In this episode, Laurel and Sarah talk with menopause educator and advocate Amanda Thebe about Midi Health, its public messaging, and what happens when menopause care becomes a venture-backed business model. Amanda shares how she first noticed Midi when a physician moved from a major hospital to join the telemedicine platform, and why she initially saw it as a promising solution to a real problem, women being dismissed, under-treated, and unable to access knowledgeable care. Over time, she describes getting “amber flags” from Midi’s marketing, especially the way hormone therapy was framed as a near-universal fix with benefits that outpaced the evidence, a pattern she contrasts with other companies she feels communicate more responsibly.
The conversation digs into the incentives created by venture capital funding and what it can do to a company’s priorities, shifting from careful medical decision-making to selling more, retaining customers longer, and expanding into profitable add-ons. They discuss Midi’s move into wellness-style offerings and unproven products, including rapamycin framed for longevity, compounded and non-evidence-based creams, and the broader drift of menopause platforms into weight loss and longevity medicine to keep people buying beyond the menopause transition. They also unpack why influential clinician-brands can develop intensely loyal followings that resist criticism, and what it signals when platforms partner with high-profile figures like Mary Claire Haver. Throughout, Amanda emphasizes that the real need is ethical, evidence-based care that doesn’t put profit before patients, and she offers practical advice for what a solid menopause appointment looks like, how to prepare, where to look for reputable resources, and how to block the noise.
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RESOURCES
Instagram: Amanda Thebe
Website: amandathebe.com
LinkedIn: Amanda Thebe
Movement Logic: Doctor vs Brand IG post
Amanda Thebe: Midi Health IG post
Instagram: Dr. Pauline Maki
Instagram: Professor Susan Davis
The Menopause Society: Provider directory and resources
