Cape Concierge Coaching

You’re not imagining it

For the woman whose body changed overnight — and keeps hearing it’s normal.

Your sleep, your joints, your weight, your bladder, your mood — they’re all connected, and they’re all responding to the same hormonal shift. Most care treats each symptom separately. We treat the whole system.

Cape Concierge Menopause Coaching assembles a team around you — physical therapist, pelvic health specialist, nutritionist, GYN, and psychiatric NP — coordinated around your biology, your goals, and where you are in the transition. This isn’t symptom management. It’s a clinical strategy for the next 40 years of your life.

About 3 months, start to finishIn-person + virtualOne coordinated team, not five referrals

Led by Kara McKeown, Certified Menopause Coach, and Dr. Elizabeth Speed, Board Certified OB/GYN & Certified Menopause Provider.

Start with a free discovery call See the plans

Kara McKeown

Certified Menopause Coach

Is this you?

Built for the in-between

You’re noticing changes — sleep, mood, energy, weight — and want real answers, not guesses.
You want coaching and clinical care working together, not one without the other.
You’re ready for a few focused months of support, with a clear end point and a plan for after.

Looking for a single one-off consultation instead of a full program? Ask us about hourly sessions.

How it works

One starting point. Three ways to go deeper.

Every plan begins the same way — a discovery call with Kara, then a full evaluation. From there, your plan branches based on how much clinical oversight and hands-on training you want. All three levels stay with you through a 3-month arc and beyond.

Plans

Choose the level of support you want

Each plan builds on the one before it. You can move up a level at any point in your program.

Foundation

Coaching-led, with nutrition and pelvic health built in.

$1,200≈ 3 months · 3 specialists

Begin

Discovery call with Kara (15–20 min, virtual)
In-person evaluation & treatment (1 hr, office or mobile)

Build

Nutrition consultation with our nutritionist
Pelvic health evaluation with our pelvic health therapist
Customized in-person exercise plan review (1 hr)
Bi-weekly telehealth check-ins with Kara

Sustain

Final in-person visit with biometric re-measurement
Unlimited email access to Kara

Integrative

Adds hormone therapy and mental health support.

$1,800≈ 3 months · 5 specialists

Begin

Discovery call with Kara (15–20 min, virtual)
In-person evaluation & treatment (1 hr)
Telemedicine visit with Dr. Speed — HRT / pharmacological review (60 min)
Consultation with Laura Zanfes, Psychiatric NP — sleep, anxiety & mood (60 min)

Build

Nutrition consultation with our nutritionist
Pelvic health evaluation with our pelvic health therapist
Customized in-person exercise plan review (1 hr)
Bi-weekly telehealth check-ins with Kara

Sustain

Final in-person visit with biometric re-measurement
3-month follow-up with Dr. Speed after starting HRT (60 min)
Unlimited email access to Kara

Elevated Lifestyle

For hands-on training, not just a plan on paper.

$3,000≈ 3 months · full team, in person

Begin

Discovery call with Kara (15–20 min, virtual)
In-person evaluation & treatment (1 hr)
Telemedicine visit with Dr. Speed — HRT review (60 min)
Consultation with Laura Zanfes, Psychiatric NP — sleep, anxiety & mood (60 min)

Build

Nutrition consultation with our nutritionist
Pelvic health evaluation with our pelvic health therapist
Customized in-person exercise plan review (1 hr)
Bi-weekly telehealth check-ins with Kara
Bi-weekly in-person sessions with a Certified Athletic Trainer, progressing your plan as your strength changes

Sustain

Final in-person visit with biometric re-measurement
3-month follow-up with Dr. Speed after starting HRT (60 min)
Bimonthly group calls with Kara for community & accountability

Your team

Coaching and clinical care, side by side

Kara McKeown

Certified Menopause Coach

Kara’s coaching grew from her own experience of perimenopause, which began in December 2023 — fatigue, brain fog, poor recovery, night sweats, interrupted sleep, even hair loss. She became a Certified Menopause Coach in February 2025 and built this program around the support she wished she’d had.

Dr. Elizabeth Speed

Board Certified OB/GYN · Certified Menopause Provider

Dr. Speed is a board-certified OB/GYN who has practiced on Cape Cod since 2019. She has met countless women searching for validation, clarity, and practical solutions through perimenopause and menopause, and considers it a privilege to be part of that journey. As a Certified Menopause Provider, she brings both clinical expertise and personal experience to the table, and offers access to the full range of FDA-approved hormone therapies and non-hormonal options for symptom management.

Brought into your plan based on the tier you choose

Laura Zanfes

Psychiatric NP

Specializes in anxiety, depression, and ADHD, offering psychiatric assessment, medication management, and psychotherapy with a strong focus on helping you understand your options. Joins your team at the Integrative level.

Stephanie Tarbell

RN · Certified Nutrition Coach

Owner of Steel Anchor Strength & Nutrition in Plymouth. Brings a critical-care nursing background and years as a competitive athlete and coach — nutrition coaching built around your lifestyle, recovery, and stress, not just your goals. Included from the Foundation level.

Kayleigh Little-Parks

Pelvic Health Occupational Therapist

A Cape Cod native with a Master’s in Occupational Therapy, bringing evidence-based, individualized care to pelvic floor challenges — warmth and expertise in the same visit. Included from the Foundation level.

Justin Mendes

Certified Athletic Trainer

B.S. in Athletic Training from UNH, with eleven years across outpatient and inpatient PT settings — working with athletes, orthopedic cases, and the geriatric population alike. Joins your team at the Elevated level.

Questions

Before you book

How long does the program take?

Most plans run about three months, from your discovery call through your final follow-up. You’ll leave with a maintenance plan and ongoing access to Kara after that.

Do you accept insurance, HSA, or FSA?

We’re intentionally out-of-network with insurance across Cape Concierge — that’s what gives your team the time to treat you as a whole person, and to build your plan around your goals rather than what a claims adjuster will approve. HSA and FSA funds can be used toward your program.

Can I move to a different plan after I start?

Yes. Talk to Kara at any point in your program and she’ll help you move up to a level with more clinical or hands-on support.

What happens when the program ends?

You’ll leave with a full 360-degree integrative plan, built from everything your team has learned about your body, your goals, and your season of life. If your needs shift, we’ll work with you to customize your next steps.

Ready to find your plan?

Start with a free discovery call. Kara will help you figure out which level of support is right for where you are.

Book a discovery call Ask a question first

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