may have decided moisture was optional. Sex can feel different, desire can disappear, and nobody warned you there would be paperwork for this phase of life.
Everyone suddenly seems... louder.
You can go from “I’m fine” to “why is everyone chewing like that?” in about 14 seconds. You know it’s not really about the chewing.
Exhausted has become your default setting.
Coffee used to be optional. Now it feels like part of your personality, and by mid-afternoon you’d happily trade a kidney for a nap.
And somehow your labs are still “normal.”
You’ve been told everything looks fine while standing there thinking, “Great. Then why do I feel nothing like myself?”
And somehow you’re expected to piece together estrogen, progesterone, testosterone, thyroid, metabolism, nutrition and menopause on your own.
That’s the problem we’re solving.
The information problem isn’t the problem
You probably don’t need more information.
You need a plan.
You’ve read the articles. Listened to the podcasts. Tried the supplements. Asked the questions. Maybe you’ve even tried HRT already.
The problem isn’t that you haven’t been trying hard enough.
It’s that no one has helped you connect the dots.
How much longer do you want to keep guessing?
A better way forward
Hormone care should be a process, not a prescription.
1
TEST
Understand your starting point with midlife-focused lab panels.
2
TREAT
Work with licensed prescribers to determine whether hormone therapy or other treatment is appropriate for you.
3
TRACK
Reassess labs, symptoms and progress so we know what’s working and what needs attention.
4
ADJUST
Care evolves as your body changes. The plan can evolve with it.
5
SUPPORT
You have real people, real guidance and somewhere to ask questions between appointments.
The place to start
Meet Midlife RESET
Essential Hormone Care
For most women who come to Midlife Solutions, this is where we recommend starting.
The essential pieces of hormone care, connected in one place.
Midlife RESET was built for the woman who wants expert hormone care without paying for repeated private coaching she may not need.
You get the labs, prescribing access, follow-up and ongoing hormone support needed to navigate your first year of care with far less guesswork.
Women who were tired of guessing, too
Sometimes the biggest relief is finally feeling like yourself again.
“
I felt like I had lost who I was. I was in a fog and could not remember anything but the words to 70s music. Reaching out to Karen was one of the best things I had done for myself in a long time. I feel like I have my life back. This has truly been worth every penny.
Susan“
Working with Karen was amazing. She gave me the confidence I needed to begin hormone replacement therapy. Her practical, no-nonsense approach made applying these changes to my daily life much easier than I thought it would be.
Carol“
I’m not as tired and I don’t get that afternoon slump. My thinking is clearer, my digestion is better, and my libido is slowly coming back to life. I am back to being able to make my own lubrication. I can’t believe I waited this long to make these changes.
DominiqueIndividual experiences vary. Testimonials reflect personal experiences and are not a guarantee of specific results.
What you actually get
Not a pile of appointments. A connected year of hormone care.
Every part of RESET has one job: make it easier to understand what is happening, get appropriate medical care, and know what to do next.
1
Know what’s changing
3 essential lab panels included. So your care can be followed over time instead of making decisions from one snapshot and hoping for the best.
2
Get access to HRT-trained prescribing care
All necessary prescribing calls are included. Licensed clinicians determine whether treatment is appropriate and make all prescribing decisions.
3
Start with a real human
Your private Quick Start appointment with Nurse Kelly helps you understand the program, what happens next, and where to focus first.
4
Have somewhere to turn between appointments
Weekly live hormone Q&A, coaching and community support mean you are not left alone with a prescription and Google when questions come up.
5
Look beyond estrogen and progesterone
Thyroid, metabolic health, nutrition, muscle, body composition and other midlife factors can overlap with how you feel. We help you look at the bigger picture.
6
Support the rest of your life, too
Meal plans, recipes, workouts, education and peptide guidance help you turn information into practical habits that support your health outside the prescription bottle.
Why ongoing care matters
The first prescription isn’t the finish line.
Hormone care is rarely “take this and never think about it again.” Bodies change. Symptoms change. Doses may need to change. And sometimes the first approach is not the final approach.
That is exactly why RESET is built as a year of guided care, not a one-time transaction.
✓
You are not expected to get everything perfect on day one.
There is a process for tracking and revisiting what is happening.
There is a process for tracking and revisiting what is happening.
✓
You have a place to ask questions.
Because a six-month wait for a two-minute answer is not our idea of support.
Because a six-month wait for a two-minute answer is not our idea of support.
✓
You can see the bigger picture over time.
Labs, symptoms and how you actually feel all matter.
Labs, symptoms and how you actually feel all matter.
Midlife is bigger than one hormone
Because “just give her estrogen” can be as incomplete as “your labs are normal.”
