Talk to a certified menopause doctor specialized in weight loss medications.

Concierge Weight Management Programs

Meno-Start is a hyper-specialized, out-of-network menopause medical and fitness program based in McLean, VA. We proudly serve all women throughout their menopausal years experiencing midlife weight gain and belly fat and we proudly offer weight loss drug prescriptions.

Menopause Expertise

  • Get even more time to share your unique weight gain symptoms and menopause journey with Dr. Shannon Cothran, one of the few Menopause Society Certified Practitioners (MSCP) in the United States.

  • After 15 years in private practice, Dr. Cothran, a board-certified gynecologist, founded Meno-Start in 2024 to provide specialized, compassionate care for women navigating midlife menopause.

  • Dr. Cothran is an active member of the American College of Obstetricians and Gynecologists (ACOG), the leading organization for advancing women’s healthcare.

  • Coach Dulany Washington is a Certified Personal Trainer (CPT) with a Performance Enhancement Specialization (PES) and is certified in Wellness, Neuromuscular Stretching, and Nutrition Strategies for Women.

Symptom Management

  1. Weight Gain & Belly Fat

  2. Metabolism & Increased Appetite

  3. Muscle Loss

  4. Osteopenia & Osteoporosis

Choose Your Plan

  • If you are new to our concierge service, you may have questions. We are here to help. Schedule a FREE 15-minute phone call to see if Meno-Start is a fit for you.

  • Receive two consultations with Dr. Cothran for a personalized menopause plan or work with Coach Dulany Washington for tailored fitness and nutrition support.

  • Choose from access to medical care from licensed healthcare provider like Dr. Cothran who can prescribe weight loss drugs.

  • Enjoy personalized fitness and nutrition support perfectly tailored to your needs with Coach Dulany Washington.

Schedule Your FREE Menopause Consultation Today!

We are here to help you navigate menopause together. Schedule a FREE 15-minute phone call to see if Meno-Start is a fit for you.

“Dulany is an inspirational and encouraging fitness trainer. He is very knowledgeable and works with the whole person to create fitness strategies to reach their goal. He is very kind and caring, and at the same time applies the right amount of challenge to get you to the next level.”

— Mary S.