Peso perimenopáusico por telemedicina – Caban Metabolic Wellness
Board-certified in Internal Medicine and Obesity Medicine. If you’re gaining weight, losing sleep, and feeling like your body has changed overnight — this isn’t a willpower problem. It’s hormonal. And it’s treatable.
Serving Dallas, Houston, Austin, San Antonio, Fort Worth, Plano, El Paso, and all of Texas — 100% virtually. Fully bilingual for Texas’ Spanish-speaking community.
Why Perimenopause Causes Weight Gain — And Why It's Not Your Fault
During perimenopause, estrogen and progesterone levels begin to fluctuate — and these hormones directly regulate where your body stores fat, how your metabolism functions, and how your brain signals hunger and fullness. This isn’t about eating more or moving less. It’s a physiological shift that changes your body’s entire metabolic set point. The weight that accumulates around your abdomen during this time is driven by hormonal change — not a lack of discipline. Modern medicine has real, evidence-based tools to address this. You just need a physician who understands it.
The weight isn't the problem. The hormones are. And hormones are treatable.
Sound Familiar? These Are the Signs of Perimenopause Weight Gain.
Unexplained Weight Gain
Especially around the belly, even without diet changes
Metabolic Slowdown
Insulin resistance, blood sugar fluctuations
Muscle Loss & Fatigue
Less energy, harder to maintain strength
Brain Fog
Difficulty concentrating, memory lapses, mental fatigue
Mood Changes & Irritability
Feeling unlike yourself emotionally
Cardiovascular Risk Changes
Cholesterol and blood pressure shifts
Sleep Disruption
Waking at 2–3am, trouble falling back asleep
Hot Flashes & Night Sweats
Disrupting sleep and daily comfort
Bone Density Concerns
Increased fracture risk post-menopause
If you’re experiencing 3 or more of these, a physician evaluation can help.
This Isn't a Willpower Problem. It's a Medical One
What You've Probably Tried
- Cutting calories further
- Exercising harder
- Trying another diet
- Blaming yourself
- Waiting for it to pass
- Being told "it's just aging"
What Actually Works
- A physician-led metabolic evaluation
- Hormonal assessment and treatment
- Personalized weight management
- Understanding your metabolic set point
- A doctor who listens
- A clear plan from your first visit
You haven’t failed the diet. The diet failed to address your hormones.
Meet Dr. Amanda Caban Herrera
I’m Dr. Amanda Caban Herrera — a physician who has dedicated her practice to the intersection of hormonal health and metabolic medicine. I graduated magna cum laude from the University of Puerto Rico School of Medicine, completed my Internal Medicine residency there, and hold dual board certifications from the American Board of Internal Medicine (ABIM) and the American Board of Obesity Medicine (ABOM).
I’m also a member of The Menopause Society, with advanced training in perimenopause and menopause management.
I’ve spent over 7 years in hospital medicine watching women be dismissed, undertreated, or handed generic advice that doesn’t work. That’s why I built this practice — to give women in Texas access to real, evidence-based, physician-led care for perimenopause and metabolic health. Virtually. Without the wait. Without the judgment.
Serving Women Across Texas — 100% Virtual
Book Online
Choose your appointment time and pay the $200 consultation fee at scheduling.
45-Minute Virtual Visit
A thorough evaluation of your symptoms, history, and health goals with Dr. Caban.
Your Personalized Plan
By the end of your visit, you'll have a clear, evidence-based plan tailored to your needs.
Your Initial Consultation — What to Expect
Initial 45–Minute Consultation
- Full symptom & history review
- Personalized treatment plan
- Lab review (if available)
- Clear next steps by visit end
Frequently Asked Questions
Everything you need to know before booking.
