Most likely, yes. I'm in network with Aetna, Cigna, UnitedHealthcare, and Blue Cross Blue Shield through Berry Street, which verifies your benefits before your first appointment so there are no surprises. Most of my clients pay $0 out of pocket, and many have access to unlimited nutrition visits. This applies in every state I serve, including here in Colorado, where I'm based in Denver.

If your plan doesn't cover nutrition counseling, or you'd prefer not to use insurance, I offer straightforward cash rates: $150 for the initial 90 minute visit and $100 for each follow up appointment.

What to expect with additional costs: If we decide functional lab testing (like DUTCH or GI-MAP) or professional grade supplements are right for your plan, those are paid out of pocket. I'll always review the costs with you before ordering anything. You can book through Berry Street using the "See if you're covered" button, or contact me directly.

Look for someone with real clinical credentials, not just a certificate from a weekend course. A Registered Dietitian (RD) has completed a supervised practice program and passed a national board exam, which means they're trained to interpret labs, understand drug-nutrient interactions, and work safely alongside your medical care. Beyond that, look for someone who specializes specifically in perimenopause and menopause, not general wellness. Hormonal transitions have their own physiology, and a specialist will know how insulin resistance, gut health, and micronutrient status shift during this time in ways a generalist may not.

"Nutritionist" isn't a protected title in most states. Anyone can call themselves one, regardless of training. "Registered Dietitian" (RD) is a legally protected credential that requires a nutrition degree, a supervised practice program, and a national board exam. Registered Dietitians are also the only nutrition professionals recognized to bill insurance directly for medical nutrition therapy. When you're navigating something as complex as hormonal shifts, that clinical training matters — it's the difference between general advice and a plan built around your actual labs and physiology.

Your initial session is 90 minutes by secure video, enough time to actually understand your story. We review your health history, symptoms like weight changes, fatigue, brain fog, or sleep disruption, any recent labs, and your goals in depth. No rushing, no shortcuts. By the end, you'll have a clear picture of what's driving your symptoms and a plan for what we address together.

Yes. Blood sugar and insulin resistance often shift during perimenopause, sometimes before glucose or A1c look abnormal. I review your existing labs, recommend markers like fasting insulin when helpful, and build a nutrition plan to support steady blood sugar, all through virtual visits.

Yes. Many of my clients are in perimenopause or menopause and taking a GLP-1. These medications can be a powerful tool, but they make it easy to undereat, especially protein, which puts your muscle and bone at risk at a time when estrogen is already declining. I help you hit your protein goals, manage side effects, track body composition, and build habits that protect your results long term, whether you stay on the medication or eventually come off. Read more about GLP-1s in perimenopause.

Prescribing HRT is your physician's domain; optimizing how your body metabolizes, absorbs, and thrives on those hormones is mine. Hormones do not work in a vacuum. To get the full benefits of HRT, your body requires:

• Efficient Estrogen Metabolism: Your gut microbiome contains a specific network of microbes (the estrobolome) that produces enzymes like beta-glucuronidase. These enzymes dictate whether your body properly recycles active estrogen or flushes it out. Through Functional Microbiome Mapping, we ensure your gut environment supports—rather than hinders—your hormone therapy.

• Targeted Anabolic Support: As estrogen levels shift in perimenopause and menopause, your body becomes less efficient at building and maintaining lean muscle mass. We optimize your protein intake and timing to support muscle preservation, strength, and resting metabolic rate.

• Metabolic & Glycemic Balance: Midlife hormonal shifts can increase insulin resistance. We implement strategic, therapeutic fiber protocols and glycemic balancing to stabilize energy, support metabolic health, and prevent stubborn weight shifts.

• Comprehensive Diagnostic Insights: By pairing functional lab interpretation and DUTCH hormone profiling with deep-dive dietary recalls, cellular hydration, and body composition tracking, we address the root causes of lingering symptoms.

While your doctor manages your prescription, functional nutrition provides the high-touch metabolic, gut, and dietary framework needed to maximize your results and protect your long-term vitality.