
Optimizing Midlife, Health, Hormones and Heart
We specialize in helping people navigate perimenopause, menopause, and midlife weight changes with personalized, science-backed care.
Feel like yourself again, only better.
Do these symptoms sound familiar?
We offer targeted solutions to restore balance and energy—from hormone optimization to nutrition, prescriptions, and proven supplements.
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Perimenopause & menopause
Hot flashes, brain fog, mood swings, and stubborn weight gain aren’t “just aging” — they’re signs your body needs support.
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Resistant midlife weight gain
When diet and exercise stop working, it’s time to address the hormones and metabolism behind the weight.
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Low-testosterone in men
Low libido, muscle loss, and fatigue may be signs of a deeper hormonal imbalance.
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Poor gut health
Bloating, cramping, and irregular digestion can affect every aspect of your health — starting with your hormones.
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Inflammation
The hidden driver of fatigue, weight gain, pain, skin issues, and more.
Located in downtown Issaquah, I provide one-on-one care in a private, welcoming space—with extended visits, no rushed appointments, and no insurance limitations.
You’ll work directly with Stephanie, a doctorate-prepared Nurse Practitioner, Menopause Society Certified Practitioner, and exercise physiologist who truly understands what you’re going through — and how to help.
Stephanie Elder, DNP, MBA, ARNP, MSCP
Owner and Nurse Practitioner
Expertise You Can Rely On. Care You Deserve.
Hi, I’m Stephanie Elder, DNP, MBA, ARNP, MSCP, a dedicated Nurse Practitioner with a Doctorate in Nursing Practice, Menopause Society Certified Provider, and over 20 years of clinical experience in cardiovascular health. My journey in medicine started with a passion for sports medicine, health, and fitness, and has evolved into a comprehensive approach to menopause and metabolic health—bridging the gap between advanced medical science and real-world wellness strategies.
How We Can Help
Have you been struggling with acute or chronic symptoms and feel like you have tried everything with little progress? I am here to help!

Client Testimonials
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Your Health Transformation Starts Here
At Evolve, we believe in a personalized, step-by-step approach to your health. Whether you’re looking for hormone balance, metabolic optimization, or longevity-focused care, we’re here to guide you every step of the way.
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Your journey starts with a complimentary 15-minute virtual consultation where we’ll:
Discuss your health concerns and goals
Determine if Evolve is the right fit for you
Outline your next steps for treatment and testing
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Following your consultation, you’ll schedule a comprehensive, in-depth evaluation at out office in Issaquah. This 90 minute appointment will include:
Start with an InBody scan that measures body composition, muscle mass, and metabolic health in minutes.
A deep dive into your medical history, symptoms, and lifestyle
In-depth lab testing to uncover the full picture of your hormone balance, heart health, inflammation, and metabolism — so we can create a plan tailored to you.
A personalized treatment plan tailored to your specific needs
Evolve Clinic Address
435 E Sunset Way
Issaquah, WA 98027Located in the heart of Issaquah, our office is a private, welcoming space designed for confidential, one-on-one care. We are ADA accessible and located in a house converted into a commercial office, offering a comfortable, non-clinical setting for your appointments.
Not local? Virtual initial consultations are available! If you are unable to visit in person, we offer comprehensive virtual assessments so you can receive expert care from anywhere.
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Your follow-up schedule will be based on your treatment plan and specific program. We offer:
In-person and virtual follow-ups tailored to your progress
Ongoing lab monitoring and adjustments for optimal result
Guidance on nutrition, supplements, and lifestyle changes
Our goal is to support you every step of the way, ensuring you feel empowered, informed, and in control of your health journey.
Start Your Journey Today
Your best years are ahead of you—let’s create a plan that helps you thrive.