I help women stop pushing through — and start actually feeling better — with expert guidance, an Occupational Therapist's whole-person approach, and a plan built around your life, not a generic protocol.

This is for you if...

You're in perimenopause or menopause and you've been managing symptoms, Googling answers, and hoping it gets better on its own — and you're ready to stop guessing and start getting real support.

— YOU ARE SEEN

You're not imagining it. You're not being dramatic. You're navigating something you were never prepared for.

You're the woman who keeps everything together. The career. The family. On the outside, you're holding everything together. On the inside, you're running on fumes — and nobody knows.

 

So when the brain fog, the 3am wake-ups, and the weight changes started, you did what you always do: you pushed harder. New workout. New diet. Another supplement. More willpower.

 

But here's what most women are never told: estrogen isn't just a reproductive hormone. It has over 400 roles in the body. When it fluctuates, it directly disrupts the neurotransmitters that regulate your mood, focus, sleep, and resilience. The strategies that worked at 35 are no longer enough. That's not a personal failing. That's biology.

 

 

"What you're feeling is real, it's valid, and it has a reason. You are not lazy, weak, or failing — your hormones are shifting and your body is asking for new support."

 

 

Perimenopause can last over ten years — and we remain postmenopausal for the rest of our lives. Every year spent struggling unnecessarily takes a real toll on your energy, relationships, work, and sense of self. It's never too late to start — but there's no benefit to waiting.

 

Does This Sound Like You?

Brain fog that makes you doubt yourself

You used to be sharp and decisive. Now words slip away, focus feels impossible, and you're second-guessing everything.

Exhaustion that sleep doesn't fix

Eight hours in bed, still waking up drained. Or barely sleeping at all — tossing, turning, up at 3am every night.

Mood swings that feel like someone else

Minor stressors feel overwhelming. Patience runs thin. Things you used to handle with ease now feel like huge challenges.

A body that feels unfamiliar

Weight shifts, joint aches, hot flashes, skin changes — showing up seemingly overnight and without warning.

Lost your spark

The version of you that felt vibrant, confident, and grounded feels far away. You want her back.

Dismissed or left without real answers

Told it's just stress, just aging, just life. You leave appointments — or receive diagnoses — feeling more alone than before.

— MEET YOUR GUIDE

Julie Parana, MS, OTR/L · Certified Women's Health Specialist · Certified Menopause Coach

 

I lived this. Then I studied it. Now I help you through it.

At 42, I had a hysterectomy. My doctor reassured me my hormones wouldn't be affected since my ovaries were left intact. Within weeks I was battling brain fog, sleepless nights, weight changes, and a body I didn't recognize — bouncing between specialists, confused and frustrated, with no real guidance. Eventually, bloodwork revealed I was postmenopausal. And all I received was a message in my patient portal that read: "You're postmenopausal. That explains your symptoms." That was it. No guidance. No education. No next steps.

 

Even after starting hormone therapy, I still didn't feel like myself until I made targeted lifestyle changes. I had to learn that my body now required more rest, different movement, and daily practices to support my nervous system. What worked before was no longer enough — and nobody had told me that.

 

"When women finally understand what's happening hormonally and physiologically, it completely changes how they approach their health. They stop blaming themselves — and start regaining control."

 

I've since completed 300+ hours of continuing education in women's health and the menopause transition — so you don't have to figure this out alone the way I did. And as an occupational therapist, I don't just give you information. I help you apply it in ways that fit your actual life.

 

 

 

FEATURED:  Philadelphia Magazine & Good Day Philadelphia

 

— HEAR FROM JULIE

I see you. I hear you. And I know exactly what you're going through — because I've been there too.

— THE PLAN

The Menopause Empowerment Session

"Women could never possibly get this level of support in a 10–15 minute doctor's visit. And one of the things I hear over and over is that women get more out of this one conversation than from any medical visit before."

— Julie Parana, MS OTR/L, CWHS

1. Finally understand what's actually happening

We map your symptoms, history, routines, and stress patterns so you understand the root causes — explained in plain language, not dismissed with a "normal" result.

 

2. A Life Load Audit — see where your energy is really going

As an OT I look at the whole picture: how menopause is affecting your daily roles, routines, relationships, and responsibilities. This audit maps where you're being stretched too thin and identifies the highest-leverage opportunities for relief.

 

3. Evidence-based options — hormonal and non-hormonal

Learn what actually works for sleep, energy, mood, and nervous system regulation. You'll also learn how to advocate for menopause-informed care from your own provider — so you never leave an appointment empty-handed again.

