Terra Aesthetics + Wellness

You deserve to feel like yourself again.

The menopause transition doesn't have to mean exhaustion, brain fog, and guesswork.

Terra360 Vitality is a 4-month medical program that gets to the root of what's happening in your body and gives you a clear plan to feel strong, sharp, and energized again.

4
Month Program
7
Clinical Visits
3
EVOLT Scans

The Reality

You've Seen Five Providers. Nobody Has Seen the Full Picture.

Your primary care provider, your gynecologist, a naturopath, maybe a sleep specialist. Each one looks at one piece of you. Nobody puts it together. And you're the one left carrying all the pieces — exhausted, scrolling the internet, and still without answers.

Terra360 Vitality is different. It's the first time someone will look at your hormones, your metabolism, your sleep, and your long-term health as one system — and build a plan that treats all of it at once.

Ready for care that finally connects the dots?

What you've probably experienced

GP says 'your labs are normal'
Gynecologist manages one hormone
Naturopath suggests supplements
Sleep doctor looks at sleep only
No one talks to each other
You leave with no clear plan

What Terra360 Vitality does

One provider. Every system.

Hormones, metabolism, sleep, strength
Labs + body data interpreted together
A single coordinated strategy
Progress tracked every step
You leave knowing exactly what's next

Fragmented care isn't just frustrating — it's expensive, slow, and it misses things. When no one sees the whole picture, the real cause of how you're feeling stays hidden.

The Solution

One Provider. One Plan.
Everything Connected.

Terra360 Vitality was built around a simple idea: your body is one system, so your care should be too. Over 4 months, your provider looks at four areas of your health — not in isolation, but together — and adjusts your plan as your data changes.

Hormonal Health

Full hormone panel — estrogen, progesterone, testosterone, thyroid. Treated in the context of everything else happening in your body.

Metabolism + Body Composition

Medical-grade body scan plus blood markers — so we know exactly what's happening with muscle, fat, and metabolic function.

Sleep + Stress

Sleep quality, anxiety, and cognitive clarity — assessed and supported as part of the same hormonal picture, not handed off to a separate specialist.

Strength + Longevity

Bone density, muscle mass, cardiovascular risk. Because this decade sets the foundation for the next 30 years.

This is why it works: Your labs inform your hormone treatment. Your body scan shapes your metabolic strategy. Your sleep data connects back to your hormones. Nothing is siloed. Everything talks to everything.

The Four Pillars

Four Systems. One Strategy.

01

Hormonal Stability

Comprehensive evaluation of estrogen, progesterone, testosterone, and thyroid function. Hormone therapy management when appropriate.

Improved mood and energy
Reduced hot flashes, night sweats, and other bothersome symptoms
Improved sleep quality
02

Metabolic Health

Fasting glucose, HbA1c, lipid markers, and EVOLT body composition analysis. Medication support when appropriate, such as GLP-1s.

Improved insulin sensitivity
Preserved muscle mass and reduction in harmful (visceral) fat
Healthier body composition
03

Nervous System Regulation

Sleep quality assessment, anxiety and mood screening, cognitive clarity evaluation. Structured support for stress physiology.

Improved sleep depth
Better stress resilience
Clearer thinking and focus
04

Structural Resilience

Skeletal muscle mass, bone health indicators, cardiovascular risk assessment, and exercise capacity evaluation. Proactive health screening to set you up for long-term prevention and future health.

Stronger muscle mass
Improved cardiovascular health
Proactive prevention and long-term vitality

Physiologic Change

What can change in four months

Where many women start

Disrupted sleep

Persistent fatigue

Increasing abdominal weight

Hot flashes and night sweats

Brain fog

Muscle loss

Metabolic slowdown

What we aim to restore

More stable hormones

Deeper, restorative sleep

Improved metabolic momentum

Stronger body composition

Improved energy and focus

Reduced symptom burden

Confidence in long-term health

The goal is not perfection.

The goal is physiologic stability.

The Journey

How the 4-Month Program Works

Phase 1

Comprehensive Assessment

Foundation

Patients complete labs before their first visit. The visit includes a full medical evaluation, lab interpretation, Terra Vitality Score establishment, and a personalized care roadmap.

