If you’re asking these questions, you’re not alone…

  • Menopause is supposed to be normal.  Why am I having such a tough time with it?
  • I’ve lost my motivation, my self-confidence, my libido, my spark.  Is it my hormones? My thyroid? Perimenopause? Stress? Nutrient deficiencies? My diet? How do I figure this out?
  • Hot flashes. Night sweats. When will they stop?
  • I’m doing all the right things.  Why is my metabolism not responding the way it used to? Why can’t I lose weight? Why am I so tired?
  • I want to take better care of myself.  Where do I start? What are my risk factors? I want to live vibrantly and independently as I age.
  • I’ve been diagnosed with a metabolic condition (diabetes, pre-diabetes, metabolic syndrome, fatty liver, polycystic ovary syndrome, high cholesterol). What can I do to take charge?
  • I’m experiencing changes with my period and PMS. What can I do to feel better?
  • Heart health. Bone health. Mental health. Physical fitness. Reliable sleep. I want it all. Where do I start?
  • I’m confused. There’s so much conflicting information out there.  What do I need to do for me?
  • How do I get back to feeling myself again? I need a plan.

Your peri-menopausal body didn’t come with an owner’s manual. Let’s figure it out. 

We provide a complete program for women in perimenopause and beyond.  Complete because it provides 4 tiers of care:


Lifestyle medicine (nutrition, exercise, sleep, mindset)

Supplements and Referrals to Allied Health Professionals

Menopause Hormone Therapy (MHT)

Not all women will require all 4 tiers of support. Your program will evolve to become entirely unique based on your symptoms and assessment of your risks. The process we use to get there is systematic.

Our on-boarding process consists of 3 appointments:

1Schedule an Initial Intake and Assessment with Julia Fountain ND MSCP

The initial appointment and assessment may include all or some of:

  • Your health history, family history, with emphasis on your current concerns and goals
  • Questionnaires and symptom inventories.  Hormonal and metabolic issues, especially in early stages, are not always detected by lab tests
  • Baseline lab work may be ordered.  This could include comprehensive thyroid, nutrient testing including Vitamin D, cardiometabolic testing, inflammation markers.

2Review of Findings and Plan

This is scheduled 1-2 weeks after your initial consultation.  The foundation of your program will be education, self-care and lifestyle medicine. 

When indicated, we also include:

  • Access to our midlife women’s health learning portal at www.drjulia.online for access between office visits
  • Targeted supplements based on labwork and dietary intake
  • Menopause Hormone Therapy (MHT)
  • Referral to other health and wellness professionals to address specific needs and goals

The result is a holistic plan that puts you in charge.

3First follow up

A first follow up is scheduled after you’ve had opportunity to review and implement aspects of your program.  Thereafter we design your program to be self-sustaining with followup to monitor progress, review labwork or renew hormone prescriptions (when applicable).

Take the first step.