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START HERE · PERIMENOPAUSE
0 INTAKE · 0 WEEK-1 · 0 DINNER RSVP
PERIMENOPAUSE · MMXXVI

The thing your doctor
doesn't have time to do.

Your HRT prescription took twelve minutes. The other one-hundred-and-sixty-seven hours, you are figuring out which mattress, which protein, which trainer, which dinner is safe, which friendship to text, what to ask the doctor next time. Threshold is the kit that walks with you between the appointments. We don't replace Midi. We make Midi's prescription actually work.

STEP 01 OF 05 · INTAKE

Three questions. Three minutes.

PRIVATE · NEVER SHARED WITHOUT CONSENT

Q1 OF 3

Where are you?

STEP 02 OF 05 · THIS WEEK'S PLAYBOOK

Three things this week. That's it.

The Week 1 kit. Not 47 articles. Not 12 supplements. Three concrete actions, one product to try, one sentence to bring to the OBGYN. Designed by a clinician + a writer + a woman three years further in.

01 · SLEEP

Move the room one degree.

Drop bedroom temperature to 17–18°C tonight. Magnesium glycinate 400mg, 90 minutes before bed. Stop alcohol on weeknights for 14 days. Log what changes.

Sleep delta logged in your kit · cohort sees aggregate only

02 · STRENGTH

Two sessions this week. Real load.

Resistance, not cardio. Squat. Hinge. Push. Pull. 30 minutes, twice. We pair you with a trainer who knows perimenopause if you want. Otherwise: this video.

Logged via tap or Apple Health · attendance is the metric, not 1RM

03 · ONE PRODUCT

Try one. Measure honestly. Return if no signal.

From the cohort-tested list. Not affiliate. Today the top three: Lumebox red-light panel · Equelle · the wool sleep duvet from Australia. Pick one. 14 days.

Return rate is visible to you — and to the brand. That is the discipline.

open the full week-1 kit →
STEP 03 OF 05 · CARE ROUTING

We don't replace the clinician. We make the appointment count.

Three things go to the clinician on your behalf, with your consent: what you tried, what worked, what didn't. The OBGYN gets a one-page brief instead of a twelve-minute panic.

M
Midi Health
perimenopause + menopause virtual clinic

We route you. Midi sees a pre-formed intake. Insurance handled by Midi.

M
Maven Clinic
employer-covered transitions network

If your employer has Maven, we route through it. Same handoff.

O
Local OBGYN
your existing relationship

We export a one-page brief. You hand it in at the desk.

PT
Pelvic-floor PT
the body work no one mentions

Referrals from the cohort. Vetted. Local.

T
Menopause-aware trainer
strength, not cardio

Verified trainers who know hot flashes are not lack of effort.

Th
Matrescence-aware therapist
identity layer

Optional. For the identity shift the clinic doesn't address.

STEP 04 OF 05 · THE COHORT DINNER

The Month-6 dinner. The part no one can copy.

Six women, your city, quarterly. One at month-3. One at month-6. One at month-12. One at month-24. One who got through it and one who is starting tonight. Not a panel. Not a webinar. Dinner. The friend at month-12 telling the friend at month-3 what worked, with the playbook on the table.

LONDON · HACKNEY
Sat 14 Mar · 20:00
HOST · Maeve, month-18
4 OF 6
NYC · WEST VILLAGE
Sat 21 Mar · 19:30
HOST · Pri, month-9
5 OF 6
LUGANO · LAKEFRONT
Sun 22 Mar · 19:00
HOST · Lucia, month-26
2 OF 6
GENEVA · OLD TOWN
Sat 28 Mar · 19:30
HOST · Camille, month-12
WAIT-LIST

The dinner is the thing Midi cannot copy. They don't want to be in the catering business. The dinner is the proof Vivere's peer cohort is real, not a Discord. The dinner is the moment the woman pays $48 because of what she gets back, not because of an algorithm.

STEP 05 OF 05 · WHAT WE MEASURE

Your honest report. Monthly.

  • · Sleep delta (hours · quality · wake-after-sleep-onset)
  • · Strength session adherence (target 2/wk)
  • · Mood + flash-frequency self-report
  • · Care visit completion (Midi/Maven/local)
  • · Product try rate · return rate
  • · Cohort dinner attendance + 90-day re-attendance
  • · One sentence you bring to the next doctor visit

Same TasteEvent store as Art Basel + Trinity + IBSA. Different verbs. The cohort aggregate is what makes Threshold legible to a payer.

PRICING · DRAFT · NOT YET LIVE

Three lanes. Three buyers.

  • Direct-to-woman
    $24 / month · or $48 / quarter w/ dinner
  • Employer / payer
    $12 PMPM · benefit add-on · outcome-tied bonus
  • Clinical partner (Midi / Maven / longevity)
    rev-share on closed-loop product trial + cohort retention

The three lanes mean Threshold doesn't depend on any one of them to survive. That is the Apple/Airbnb move — the OS that all three buyers route through.