You are not a bad sleeper.
You are an unsupported one.
You have tried the magnesium. The melatonin. The sleep hygiene checklist. You cut the caffeine, darkened the room, and still wake up at 2am staring at the ceiling. This is not a willpower problem. This is a hormone and nervous system problem — and it has a clinical answer.
She is not looking for more information.
She is looking for someone who finally gets it.
This pathway is not for the woman who just started looking. This is for the woman who has been looking for a long time and has not found a clinical system that actually addresses what is happening in her body.
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 just confirms what you already know. You are not doing it wrong. You are doing it without the right clinical support.
Your doctor told you everything looks fine
Your labs came back normal. Meanwhile you are waking up at 2am, dragging through your days, and running on empty by noon. Normal labs do not rule out a perimenopause pattern. They mean the wrong questions were asked.
You tried HRT and something is still not right
The prescription helped some things. But sleep is still fragmented and you do not wake up restored. You are not failing the treatment. The treatment is incomplete. This pathway addresses the full picture — not just one hormone in isolation.
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 identified five patterns through which perimenopause tends to show up and take sleep first. Finding yours is not academic. It is the clinical starting point that makes everything else work differently.
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 something pulls you out — heat, sweat, heart racing. By the time it passes, the night is half over and you are wide awake with nowhere to go.
2AM Crasher
You fall asleep fine. Then 2am 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 bone tired all day. Bedtime comes and your brain turns on. You lie there exhausted but your body refuses to power down. This is not insomnia. This is 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 have technically been in bed eight hours and feel like you slept for two.
The Stubborn Belly
You are not sleeping well and your body is changing in ways that feel completely out of your control. The belly weight and the sleep disruption are not two separate problems. They are the same pattern showing up in two places.
Not sure which one is yours?
Take the free Sleep Saboteur Quiz. Two minutes. No email required to see your result.
Take the Quiz →The course and the clinical care.
Both. For 90 days.
The 21-day Sleep Reset program is the education layer. It gives your nervous system the framework, the rituals, and the language to understand what is happening. The clinical layer is where Dr. Stacey manages your hormones, reviews your labs, and stays in it with you across the full 90 days. You need both. One without the other is incomplete.
The 21-Day Sleep Reset Program
Your Saboteur pattern identified. Your Color Archetype mapped. Sleep rituals, aromatherapy, wind-down protocols, sleep nutrition, and supplement layering — all archetype-specific. Two GPT companions activated: Sleep Sanctuary GPT and GABA Connection GPT.
3 Clinical Visits — One Per Month
A full 30-minute clinical visit with Dr. Stacey Denise each month. Labs reviewed. Sleep hormone protocol adjusted. Clinical picture built visit by visit. You are not reading results alone and trying to figure out what they mean.
6 Drop-In Sessions — Two Per Month
Two 15-minute drop-in sessions each month between your full visits. For when something shifts, something is not working, or you just need a clinical touchpoint to keep moving forward.
Priority Messaging — 90 Days
24 to 48 hour response through your Healthie patient portal for the full 90 days. You are not waiting weeks to get a clinical question answered between appointments.
Sleep Hormone Management — Central to the Program
Progesterone, estradiol, testosterone. Cortisol and melatonin support where the clinical picture calls for it. Initiated and managed by Dr. Stacey throughout your 90 days. Prescriptions sent to your pharmacy.
OSA Screening and Referral Pathway
Sleep apnea is underdiagnosed in women and frequently mistaken for insomnia. Screening is done at intake. If indicated, Dr. Stacey initiates the referral. CBT-I referral pathway available if a behavioral component is identified.
Baseline Lab Panel — Included
Ordered at the start and included in the program. Pathway-specific labs ordered as your clinical picture develops. You are never working from guesswork.
- 21-day Sleep Reset program and GPT companions
- 3 full clinical visits — one per month
- 6 drop-in sessions — two per month, 15 minutes each
- Priority messaging — 24 to 48 hour response, 90 days
- Sleep hormone management — progesterone, estradiol, testosterone + cortisol and melatonin where indicated
- OSA screening and referral pathway
- CBT-I referral if indicated
- Baseline lab panel through Quest — included
- Pathway-specific labs ordered as picture develops
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 one — the baseline and the start
Labs ordered. Sleep hormone protocol initiated. OSA screening done. Your first two drop-ins address what surfaces immediately. The 21-day Sleep Reset runs alongside the clinical work. You are building the pattern and treating it at the same time.
Month two — the adjustment
Your second full visit reviews everything. Sleep data, labs, how the hormones are landing. Protocol adjusted. Two more drop-ins keep the clinical conversation going between appointments. Priority messaging means you are never stuck waiting.
Month three — the consolidation
Your third full visit locks in your protocol. Two final drop-ins close the program. You leave with your labs, your Saboteur Pattern Summary, your hormone protocol, and a clinical record you own. You cannot be gaslit again. You know too much about your own biology now.
Clarity before
you commit.
No surprises. Here is exactly what is in the pathway and what sits outside it.
Included
- 21-day Sleep Reset program
- Baseline lab panel through Quest
- 3 clinical visits, one per month
- 6 drop-in sessions, two per month
- Sleep hormone management
- OSA screening and referral
- CBT-I referral if indicated
- 90-day priority messaging
Not included
- Prescription medication costs
- Advanced functional labs
- Supplement costs
- GLP-1 management
- In-person services
- After-hours urgent care
“You will leave knowing what your body has actually been trying to tell you. And you will finally have someone who can answer it.”— 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 Reset addresses the hormonal and nervous system drivers of 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.
She kept seeing
the same woman.
Brilliant. Exhausted. Two years of broken sleep. 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 not one problem. It is a system problem. Hormones, nervous system, circadian rhythm — all connected, none of them addressed in a 10-minute appointment. I am not handing you off. I am staying in it with you.
Book the Foundations Consult
Clinical care in
seven states.
I provide clinical care to patients physically located in the following states at the time of their visit.
Outside these states? Start here →Clinical 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. Pricing subject to change based on availability.
You have been up at 2am
long enough.
The Reset Foundations Consult is where the pathway starts. Your labs, your Saboteur pattern, your clinical plan. Thirty minutes that changes what comes after.
Physician-Led Perimenopause Sleep and Hormone Care — Telehealth in CA, GA, KY, MD, OH, TX & VA
Sleep and Be Fabulous is a 90-day physician-supervised sleep hormone management program for perimenopausal and menopausal women experiencing insomnia, 2am waking, night sweats, hot flashes, and sleep disruption. Led exclusively by Dr. Stacey Denise Moore, MD, FACS through SDM Medical PLLC.
This program integrates sleep hormone management — including progesterone, estradiol, testosterone, and cortisol and melatonin support where clinically indicated — with the Neuroaesthetic Reset Method™. The five Sleep Saboteur patterns observed by Dr. Stacey Denise guide the clinical approach for each patient. OSA screening and CBT-I referral pathways are included.
Available to patients physically located in California, Georgia, Kentucky, Maryland, Ohio, Texas, and Virginia at the time of service. Telehealth only. All care provided directly by Dr. Stacey Denise Moore, MD, FACS.