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Personalized care and treatment plans that work for you
Hormonal and metabolic shifts in midlife can cause brain fog, disrupted sleep, weight redistribution, and mood volatility. These changes are not personal failings. They reflect physiologic transitions and they can be evaluated and treated with structured medical care.
Two pathways to care
For women in leadership roles who want consistent energy, clear thinking, and sustained performance during midlife. We address the biology and support your executive performance so your health and leadership are aligned.
Focused Care
Assessment and short-term management without ongoing commitment
Focused care is designed for women who want expert evaluation, diagnosis, and targeted follow-up without enrolling in a long-term reboot.
Treatment length: 3 months
Investment: $1,500
Comprehensive Clinical Evaluation
A deep review of your symptoms, history, labs, and risk factors to determine what is driving your changes.
Personalized Treatment Plan
Clear recommendations, hormone therapy when appropriate, and a structured strategy to stabilize hormones and metabolism.
Ongoing Adjustment & Support
Follow-up consultation, medication adjustments, and secure communication during your care period.
Performance Integration
We apply your medical plan to your real workload, stress exposure, and leadership demands so treatment supports clarity, stamina, and decision-making capacity.
Optimization Program
Ongoing optimization, continuity, and proactive management
Designed for women who want long-term hormonal and metabolic optimization integrated with performance acceleration.
Treatment length: 12 months
Investment: $900 /month
Includes everything in Focused Care, plus:
Longitudinal Monitoring
Ongoing lab evaluation and medication adjustment as your physiology evolves.
Metabolic Protection
Proactive management of insulin resistance, lipid health, and bone density to reduce long-term risk.
Continuous Physician Oversight
Direct access and structured follow-up throughout the year.
Ongoing Performance Strategy Sessions
Structured sessions focused on leadership stamina, resilience, and cognitive clarity.
Decision-Making & Stress Optimization
Support for maintaining executive presence, emotional regulation, and sustainable workload integration.
“She met me with both clinical precision and genuine care. What makes her special is that she understands what it takes to lead while your body is shifting underneath you. She helped me recalibrate metabolically and professionally at the same time.”
– Jessica N., Nursing Executive
“Dr. Polotsky didn’t just look at labs, she listened. She saw the whole picture and created a thoughtful, down-to-earth plan that made sense. I felt supported, not judged.”
— Lisa C., Senior HR Leader
WHY THIS WORKS
What fails women in midlife isn’t their biology. It’s fragmented care.
Traditional systems separate hormones, metabolism, mood, and sleep — even though they influence one another. Without structured oversight and continuity, true stability is difficult to achieve. You deserve comprehensive, physician-led care that addresses the full physiologic picture.
THE RESULTS
What life feels like when your body is working with you again.
Steady Energy
No more powering through on fumes or crashing at 3 PM.
Clear Cognition
Sharper thinking, better memory, confident decisions.
Stable Mood
Reduced anxiety, irritability, and emotional ups and downs.
Metabolic Strength
Improved insulin sensitivity, lipid control, and bone protection.
Physical Confidence
Weight stabilization and muscle preservation.
Leadership Presence
Calm, capable, and fully engaged — at work and at home.
PAYMENT & ACCESS
Independent, physician-led care
OpExMD is a direct-pay medical practice. This model allows for extended visits, comprehensive lab review, proactive follow-up, and direct physician access — without insurance constraints.
Labs, imaging, and prescriptions can often be billed to insurance separately.
Payment Structure:
Focused Care is paid upfront.
12-month comprehensive care is structured as predictable monthly payments.
Questions about fit or structure can be addressed during your consultation.
Frequently Asked Questions
The Physician’s Guide to the Midlife Brain
Restore clarity and focus during midlife physiological changes.
The information on this website is for educational purposes only and does not constitute medical advice. Use of this website does not establish a physician–patient relationship. Medical services are provided via telemedicine only to patients located in states where Dr. Hanah Polotsky is licensed to practice medicine. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.
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