Pre-visit labs · Full evaluation · Vitality Score · Care roadmap

Phase 2

Stabilize

Treatment

Initial treatment strategies begin with a focus on hormone stabilization, sleep restoration, and metabolic alignment. Hormone therapy management initiated where appropriate.

Hormone stabilization · Sleep restoration · Metabolic alignment

Phase 3

Strengthen

Assessment

Muscle preservation, metabolic resilience, and medication optimization. Milestone testing occurs here — labs and body composition reviewed, Vitality Score updated.

Muscle preservation · Metabolic resilience · Milestone testing

Phase 4

Future-Proof

Strategy

Long-term hormone strategy, cardiovascular health, bone protection, and sustainable lifestyle habits. Final Vitality Score and long-term care plan established.

Long-term strategy · Cardiovascular health · Bone protection

Everything Included

What's Inside Terra360 Vitality

Every element of the program is designed to work together — not as isolated services, but as an integrated 4-month clinical strategy.

Nurse Practitioner–Led

All clinical care is delivered by a nurse practitioner specializing in midlife women's health, menopause care, and metabolic health.

Structured clinical visits over 4 months

Structured appointments with your NP

Comprehensive intake appointment

Full health history and goal-setting

Baseline and milestone lab interpretation

Comprehensive panels reviewed in context

EVOLT body composition scans

Baseline, milestone, and final assessment

Terra Vitality Score tracking

0–100 composite score across four pillars

Hormone therapy management

If clinically appropriate

Metabolic medication support

If clinically appropriate

Structured check-ins throughout

Consistent touchpoints throughout the program

Secure messaging access

48-hour response time

Terra360 AI assistant access

Program questions answered anytime

Program Bonuses

What Else Is Included

Every Terra360 Vitality member receives full access to a curated library of courses, guides, and resources — developed specifically for midlife women and organized around your care pillars.

Full Access

Midlife Weight Shift Course

A comprehensive course addressing the metabolic changes of midlife — why the old approaches stop working and what actually does.

Included

Sleep Guide for Midlife

Evidence-based strategies for improving sleep quality during hormonal transitions, tailored to midlife physiology.

Included

Supplement Guide

Research-backed supplement recommendations for perimenopause and menopause — what to consider, what to skip, and why.

Included

Nutrition Plan

A practical nutrition framework designed specifically for midlife metabolism and hormonal health.

Education Hub

Pillar-Specific Resource Library

Curated resources aligned to each of the four clinical pillars — updated throughout your program as your care evolves.

Optional

Patient Support Group

Option to join a moderated peer support group for Terra patients — a space to connect, share, and feel less alone in the process.

Member Benefits

Terra360 Member Privileges

Program membership includes ongoing benefits that extend beyond your 4-month clinical pathway.

10%

Off Fullscript Supplements

10%

Off Clinic Skincare Products

Preferred Pricing on Clinic Treatments

Discounted MyoMar Muscle Testing

Discounted Mira Hormone Monitors

Measurable Progress

The Terra Vitality Score

A 0–100 composite score that measures your health across four core systems. Each pillar contributes 25 points, assessed at baseline, Month 3, and Month 6 — so you can see your progress clearly.

Your Score Progression

0/ 100
Baseline
0/ 100
Month 3
0/ 100
Month 6

The goal is steady, measurable improvement across all pillars — not quick fixes.

Hormonal Stability

25 pts

Measures hormone balance and symptom stability across estrogen, progesterone, testosterone, and thyroid function.

Goal

More stable mood, energy, and sleep with reduced hormonal symptoms.

Metabolic Strength

25 pts

Measures metabolic health and body composition including fasting glucose, HbA1c, lipid markers, and EVOLT metrics.

Goal

Improved insulin sensitivity, preserved muscle mass, and healthier metabolism.

Nervous System Balance

25 pts

Measures stress physiology, sleep quality, and cognitive clarity through sleep quality, anxiety scores, and mood screening.

