We hear this on almost every call, and it's worth answering honestly. When clients tell us what they've tried, the list is usually the same: elimination diets, probiotics, fiber, maybe a low-FODMAP protocol or a round of tests that came back normal. All of it aimed at the symptom.

What's almost always missing is anyone asking why your gut changed in the first place, especially why it changed in midlife. Hormone shifts in perimenopause and menopause affect how your gut moves, how it handles stress, and how it reacts to foods that used to be fine. If no one has looked at your gut and your hormones together, you haven't actually tried the thing that's most likely to work.

That's where we start. With 25+ years of combined experience, we look at the whole system, your digestion, stress response, sleep, and hormones, and build a plan around what we find, not around a one-size-fits-all protocol. You haven't run out of options. You've run out of approaches that ignore half the picture.

Anyone can call themselves a “nutritionist” after a weekend course. But true expertise requires years of training and ongoing education.

Ava earned a Master’s of Science in Nutrition Education from Columbia University and has completed the Didactic Program in Dietetics. She is a licensed dietitian in 4 states, holds multiple certifications, and regularly takes continuing education courses in gut health.

Meg earned a Master’s in Food and Nutrition from Framingham State University and has completed their Coordinated Program in Dietetics. She regularly takes continuing education courses in multiple areas. Meg is a licensed registered dietitian in the state of Connecticut and has been in practice since 2009.

We have also lived this journey personally, which means we combine science, clinical expertise, and lived experience to guide you in a safe and sustainable way.

There are 3 things that set us apart:

Lived Experience: We’ve been navigating perimenopause, menopause, and gut health symptoms ourselves, so we understand what younger practitioners can’t.

Whole-person care: Beyond food, we provide mindset tools that help shift you from stuck without answers to empowered with a roadmap to continue your journey with success.

Down-to-earth, approachable style: Clients say we’re approachable, empathetic, and will relentlessly advocate for you.

When you work with us, you’re not just getting another program. You’re getting true experts who are committed to walking this path with you.

This is one of the biggest differences in how we work. While testing can be useful, it’s not our starting point. Lifestyle factors such as sleep, nutrition, stress, and movement often move the needle far more than costly labs. Instead, we focus on science-backed strategies and lifestyle changes that deliver real results without draining your bank account.

With that said, if we determine that specialized testing may be helpful, you’ll receive a credit of up to $400 for functional lab work. This means you get the benefit of additional insights without the financial burden that usually holds people back. If supplements are needed, you will have access to our 20% discount when ordering through our Fullscript account.

We’re not in-network with insurance. By choosing to invest outside the system, you’re ensuring you get personalized, attentive support that puts you, not the insurance company, in the driver’s seat of your health. We’ve designed this program to provide you with the highest level of expertise and support, without the red tape and limitations of the insurance system.

We understand that you may not trust yourself to follow through and see results. We get it. That’s why our program includes accountability check-ins and groups, mindset tools, and step-by-step personalized guidance to help you keep moving forward. You won’t be left on your own. We will be here to walk beside you, help you troubleshoot challenges, and celebrate your progress along the way.

Yes, we are right there with you! We understand what it’s like to juggle work, kids, aging parents, and perimenopause/menopause symptoms while still wanting to feel like yourself again. We understand the season you are in. Younger practitioners may be educated, but we also bring life experience that helps us connect on a deeper level with women navigating this exact stage of life.

Many of our clients choose to continue with us after completing the program. We offer options for ongoing support, allowing you to maintain your progress, stay accountable, and receive guidance as new questions or challenges arise.

You’ll be assigned to one of us (Ava or Meg) based on your needs, but you’re never just getting one coach. We consult with each other regularly and collaborate behind the scenes, so you benefit from the expertise of two coaches for the investment of one.

Yes, if needed. We’re happy to connect with your doctor or specialist to ensure you get the best care possible. Often, clients just ask us to send notes to their providers before appointments, but we’re happy to call and consult directly if needed. Our goal is for everyone to be on the same page. We believe collaboration leads to better support and better care.

Yes! Our program is fully virtual, which means you can join from anywhere. We work with women across the country through secure video calls, online resources, and food and symptom journal feedback. You don’t need to be local to receive the same high level of care, support, and results.

The best results come when you show up fully and put the tools into practice. It’s just like going to the gym. You can have the best personal trainer, but if you don’t show up and exercise, then you won’t see change. We are here to support you. We’ll guide you step by step, but your progress will depend on your willingness to track your symptoms, apply the strategies we share, and stay engaged with the process. We’ll be here to support you, troubleshoot challenges, and celebrate your wins along the way.

Ava earned a BA from CUNY-Queens College, a JD from The University of Virginia School of Law, a Master’s of Science in Nutrition Education from Columbia University and completed the Didactic Program in Dietetics. Ava has continued growing her knowledge and skills in gut health by regularly completing professional level programs and attending conferences throughout the United States. Previously, Ava trained as a NASM certified personal trainer and Physical Mind Institute Pilates instructor. Ava is a licensed Registered Dietitian in Connecticut, New York, Texas and Florida (telehealth only).

Meg earned a Master’s in Food and Nutrition from Framingham State University and has completed their Coordinated Program in Dietetics. Meg also has additional certifications and training in sports nutrition, gastroenterology nutrition, nutrigenomics, and gut health specific areas. Meg is a licensed registered dietitian in the state of Connecticut.

Beyond our credentials, we both bring personal, lived experience with gut health and the challenges of midlife. We know firsthand what it's like to struggle with bloating, exhaustion, and food sensitivities, and how empowering it is to finally find solutions that work in real life, not just on paper.