Terra Aesthetics + Wellness
You deserve to feel like yourself again.
The menopause transition doesn't have to mean exhaustion, brain fog, and guesswork.
Terra360 Vitality is a 4-month medical program that gets to the root of what's happening in your body and gives you a clear plan to feel strong, sharp, and energized again.
The Reality
You've Seen Five Providers. Nobody Has Seen the Full Picture.
Your primary care provider, your gynecologist, a naturopath, maybe a sleep specialist. Each one looks at one piece of you. Nobody puts it together. And you're the one left carrying all the pieces — exhausted, scrolling the internet, and still without answers.
Terra360 Vitality is different. It's the first time someone will look at your hormones, your metabolism, your sleep, and your long-term health as one system — and build a plan that treats all of it at once.
Ready for care that finally connects the dots?
What you've probably experienced
What Terra360 Vitality does
One provider. Every system.
Fragmented care isn't just frustrating — it's expensive, slow, and it misses things. When no one sees the whole picture, the real cause of how you're feeling stays hidden.
The Solution
One Provider. One Plan.
Everything Connected.
Terra360 Vitality was built around a simple idea: your body is one system, so your care should be too. Over 4 months, your provider looks at four areas of your health — not in isolation, but together — and adjusts your plan as your data changes.
Hormonal Health
Full hormone panel — estrogen, progesterone, testosterone, thyroid. Treated in the context of everything else happening in your body.
Metabolism + Body Composition
Medical-grade body scan plus blood markers — so we know exactly what's happening with muscle, fat, and metabolic function.
Sleep + Stress
Sleep quality, anxiety, and cognitive clarity — assessed and supported as part of the same hormonal picture, not handed off to a separate specialist.
Strength + Longevity
Bone density, muscle mass, cardiovascular risk. Because this decade sets the foundation for the next 30 years.
This is why it works: Your labs inform your hormone treatment. Your body scan shapes your metabolic strategy. Your sleep data connects back to your hormones. Nothing is siloed. Everything talks to everything.
The Four Pillars
Four Systems. One Strategy.
Hormonal Stability
Comprehensive evaluation of estrogen, progesterone, testosterone, and thyroid function. Hormone therapy management when appropriate.
Metabolic Health
Fasting glucose, HbA1c, lipid markers, and EVOLT body composition analysis. Medication support when appropriate, such as GLP-1s.
Nervous System Regulation
Sleep quality assessment, anxiety and mood screening, cognitive clarity evaluation. Structured support for stress physiology.
Structural Resilience
Skeletal muscle mass, bone health indicators, cardiovascular risk assessment, and exercise capacity evaluation. Proactive health screening to set you up for long-term prevention and future health.
Physiologic Change
What can change in four months
Where many women start
Disrupted sleep
Persistent fatigue
Increasing abdominal weight
Hot flashes and night sweats
Brain fog
Muscle loss
Metabolic slowdown
What we aim to restore
More stable hormones
Deeper, restorative sleep
Improved metabolic momentum
Stronger body composition
Improved energy and focus
Reduced symptom burden
Confidence in long-term health
The goal is not perfection.
The goal is physiologic stability.
The Journey
How the 4-Month Program Works
Comprehensive Assessment
Patients complete labs before their first visit. The visit includes a full medical evaluation, lab interpretation, Terra Vitality Score establishment, and a personalized care roadmap.
Pre-visit labs · Full evaluation · Vitality Score · Care roadmap
Stabilize
Initial treatment strategies begin with a focus on hormone stabilization, sleep restoration, and metabolic alignment. Hormone therapy management initiated where appropriate.
Hormone stabilization · Sleep restoration · Metabolic alignment
Strengthen
Muscle preservation, metabolic resilience, and medication optimization. Milestone testing occurs here — labs and body composition reviewed, Vitality Score updated.
