Goal oneOn track
Sleep through the night again.
- Night waking4× → 1×
- Sleep quality4 → 7 /10
- Hot flashes8 → 2 a day
I
Your year so far
One year, one continuous plan.
Three visits, three scans and twelve webinars, each one building on the last. Nothing starts over.
April 15Visit 1
Baseline labs, first scan, four goals set, plan started.
August 19 · todayVisit 2
Every April number measured again. Plan fine-tuned.
December 9Visit 3
Full labs and scan. The plan for year two.
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Mar
Webinar attended liveWatched the recordingStill to come
II
What changed since April
The right kind of change.
The goal was never a smaller number on a scale. It was less fat around the organs and the same strong muscle.
93%
of everything that changed in four months was body fat. Muscle stayed.
III
Your goals and progress
Your goals, in your words.
Set together in April. Each one is tied to something we can measure, so progress is never a guess.
Goal twoOn track
Lose the belly weight without losing strength.
- Abdominal circumference36.5 → 34.0 in
- Visceral fat area142 → 118 cm²
- Skeletal muscle57.1 → 56.6 lb
Goal threeImproving
Not become diabetic like my mother.
- HbA1c6.1 → 5.8%
- Fasting glucose6.2 → 5.6 mmol/L
- HOMA-IR4.96 → 2.58
Goal fourImproving
Feel like myself at 51.
- Menopause Rating Scale124 → 13
- Energy4 → 7 /10
- Webinars so far4 live, 1 recorded
IV
Body composition · Evolt 360
What the scans show.
Scan 1 on April 15, Scan 2 on August 19, same device and same conditions. The shaded band on each line is the healthy range for your age and sex.
Where fat was carried in April
Fat mass by body segment. The torso was the one area well above range, so it is where the plan focused.
Left arm4.19 lbRange 2.05 to 3.06
Torso38.2 lbRange 17.8 to 26.8
Right arm4.25 lbRange 2.05 to 3.06
Left leg11.1 lbRange 5.1 to 7.7
Right leg11.1 lbRange 5.1 to 7.7
Left to rightBalanced
Upper to lowerCentral
Leg lean massOptimal
Waist to hip0.93 → 0.89
Bio Age
52was 55
The scan’s estimate of body age, now one year from your real age of 51 (marked).
BWI score
6.4was 5.3 · out of 10
Evolt’s lean-to-fat balance score. 7 and above (marked) is optimal.
Weight, in context
173.5 lb in April, 162.8 lb in August. We track it, but it is the least useful number in this report. Almost all of the change was fat, which keeps metabolism strong in midlife.
V
Bloodwork · April and August
Your labs, grouped by what they tell us.
Canadian units. Each line runs on its own scale, with the target zone shaded.
Hormones
FSH, April68 IU/L
Estradiol, Aprilunder 100 pmol/L
Estradiol, August, on therapy240 pmol/L
April confirmed menopause. In August, hormone therapy is giving a steady level that matches the drop in hot flashes and night waking.
Checked in April, all in range
TSH 2.4 mU/LFerritin 45 µg/LeGFR 92
Thyroid, iron stores and kidney function were normal. All three are repeated with the full panel in December.
“Sleep through the night again.”Claire’s first goal · April 15, 2026
VI
Symptoms and daily life
How it feels day to day.
The numbers that matter most to you, in the order you told us.
VII
Visit note · August 19, 2026
A note from your visit.
Visit 2 of 3 · Claire M.
Claire, it was so good to see you today. In April you told me you were tired of being tired. Today we put your April results right beside your August ones, and the picture has shifted.
What we reviewed
Your second Evolt scan, your follow-up bloodwork, your symptom scores and how the plan has fit into real life since spring.
What is working
Your hormone therapy is settled in. Hot flashes are down from eight a day to two, and you are mostly sleeping through. Your metabolic treatment is doing its job, and the stomach upset from the first few weeks has passed. Most important, you kept your muscle. That is the strength training three times a week and the protein at every meal paying off.
What we adjusted
No change to your hormone therapy. We are holding your metabolic treatment at its current dose rather than increasing it, because your progress is steady and protecting muscle comes first. Your vitamin D is now in range, so stay on the same daily dose.
What we are watching
Your fasting insulin, HDL and ApoB are all better but not yet where we want them. Inflammation has halved and is close to target. We check all of these again in December.
Marie Marie Powell, NP, MSCP · Menopause Society Certified Practitioner · Founder, Terra Aesthetics + WellnessVIII
Terra Continuity · your membership year
How your membership has been working.
NP visits2 of 3
Every visit starts from your history, never a blank chart.
Body composition scans2 of 3
Same scan, same conditions, so the changes are real.
Monthly webinars5 of 12
- Understanding your labs
- Protein after 50
- Strength training basics · recording
- Sleep in menopause
- Weight medications: the evidence
Resource library6 used
- Protein plate guide
- Strength starter plan
- Sleep reset worksheet
- Hot flash tracker
- Reading your lab results
- Hormone therapy decision guide
Care that continues with you.
Your health. Your progress. Your people.
What the evidence says
- The Menopause Rating Scale is an 11-question checklist covering hot flashes, sleep, mood, joints and bladder. Scores of 17 and above are considered severe, 9 to 16 moderate.
- Visceral fat sits around the organs. Higher amounts are linked to insulin resistance and heart disease, and it tends to rise after menopause as estrogen falls.
- Diabetes Canada defines an HbA1c of 6.0 to 6.4% as prediabetes. Below 6.0% is the normal range.