Work with me

If you're in your late 30s or 40s and just don't feel like yourself anymore... you're not imagining it.

Gaining weight despite doing everything right. Waking at 3am and never quite recovering. More anxious, more irritable, less you. These aren't random. They're signals. And they deserve a real conversation.

Hormones shape nearly everything about how we feel. Sleep, energy, mood, metabolism, stress tolerance. The problem isn't that your body is broken. The problem is that most conventional care wasn't designed to catch what's happening in this stage of life.

That's where I come in.

Perimenopause & Menopause Strategy Session

**60 minutes • $350**
This is a focused virtual consult designed to help you make sense of what's changing. Whether your labs are confusing, came back "normal," or you haven't tested yet, this session meets you exactly where you are.
You'll have real space to ask real questions. No rushing, no overwhelm. Just clarity.
**This session is for you if you:**
- Are feeling different in your body but can't quite explain why
- Want clear, evidence-informed guidance from someone who will take your symptoms seriously
- Are already on HRT and want to know whether your current regimen actually makes sense for where you are now
**We'll work through:**
- How midlife hormone shifts are influencing your mood, sleep, energy, weight, and stress tolerance
- What your labs are actually showing, looking at optimal patterns rather than just "normal" ranges
- Whether hormones, blood sugar patterns, nervous system load, or lifestyle stressors are most likely driving your symptoms
- What to focus on now... and what can wait
**You’ll leave with:**
✔ Clear explanations in plain language
✔ A concise, personalized written summary
✔ Practical next steps you can start right away
✔ Greater confidence advocating for yourself going forward
I offer a limited number of these sessions each month to keep them thoughtful and focused. If you can't find an available time, please email me directly at info@ashleygish.com and we'll figure it out.

Book a Consult

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Follow Up Sessions

60 minutes • $225

For women who have already worked with me and want to keep the momentum going.

Midlife is dynamic. Labs change. Symptoms shift. What worked six months ago may need adjusting now. Follow-up sessions are designed to keep you supported and moving forward without starting from scratch.

Bring your new labs, your questions, your wins, and anything that's been coming up since we last met.

You’ll walk away with:
✔ A concise, personalized session summary
✔ Thoughtful adjustments to your plan as needed
✔ A clear, calm plan forward that fits where you are now

Follow-ups are designed to keep you supported — not overwhelmed.

* If you can't find an available time, please email me at info@ashleygish.com and we'll sort it out.

Book a session

How It Works

Simple by design.

After booking, you'll receive a secure intake form, payment confirmation, and your Zoom link. Fill out the intake form before we meet so we can use our time together well.
We meet via Zoom for a focused, unhurried session. Your questions, concerns, and goals guide the conversation from start to finish.
Within 48 hours, you'll receive your personalized written summary and clear next steps.
Every woman I work with comes in with her own mix of symptoms, history, and priorities. There's no single protocol here. These are the areas we most commonly work through together:
Perimenopause and menopause
PMS and PMDD
PCOS
Sleep, stress, and nervous system regulation
Hormones, metabolism, and cardiometabolic health
If you've been feeling rushed, dismissed, or unsure what to even ask at your regular appointments... this is the space to slow down, get informed, and figure out your next move.

Looking for clinical care instead?

If you’re seeking prescription support, medication management, or ongoing medical care, you can work with me clinically through Parsley Health.

➜ Schedule with Parsley Health

Questions I get a lot

Do I need labs before my session?

No. If you have recent labs, we'll review them together. If you don't, we'll focus on your symptoms and patterns and talk through whether testing makes sense for you.

Can you order labs or prescribe medications?

I don't prescribe medications in these sessions. I can recommend appropriate labs or functional testing, help you understand how your results connect to your symptoms, and offer guidance on supplement optimization where relevant. These sessions are educational, with the goal of helping you understand what's happening and walk into your next medical appointment feeling prepared and informed.

What kind of labs can I upload?

Bloodwork, thyroid panels, DUTCH testing, stool testing, lipid and glucose markers, micronutrients, or any functional labs you've already completed.

Will I receive a plan or summary?

Yes. Every session includes a personalized written summary and simple, actionable next steps.

Disclaimer

These sessions are educational and informational only. They do not include medical diagnosis, treatment, or prescribing.