Caissa Troutman

Caissa Troutman Profile Photo

Physician Founder

Dr. Caissa Troutman is a quadruple board-certified physician specializing in menopause, metabolic health, and sustainable weight loss for midlife women. She runs Midlife reMDy, a boutique direct-care practice where she helps women understand their biology and feel like themselves again through her signature 4M Pillar Approach. She’s known for blending evidence-based medicine with trauma-informed care to create clarity, confidence, and lasting change for the women she serves.

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Aug. 27, 2026

Perimenopause Is Not a Career Decline: What to Know and What to Do

You are exhausted. You cannot sleep. Your anxiety feels higher. Your focus is off. And suddenly you are wondering why things that used to feel manageable now seem so much harder. It might be stress. But what if it is not just stress? In this Quick Lift, Betsy shares the key takeaways from her conversation with Dr. Caissa Troutman about perimenopause, leadership and why women can mistakenly interpret very real symptoms as a loss of capability. This is not a medical deep dive. It is the girlfriend version of what women need to know: what to pay attention to, why brain fog and poor sleep can affect confidence at work, when to seek support and why powering through is not always the answer. You’ll learn: Why perimenopause symptoms are so easily mistaken for stress or burnout How poor sleep, anxiety and brain fog can affect confidence and credibility at work Why perimenopause often collides with some of women’s biggest career years Why “normal” does not mean you have to…
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Aug. 20, 2026

You’re Not Losing Your Edge: Perimenopause, Work and the Pressure to Power Through

Perimenopause often arrives during the exact years women are leading teams, running businesses, pursuing promotions and managing enormous responsibilities at work and at home. But many women do not recognize what is happening. They blame the anxiety on stress. The exhaustion on their schedule. The 3:00 a.m. wake-ups on everything running through their minds. And because they are not having hot flashes, they dismiss perimenopause as a possible explanation. In this episode, Betsy sits dow...