Goal

Improved sleep, better stress resilience, and clearer thinking.

Structural Resilience

25 pts

Measures long-term physical health including skeletal muscle mass, bone health indicators, cardiovascular risk, and exercise capacity.

Goal

Stronger muscles, improved cardiovascular health, and long-term vitality.

Score Interpretation

0–19
Critical State

Significant physiologic support required

20–39
Early Stabilization

Multiple systems need support

40–59
Active Care Phase

Measurable improvement underway

60–79
Strong Progress

Targeted optimization continues

80–100
Excellent Vitality

Systems optimized and stable

Choose Your Pathway

Choose the Pathway That Fits Your Health Needs

Terra offers different ways to begin care depending on your health goals.

Entry Point

Terra Access

New patient unsure where to start

$597per visit
Book Consultation

Best For

Targeted questions
Second opinions
Single concerns
Type of Care
Single consultation
Comprehensive Medical Assessment
Initial 60-min Visit
Total Clinical Visits
1 initial + check-in
Personalized Clinical Roadmap
Terra Vitality Score Tracking
EVOLT Body Composition Scans
1 scan
Lab Ordering + Interpretation
Limited / case dependent
Hormone Therapy (HRT)
If appropriate
Medication Adjustments
Limited
Metabolic Meds (GLP-1s)
Structured Clinical Follow-Ups
Four Pillar Care Model
Nutrition + Supplement Guidance
Sleep + Nervous System Support
Ongoing Clinical Guidance
Secure Messaging Access
Educational Resource Library
Member Benefits (discounts)
Investment
$597
Most Comprehensive Care

Flagship Program

Terra360 Vitality

New patient ready for full system care

$2,397

$599/month over 4 months

Apply for Terra360 Vitality

Best For

Multiple symptoms
Menopause support
Metabolic changes
Structured care
Type of Care
Structured 4-month program
Comprehensive Medical Assessment
Initial 60-min Visit
Total Clinical Visits
5 visits
Personalized Clinical Roadmap
Terra Vitality Score Tracking
EVOLT Body Composition Scans
3 scans (months 0, 2, 4)
Lab Ordering + Interpretation
Hormone Therapy (HRT)
Medication Adjustments
Metabolic Meds (GLP-1s)
If appropriate
Structured Clinical Follow-Ups
Four Pillar Care Model
Nutrition + Supplement Guidance
Sleep + Nervous System Support
Ongoing Clinical Guidance
Secure Messaging Access
48-hr response
Educational Resource Library
Member Benefits (discounts)
Investment
$2,397 ($599/mo)

Maintenance Program

Protect & Thrive

Members must have completed Vitality Program

$297/quarter

or $997/year (if paid in full)

Learn About Maintenance

Best For

Ongoing care after Terra360
Long-term health monitoring
Type of Care
Ongoing annual care
Comprehensive Medical Assessment
Initial 60-min Visit
Total Clinical Visits
3 per year
Personalized Clinical Roadmap
Terra Vitality Score Tracking
EVOLT Body Composition Scans
3 per year
Lab Ordering + Interpretation
As clinically indicated
Hormone Therapy (HRT)
Medication Adjustments
Refills q3-6 months
Metabolic Meds (GLP-1s)
Maintenance refills
Structured Clinical Follow-Ups
Four Pillar Care Model
Maintenance guidance
Nutrition + Supplement Guidance
Sleep + Nervous System Support
As needed at visits
Ongoing Clinical Guidance
Secure Messaging Access
Educational Resource Library
Member Benefits (discounts)
Investment
$297/quarter

Most women experiencing multiple symptoms benefit from the structured Terra360 Vitality program.

Is This For You?

Terra360 Vitality Is Designed For Women Who

Are experiencing midlife hormonal changes

Perimenopause or menopause symptoms affecting daily life — whether subtle or significant.

Want structured care instead of guesswork

You are ready for a clinical strategy, not another appointment that treats one symptom at a time.

Are ready to take a proactive approach

You want to understand your health data, track your progress, and invest in long-term wellbeing.

Value clinical expertise and evidence

You want care that is medically grounded, not trend-driven or influencer-led.