 

4. Your personalized roadmap

Concrete next steps tailored to your body, schedule, and real life. Not a generic protocol — a plan that fits. Your $150 applies toward any 3- or 6-month coaching package if you choose to continue with ongoing coaching to help you implement your menopause plan.

 

$150 one-time

Menopause Empowerment Session

75 minutes · Zoom · One-on-one with Julie

✓ Clarity on what's actually driving your symptoms

✓ A Life Load Audit to map your energy and find relief

✓ Evidence-based tools you can use immediately

✓ Assistance finding a menopause informed provider

✓ Your personalized menopause roadmap

✓ Validation — finally feeling heard and understood

$150 applies toward any 3- or 6-month coaching package if you continue

— CLIENT STORIES

Women who stopped pushing through — and started thriving

"I had been to three different doctors in two years and left every appointment feeling like I was overreacting. Within the first five minutes of my session with Julie, I knew she was someone who would actually listen to me. For the first time, someone connected all the dots. I walked away with a plan I could actually follow, and the relief of knowing I wasn't crazy."

Elisa, 51

"I went into surgical menopause at 44 and had NO idea what hit me. My doctors focused on the surgery, but I wasn't at all prepared for what came after. I didn't feel like myself at all. Julie actually explained what was happening and gave me real, practical strategies for my sleep, my energy, and my nervous system. I'm so grateful I met her."

Jenn, 44

"I got more out of this session than I have from any doctor's appointment I've ever been to. Julie is so knowledgeable and helpful. She gave me so much great information that I was able to start making changes right away. I've signed on for on-going coaching because I know I'll need help staying accountable to my plan, and she's the best one to help me do that!"

Lisa, 49

— THE COST OF WAITING

Perimenopause can last over a decade. Post-menopause lasts the rest of your life.

At work

Harder to concentrate in meetings, make quick decisions, meet deadlines. Tasks that used to feel effortless now require twice the effort.

At home

Small irritations feel magnified. Patience with partners and children wears thin. You're snapping and then hating that you snapped.

In your body

Nervous system dysregulation becomes chronic. Stress, fatigue, and hormonal chaos compound each other — and the longer it goes unaddressed, the harder it is to unwind.

Long term

This is also the window where lifestyle choices most impact your risk for cardiovascular disease, osteoporosis, and cognitive health in the decades ahead.

You don't have to figure this out alone.

One of the most healing things my clients say isn't about symptoms — it's "I finally feel like someone gets it." Working together isn't just about a plan. It's about being in a space where your experience is fully understood, validated, and met with expert guidance. No more being dismissed. No more going it alone.

— THE FRAMEWORK

Six pillars — one whole-life approach

01

Mindset & Identity

Your brain believes what you tell it — so let's stop telling it that menopause means decline, invisibility, or the beginning of less. It doesn't. We rewrite that narrative from day one.

02

Nervous System Regulation

When your body is locked in fight-or-flight, simple tasks feel overwhelming. Evidence-based techniques that calm your system and give your body permission to rest, recover, and reset.

03

Stress Management

Chronic stress worsens every symptom. We identify your highest-drain areas and build small, sustainable boundaries that actually protect your energy.

04

Movement

Purposeful, hormone-supportive fitness — not punishing workouts. Strength and movement built for your body as it is right now, designed to build energy rather than deplete it.

05

Nutrition

Foods that stabilize energy, reduce inflammation, and support blood sugar balance. Practical, sustainable strategies that fit into a real and busy life.

06

Sleep Hygiene

Sleep is non-negotiable — it's where everything else either holds together or falls apart. Targeted adjustments that restore the quality rest your body needs to regulate and recover.

— FREE RESOURCE

Not ready to book yet? Start here.

Struggling through menopause is not a requirement.


If you’ve been told to “just deal with it,” this free 5-episode audio guide is your permission slip to do better. Learn what’s really happening in your body — and what you can do about it — starting today.

  • The stages of perimenopause & menopause, clearly explained

  • Why your symptoms are happening — not just what they are

  • Hormonal & non-hormonal treatment options laid out simply

  • The lifestyle changes that move the needle most

  • 5 short episodes. 20 minutes total. The Cliffs Notes of menopause.

— YOUR NEXT STEP

Stop pushing through. Start actually feeling better.

75 minutes. One expert. A clear understanding of your body, evidence-based tools you can use immediately, and a personalized plan so you know exactly what to do first — instead of guessing.

"I have yet to meet anyone who regrets prioritizing their health and taking action."

$150

One-time investment

75 min

One-on-one via Zoom

Applies

Toward 3- and 6-month packages

Occupational Therapist  · 20+ Years Clinical Experience  · 300+ Hours Specialist Training 

Natural · Early · Surgical · Treatment-Induced Menopause