Your symptoms may overlap across hormones, thyroid function, sleep, metabolic health, stress, nutrition and body composition. That does not mean every woman needs every treatment. It means the whole picture deserves attention.
✓
Thyroid concerns can be evaluated alongside hormone care.
✓
Weight and metabolic changes are addressed without reducing everything to “eat less, move more.”
✓
Sexual health, sleep, mood, energy and body composition are treated as real quality-of-life concerns.
“Four doctors told me I was fine.”
Lisa knew something wasn’t adding up.
After 18 months of barely sleeping, she had gained 50 pounds and was dealing with hair loss, heart palpitations, night sweats and debilitating joint pain.
She found Karen’s podcast, started HRT, and then joined the program because feeling better was only the beginning. With guidance, she worked on her thyroid, hormone care and metabolic support, including a low-dose GLP-1.
A year later, she reported improved metabolic labs, maintained her fat loss after stopping the GLP-1, and built muscle.
“This isn’t about willpower. It’s about finally understanding your body and refusing to accept ‘you’re fine’ when you know you’re not.” — Lisa
Individual results vary. This is Lisa’s personal experience and does not predict another person’s outcome.
Want metabolic or weight-loss support too?
Your hormones and your metabolism do not live in separate zip codes.
If weight loss or metabolic support is also part of your goals, eligible RESET members can add our Women’s Weight Loss Peptide Program at a deeply reduced member rate.
$9.99 for 3 monthsNormally $149 for 3 months
1
Prescription pathway + clinical oversight
Licensed prescribers review eligibility, prescribing and renewals when clinically appropriate.
Licensed prescribers review eligibility, prescribing and renewals when clinically appropriate.
2
The Midlife Metabolism Method
Karen’s framework for protein, muscle protection, dosing conversations, lifestyle and long-term maintenance during GLP-1 use.
Karen’s framework for protein, muscle protection, dosing conversations, lifestyle and long-term maintenance during GLP-1 use.
3
Weight-loss coach support
Questions, accountability and practical support from coaches who understand midlife physiology.
Questions, accountability and practical support from coaches who understand midlife physiology.
4
Private community + quarterly renewals
Ongoing support and the required renewal process are built into the membership.
Ongoing support and the required renewal process are built into the membership.
5
Access to lower-cost medication options
Medication is purchased separately. Cost varies by dose, pharmacy and prescribing needs.
Medication is purchased separately. Cost varies by dose, pharmacy and prescribing needs.
GLP-1 medication is not included in RESET or the add-on price. Prescribing is never guaranteed and is determined by a licensed clinician after evaluation.
“I have lost more than 70 pounds with tirzepatide... Before I could be truly successful with GLP-1s, I had to first optimize my hormones, including both my thyroid and sex hormones.”
“Working with Midlife Solutions coaching and community was also imperative to my success, because I received answers there that I had never received after more than two years of going back and forth with my doctors.”
— DeeThe questions almost every woman has
You are allowed to have questions before you decide what happens to your body.
“My doctor said my labs are normal. Does that mean hormones cannot be the problem?”
Not necessarily. Menopause care is not based on one lab result alone. Symptoms, age, menstrual history, medical history, risk factors and appropriate testing can all matter. A licensed clinician determines whether HRT or another treatment is appropriate for you.
“I don’t even know if I need HRT.”
You are not expected to know. You do not need to show up with a diagnosis or a hormone shopping list. The point of appropriate evaluation is to understand your situation and discuss reasonable options.
“I’ve heard HRT is dangerous.”
HRT is not one-size-fits-all, and risks and benefits vary based on the individual, the medication, route, dose, timing and medical history. Current menopause care emphasizes individualized evaluation and shared decision-making rather than treating all hormone therapy as the same. Your licensed prescriber reviews whether treatment is appropriate for you.
“I tried hormones before and didn’t feel good.”
A previous experience does not tell us exactly why you felt poorly or what would be appropriate now. Formulation, dose, route, timing and other health factors can all matter. That is one reason we believe monitoring and follow-up matter.
“Why can’t my regular doctor do this?”
Some absolutely can, and we are not here to bash good primary care. The difference is focus. Midlife Solutions is built around perimenopause and menopause, with a care model designed specifically around hormone, thyroid and metabolic questions that commonly show up in this stage of life.
“Why do I need ongoing care instead of one appointment?”
Because starting care and optimizing care are not always the same thing. Symptoms can change, treatment can require adjustment, and follow-up is part of responsible hormone care. RESET was designed so you are not forced to rebuild the plan every time something changes.
RESET may be a good fit if you...
- Want medically guided hormone care without managing five separate providers.
- Want labs, prescribing access and ongoing support in one structured pathway.
- Are in perimenopause or menopause and feel like the pieces are not connecting.
