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A One-of-a-Kind Menopause Wellness Program uniquely designed for women to achieve fitness and health during the best years of their life.

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We don't "treat" menopause because it's not a disease! Our Naturopathic Doctors and Physiotherapists understand the challenges you are experiencing and focus on therapies that help women enhance their quality of life through the menopause transition.

Night

Sweats

Mood

Changes

Brain

Fog

Weight

Gain

Poor Sleep

Quality

Joint

Pain

Vaginal

Dryness

Lack of

Motivation

Low

Libido

Muscle

Loss

Cortisol

Imbalance

Low Bone

Density

Why We're Different

The Living Fit 4 Menopause program is based on 4 principles combining Naturopathic Medicine and Physiotherapy.

ONE

Nutrition & Weight Management

Nutritional needs shift during menopause to focus on increasing muscle mass, reducing visceral fat, and supporting brain and bone health. During the initial appointment, all aspects of your health and your daily schedule are discussed with the Naturopathic Doctor. An InBody Body Composition analysis is performed each visit, and blood work may be recommended to identify vitamin deficiencies or food sensitivities.

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Each of the following factors are taken into account when developing your unique, realistic plan focusing on re-creating healthy eating habits, long-term weight loss ​and improving metabolism based on macros (proteins, carbs, fats):

  • Protein intake

  • Portion size

  • Meal timing

  • Current daily movement & Exercise

  • Stress & Sleep quality

  • Daily water intake

  • Gut Health

TWO

Exercise & Fitness

An individualized physiotherapy assessment for specific injuries or joint pain, or a general movement screening assessment is performed to ensure safe participation in an exercise program.

 

An exercise program is then tailored for you (using any equipment you have at home or at your gym), based on the following goals:

  • Building bone density

  • Increasing skeletal muscle mass

  • Decreasing total body fat %

  • Improving cardiovascular health without increasing cortisol levels

  • Balance and gait training for fall prevention

  • Improving sleep quality

  • Manage joint and muscle pain

THREE

Balancing Hormones & Stress

Each patient's hormonal journey from your first period, the timing of your cycle, PMS symptoms, heaviness or cramps during the flow, and menopause is discussed. The impact of stress on your body is also investigated.

 

Saliva, urine and blood tests are used to evaluate the following hormones:

  • Estrogen, Progesterone

  • FSH, LH

  • Testosterone, DHT

  • DHEAS

  • Insulin

  • Leptin

  • Cortisol

  • Thyroid

 

Bioidentical hormone restoration therapy (BHRT) and non-hormonal therapies (acupuncture, herbal supplements) are used by the Naturopathic Doctor to guide you into feeling confident and reassured about your long-term health.

FOUR

Pelvic Floor Rehabilitation

Hormonal changes during perimenopause can weaken the pelvic floor muscles, leading to issues such as urinary incontinence, urgency, and pelvic organ prolapse. Other symptoms can include vaginal dryness, burning, or itching, painful intercourse, or decreased sensation.

 

Your Pelvic Floor Physiotherapy plan includes:

  • One-on-one confidential consultations in a comfortable and private clinic room.

  • Pelvic floor exercises: Targeted exercises to strengthen the muscles that support the bladder, uterus, and bowels.

  • Biofeedback: Techniques to improve awareness and control of pelvic floor muscles.

  • Education: Teaching proper techniques for bladder and bowel management, as well as lifestyle modifications to reduce symptoms.

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Meet the Founders

We are dedicated health professionals with years of experience and specialized training committed to helping women thrive through menopause.

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Naturopathic Doctor

Dr. Misa Kawasaki, ND

Nutrition & Weight Loss, Hormone Testing, Bioidentical Hormone Restoration Therapy (BHRT)

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Physiotherapist

Nora de Graaff, PT

Movement Assessment, Exercise Program for Weight Loss & Muscle Gain, Fracture Prevention

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Pelvic Floor Physiotherapist

Leanna Taggio, PT

Pelvic Floor Exercises, Biofeedback Therapy, Muscle Relaxation Techniques and Education​

What to Expect

  • Naturopathic Medicine
    Intake Your main health concerns and goals are discussed in detail. Any lab work and/or supplements you bring are reviewed. Additional health history and lifestyle questions are covered in order for the Naturopath to understand how to effectively and realistically incorporate treatments into your daily schedule. Tests An InBody body composition scan and a urine stress test are performed (**in-office appointments with Dr. Misa only**). Diagnostic tests such as blood work through Lifelabs, saliva hormone testing and food sensitivity testing may be recommended if needed to assist in determining the best treatment for your symptoms. Treatment Dietary recommendations will be made if you have digestive issues, fertility concerns or want to improve your body composition. Nutritional and/or herbal supplements may be prescribed based on your health concerns. Lifestyle habits such as exercise, water intake, sleep quality and stress management will also be discussed.
  • Physiotherapy
    Intake & Assessment Your main health concerns are discussed in detail. Any tests results (e.g. x-ray, ultrasound. MRI, etc.) that you bring are reviewed. The physiotherapist will perform a physical exam (e.g. range of motion, inspection of painful areas, etc.) as required to determine the course of treatment. Treatment Treatment will be performed on the initial visit and will vary based on the assessment. The physiotherapist will explain the therapies with you (as well as how many visits you may require) and answer any questions you may have before proceeding with treatment. Treatment may include manual therapy, laser therapy, exercise prescription, etc.
  • Pelvic Floor Physiotherapy
    Intake & Assessment Your main health concerns are discussed in detail. Any tests results (e.g. x-ray, ultrasound. MRI, etc.) that you bring are reviewed. The physiotherapist will perform a physical exam (e.g. range of motion, inspection of painful areas, etc.) as required to determine the course of treatment. Treatment Treatment will be performed on the initial visit and will vary based on the assessment. The physiotherapist will explain the therapies with you (as well as how many visits you may require) and answer any questions you may have before proceeding with treatment. Treatment may include manual therapy, laser therapy, exercise prescription, etc.

Our therapists work collaboratively to support your health journey.  You can choose who you would like to book an appointment with based on your hormonal and longevity goals.

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Ready to start optimizing your menopause journey with an individualized plan created just for you? We're here to help!

The Living Fit 4 Menopause Program is offered at

Meridian Spine + Sport Logo
905-773-5794

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info@meridianspineandsport.ca

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13321 Yonge St, Unit 205

Richmond Hill, ON, L4E 0K5

Our clean, bright, and modern office space is conveniently located in the heart of Oak Ridges on the east side of Yonge Street, just north of King Road (south of Bloomington Road), in the TD Canada Trust Bank plaza. Our office is wheelchair accessible with an elevator to our second floor unit. There is plenty of free parking. We're looking forward to seeing you soon!

© 2025 by Meridian Wellness Group Inc.

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