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Private Care, Precisely Focused
You are not asked to fit into a preset program. Hormones can affect sleep and sexual health. Metabolism can affect energy and body composition. Stress, medications, nutrition, and recovery may influence all of it. Your care begins with a detailed conversation and is built around what matters most to you.
Hormone Care for Women
Personalized care for women navigating changes in cycles, sleep, mood, energy, body composition, and sexual health.
Perimenopause Care
Support during the transition toward menopause, when symptoms, menstrual patterns, sleep, mood, and sexual health may change.
Menopause Care
Personalized evaluation and treatment planning for hot flashes, sleep changes, vaginal symptoms, mood, sexual health, and other concerns.
Bioidentical Hormone Therapy, Clearly Explained
An individualized discussion of bioidentical hormone options, including potential benefits, risks, formulation, route, and monitoring.
Testosterone Therapy for Men
Evaluation for men with compatible symptoms and consistently low testosterone levels, with appropriate testing and ongoing monitoring.
Testosterone Therapy for Women
Careful consideration of testosterone for limited, clinically appropriate situations after a complete evaluation.
Metabolic Health and Medical Weight Loss
Metabolic Health
Care focused on glucose regulation, cardiovascular risk, body composition, sleep, nutrition, activity, and hormone-related factors.
Medical Weight Loss
Support during the transition toward menopause, when symptoms, menstrual patterns, sleep, mood, and sexual health may change.
GLP-1 Medical Weight Loss
Medical evaluation for GLP-1 medication when appropriate, with attention to safety, side effects, nutrition, muscle preservation, and long-term maintenance.
Performance, Sexual Wellness and Longevity
Sexual Wellness
Private care for changes in desire, arousal, comfort, orgasm, erections, performance, or sexual satisfaction.
Functional Medicine
A detailed evaluation connecting symptoms, health history, medications, daily habits, and targeted testing.
Longevity Medicine
Care focused on health span, strength, metabolic health, recovery, prevention, and long-term function.
Peptide Therapy
A product-specific medical review of evidence, regulatory status, potential risks, pharmacy source, and monitoring.
Provider Identity

Melissa Markel, FNP-C, ABAAHP, FAAMFM
Florida license: APRN11019655
Melissa is a board certified functional medicine nurse practitioner. She specializes in male and female hormone replacement, medical weight optimization, and longevity medicine.
Telehealth Designed Around Your Life in Miami, Florida
Umber Health was designed for adults who value discretion, time, and close attention. Private virtual visits bring that experience to eligible adults in Miami and throughout Florida. Umber Health does not operate a walk-in or patient-facing physical clinic.
A Personal Starting Point
You do not need to choose a treatment before your first visit. Begin with a private consultation, explain what has changed, and your provider will help determine which evaluation makes sense.