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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.

  • Perimenopause & menopause

    Hot flashes, brain fog, mood swings, and stubborn weight gain aren’t “just aging” — they’re signs your body needs support.

  • Resistant midlife weight gain

    When diet and exercise stop working, it’s time to address the hormones and metabolism behind the weight.

  • Low-testosterone in men

    Low libido, muscle loss, and fatigue may be signs of a deeper hormonal imbalance.

  • Poor gut health

    Bloating, cramping, and irregular digestion can affect every aspect of your health — starting with your hormones.

  • 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.

Evolve Menopause & CardioMetabolic Clinic - Stephanie Elder - Issaquah, WA

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.

Evolve Menopause & CardioMetabolic Clinic - Stephanie Elder - Issaquah, WA