Once we fix what's underneath, it isn't. We assess your gut, your hormones, and your metabolic markers, then tailor a protocol built for your specific needs.



A DUTCH panel shows how your body produces and clears hormones at four points across a full day, not one number from one morning blood draw. A GI-MAP shows exactly what is living in your gut, down to the bacteria no standard visit screens for. And comprehensive bloodwork catches the metabolic markers that move years before anyone calls them a diagnosis.
Then there is the part nobody explains. A normal lab result only means you are not sick enough to treat. We read the same numbers against optimal ranges instead, because feeling fine was never the goal.
Once we can see it, we can fix it. That is when your body finally starts responding again.
Because I want the support & results Elevated Vitality delivers
Because I want the support & results Elevated Vitality delivers
Phase One
We start with the full picture. A GI-MAP for your gut, a DUTCH panel for your hormones across a full day, and comprehensive bloodwork read against optimal ranges. Then we sit down and walk every line together until you understand what your body has actually been doing.
Phase Two
We take out what your results identified. The foods that are inflammatory for you specifically, not the ones on a generic list. The gut imbalances the GI-MAP found. The habits quietly keeping cortisol elevated. This is usually the phase where the bloating goes.
Phase Three
Gut lining, nutrient status, and blood sugar stability get repaired with a protocol written from your results. Most women eat more here rather than less, because an under-fueled body in midlife holds on instead of letting go. Strength work starts wherever you are.
Phase Four
With the foundation repaired, fat loss stops being a fight. No panic, no cutting food groups, no starting over on Monday. Progressive strength work builds the muscle that protects your metabolism and your bones, and we retest to confirm what changed instead of assuming.
Phase Five
Every diet you have done left you at the bottom with no way out. Not this one. We move you out of the deficit on purpose, build the maintenance plan you will actually use, and rehearse the situations that used to undo you. The best outcome here is that you stop needing us.
GI-MAP, DUTCH, and comprehensive bloodwork as your case requires. Collected at home, shipped to the lab, no clinic visit needed.
Your results translated into plain language. What is off, why it matters, and exactly what we are doing about each finding.
Not a generic elimination diet. The specific imbalances your test found, addressed in the order that works.
Written around how your body is actually producing and clearing hormones right now, not around where you probably are.
Every week with your functional medicine nutrition practitioner. Questions answered, protocol adjusted, nothing left sitting.
A question about a food, a symptom, a strange week. Message your practitioner rather than waiting seven days.
Time with other women going through the same thing, which most clients say was the part they did not know they needed.
Built for the body you have now, with muscle and bone as the goal alongside fat loss. Home or gym, starting wherever you are.
Only what your results actually call for, and the goal is always to get you off most of them.
Because I want the support & results Elevated Vitality delivers
Because I want the support & results Elevated Vitality delivers
I’m Sara Frenza, Functional Medicine Nutrition Practitioner, Nutrition and Body Transformation Coach, Menopause Coaching Specialist, Gut and Hormone Specialist.
I built this practice because I lived this exact struggle. I know what it feels like to do everything right and have your body not cooperate. I spent years learning what conventional medicine and mainstream fitness never taught me about what actually happens inside a woman’s body during perimenopause and menopause.
Every woman I work with deserves real answers, not more guessing, not more restriction, not another plan designed for someone else’s biology.
Credentials:
Board Certified Functional Medicine Nutrition Practitioner
Menopause Coaching Specialist
Certified Fitness & Body Transformation Coach
Host, Muscle Strength and Menopause Podcast
Published fitness model

Because I want the support & results Elevated Vitality delivers
Yes. We have other flexible payment plan options to make the investment more manageable. We can go over the details on our virtual consult.
HSA/FSA may be eligible with a Letter of Medical Necessity depending on your plan, so you may be able to use pre-tax health dollars.
Most clients notice changes in sleep, energy, and mood within the first few weeks. Weight loss typically starts showing up in Phase 2, once we've addressed the root issues. This isn't a crash diet. It's a process. But it's a process that actually sticks.
That's exactly who this is for. If you've done the diets, the programs, the calorie counting and you're still stuck, there's usually something going on under the surface that nobody has looked at. That's what the testing shows us. Once we know what's actually happening, we can fix it.
It usually makes the gut work more important, not less. A diagnosis tells you what to call it. It rarely tells you what else is feeding it, which is where we come in.
Most programs give you a meal plan or macros and send you on your way with occasional email or video check-ins. We start with testing so we're not guessing. We look at your hormones, your gut health, your cortisol patterns. Then we build a complete plan around YOUR data. We prioritize the relationship between you and your dedicated coach. You’re not just a number, you have a real person invested in your success.
That’s completely fine! After you enroll, you’ll fill out a detailed intake form with all your symptoms and submit any recent lab work you have. Our functional nutrition team will review everything and determine the best testing protocol for your specific situation.
Nope. The testing we do is ordered through the program, not your doctor. You don't need anyone's permission to get started. That said, I'm not replacing your doctor. If something comes up in your results that needs medical attention, I'll tell you. We work alongside your healthcare team, not instead of them.
Standard bloodwork captures one moment and gets read against ranges built to catch disease, not to describe how you feel. A DUTCH panel shows how your body processes hormones across a full day. A GI-MAP shows gut markers a standard visit never screens for. Fine and optimal are not the same thing.
We absolutely work with women on GLP-1s, especially if you’ve plateaued or suspect you’re malnourished. We can help optimize your nutrition and address underlying issues.
100% virtual. All of our coaching calls happen over Zoom. The testing kits get shipped directly to your house. We have clients all over the country.
Expect about 2-3 hours per week. That includes your workouts, tracking your food, and our coaching calls. It's not nothing, but it's manageable for women with full schedules.

Apply. It takes about five minutes.

If it looks like a fit, we book your virtual consult.

We test, and you get your Root Cause Blueprint.

Six months of care, built on your results.
Because I want the support & results Elevated Vitality delivers
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