Marie — Nurse Practitioner, Terra Aesthetics + Wellness

Marie

NP — Terra Aesthetics + Wellness

Nurse Practitioner (NP)
Menopause Society Certified Practitioner

Meet Your Provider

Care That Sees the Whole Picture

Marie is a nurse practitioner who specialized in midlife women's health because she kept watching the same thing happen: women coming in with real, complex symptoms — and leaving with partial answers and a stack of referrals.

She built Terra360 Vitality to fix that. Every element of the program exists because fragmented care was failing the women she was seeing.

When you work with Marie, you have one provider who knows your full history, reads all your labs in context, tracks your progress over time, and adjusts your plan when something isn't working. No starting over. No repeating yourself. No falling through the cracks.

You are heard.

Every appointment is unhurried. Your symptoms, concerns, and goals are taken seriously — not minimized.

You are included.

You are a partner in your own care. Treatment decisions are made with you, not for you.

You are not gaslit.

What you are experiencing is real. Midlife physiology is complex, and you deserve care that reflects that.

"There are just no words to describe the attention, communication and empathy Marie has for patients. Exceptional knowledge and professionalism — but above all, exceptional care that is, unfortunately, rare to find in today's current system."

— Terra Patient

Why Terra

In Their Own Words

"
I feel clearer and confident in supporting my health and meeting the unique needs of where I am in my life now. What worked for me before is no longer working. I now have the tools to guide me.

Terra360 Vitality Patient

The Terra Midlife Care Pathway

Find Your Best Pathway at Terra

Answer a few quick questions to determine which care pathway may be the best fit for your current health goals. Takes under 60 seconds.

Investment Clarity

What Midlife Care Actually Costs

Most women piece together their midlife care from multiple providers -- each with separate fees, no coordination, and no long-term strategy. Here is what that typically adds up to, month by month.

Typical Fragmented Care

Per Month

$800+
estimated / month

Primary Care Visits

2-4 visits/yr, often rushed, symptom-only

$100/visit (private)

Hormone Specialist (virtual)

Minimal access in NL

$300/visit

Lab Work (out-of-pocket)

Comprehensive panels not always covered

$0/mo

Nutritionist / Dietitian

Separate provider, no integration

$200/visit

Mental Health / Stress Support

Separate provider, no hormonal context

$200/visit

Body Composition Testing (EVOLT)

Sporadic, not tracked systematically

$75/scan

Naturopathic visit

Separate provider, no integration with other care

$300+/visit

4-Month Total

Fragmented, uncoordinated care

$3,200+

+ no integrated strategy

Structured Program

Terra360 Vitality

Per Month

$0
/ month for 4 months
Phase 1: Comprehensive Assessment
Pre-visit labs + full interpretation
EVOLT body composition scan #1
Terra Vitality Score established
Personalized care roadmap presented

4-Month Total

Fully integrated, structured care

$2,400

or payment plan available

The Difference

Terra360 Vitality costs $201 less per month than fragmented care

And delivers a coordinated strategy, not disconnected appointments.

$804

potential 4-month savings

Pathways to Care

How patients begin and continue care

Entry Point

Terra Access

A comprehensive single consultation for new patients who want clarity on one issue, a second opinion, or an entry point before committing to a full program.

60-min comprehensive assessment
Hormone evaluation
Symptom review and recommendations
1 follow-up visit at 4 weeks
Upgrade credit toward Terra360 Vitality (within 30 days)

$495

per visit

Book Consultation
Flagship Program

Terra360 Vitality

Our structured 4-month clinical program for system-wide improvement across hormones, metabolism, energy, and strength. Designed for women ready for comprehensive midlife care.

Comprehensive diagnostic assessment
7 structured clinical visits
3 EVOLT body composition scans
Laboratory monitoring + interpretation
Terra Vitality Score tracking
Hormone + metabolic medication management

$2,400

full program or 2 equal payments

Apply for Terra360 Vitality
Maintenance Program

Protect & Thrive

Annual maintenance membership for Terra360 Vitality graduates. Maintain your results, protect long-term health, and prevent decline with continued expert oversight.

