Designed for women navigating perimenopause who want answers, not another diet.
By the time women find me, most have tried cutting carbs, skipping meals, or pushing through another bootcamp. Their body just whispers “no.”
Common patterns I see:
If this sounds familiar, you are not lazy. Your metabolism is responding to hormone shifts, sleep disruption, and years of stress.
This is not about chasing a goal weight. It is about rebuilding metabolic safety so your nervous system, hormones, and muscles can work together again.
You can keep this fairly simple on the page so Vivienne does not drown in process:
All of this is delivered through Group, VIP, or Concierge tiers so you can choose how closely you want me walking beside you.
Every path begins with the 90 minute Deep Dive Menopause Consult. From there, we decide together which tier fits your nervous system, your schedule, and your financial reality.
Structured support in community, without 1:1 access.
Best for:
Women who want a clear, physician led plan and weekly group support, at the most accessible investment.
What is included:
Not Included:
Capacity is limited to about 50 women per quarter (no more than 200 per year) so the group stays calm and contained.
Investment: $2,997 for 12 weeks.
High touch metabolic reset with direct access to your menopause physician.
Best for:
Women with significant weight gain, prediabetes or insulin resistance, complex stress, or prior GLP 1 use who want close clinical partnership, not guesswork.
What is included:
Enrollment is limited to about 30 VIP sleep clients per quarter so care stays personal.
Investment: $9,997 for 12 weeks.
A full year to reset sleep, weight, and hormones with one physician walking beside you.
Best for:
Women who know that a single round of care is not enough and want deep, steady partnership across an entire year of transition.
What is included:
Concierge care is limited to 20 women per year to protect depth and attention.
Investment: $25,000 for the full year.
Exact fees and payment options are listed on each program page. Every path begins with the 90 minute Menopause Deep Dive Consult.
Offered through SDM Medical PLLC.
Most of us were trained to treat health like a utility bill. Insurance decides what is “necessary,” visits are rushed, and no one tells you the real cost until a statement arrives months later.
This model is different:
If you have spent years cycling through prescriptions, sleepless nights, and “everything looks fine” visits, it is reasonable to ask whether trying another approach is worth it. This page exists to show you that there is a path, a structure, and a clear timeline for feeling different in your own body.
I’m Dr. Stacey Denise, a board-certified physician and former surgeon who left traditional practice after repeatedly witnessing women dismissed during perimenopause.
I specialize in menopause care for neurodivergent and sensory-sensitive women, particularly those who have been gaslit, rushed, or misunderstood in medical settings.
My work blends evidence-based medicine, lifestyle medicine, nervous system regulation, and neuroaesthetic science to create care that actually fits women in midlife.
Board-certified MD | Licensed TX & OH | Trauma-informed | Neuroaffirming
A: No. We focus on improving sleep, energy, insulin sensitivity, and inflammation first. Weight release often follows, but the main success markers are how you feel and what your labs show.
A: No. GLP 1s are one tool, not the center of this method. Some women will use them with careful monitoring, others will not. We decide together based on your history, labs, and nervous system capacity.
A:
Yes for VIP and Concierge. Two to three lab panels are included in the VIP Metabolic Program, and additional panels are bundled into the Concierge Year of Care. Group clients can order labs a la carte or through their local doctor.
A: I do not bill insurance directly. Most insurance plans do not pay for 90-minute menopause consults, deep lifestyle work, or wearable guided care. They are designed for short, problem focused visits.
Instead, I work on a direct pay model. You know the exact investment up front, and I am able to spend the time needed to understand your sleep, hormones, and metabolism without rushing.
You can still use your insurance for medications, imaging, and many labs. When appropriate, I order tests or send visit notes to your primary care doctor or OB-GYN so they can run items through your insurance.
A: The current healthcare system spends an enormous amount of money on administrative layers. That is part of why office visits are often 7–15 minutes and centered on a prescription or referral instead of a full conversation.
To practice in a different way, I stepped outside that system. Direct pay lets me:
It is a different model than traditional insurance based care. Some women use their insurance for standard care and work with me as their specialist guide for menopause sleep and metabolic support.
A: Many women use HSA or FSA funds for visits with me, but every plan is different. I can provide a detailed receipt with medical codes that you can submit to your plan for possible reimbursement. I cannot guarantee coverage, and payment is due at the time of service.
A: This track is not appropriate for women who want a quick fix, are unable to engage in any lifestyle changes at this time, or need in person, high frequency medical monitoring. If we discover you need a different level of care, I will help you find the right setting.
Still unsure which path is right for you? The Deep Dive Consult is where we figure it out together.
Our first step is simply to understand what your body has been carrying and what you have already tried. From there, we will choose together whether Group, VIP, or Concierge care is the safest, most sustainable match for you.
Texas and Ohio residents only. Virtual appointments from the calm of your own space.
Feeling drained, foggy, or overstimulated in perimenopause? I offer telehealth support for women 40+ who need more than a prescription. My Neuroaesthetic Reset™ framework bridges lifestyle medicine, nervous system regulation, and sensory-based design, with special attention to the unique menopause experiences of Black women, autistic women, and other highly sensitive midlife women.
