Michelle. E. Gordon, D.O. DABOM, DACLM, FACS, FACOS

I trained as a surgeon.

Surgical training teaches one principle above all else:
Do not intervene until you understand the problem.

Diagnosis comes first.
Precision matters.
Assumptions harm people.

For more than two decades, I practiced in systems built for acute care. Short visits. Symptom management. Episodic thinking.

Midlife metabolic disease does not behave like an acute condition.

It unfolds over years.
It adapts.
It defends itself.

Weight loss becomes harder to maintain.
Appetite signaling intensifies.
Energy expenditure declines.
Fat mass becomes biologically defended.

The advice remains simple.
Women remain stuck.

In 2023, I became board-certified in Obesity Medicine to deepen my work in chronic metabolic disease, weight regulation, and longitudinal care.

Obesity is a chronic, relapsing disease.
Midlife weight gain follows a biological pattern.
Regain is predictable.

It is not a character flaw.

I specialize in disciplined midlife women whose bodies stopped responding to standard advice. Women who can lose weight, but cannot keep it off.

I slow down.
I analyze patterns across time.
I connect hormones, metabolism, sleep, weight regulation, and inflammation.

Then I explain what is happening clearly.

Because once you understand the physiology, you stop escalating effort and start managing the system.

That is personalized medicine.