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Being a Type 1 diabetic, my goals were to gain control over my blood sugar levels, lose weight and gain muscle. After 1 week my blood sugars stabilized, my sleep improved and my energy level increased. Michelle was instrumental in guiding me to healthy behaviors and habits that resulted in long term stability with my blood sugar, fat loss and muscle gain.
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The Science and Art of Bioidentical Menopause Hormone Therapy
For decades, many women have been discouraged from pursuing hormone therapy due to outdated research and misunderstood risk profiles. As a result, countless women continue to struggle through hot flashes, sleep disruption, cognitive changes, weight gain, and other...
How Microbiome Health Impacts Weight, Mood, and Metabolic Function
The gut microbiome, which includes trillions of microorganisms living in the digestive tract, plays a far more influential role in overall health than many people realize. According to Michelle Middleton, PA-C, founder of SPOKEmed, imbalances in gut health are often...
Building Healthy Habits That Last a Lifetime
Most people struggle with lasting behavior change because they rely on willpower, which eventually runs out. Michelle Middleton, PA-C, founder of SPOKEmed telehealth practice, takes a different approach. With her background in weight management, hormone therapy, and...


