Functional Medicine for PERIMENOPAuSAL Women
Your labs say normal.
Your body says otherwise.
You're exhausted, foggy, and gaining weight even though you're doing everything right. You've been told your numbers are fine — but you know something is off. It's not in your head. And there is a real root-cause answer.
You Are Not Alone
Does any of this sound familiar?
Perimenopause is one of the most complex, underdiagnosed, and mismanaged phases of a woman's life. The conventional healthcare system was not designed to understand it — but we were.
Brain Fog & Mood Changes
You used to feel sharp, but now you lose words, forget your train of thought, and struggle to focus. You may also feel irritable, low, or anxious in ways that don’t feel like you—and you worry others are noticing.
Fatigue & Sleep Issues
You sleep a full night but still wake up exhausted, dragging through the day with no real relief. At the same time, your sleep is broken—waking in the night, dealing with night sweats, or lying awake with a racing mind—and it’s starting to affect everything.
Unexplained Weight Changes
Your diet hasn't changed, but the weight is creeping on — especially around your middle. You're eating less and exercising more with nothing to show for it.
Meet The Practitioner
Kathleen Pizzolotto
She's been where you are.
I know what it's like to sit in a doctor's office feeling dismissed. To be told your labs are fine when nothing about how you feel is fine. I went through my own perimenopause journey — the fatigue, the fog, the frustration — and it completely changed the way I practice medicine.
I'm a Functional Medicine practitioner with over a decade of experience specializing in women's hormonal health. I work virtually with women across North America and worldwide. to uncover the root causes behind their symptoms and create personalized, evidence-based protocols that actually restore vitality.
•Hormone Specialist
Focused exclusively on women’s hormonal health and root-cause care.
•10+ Years Clinical
Over a decade of experience in functional and integrative medicine.
•100% Virtual
Accessible care from anywhere in North America.
What We Address
Root-cause care for the whole of you
Symptoms don't exist in isolation. We look at every system — hormonal, metabolic, digestive, neurological — to understand what's driving how you feel.
Perimenopause & Menopause
Hot flashes, irregular cycles, estrogen dominance, progesterone decline, and the full hormonal cascade of midlife transition — addressed at the root.
Thyroid Dysfunction
Hypothyroidism, Hashimoto's, subclinical thyroid issues that get missed on standard TSH panels. We test the full thyroid panel and treat the whole picture.
Adrenal & Cortisol Imbalance
Chronic stress dysregulates cortisol patterns, drives fatigue, disrupts sleep, and accelerates weight gain. We map your HPA axis function precisely.
Metabolic & Blood Sugar
Insulin resistance, stubborn belly fat, pre-diabetes, and metabolic dysfunction — often the hidden drivers of fatigue and weight struggles in midlife.
Gut & Digestive Health
Bloating, food sensitivities, leaky gut, SIBO — the gut is the foundation of hormone metabolism, immune function, and mental clarity.
Sleep & Mood Disruption
Insomnia, night waking, anxiety, and low mood that are downstream of hormonal imbalance — not a mental health problem, a metabolic one.
The Private Women's Community
You don’t have to keep feeling “off” just because your labs are “normal.” Join a community of women who are navigating perimenopause and finally getting real answers. Gain access to root-cause education, expert guidance, live Q&A support, and practical protocols designed to address persistent fatigue, brain fog, and frustrating metabolic changes. This is where you’re heard, your symptoms are validated, and you get a clear plan to feel like yourself again.
The Program
Everything included in your care
This isn't a cookie-cutter protocol. It's comprehensive, personalized care designed around your specific biology — delivered entirely online.
Comprehensive Intake & Timeline Review
A thorough review of your entire health history, current symptoms, and lifestyle to map the full picture before we test anything.
Advanced Functional Lab Testing
DUTCH hormone panel, full thyroid panel, metabolic markers, gut testing, micronutrients, and more — labs that reveal what standard tests miss.
Personalized Root-Cause Protocol
A written, step-by-step plan covering nutrition, targeted supplementation, sleep optimization, stress support, and hormone balancing.
Ongoing Check-Ins & Lab Reviews
Regular virtual appointments to review your progress, adjust your protocol, and re-test as needed — so you're never left wondering if it's working.
Private Community Access
Full membership in our community of women, including live Q&As, workshops, and courses — included with your care program.
100% Virtual.
Available Everywhere.
You don't need to live near a specialist to get specialized care. All consultations, lab reviews, and follow-ups happen via secure video — from the comfort of your home, on your schedule.
Client experiences
Real women. Real results.
What it's like to finally be heard — and helped.
Kathleen is an incredible Certified Nurse Midwife! Her expertise and compassionate approach to women's health, especially midlife challenges, are unmatched. She takes the time to listen and creates personalized care plans that truly make a difference. I highly recommend this functional medicine practice.
Kathleen is the most knowledgeable person when it comes to hormones and women's health. She is compassionate and a wonderful provider who I've trusted with my health for years. She will take the time to hear your concerns and help you figure out and improve the root of the problem.
Kathleen is a medical provider you both need and want on your team. She's authentic and fully invested in human care & wellness. She listens to, believes, and treats women struggling with their health — with dignity, respect, and compassion. She will get to the root cause and help you find your way forward, no matter how complex your symptoms are.
Before working with Kathleen, I felt like I was barely holding myself together. My mood would crash around my cycle in ways that were scary and unpredictable, and I kept being told everything was normal or that I just needed to cope better.
Kathleen was the first provider who truly listened and helped me understand what was happening in my body. She took my symptoms seriously and explained how hormones could be contributing — instead of dismissing or rushing me. Following the plan we created together was life changing. My mood stabilized, the constant emotional overwhelm lifted, and I finally felt like myself again. I could sleep. I could think clearly.
For the first time in a long time, I feel grounded, stable, and hopeful. I am so grateful to have found a provider who looks at the whole picture and treats you like a human being, not a problem to solve.
You’ve Spent Too Much Time Pushing Through.
It’s Time to Feel Like Yourself Again.
This Is For You If:
You’re done being told “everything looks normal” when you know it doesn’t feel normal.
You know this brain fog, fatigue, and weight gain aren’t just “getting older.”
You want real, root-cause answers — not another vague suggestion to “reduce stress.”
You’re ready for a clear, science-backed plan to feel like yourself again.
Based in Washington, USA, serving clients virtually across the United States and Worldwide.