You're not broken. You're not imagining it. And you don't have to figure this out alone.
You're exhausted in a way sleep doesn't fix. Foggy. Gaining weight around your middle no matter what you do. And your labs came back… "normal." I've got you.
It's not all in your head. And it's not just aging.
You've been dismissed, brushed off, and handed another prescription that doesn't touch the real problem. Being told "everything looks normal" when you feel like a fragment of yourself… that's not okay. And it's not the whole story.
Does any of this sound like you?
The symptoms no one connected to your hormones
One or two might be "just life." All of them together, showing up around your 40s? That's often your body trying to tell you something.
Knowing the why
"Normal" and "optimal" are not the same thing
Often you don't even get a full hormone work-up to start with. And a lab result inside the "normal" range doesn't mean your body feels normal. Perimenopause can shift your hormones, cortisol, blood sugar, and sleep for years before a standard panel flags anything — which is why so many women get sent home feeling unheard. Real answers start with looking deeper, all the way down to the cellular level.
A calm, clear path
How we get you real answers
No more band-aids. No more guessing. A steady, root-cause process built around you — not a rushed 12-minute visit.
Uncover
We look at the full picture — hormones, thyroid, cortisol, blood sugar, gut, sleep — with the kind of testing a standard visit often skips.
Reset
A personalized plan that may include nutrition, targeted supplements, lifestyle support, and hormone therapy when it's appropriate for you.
Thrive
Steady check-ins and real support as your body responds — so you can start to feel like yourself again.
Meet Janna
Hi, I'm Janna.
APRN, FMACP · Functional Medicine · Grand Rapids, Minnesota
I spent 18 years as a nurse practitioner — and then became my own hardest case. My own hormonal hot mess is what pulled me into functional medicine, because the standard answers weren't working for me any more than they were working for the women I saw every day.
When I finally addressed what was actually going on — at the root, not the surface — I got my life back. That's the whole reason this practice exists: so you don't have to fall apart quietly while being told you're fine.
You deserve to be seen, heard, and valued. Not rushed. Not dismissed.
…I've got you.
The promise
Seen. Heard. Valued.
What working together can look like
Care built around you — not a template
For women ready to go deeper, the CALM Reset is a personalized, root-cause program. Here's what it may include.
Self-pay care · HSA cards accepted for eligible services · Telehealth care
Real women. Real answers.
You're not the only one who felt this way
I have been struggling with perimenopause for a few years. Once I chose a package, she ordered a quick and easy lab test that came right through the mail. When my results came back, she got to the root cause of my symptoms and got me started on the proper medications. Since working one on one with her, I have been losing weight, I have less brain fog, and no more mood swings! I can't thank her enough.
Danica · Google Review
Janna is great! Very professional and truly cares about her patients. She helped me understand what tools to use to know what my body needed to be healthy and move forward with weight loss and understanding my menopause symptoms.
Julie · Google Review
Janna has been amazing! Very knowledgeable and genuinely cares about her patients. I would definitely recommend going to see her!
Steph H. · Google Review
Individual experiences vary. Testimonials do not guarantee specific results.
Free with your quiz results
Still not sure where to start? Start here.
The free hormone quiz takes about 5 minutes. Enter your email and you'll get your results — plus the free 3-Day Calm Plate Guide — right in your inbox. Real food for real life… built for the life you actually have.
3 days of real meals — breakfast, lunch, dinner, snack. Simple, clean, doable. Not a diet.
One grocery list for all three days. One trip. Everything at a regular store or Costco.
A 3-day symptom tracker — start noticing what shifts in your energy, sleep, cravings, and mood. Bring it to your consult.
What to skip, and exactly why — the information your doctor probably never gave you.
The guide lands in your inbox with your results.
Before you book
Questions you might be sitting with
Is this a replacement for my regular doctor?
No — and it's not meant to be. This is functional, root-cause care that works alongside the providers you already have. It's not a replacement for primary care, emergency care, or specialist care… and individualized recommendations only happen inside a real visit, after a proper clinical evaluation.
Do you diagnose or treat conditions from the website?
The information here is for educational purposes only and isn't medical advice or a diagnosis. Anything specific to your body happens inside a real visit, after we've looked at your history together.
What states can Janna see clients in?
Right now, Janna can see women who are physically located in the states listed at the bottom of this page. That's a licensing rule, not a preference. And we're working on it — more states are coming.
If yours isn't on that list yet, email us and ask. We'll tell you honestly where things stand… and let you know the moment it changes.
What actually happens on the free consult?
It's a no-pressure conversation. We talk through what you're experiencing, what you've already tried, and whether the CALM Reset might be a fit. No hard sell — just a real starting point.
Do you take insurance or HSA payments?
We're a self-pay practice and don't bill insurance — that's what allows the deeper testing and unrushed time. HSA cards are accepted for eligible services; eligibility can vary by plan, so we recommend confirming with your HSA administrator. We'll always be clear about costs before you begin.
You've been dismissed enough. Let's have a real conversation.
A free Hot Hormone Hustle consult — where you are actually seen and heard, and you leave clear on your next step. No pressure. Just a place to start.
Book your free consult