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https://www.drsarahharbottle.com/home daily 1.0 2026-07-10 https://images.squarespace-cdn.com/content/v1/61a005f3d72f081624413e51/bab70fa5-4ba9-4de5-a72d-063b60ae8004/Sarah+Harbottle+Logo-White-01.png https://images.squarespace-cdn.com/content/v1/61a005f3d72f081624413e51/a514e527-3a33-48c3-bf1b-d684d22ed185/IMG_2839.jpg https://www.drsarahharbottle.com/the-midlife-hormone-program daily 0.75 2026-11-09 https://images.squarespace-cdn.com/content/v1/61a005f3d72f081624413e51/1696006771535-32GOGUVOQ1S8JA3SUUOP/image-asset.jpeg The Midlife Vitality and Longevity Program - The Midlife Vitality and Longevity Program A personalized 12-week approach to hormones, energy, metabolic health, skin and healthy aging. Midlife can be a time of significant change. You may notice that your sleep isn't what it used to be. Your energy feels less predictable. Your body composition is changing, despite maintaining the same habits. Your skin may feel drier, more sensitive or less resilient. You might be experiencing anxiety, brain fog, mood changes or symptoms you haven't experienced before. And often, these changes are happening at a time when you're managing more responsibilities than ever. It's tempting to look for one explanation or one treatment that will make everything better. But midlife health is rarely that simple. Hormones matter. So do nutrition, movement, metabolic health, sleep, stress, skin health and the circumstances of your everyday life. The Midlife Vitality & Longevity Program brings these pieces together through comprehensive, individualized naturopathic care. The Five Pillars of Midlife Health 1. Hormonal Health Understanding the changes of perimenopause and menopause, addressing symptoms and exploring individualized treatment options, including HRT where appropriate. 2. Energy & Metabolic Health Assessing fatigue, metabolic changes, body composition, nutritional status and other factors that may influence how you feel and function. 3. Skin Health & Regeneration Skin is an important part of healthy aging and often reflects changes occurring during midlife. We consider skin barrier function, dryness, sensitivity, pigmentation, texture and changes in collagen and elasticity, alongside the effects of hormonal changes, nutrition and lifestyle. Care may include personalized skincare recommendations, topical treatments and discussion of appropriate aesthetic procedures. In-person treatments, where available, are assessed and billed separately. 4. Longevity & Strength Supporting long-term health through cardiovascular and metabolic risk assessment, muscle and bone health, strength, movement and preventative care. 5. Sleep, Stress & Recovery Addressing sleep disruption, stress, burnout and the relationship between nervous system health, recovery and the demands of everyday life. What the 12 Weeks Look Like The program includes seven individualized naturopathic consultations over approximately 12 weeks. Step 1: Comprehensive Assessment We begin with a detailed review of your health history, current symptoms, hormonal changes, sleep, energy, nutrition, movement, skin concerns and health goals. Appropriate laboratory testing or other investigations may be recommended based on your individual needs. Step 2: Your Personalized Treatment Plan Together, we develop a plan that addresses your priorities and clinical findings. Treatment may include hormone therapy, nutrition, movement, sleep strategies, targeted supplementation, personalized skincare or other clinically appropriate interventions. Step 3: Ongoing Support & Refinement Regular follow-up appointments give us time to assess your response, review results, address challenges and adjust treatment as needed. We may also review your skincare routine, skin response and any concerns that have emerged during treatment. Step 4: Your Longer-Term Health Plan At the end of the 12 weeks, we review your progress and develop a plan for ongoing care, including hormonal health, metabolic health, skin health and the priorities that matter most for the years ahead. The timing and content of individual appointments may be adjusted according to clinical need. Who Is This Program For? The program may be a good fit if you: Are navigating perimenopause or menopause and want individualized support. Are experiencing changes in sleep, mood, energy or body composition. Want to explore whether HRT is appropriate for you. Have noticed changes in your skin, including dryness, sensitivity, pigmentation or texture. Are concerned about metabolic health or long-term health risks. Want a more comprehensive approach to nutrition, movement, skincare and healthy aging. Feel that your health has taken a back seat to the demands of everyday life. Would benefit from structured follow-up rather than a single consultation. You don't need to be experiencing severe symptoms to take a more proactive approach to your health. What Makes This Approach Different? Individualized care. There is no standardized hormone protocol, supplement plan or skincare routine. Evidence-informed treatment. Recommendations are based on your clinical history, current evidence and individual circumstances. Time for meaningful follow-up. The 12-week structure allows us to monitor progress and refine your treatment. A broader perspective. We consider hormonal health alongside metabolism, nutrition, sleep, movement, skin and the realities of your life. A focus on the years ahead. We address current concerns while considering the foundations of long-term health. How to Get Started The first step is to book a comprehensive initial naturopathic consultation. During this appointment, we'll discuss your concerns, review your health history and determine an appropriate plan for your care. If the 12-week program is a good fit, we'll outline the recommended follow-up schedule. Appointments are billed individually as services are provided. Laboratory testing, supplements, prescriptions, skincare products and in-person treatments may involve additional costs. Virtual appointments are available to patients in British Columbia. Your health deserves more than a one-size-fits-all approach. 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