About Midlifesy
Jamie Shirey founded Midlifesy in Carlisle after reaching menopause while raising five teenagers and running into the same dismissal patients describe. Every patient starts the same way, with a paid Clarity Consult that includes a 40-plus biomarker lab panel, an intake form and a results review before the first real conversation. Most patients then move into a 12-week program, either the hormone track that can include estradiol, progesterone and testosterone, or the metabolic track that can include a GLP-1. Care then settles into visits about every three months with repeat labs and medication management. Midlifesy also runs a separate aesthetics side with Botox, microneedling with PRF and chemical peels, and it treats men as well as women.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
- Supplements & lifestyle
- Lab testing
Particular focus
- Weight & metabolism
Cost and insurance
Insurance
Doesn’t accept insurance
Ask whether they provide receipts for out-of-network reimbursement.
Self-pay
- Clarity Consult: Hormone Rebalance
- $497
- HSA and FSA accepted
Laboratory testing is ordered and completed before the first consultation, and the 12-week programs and the ongoing maintenance visits are not priced anywhere on the site.
Verified October 2026.
Qualifications
FNP-BC