3 clinical visits per year
EVOLT body composition scan at each visit
Annual Terra Vitality Score review
Ongoing hormone + medication management
Medication refills (q3-6 months)
Continued messaging access + resource library

Annual Membership

pricing available upon program completion

Learn About Maintenance

Most patients experiencing multiple symptoms benefit from the structured Terra360 Vitality program. Maintenance is available to graduates only.

Program Investment

A Considered Investment in Your Health

Terra360 Vitality is a structured clinical program, not a subscription service. The investment reflects the depth of care, the clinical expertise, and the measurable outcomes it delivers.

Payment plans are available. We are happy to discuss options that work for your situation.

Full Program

4-Month Investment

$2,400
full program

A fully coordinated, structured 4-month clinical program.

Book Your Clarity Call

Payment Plan Available

Flexible options to fit your situation

$1,200 ×2

equal payments

Common Questions

Frequently Asked Questions

If you have a question that isn't answered here, please reach out — we are happy to help you determine whether Terra360 Vitality is the right fit.

Send us a question

Terra360 Vitality is a private-pay program. Clinical consultations with a nurse practitioner may be partially covered depending on your province and extended health benefits — we recommend checking with your insurer. Lab work ordered through the program may also be covered under provincial health care in some cases. We are happy to provide documentation to support any benefit claims.

No. Terra360 Vitality is designed for women in perimenopause, menopause, and post-menopause. Many of our patients begin the program during perimenopause — often years before their last period — because that is when symptoms and metabolic changes begin. Early intervention typically leads to better long-term outcomes.

The Clarity Call is a short, no-obligation conversation to help you determine whether Terra360 Vitality is the right fit for your current health goals. We will review your symptoms, your health history at a high level, and what you are hoping to achieve. There is no pressure — the goal is to make sure you feel confident about the next step before committing to anything.

The Terra Vitality Score is a 0–100 composite score that measures your health across four clinical pillars: Hormonal Stability, Metabolic Health, Nervous System Balance, and Structural Resilience. Each pillar contributes 25 points. Your score is assessed at baseline, Month 3, and Month 6, so you can see measurable progress over the course of the program — not just feel it.

EVOLT is a medical-grade body composition analysis tool that measures skeletal muscle mass, body fat percentage, visceral fat, bone mineral content, hydration, and metabolic rate. It provides far more detail than a standard scale. Three scans are included in Terra360 Vitality — at baseline, Month 3, and Month 6 — so we can track changes in muscle and fat composition over time, not just weight.

No. Hormone therapy is one tool within the program, used when it is clinically appropriate and when you want to explore it. Many patients benefit significantly from the metabolic, nutritional, and lifestyle components of the program regardless of whether hormone therapy is part of their plan. All treatment decisions are made collaboratively.

That is absolutely fine. Many patients come to Terra360 Vitality already on hormone therapy but feeling like their care has been fragmented or that they are not being monitored closely enough. We can review your current treatment, run comprehensive labs, and integrate your existing care into the program.

Many elements of the program — consultations, check-ins, messaging, and AI assistant access — can be completed virtually. The EVOLT body composition scans require an in-person visit to the clinic. We will work with you to find the right balance based on your location and schedule.

At the end of Month 6, you will have a final assessment, a third EVOLT scan, and a long-term strategy session. From there, you have the option to transition into Terra Vitality Maintenance — ongoing clinical support including 3 visits per year, medication management, continued EVOLT monitoring, and messaging access. Many patients also continue with Terra Access for specific concerns as they arise.

Yes. The full program investment is $2,400. We offer flexible payment plans to make the program accessible — typically structured as monthly payments over the 6-month program. Please mention this during your Clarity Call and we will find an arrangement that works for your situation.

Begin Your Journey

Your Midlife Health Deserves a Plan

You do not have to navigate this alone, or piece together care from multiple providers with no coordination. Terra360 Vitality offers a structured pathway — from baseline to long-term strategy.

Terra Aesthetics + Wellness — Nurse Practitioner–Led Midlife Women's Health