You're not imagining it, and it isn't "just age." Brain fog, exhaustion, and mood changes in midlife almost always have a cause. It's just scattered across your hormones, thyroid, metabolism, and mental health, and no one has read them together.
Merope 90 is ninety days of whole-person care for women across Colorado. I'm board-certified in both family practice and psychiatry, which means your labs and your brain get evaluated by the same clinician in the same visit. Four clinical visits, ongoing 1:1 coaching, one connected picture.
Your work depends on you being sharp — lately you’ve wondered if you still are.
YOU ARE IN THE RIGHT PLACE IF…
You're capable, established, and used to being the one other people rely on. Lately your body stopped keeping up — and you want an answer, not another reassurance that you're fine.
Exhausted no matter how much you rest
You wake up tired and you're rationing energy by early afternoon.
Brain fog that’s starting to cost you at work
Losing words mid-sentence, rereading the same paragraph, working harder to stay sharp.
Weight that won’t move
You're eating well and training the way that always worked — and your body isn't responding.
On edge, anxious, or not quite yourself
A shorter fuse than you'd like, and the sense that you're managing your mood instead of having it.
YOUR 90-DAY PATH
Heard. Understood. Steadied. Equipped.
Four clinical waypoints across ninety days
Day 0
Heard
Ninety-minute intake. Your full medical, hormonal, metabolic, mental-health, and lifestyle picture comes into view. Baseline assessments are reviewed and comprehensive labs are ordered. The dismissal ends here.
Day 14
Understood
Your labs are explained in plain English and interpreted alongside your symptoms and history. We build and launch the clinical treatment plan together — with coaching already underway between visits.
Day 60
Steadied
A ninety-minute reassessment. We review what is changing, what isn't, and how you're responding — then refine the hormonal, metabolic, mental-health, medication, and lifestyle plan as needed.
Day 90
Equipped
Extended graduation visit. We compare where you are with where you started, review what changed, and build the plan for what comes next. You, back in view.
Underneath the symptoms is something harder to say out loud: you may have been quietly disappearing from your own life while everyone still expects you to perform in it. The first waypoint takes that seriously. The ninety days are designed to put you back at the center of the conversation — with a clearer understanding of what's happening, what is changing, and what comes next.
FOUNDER & CLINICIAN
Kim Smith, APRN, FNP-C, PMHNP-BC
Dual-certified family and psychiatric mental health nurse practitioner
U.S. Air Force veteran · Licensed in Colorado
I've written a lot of prescriptions. Plenty of them were the right call. Plenty of them were treating a symptom nobody had traced back to a cause.
I learned that first as an FNP student at a safety-net clinic in Dayton, where women kept coming in with physical complaints that turned out to be untreated mental health. I went back and certified in psychiatry to understand that half of the picture, and spent six years in outpatient mental health watching the same failure run the other direction — women handed a diagnosis for symptoms that were hormonal, metabolic, and physical.
Both halves of the system were treating one woman and neither one was looking at all of her. If you've been told your labs are normal while you feel anything but, you already know what I'm describing.
That's why I left insurance-based care to build Merope. Not because medication doesn't matter, but because sleep, food, movement, stress, and hormones do more of the work than most people are ever told — and no ten-minute appointment can get to any of it.
WHY THIS WORKS WHEN OTHER THINGS HAVEN’T
If you've tried programs before and they didn't hold, it's often because each one treated a single piece in isolation. A nutrition plan without medical context. A prescription without lifestyle support. A coach without the ability to evaluate what's happening clinically. Merope 90 is built on the opposite premise.
One clinician, both credentials. As an FNP-C and PMHNP-BC, I can evaluate hormonal, metabolic, and mental-health contributors together — instead of automatically splitting them across separate clinicians.
Clinical depth, real time. A ninety-minute intake and comprehensive baseline labs are interpreted alongside your symptoms, history, and clinical context — not in isolation.
Measured, not just remembered. Menopause symptoms, mood, anxiety, sleep, and fatigue are measured at the beginning, midpoint, and end of the program so we can see what is changing and where the plan may need refinement.
Six pillars, one plan. Nutrition, movement, sleep, stress, relationships, and substance avoidance are built into the treatment process from the beginning — with one-to-one coaching to help translate the plan into daily life.