Muscle preservation · Metabolic resilience · Milestone testing
Future-Proof
Long-term hormone strategy, cardiovascular health, bone protection, and sustainable lifestyle habits. Final Vitality Score and long-term care plan established.
Long-term strategy · Cardiovascular health · Bone protection
Everything Included
What's Inside Terra360 Vitality
Every element of the program is designed to work together — not as isolated services but as an integrated 4-month clinical strategy that looks at the full you.
Nurse Practitioner–Led
All clinical care is delivered by a nurse practitioner specializing in midlife women's health, menopause care, and metabolic health.
Structured clinical visits over 4 months
Structured appointments with your NP
Comprehensive intake appointment
Full health history and goal-setting
Baseline and milestone lab interpretation
Comprehensive panels reviewed in context
EVOLT body composition scans
Baseline, milestone, and final assessment
Terra Vitality Score tracking
0–100 composite score across four pillars
Hormone therapy management
If clinically appropriate
Metabolic medication support
If clinically appropriate
Structured check-ins throughout
Consistent touchpoints throughout the program
Secure messaging access
48-hour response time
Terra360 AI assistant access
Program questions answered anytime
Program Bonuses
What Else Is Included
Every Terra360 Vitality member receives full access to a curated library of courses, guides, and resources — developed specifically for midlife women and organized around your care pillars.
Midlife Weight Shift Course
A comprehensive course addressing the metabolic changes of midlife — why the old approaches stop working and what actually does.
Sleep Guide for Midlife
Evidence-based strategies for improving sleep quality during hormonal transitions, tailored to midlife physiology.
Supplement Guide
Research-backed supplement recommendations for perimenopause and menopause — what to consider, what to skip, and why.
Nutrition Framework & Guide
A practical nutrition framework designed specifically for midlife metabolism and hormonal health.
Pillar-Specific Education
Curated resources aligned to each of the four clinical pillars — updated throughout your program as your care evolves.
Patient Support Group
Option to join a moderated peer support group for Terra patients — a space to connect, share, and feel less alone in the process.
Member Benefits
Terra360 Vitality Member Privileges
Program membership includes ongoing benefits that extend beyond your 4-month clinical pathway.
Off Fullscript Supplements
Off Clinic Skincare Products
Preferred Pricing on Clinic Treatments
Discounted MyoMar Muscle Testing
Discounted Mira Hormone Monitors
Preferred Access to Webinars & Events
Measurable Progress
The Terra Vitality Score
A 0–100 composite score that measures your health across four core systems. Each pillar contributes 25 points, assessed at baseline, Month 3, and Month 6 — so you can see your progress clearly.
Example of a Terra Vitality Score Progression
The goal is steady, measurable improvement across all pillars — not quick fixes.
Hormonal Stability
25 ptsMeasures hormone balance and symptom stability across estrogen, progesterone, testosterone, and thyroid function.
Goal
More stable mood, energy, and sleep with reduced hormonal symptoms.
Metabolic Strength
25 ptsMeasures metabolic health and body composition including fasting glucose, HbA1c, lipid markers, and EVOLT metrics.
Goal
Improved insulin sensitivity, preserved muscle mass, and healthier metabolism.
Nervous System Balance
25 ptsMeasures stress physiology, sleep quality, and cognitive clarity through sleep quality, anxiety scores, and mood screening.
Goal
Improved sleep, better stress resilience, and clearer thinking.
Structural Resilience
25 ptsMeasures long-term physical health including skeletal muscle mass, bone health indicators, cardiovascular risk, and exercise capacity.
Goal
Stronger muscles, improved cardiovascular health, and long-term vitality.
Score Interpretation
Significant physiologic support required
Multiple systems need support
Measurable improvement underway
Targeted optimization continues
Systems optimized and stable
Choose Your Pathway
Choose the Pathway That Fits Your Health Needs
Terra offers different ways to begin care depending on your health goals.
