Musings from a Midlife MD

Hi, I’m Dr. Troutman—a physician who specializes in weight management and hormone therapy for women in Midlife.

This blog is where I put my thoughts onto digital paper- part science, part story—about navigating midlife with curiosity rather than criticism. I’ll write about hormone therapy, weight wellness, sleep, stress, and strength training from my own lens: what I’m learning, what I’m trying, what’s actually helping.

f you are navigating the changes of Midlife while juggling it all, and still trying to feel like ourselves again...

You’re not alone, and I’m so glad you’re here.

If you are interested in becoming a patient at Midlife reMDy, we would love to help!

Take the First Step

What Menopause Has to Do With Your Heart — And Why the Timing Matters

Caissa Troutman MD

Published on: 24/11/2025

The AHA shows that heart disease risk rises during the menopause transition. Learn why timing matters for prevention—and how lifestyle and hormone therapy fit in.

menopauseHolistic Wellness

Why Your Body Can Change at Menopause—even if the Scale Doesn’t

Caissa Troutman MD

Published on: 17/11/2025

Around menopause, fat can rise and muscle can fall—even if your weight doesn’t change much. Here’s what’s happening and what you can do to protect strength, energy, and health.

menopauseWeight Wellness

Semaglutide + Hormone Therapy: Why They May Work Better Together in MidlifeBlog Post

Caissa Troutman MD

Published on: 10/11/2025

A Mayo Clinic study found postmenopausal women on hormone therapy lost more weight with semaglutide. Learn why balancing hormones may help your body respond better.

menopauseWeight Wellness

Why Weight Shifts to the Belly in Perimenopause

Caissa Troutman MD

Published on: 08/11/2025

Belly weight out of nowhere? You’re not broken—your biology is changing. In perimenopause, estrogen declines, muscle quietly slips, and your body starts storing more fat around the middle. The good news: there’s a targeted way through. I wrote a quick guide on why this happens and the exact levers to pull (strength training, smarter meals, sleep & stress, and when MHT fits).

menopause symptoms

Disclaimer

I am a licensed physician with expertise in weight management and hormone therapy, but I am not your personal doctor.

The information shared on this blog is for educational and informational purposes only and should not be considered medical advice, diagnosis, or treatment.

Always consult with your own healthcare provider before making any decisions related to weight loss, nutrition, medications (including hormone therapy), or lifestyle changes tailored to your individual health needs.