You are not a bad sleeper.
You are an unsupported one.
Sleep and Be Fabulous is a 3-month physician-led clinical pathway for women navigating 2 a.m. waking, night sweats, hot flashes, fragmented sleep, wired-and-tired patterns, hormone questions and nervous system strain. The education tools, Sleep Saboteur framework and clinical care support the work we do together across the full 90 days.
She is not looking for another sleep tip.
She is looking for a fuller clinical map.
This pathway is for the woman who has tried sleep hygiene, supplements, trackers and willpower, but still wakes unrefreshed. Sleep and Be Fabulous looks at sleep disruption through the full menopause pattern: hormones, nervous system activation, sensory load, circadian rhythm and possible sleep apnea.
You have done everything right and still cannot sleep
Melatonin. Magnesium. No screens after 9. Chamomile tea. A white noise machine. A sleep tracker that confirms what you already know. You are not doing it wrong. You may be missing the clinical pattern driving the sleep disruption.
You wake at 2 a.m. like your body flipped a switch
You fall asleep, then wake with your heart racing, thoughts moving, heat rising or your bladder calling again. This pathway helps map whether hormones, stress physiology, nervous system activation or another sleep driver is part of the pattern.
HRT helped some things, but sleep is still fragmented
The prescription may have helped, but you still do not wake restored. That does not mean you failed treatment. It may mean sleep needs a broader clinical map that includes hormones, cortisol rhythm, sensory load, OSA screening and nervous system support.
Most sleep programs
start with a protocol.
We start with your pattern.
Because a sleep checklist built for the average woman does not work for you. Your nervous system is not average. Your hormonal picture is specific. And the pattern stealing your sleep has a name.
Dr. Stacey Denise uses five Sleep Saboteur patterns to help identify where the disruption may be starting. They are not rigid diagnoses. They are a practical clinical map for deciding what to assess first.
Which one sounds
like you?
Dr. Stacey Denise observed five patterns through which perimenopause tends to show up in sleep. They are not rigid diagnoses. They are clinical observations that help identify where to start. Most women have a dominant pattern. Many have two. The Sleep Saboteur Quiz identifies yours.
Hot Flash Hijack
You fall asleep, then heat, sweat or a racing heart pulls you out of sleep. By the time it passes, your body may be alert again and the night feels harder to recover.
2 A.M. Crasher
You fall asleep fine, then 2 a.m. arrives like a jolt. Heart pounding. Thoughts racing. Bizarrely alert for someone who is exhausted. You lie there doing the math on how much sleep is left.
Wired and Tired Loop
You are exhausted all day. Bedtime comes and your brain turns on. You lie there tired, but your body refuses to power down. This may be your nervous system stuck in activation.
Bathroom Bandit
Once. Twice. Three times. You wake up, go back to sleep, wake up again. By morning you may have been in bed eight hours and still feel unrefreshed.
The Stubborn Belly
You are not sleeping well and your body composition is changing in ways that feel out of proportion to what you are doing. Sleep disruption and menopause weight changes can be connected through hormones, stress physiology, insulin resistance and recovery.
Not sure which one is yours?
Take the free Sleep Saboteur Quiz. Two minutes. No email required to see your result.
Take the QuizWhat's included in the pathway.
Clear from the start.
The Sleep and Be Fabulous education layer supports your 3-month clinical pathway. It gives you sleep, hormone, nervous system and nighttime pattern tools to work with at a pace that matches your body while Dr. Stacey manages the clinical side.
Sleep and Be Fabulous Education Layer
Sleep Saboteur pattern identification, Color Archetype mapping, wind-down rituals, sleep environment support, sleep nutrition, supplement layering when appropriate and GPT companions that support the education layer.
3 Clinical Visits
One 30-minute physician visit per month with Dr. Stacey Denise across the 3-month pathway. Labs reviewed, sleep pattern assessed and clinical picture built visit by visit.
6 Drop-In Sessions
Two 15-minute drop-ins per month for clinical touchpoints between full visits. Address what is coming up, adjust what is not working and keep momentum between appointments.
Priority Messaging
Secure messaging through Healthie with 24 to 48 hour response during the pathway.
Hormone Assessment and Management When Clinically Appropriate
Hormone therapy may be prescribed, coordinated and adjusted when clinically appropriate. Patients are not required to use hormones to participate in the pathway. Sleep support may also include non-hormonal strategies, supplements, lifestyle medicine, sensory supports and referral pathways when appropriate.
OSA Screening and Referral Pathway
Sleep apnea can be underrecognized in women and may be mistaken for insomnia or fatigue. Screening is done at intake. If indicated, Dr. Stacey initiates the referral. CBT-I referral pathways may be discussed when a behavioral sleep component is identified.
Baseline and Follow-Up Labs
Labs are included at the beginning and end of the pathway so care is not based on guesswork. Pathway-specific labs are ordered as the clinical picture develops.
- Sleep and Be Fabulous education layer
- 3 full clinical visits, one per month
- 6 drop-in sessions, two per month, 15 minutes each
- Baseline and follow-up lab panels included
- Hormone prescribing, coordination and adjustment when clinically appropriate
- OSA screening and referral pathway when indicated
- CBT-I referral pathway when indicated
- Priority messaging, 24 to 48 hour response, 90 days
The Reset Foundations Consult is the clinical entry point. The full pathway is confirmed from there. Consult fee absorbed into pathway price if you enroll within 30 days.