Terra Access
Single Visit Care
Best For
Flagship Program
Terra360 Vitality
Full System Care
$2,397/package*
*Pay in full or 2 equal payments of $1,200
Book Your First Vitality VisitBest For
Maintenance Program
Protect & Thrive
Members must have completed Vitality Program
or $997/year (if paid in full)
Learn About MaintenanceBest For
Most women experiencing multiple symptoms benefit from the structured Terra360 Vitality program.
Is This For You?
Terra360 Vitality Is Designed For Women Who
Are experiencing midlife hormonal changes
Perimenopause or menopause symptoms affecting daily life — whether subtle or significant.
Want structured care instead of guesswork
You are ready for a clinical strategy, not another appointment that treats one symptom at a time.
Are ready to take a proactive approach
You want to understand your health data, track your progress, and invest in long-term wellbeing.
Value clinical expertise and evidence
You want care that is medically grounded, not trend-driven or influencer-led.
Marie
NP — Terra Aesthetics + Wellness
Meet Your Provider
Care That Sees the Whole Picture
Marie is a nurse practitioner who specialized in midlife women's health because she kept watching the same thing happen: women coming in with real, complex symptoms — and leaving with partial answers and a stack of referrals.
She built Terra360 Vitality to fix that. Every element of the program exists because fragmented care was failing the women she was seeing.
When you work with Marie, you have one provider who knows your full history, reads all your labs in context, tracks your progress over time, and adjusts your plan when something isn't working. No starting over. No repeating yourself. No falling through the cracks.
You are heard.
Every appointment is unhurried. Your symptoms, concerns, and goals are taken seriously — not minimized.
You are included.
You are a partner in your own care. Treatment decisions are made with you, not for you.
You are not gaslit.
What you are experiencing is real. Midlife physiology is complex, and you deserve care that reflects that.
"There are just no words to describe the attention, communication and empathy Marie has for patients. Exceptional knowledge and professionalism — but above all, exceptional care that is, unfortunately, rare to find in today's current system."
— Terra Patient
Why Terra
In Their Own Words
I feel clearer and confident in supporting my health and meeting the unique needs of where I am in my life now. What worked for me before is no longer working. I now have the tools to guide me.
Terra360 Vitality Patient
The Terra Midlife Care Pathway
Not Sure Where to Start?
Answer a few quick questions to determine which care pathway may be the best fit for your current health goals. Takes under 60 seconds.
Investment Clarity
What Midlife Care Actually Costs
Most women piece together their midlife care from multiple providers -- each with separate fees, no coordination, and no long-term strategy. Here is what can add up to, month by month.
Typical Fragmented Care
Per Month
Primary Care Visits
2-4 visits/yr, often rushed, symptom-only
Hormone Specialist (virtual)
Minimal access in NL
Lab Work (out-of-pocket)
Comprehensive panels not always covered
Nutritionist / Dietitian
Separate provider, no integration
Mental Health / Stress Support
Separate provider, no hormonal context
Body Composition Testing (EVOLT)
Sporadic, not tracked systematically
Naturopathic visit
Separate provider, no integration with other care
4-Month Total
Fragmented, uncoordinated care
$3,200+
+ no integrated strategy
Terra360 Vitality
Per Month
4-Month Total
Fully integrated, structured care
$2,400
or payment plan available
"The greatest return on investment you will ever see is the one you make in your health."
The Difference
Terra360 Vitality costs $201 less per month than fragmented care
And delivers a coordinated strategy, not disconnected appointments.
potential 4-month savings
Pathways to Care
How patients begin and continue care
Terra Access
A comprehensive single consultation for new patients who want clarity on one issue, a second opinion, or an entry point before committing to a full program.
$495
/package
Terra360 Vitality
Our structured 4-month clinical program for system-wide improvement across hormones, metabolism, energy, and strength. Designed for women ready for comprehensive midlife care.
