Peri+ Program
A Whole Person Approach to Midlife Care
Midlife isn’t a breakdown. It’s a turning point.
Maybe you’ve noticed changes - your sleep is restless, your energy dips, your metabolism feels different, your moods swing harder than you’d like. You wonder if it’s “just aging” or if something is really off.
And while you’ve worked hard to take care of yourself, the truth is:
what worked in your 20s and early 30s doesn’t work anymore.
Here’s what no one tells you:
Perimenopause and menopause are not problems to fix
- they’re powerful transitions to be supported.
And when you have the right care, midlife becomes a foundation for
the second half of life you actually want to live.
That’s exactly why I created the Peri+ Program.
Together, we’ll create a strong, pleasurable foundation for your second half of life
- so you feel vibrant, clear, and fully alive.
The Peri+ Program is a revolutionary year-long experience designed for women in their 30-60s who want the second half of life to be the best half of life.
What is the Peri+ Program?
Peri+ is a high-touch, longitudinal care experience designed for women nearing or navigating peri/menopause who want clarity, confidence, and continuity — not fragmented appointments or one-size-fits-all hormone care. It goes far beyond “symptom management”—offering a holistic, integrative, evidence-based approach that looks at every layer of your wellbeing:
Hormonal health (including hormone replacement therapy when appropriate)
Libido and Desire support using a holistic model
Metabolic health & longevity-focused weight management (including Rx medication and peptide support if needed)
Inflammation & nervous system regulation for calm and resilience
Mind-body connection & movement that meets you where you are now and supports you as you age
Whole-person care that makes midlife feel like an opportunity—not a crisis
Peri+ is an ongoing stewardship of your health, hormones, metabolism, and vitality during midlife and beyond.
Schedule a free discovery call to see if this program is the right fit for you.
You don’t have to white-knuckle your way through perimenopause and menopause.
Your second half of life deserves to feel vibrant, grounded, and fully alive.
— Dr. Kristin Markell, FACOG, ABOIM, RYT
Who is Peri+ For?
This program was created for midlife women who are ready for real support and long term results—not quick fixes, band-aids and air brushing over concerns. We go deep to find solutions that support you now AND in your next several decades.
Peri+ is for you if…
You’re navigating perimenopause or menopause and want a clear, personalized plan.
You’ve noticed changes in mood, energy, metabolism, libido or weight—and you want science-backed solutions with an integrative expert in hormonal health, metabolic health, sexual health and wellbeing.
You’re tired of being dismissed or told “this is just part of aging.”
You want to feel like yourself again—but even better, with more confidence, focus, pleasure, and clarity than ever before.
You value data, continuity, and collaboration with your health care team
You crave both expert medical care, clear, personalized guidance and a supportive community of women who get it.
You are ready to invest in your long-term vitality and wellbeing- you know it’s worth it
How you will feel during and after Peri+
Women in Peri+ often describe feeling:
Relieved - finally having answers, validation, and a plan.
Balanced - with hormones, sleep, and energy moving back into alignment.
Grounded - calmer, clearer, and less reactive.
Reconnected - to their bodies, desires, and confidence.
Vibrant - with a strong foundation for health, vitality, and pleasure in the second half of life.
Megan’s story~
“When I look back, I can see the exhaustion written all over my life. Four years, four different doctors, and the same deflating refrain every time I tried to explain what was happening to my body: “You’re getting older. This is normal.”
But it didn’t feel normal. I didn’t feel like me.
By the time I found Dr. Markell, I was hesitant to even hope. Booking that first appointment felt like a last-ditch effort—the kind you make when you’re not sure you can stand to be disappointed again.
From the moment we spoke, something shifted. She listened—not just to my symptoms, but to my story. There were no rushed promises, no magic pills. Instead, she talked about honoring my body. About making thoughtful, step-by-step changes to find a real, sustainable balance.
It wasn’t an overnight transformation. And maybe that’s why it mattered so much. Each improvement felt earned, like my body and I were finding our way back to each other.
Today, I’m not “fixed.” I’m not hiding symptoms behind quick solutions. I’m living in a new standard of hormonal care—one that evolves with me. And in that process, I’ve learned something powerful: I can embrace this chapter of life and still feel healthy, whole, and entirely myself.”
The gold standard of support for women:
What’s included in Peri+
Core Clinical Care
4 Private Visits with Dr. Kristin Markell MD, certified Menopause Provider
In-person or virtual, personalized to your needs and goals.Monthly Group Visit with Our Functional Nutritionist
Targeted nutrition strategies for hormones, metabolism, gut health and inflammation.Personalized hormone optimization and expert lab review
An evidence-based, symptom-driven, personalized care plan tailored to your physiology and life stagePrescription hormonal support when indicated (must be seen in Arkansas)
Including estrogen, progesterone, testosterone, peptides, and non-hormonal therapies
(some prescriptions can be billed through insurance)Priority clinical access
Concierge response times with access to our supportive team- so you’re never navigating questions or changes alone.Body Intelligence Support
Annual Skin Consultation and lymphatic drainage facial- with a Master Aesthetician specializing in midlife skin needs and changes
1 year access to women focused strength training app
Sleep health bundle
Annual “VITALS” Summary
A personalized snapshot of your year including hormone trends, body composition changes, lifestyle metrics, wins and next steps
Monthly InBody scan credits
Track lean mass, body fat, visceral fat, and metabolic trends
Quarterly Group Office Hours + Q&A on Peri+ focused topics
Get live support, plus access in the recording library to revisit anytime.The Pearls of Perimenopause™ Library
Essential education, coaching prompts and tools for navigating your midlife path with confidence.Access to Functional Medicine Testing and Longevity focused peptides
(with premium discounts + expert review)
Pelvic, Sexual & Nervous System Support
Annual pelvic floor physical therapy visit
Address core strength, pelvic health, sexual function, and long-term resilienceSexual health bundle
The Sexual Wellbeing™ Library - a hormone-informed, trauma-aware resource based on The PRESENCE™ Method, Dr. Markell’s proprietary intimacy method + tools to support desire, arousal, comfort, and pleasure during midlifePreferred Access & Privileges
Priority access to retreats & VIP Days hosted by Dr. Markell
Premium member pricing on:
Medical Grade Supplements
Peptides
Investing in your next 40 years with Peri+
Because your health and wellbeing aren’t optional — they’re the foundation for how fully you live this next chapter.
~Peri+ current investment~
(The Peri+ cost is going up in February 2026)
$2,500
or
$400 down + $325 x 7 monthly payments
Or reach out to the clinic to learn when you can get started
479.222.0966
support@kristinmarkellmd.com
Kristin Markell MD, PLLC may review and adjust its fee schedule periodically to account for changes in operational costs and market conditions.
By receiving services at Kristin Markell MD, PLLC, you acknowledge and agree that prices are subject to change.
Why work with me
I’m Dr. Kristin Markell, double board certified integrative OBGYN and women’s wellbeing guide with over 20 years of experience in hormonal, metabolic, sexual health, and integrative medicine.
But beyond the science, I know what it feels like to want more answers, to desire a care plan that is personalized to you and the season you are in as a woman.
That’s why I created Peri+—to give women the care, clarity, and compassion we all deserve in midlife.
Learn more about my experience and training here.
