Introducing
Menopause Care
Our
Philosophy
At Terra, we’re redefining the way menopause is understood and treated — with expert care, real answers, and a deep respect for every individual journey. We’re here to fill the gap in care with evidence-based treatments, personalized support, and the kind of guidance that helps people feel informed, empowered, and seen.
We recognize that menopause is not a one-size-fits-all experience. That’s why our approach centers on tailored treatment plans that address each person’s unique symptoms, concerns, and goals. Whether it’s through hormone therapy, lifestyle shifts, nutritional strategies, or emotional support, our team walks alongside you — with compassion, clinical insight, and no judgment.
Our goal is simple: to remove the confusion and stigma that too often surround menopause, and instead create a space for clarity, confidence, and thriving health. At Terra, we believe this chapter of life deserves care that is proactive, respectful, and truly transformative.
Menopause is NOT just hot flashes.
Nearly all Canadian women report experiencing around seven different symptoms, yet about 46% feel unprepared for menopause.
At Terra, we believe that no one should have to just “tough it out.” Addressing menopause symptoms isn’t about vanity or weakness — it’s about reclaiming health, function, and confidence during a vital chapter of life.
By providing evidence-based treatments, compassionate listening, and personalized care, we help patients:
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Reduce daily discomfort
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Improve emotional and physical wellbeing
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Prevent long-term health risks (like osteoporosis or heart disease)
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Feel more like themselves again
Hot Flashes
Joint Pain
Sleep Disturbances
Dry Skin
Weight Gain
Irregular Periods
Mood Changes
Vaginal Dryness
Low Energy
Cognitive Changes
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Not sure if our menopause clinic is the right fit for you?
Book a complimentary 15-minute consultation to ask questions and explore your options — no pressure, just support.
HOW
Can We Help?
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​Symptom Management: Address hot flashes, mood changes, sleep issues, and more.
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Preventive Care: Assess bone, cardiovascular, and metabolic health.
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Treatment Options: Guidance on menopausal hormonal therapy (MHT), non-hormonal therapies, lifestyle modifications, and supplements.
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Individualized Care: Tailored plans based on medical history, current symptoms, and future health goals.
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Empower yourself with expert care to feel your best during this transformative stage of life. Book your consultation today!
1
Initial Consult
+
Followup
60 Minutes
$295
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Detailed Medical History Review: Understand your overall health and how it impacts menopause management.
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Symptom Evaluation: Assess the severity and impact of menopause symptoms on your daily life.
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Preventive Health Screening: Evaluate risks for cancer, osteoporosis, metabolic, and cardiovascular health concerns.
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Lab and Imaging Orders: Ensure thorough assessment with necessary tests or imaging studies.
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Personalized Treatment Plan: Receive expert guidance on:
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Lifestyle and dietary change
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Prescriptions: Hormone Replacement Therapy (HRT) or non-hormonal options if needed
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Specialist Referrals: Connect/Referrals to dietitians, physiotherapists, or other professionals for additional support.
*This appointment includes a followup visit at 4 weeks.
2
Ongoing Care
30 Minutes
$75
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Symptom Check-In: Review progress, track symptom changes, and address new concerns.
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Treatment/Medication Adjustment: Evaluate current therapies and make changes as needed.
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Preventative Health Update: Review screenings, labs, and long-term health risks.
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Lifestyle & Wellness Support: Revisit goals related to sleep, stress, nutrition, and activity.
FAQ
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I AM NOT SURE IF I AM IN MENOPAUSE BUT I AM HAVING SYMPTOMS. I STILL HAVE MY PERIODS. CAN I STILL CONSULT AND ACCESS TREATMENT?
Yes, it is very possible that you may be in stages of perimenopause. Perimenopause often involves fluctuating hormones and irregular periods. We will create a personalized medical plan to manage symptoms during this transition.
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WHAT TYPE OF TREATMENT OPTIONS ARE AVAILABLE AT THE CLINIC FOR PERIMENOPAUSE/MENOPAUSE?
Every person will have an individualized plan to treat their symptoms and needs. We offer a range of hormonal therapies, non-hormonal therapies and lifestyle modifications that can help improve/treat your symptoms. While we aim on treating bothersome symptoms of perimenopause and menopause, we also focus on other conditions that could be impacting your symptoms and improving your overall wellness, cardiovascular and bone health which is essential for women going through this life transition .
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DO YOU OFFER "BIOIDENTICAL HORMONE REPLACEMENT THERAPY" (BHRT)?
We prescribe hormones that are "bioidentical" in that they have the same chemical and molecular structure as the hormones naturally produced by the human body. Our treatments include a variety of Health Canada-approved options, such as pills, patches, and vaginal formulations. However, we do not offer compounded bioidentical hormone therapy, as these customized formulations are not approved by Health Canada for use.
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DO I NEED ONGOING BLOODWORK TO MONITOR MY TREATMENT PLAN OR START TREATMENT?
Hormone testing is not always required to diagnose menopause but can sometimes offer valuable insights into your symptoms. During your personalized consultation, we’ll determine if testing is appropriate for your care. Additionally, we may perform tests to screen for metabolic conditions, such as high cholesterol or diabetes, to help assess if hormone therapy is a suitable option for you.
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IS THE CONSULTATION COVERED BY INSURANCE?
If you have a Health Spending Account (HSA) through your insurance, our consultation fees are fully covered. If you don’t have an HSA, these fees qualify as eligible medical expenses and can be deducted from your income tax. Be sure to consult your tax professional for more details.
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ARE TREATMENTS COVERED BY INSURANCE?
Menopause treatments, including both hormonal and non-hormonal therapies, are most typically covered by your insurance, although specific coverage varies by provider and plan, so we recommend you checking with your insurance company to confirm what’s included. All bloodwork and imaging is generally covered by your provincial health card.
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DO I NEED A REFERRAL FROM A DOCTOR OR NURSE PRACTITIONER?
No, there is no referral required. If you have a primary care provider, we are more then happy to send along information if you consent to inform them of your treatment recommendations and progress.
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CAN I SPEAK TO SOMEONE IF THIS IS THE RIGHT OPTION FOR ME?
Absolutely! You can email us at info@terrawellness.ca, call us at (709) 744-6093.
WHO WILL
Guide You On Your Journey?
Marie is a Nurse Practitioner and the founder of Terra Wellness, bringing extensive expertise in obesity and weight management. She spent six years in the surgical weight management program in Newfoundland and has completed numerous certifications, courses, and conferences with Obesity Canada. Marie works in both primary care and virtual settings, supporting individuals living with obesity and weight concerns. Her approach integrates nutrition guidance, approved medications, and behavioral change strategies, with a focus on helping clients achieve health goals, reduce medications, manage chronic illnesses, and improve overall well-being. She also has specialized experience in pre- and post-operative care for weight-loss surgery patients.
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In addition to her work in weight management, Marie has a deep passion for women’s health. Her experience in primary care highlighted the significant gaps in access to perimenopause and menopause care. Recognizing the lack of specialized clinics and support, she is committed to providing non-biased, evidence-based, and comprehensive care for women and those living with reproductive organs during this life stage. Menopause, while a natural life stage, can bring a multitude of symptoms that affect both physical and psychological well-being, significantly impacting quality of life. Marie is a member of The Menopause Society and is one of only two certified menopause practitioners in the province of NL.
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