$2,400
full program or 2 equal payments
Protect & Thrive
Annual maintenance membership for Terra360 Vitality graduates. Maintain your results, protect long-term health, and prevent decline with continued expert oversight.
Annual Membership
pricing available upon program completion
Most patients experiencing multiple symptoms benefit from the structured Terra360 Vitality program. Maintenance is available to graduates only.
Program Investment
A Considered Investment in Your Health
Terra360 Vitality is a structured clinical program, not a subscription service. The investment reflects the depth of care, the clinical expertise, and the measurable outcomes it delivers.
Payment plans are available. We are happy to discuss options that work for your situation.
Full Program
4-Month Investment
A fully coordinated, structured 4-month clinical program.
Payment Plan Available
Flexible options to fit your situation
$1,200 ×2
equal payments
Common Questions
Frequently Asked Questions
If you have a question that isn't answered here, please reach out — we are happy to help you determine whether Terra360 Vitality is the right fit.
Send us a questionTerra360 Vitality is a private-pay program. Clinical consultations with a nurse practitioner may be partially covered depending on your province and extended health benefits — we recommend checking with your insurer. Lab work ordered through the program may also be covered under provincial health care in some cases. We are happy to provide documentation to support any benefit claims.
No. Terra360 Vitality is designed for women in perimenopause, menopause, and post-menopause. Many of our patients begin the program during perimenopause — often years before their last period — because that is when symptoms and metabolic changes begin. Early intervention typically leads to better long-term outcomes.
The Clarity Call is a short, no-obligation conversation to help you determine whether Terra360 Vitality is the right fit for your current health goals. We will review your symptoms, your health history at a high level, and what you are hoping to achieve. There is no pressure — the goal is to make sure you feel confident about the next step before committing to anything.
The Terra Vitality Score is a 0–100 composite score that measures your health across four clinical pillars: Hormonal Stability, Metabolic Health, Nervous System Balance, and Structural Resilience. Each pillar contributes 25 points. Your score is assessed at baseline, Month 3, and Month 6, so you can see measurable progress over the course of the program — not just feel it.
EVOLT is a medical-grade body composition analysis tool that measures skeletal muscle mass, body fat percentage, visceral fat, bone mineral content, hydration, and metabolic rate. It provides far more detail than a standard scale. Three scans are included in Terra360 Vitality — at baseline, Month 3, and Month 6 — so we can track changes in muscle and fat composition over time, not just weight.
No. Hormone therapy is one tool within the program, used when it is clinically appropriate and when you want to explore it. Many patients benefit significantly from the metabolic, nutritional, and lifestyle components of the program regardless of whether hormone therapy is part of their plan. All treatment decisions are made collaboratively.
That is absolutely fine. Many patients come to Terra360 Vitality already on hormone therapy but feeling like their care has been fragmented or that they are not being monitored closely enough. We can review your current treatment, run comprehensive labs, and integrate your existing care into the program.
Many elements of the program — consultations, check-ins, messaging, and AI assistant access — can be completed virtually. The EVOLT body composition scans require an in-person visit to the clinic. We will work with you to find the right balance based on your location and schedule.
At the end of Month 6, you will have a final assessment, a third EVOLT scan, and a long-term strategy session. From there, you have the option to transition into Terra Vitality Maintenance — ongoing clinical support including 3 visits per year, medication management, continued EVOLT monitoring, and messaging access. Many patients also continue with Terra Access for specific concerns as they arise.
Yes. The full program investment is $2,400. We offer flexible payment plans to make the program accessible — typically structured as monthly payments over the 6-month program. Please mention this during your Clarity Call and we will find an arrangement that works for your situation.
Begin Your Journey
Your Midlife Health Deserves a Plan
You do not have to navigate this alone, or piece together care from multiple providers with no coordination. Terra360 Vitality offers a structured pathway — from baseline to long-term strategy.
Terra Aesthetics + Wellness — Nurse Practitioner–Led Midlife Women's Health