A concierge menopause and midlife clinic built around one simple idea: when a physician truly knows you, everything about your care gets better.
In this 2‑minute video, Dr. Óscar Milian and co‑founder Sophie Milian share why they started Novamira and why we care for only 50 women at a time.
Most women hit their 40s and 50s and hear some version of, “Your labs are fine. This is just getting older.” Visits are rushed, explanations are thin, and every symptom gets its own doctor. It’s fragmented, impersonal, and exhausting.
Novamira Health was created to be the opposite of that: a place where your menopause and midlife health are treated as a long‑term project, not a series of quick fixes. We intentionally cap the number of women we care for at 50 so we can build deep, ongoing medical relationships instead of running a high‑volume clinic.
Your care is directed by a physician who knows your history, context, and goals, supported by a small team that stays with you over time.
We look at hormones, sleep, mood, metabolism, strength, nutrition, and long‑term risks together, not in separate silos.
Visits happen via private telemedicine, so you can be seen from home or while traveling, without waiting rooms or rushed in‑person slots.
You can be completely honest about symptoms, intimacy, and fears, knowing your information is handled with discretion and no unnecessary eyes.
Dr. Milian is a board‑certified internal medicine physician with over 17 years of clinical experience, trained at Mount Sinai, with a career‑long focus on hormones, metabolism, and complex midlife health.
Dr. Milian created Novamira to practice the kind of medicine he believed midlife women deserved: slow enough to listen, deep enough to see patterns, and structured enough to actually change outcomes.

Sophie makes sure your experience is seamless from the moment you reach out. She guides you through scheduling, labs, and follow‑through, so you never feel like you’re managing your care alone.

Ella turns your medical plan into real‑world movement and strength training you can actually do. She helps you build muscle, confidence, and momentum in a way that fits your life.

Leshter oversees every touchpoint you have with Novamira, from the the moment you hear about us, to follow‑up messages, making sure the experience reflects the depth, care, and privacy we promise.
Novamira is for women in their late 30s through 60s who:
If you see yourself in this, your next step is simple:
Start with Menopause Mapping. From there, if the 12‑Week Metabolic Reset is a fit and you complete it, Novamira Care is here to make sure you’re not left managing midlife health alone.
Already a Novamira Patient?