Midlife Medicine
Our Approach: Personalized Care
Our Direct Care Practice Model

Our Direct Care Practice Model
Read FAQsDirect Care returns medicine to what it was always meant to be: a dedicated relationship between a doctor who knows her patient and a patient who feels heard and understood by her doctor.
We eliminate the middleman. We do not participate with insurance plans, enabling us to extend appointment durations to more than double the length of conventional models. We can provide patients with a superbill that can be submitted to their health insurance for potential reimbursement under out-of-network coverage. Patients also have the option to use Health Savings Account (HSA) funds for our services.
Medicine focused on YOU
Peri / Menopause isn't a 'condition' to be cured, but a life transition that deserves both clinical expertise and intuitive care.
Managing this phase is an art informed by science; it requires a partnership where we listen to your body’s unique signals and thoughtfully refine your plan until you feel like yourself again.
We offer two distinct options to get you where you want to go.
Book NowMedical management for hormonal symptoms
Best for the woman who primarily needs clinical expertise to manage peri/menopause through evidence-based medicine. An initial consultation is required to get started and a single follow-up appointment 8 weeks later is required. Subsequent follow-up appointments may be scheduled as needed.
In-Depth Consultation
$600
A comprehensive 60-minute evaluation of your history, symptoms, and goals that results in a customized treatment plan that could include hormone replacement or non-hormone therapy as indicated and optional supplements if desired.
Follow-Up Appointment
$250
A 2 month follow up visit is required after initiating hormone therapy. Hormones are not "set it and forget it." It takes the body time to adjust to new therapies, and we want to ensure optimal dosing and symptom management.
Annual Check-in
$350
Once you are established on hormone therapy at an effective dose, one annual visit is required to continue refilling prescriptions. This gives us an opportunity to reassess your health and ensure you are able to continue on the regimen as prescribed.
The Integrated Clinical Care + Life Coaching
Best for the woman who wants to overhaul her health, optimize her hormones, and navigate the emotional strain of existing as a woman in midlife. All Features of theClinical Care Path
Including the in-depth initial consult plus 2 follow-up medical visits. Maximizing on data tracking for measurable results.
To address the "mental load" we all experience as women in midlife. How can we prioritize ourselves? What do I even want to prioritize? What could I do differently to successfully change my health for the better? How do I navigate parenting my teenagers in this perfect storm of hormones? These (and more) are all frequent subjects tackled by coaching.
Nutritional SupportA weekly meal plan customized to your likes, dislikes, allergies or sensitivities to improve your energy and overall health. What am I "supposed" to eat? What's the deal with protein intake? Fiber? We cover all of this and more with meal planning.
Fitness Support4 dedicated individual coaching sessions with Beth. She will help patients optimize daily habits and build realistic routines around fitness that support long-term health. She is a fitness instructor with over 20 years of experience in the health, fitness and wellness space. Note: these are not in person fitness appointments but rather coaching to help you make meaningful change surrounding fitness.
Priority AccessCloser support as you implement lifestyle changes through educational videos and written content not accessible elsewhere plus check-ins via text message or short calls to help with accountability.
Book Kickstart PackageI always left our sessions with more confidence, more self-trust, and a deeper sense of what I need in this season. - C.B. The experience I had with Dr Todd was both informative and compassionate. She listened to my concerns and asked me a ton of questions. She really listened and wanted to help. She makes you feel at ease. Accessing Dr Todd was seamless, and the appointments never feel rushed. Dr. Todd makes complicated medical information easy to understand and is always there to answer my questions. It’s the way medicine should be practiced. - H.R.
I can't say enough about Dr. Todd. The personal touch she provides as a physician cannot be overstated. I never felt a question, email or call was a bother, and she was always quick to respond and very helpful. I cannot recommend her enough.
- A.T. When I first decided to treat my perimenopause symptoms with hormone therapy, I went the easy, non-personal route by getting my treatment through an online clinic. It worked for a while, but I noticed after a few months that my symptoms weren’t changing. Under the guidance of my online doctor, I changed my Estradiol dosage, but again, overtime, that did not change much at all. I also learned that the online clinic could not prescribe testosterone because this hormone could not be prescribed without labs. I started feeling lost and frustrated because I thought my prescription was just not working for me. I then started working with Dr. Todd who tailored my treatment to relieve my specific and most uncomfortable symptoms. It felt great to have an actual, personal, conversation about my symptoms and the reasons for why I was going through this and an understanding of where I am in my perimenopause journey. The labs confirmed everything and I’ve also added testosterone to my treatment. I’m feeling optimistic about the changes we’ve made, and I am so grateful to have Dr. Todd to guide me through this. Her knowledge, compassion and guidance gives me comfort knowing I have a partner in my health and in this journey going forward. - H.R.
As a medical professional, I tend to be selective with my care. I have known numerous physicians, but none as thorough and genuine as Dr Todd. She is always pleasant, knowledgeable and thinks outside the box for her patients' benefit. I highly recommend her to fix all the 'issues' that some say aren't 'issues'.- L.H.
Unsure which path is right for you?
Schedule a Meet & Greet Call to discuss which option might better serve you and your goals.
Schedule Meet & Greet CallReady for care that treats the whole midlife picture?
Start with a meet and greet or contact the office with questions.