How the three months
actually work.
Month 1: Baseline, Sleep Pattern and Saboteur Map
Labs are ordered. Your Sleep Saboteur pattern, hormone questions, nighttime symptoms, sensory load and OSA risk are mapped. You begin tracking what your body is doing at night so we can stop guessing.
Month 2: Hormone, Rhythm and Nervous System Adjustment
Your second visit reviews symptoms, labs and response. We refine hormone care when appropriate, sleep timing, wind-down supports, sensory environment, nighttime triggers and referral needs.
Month 3: Integration, Recovery and Sleep Confidence
Your third visit reviews what changed, what still needs attention and what supports your next phase. The goal is a clearer sleep plan, better language for your sleep-hormone pattern and a clinical record you can carry forward.
Clarity before
you commit.
No surprises. Here is exactly what is in the pathway and what sits outside it.
Included
- Sleep and Be Fabulous education layer
- Baseline and follow-up lab panels
- Reset Foundations Consult
- 3 clinical visits, one per month
- 6 drop-in sessions, two per month
- Hormone assessment and management when clinically appropriate
- OSA screening and referral pathway when indicated
- CBT-I referral pathway when indicated
- 90-day secure messaging
Not included
- GLP-1 medications and medications outside the pathway
- Advanced functional labs
- Supplement costs
- GLP-1 management
- In-person services
- After-hours urgent care
“You leave with clearer language for your sleep pattern and a clinical record you can carry forward.”Dr. Stacey Denise Moore, MD, FACS | The Neuroaesthetic MD™
After Sleep and Be Fabulous,
what comes next.
Each Reset pathway is entered based on your dominant pattern, not in a fixed order. Sleep and Be Fabulous addresses hormonal, nervous system, circadian, sensory and referral-based contributors to sleep disruption. If stress architecture or gut symptoms are also present, those pathways are available based on what your clinical picture calls for next. Ongoing hormone management continues through the Hormone Membership after any Reset pathway.
Hormone Membership Program
Graduates who want to continue clinical oversight join the Hormone Membership. Quarterly visits, lab monitoring, and ongoing sleep hormone management on a recurring basis. Your clinical relationship continues without restarting from zero.
Stress Less and Be Radiant
The Color Reset Clinical Pathway addresses stress architecture, the HPA axis, and nervous system regulation through the Color Archetype framework. Entered when stress dysregulation is the dominant clinical picture.
Fuel and Be Fierce
The Gut Reset Clinical Pathway addresses the estrobolome, histamine reactivity, gut-brain axis and metabolic-inflammatory picture. Entered when gut disruption and hormonal unpredictability are the dominant clinical picture.
Want the Whole Year Held?
If you already know one pathway is not enough, Silver Goddess may be the better fit. Instead of choosing stress, gut or sleep first, the Silver Goddess Year of Care sequences all three across 12 months with physician-led care, labs, hormone support when clinically appropriate, drop-ins and ongoing clinical oversight.
Explore Silver GoddessI was the
first patient.
I built this pathway because I kept seeing the same woman. Brilliant. Exhausted. Fragmented sleep for months or years. Already tried everything the internet suggested. Dismissed by providers who told her the labs looked fine and to try reducing stress.
The Sleep Reset Clinical Pathway exists because sleep disruption in perimenopause is rarely one problem. Hormones, nervous system activation, circadian rhythm, sensory load and possible sleep apnea can all contribute. I am not handing you off. I am staying in it with you.
Book the Foundations Consult
Not sure which pathway fits? Start with the Reset Foundations Consult.
Clinical care in
California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia
I provide clinical care to patients physically located in California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia at the time of their visit. Click your state to learn more.
Outside these states? Start hereClinical care is provided through SDM Medical PLLC after a formal intake establishes a doctor-patient relationship. This page is educational and does not constitute medical advice. Results vary. Program details may be updated as clinical offerings evolve.
You have been up at 2 a.m.
long enough.
The Reset Foundations Consult is where the pathway starts. Your labs, your pattern, your clinical plan. Thirty minutes that clarifies what comes next.
Physician-Led Perimenopause Sleep and Hormone Care: Telehealth in California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia
Sleep and Be Fabulous is a 3-month physician-led clinical pathway for perimenopause and menopause sleep disruption, including insomnia, 2 a.m. waking, night sweats, hot flashes, fragmented sleep, fatigue and hormone questions. Built and led exclusively by Dr. Stacey Denise Moore, MD, FACS through SDM Medical PLLC.
This pathway looks at sleep, hormones, nervous system activation, sensory load, circadian rhythm and possible sleep apnea as one connected pattern. Hormone therapy may be prescribed, coordinated and adjusted when clinically appropriate. OSA screening and CBT-I referral pathways may be discussed when indicated.
Available to patients physically located in California, D.C., Georgia, Kentucky, Maryland, Ohio, Texas and Virginia at the time of the visit. Telehealth only. Clinical care begins only after formal intake through SDM Medical PLLC establishes a doctor-patient relationship.