- Want guidance around sleep, libido, energy, thyroid, metabolism or body composition alongside hormone care.
- Are ready to participate in your care and follow through with labs and appointments.
RESET is probably not the right fit if you...
- Are looking for a one-time free medical consultation or lab interpretation.
- Want a guaranteed prescription without clinical evaluation.
- Need emergency or acute medical care.
- Want highly individualized private coaching at every step. Ask our team about higher-touch coaching options.
Your first year of guided hormone care
One clear monthly price. One connected care pathway.
Midlife RESET is designed to give you the essential pieces of hormone care without forcing you to piece together separate appointments, labs and support.
Midlife RESET Essential Hormone Care
$175/month
12-month care program
- 4 essential lab panels
- All necessary prescribing calls
- Private Quick Start appointment with Nurse Kelly
- Weekly live hormone Q&A and coaching
- RESET community, meal plans and workout library
- Thyroid, metabolic and peptide guidance within program scope
- Optional GLP-1 support available at the RESET member rate if eligible
Medication costs are separate and paid to the pharmacy. Prescriptions are determined by licensed medical providers after evaluation. Not every woman needs or is eligible for every medication. Program availability and prescribing options vary by location.
Where we can help
Hormone support built for women across North America.
Your care options depend on where you live. We keep this simple so you know what is available before you begin.
United States
We offer prescribing access for HRT, thyroid treatment, testosterone and GLP-1 medications in all 50 states, when clinically appropriate.
British Columbia, Canada
We offer prescribing access for HRT, thyroid treatment, testosterone and GLP-1 medications for eligible B.C. residents, when clinically appropriate.
Everywhere else
We offer hormone and midlife coaching worldwide. Coaching does not include medical prescribing.
Real women. Real support.
Meet the Midlife Solutions team.
Midlife care should feel personal, not like you vanished into a telehealth portal.
Karen Martel
Founder & Hormone SpecialistMenopause educator, podcast host and founder of Midlife Solutions, focused on helping women understand the bigger hormone and metabolic picture.
Kelly Keelan
Nurse & Menopause CoachProvides private Quick Start support and helps women navigate the practical side of their hormone-care journey.
Jessica Brennan
Hormone & Strength CoachSupports women inside the RESET community with practical guidance around midlife health, lifestyle and follow-through.
Emma Knapp
Nurse Practitioner, CanadaProvides menopause-focused clinical care for eligible Canadian clients in supported provinces.
Shanon Gelowitz
Head of Operations & Customer SupportShannon oversees day-to-day operations at Midlife Solutions, supporting the executive team while managing customer support, onboarding, scheduling, care coordination and the systems that keep the company running smoothly.
Before you get started
The practical stuff.
Where is hormone prescribing available?
In the United States, we offer prescribing access for HRT, thyroid treatment, testosterone and GLP-1 medications in all 50 states, when clinically appropriate. In Canada, prescribing is currently available in British Columbia for HRT, thyroid treatment, testosterone and GLP-1 medications. Everywhere else, we offer coaching only. Availability can change, so eligibility is confirmed during the care process.
Are medications included in the RESET price?
No. Medication is paid separately to the dispensing pharmacy. Cost depends on the medication, formulation, dose and pharmacy.
Do you accept insurance?
We do not accept insurance for coaching services. HSA/FSA eligibility varies by expense and plan; certain lab expenses may qualify. Check with your plan administrator for your specific coverage.
What is different for Canadian clients?
We currrently do not offer the RESET membership to Canadians. However, we do offer private one on one care. In British Columbia, we can provide prescribing access for HRT, thyroid treatment, testosterone and GLP-1 medications when clinically appropriate. Required lab work can be ordered at no additional charge through our Canadian care pathway. Outside British Columbia, we currently offer coaching only. Our team will review the options that apply to your location.
What happens after I check my eligibility?
You will receive a result based on your answers and the appropriate next step. If RESET appears to be a fit, you can move toward enrollment. If you are unsure or your situation sounds more complex, you can book a Hormone Care Strategy Call.
Is the Hormone Care Strategy Call a medical appointment?
No. The Strategy Call is designed to understand what you are looking for, explain the available care pathways and help determine which program may fit. It does not include medical advice, diagnosis, lab interpretation or treatment recommendations.
What if I want more personalized support?
If you need a higher-touch level of support, book a Hormone Care Strategy Call. Our team can learn more about your situation and explain the most appropriate coaching or care pathway available to you.
You do not need another tab open.
You can keep researching hormones. Or you can finally have a team help you navigate them.
You do not need to know whether you need estrogen, progesterone, testosterone, thyroid treatment or anything else before you start. You just need a clear next step.
Eligibility and treatment decisions are always based on individual circumstances. Medical care and prescribing are provided by appropriately licensed clinicians.