Thoughtful Medical Care for Women 40 and Forward
(In the comfort of your home, at work, or even on vacation)

Welcome to 40 and Forward, where our focus is straight forward:
Clarity. Relief. Energy. And Lifelong Independence.

We get to know you from the inside out, manage acute illnesses and chronic conditions, and address symptoms women in their 40s, 50s, 60s and beyond commonly experience that are often overlooked in traditional medical care.

We provide:
*Comprehensive Integrative Health Care
*Careful evaluation of symptoms and underlying causes
*A whole-person approach focused on lifelong energy and independence.

Most insurances accepted 

 

25+ years of experience in integrative family medicine, geriatrics, and women’s health. 

If you are a woman in your 40’s, 50’s, 60’s and beyond and are looking for thoughtful medical care that takes your concerns seriously, and looks at the whole picture of your health, I would be honored to work with you.  I will provide you a guided health journey that protects your future health.

 

Is 40 and Forward Right for You?

You may benefit from this type of care if:

• You’ve noticed changes like fatigue, weight gain, sleep disruption, brain fog, or hair thinning and want thoughtful answers.
  
  
• You feel like your symptoms have been dismissed or rushed through in traditional appointments.
  
  
• You want guidance through perimenopause or menopause while making sure nothing else is being overlooked.
  
  
• You want a doctor who looks at the whole picture of your health, including metabolism, sleep, medications, and long-term risks.
  
  
• You are thinking about your future brain health, especially if you have seen dementia affect someone you love.
  
  
• You are past menopause but want to maintain your energy, strength, and mental clarity so you can remain active and independent in the years ahead.
  
  
• You value a physician who follows your health closely and takes time to connect the dots.

If this sounds like you, 40 and Forward was designed just for you.

 

Schedule Your First Visit – Contact us today to get started.  You'll talk to a real person, and they will always take good care of you! 

Office Phone:  (941) 343-9441
Office Fax:       (941) 349-9301
Email: appointments@womenstelemedicine.com

Message box: (if you can put one on the site) – if not it will have to come later under “contact us” on the website

We accept most insurances, including Medicare in the state of Florida.  (Sorry, we cannot accept HMOs)

Currently, we only accept Medicare (and Medicare Advantage Plans) in North Carolina, Tennessee, Colorado, Pennsylvania, Indiana, Louisiana, Mississippi, and Alabama

Licenses pending: Georgia, Missouri, and Texas

Good health is about far more than managing symptoms.

It is about protecting all our systems that allow women to remain strong, energetic, and independent throughout life.

40 and Forward helps women:

✔ Navigate Midlife Changes and Life Stages with Clarity
Support for fatigue, sleep problems, mood changes, vaginal health, and hormone transitions.

✔ Address the Health Concerns That Come with Aging
Energy loss, metabolic health, blood pressure, bone strength, and long-term wellness.

✔ Protect Brain Health and Lifelong Independence
Focused attention on the systems that help women remain strong, mentally sharp, and active.

Dr Karen Leggett is a double board-certified Family and Geriatric medicine physician who has also completed a fellowship in Metabolic, Nutrition and Hormone Medicine.  She is here to serve you for all your healthcare needs in a convenient telehealth practice for women in their 40’s, 50’s, 60’s and beyond. 

Dr Karen started Leggett Medical Group in 2000 which is still going strong today.  She then launched Women's Midlife Specialist online in 2010 where she continues to guide women in caring for their own hormone balance needs.  In 2024, Dr Karen opened Memory Care Specialists in Sarasota, FL to help patients prevent, halt and even reverse cognitive changes.  

Today, Dr Karen Leggett’s Telehealth practice - 40 and Forward - is a true culmination of all three practices for women 40 years old and beyond.  Our services include managing unexpected acute illness, care for ongoing chronic conditions, and helping woman navigate the numerous challenges we face from midlife forward.  Dr Karen’s goal is to provide you Clarity, Relief, Energy and Lifelong Independence. 

 

 A Taste of the Services we Offer:

• Acute illnesses that need same day attention
• Chronic Condition Management with more than just "pills".
• Weight Loss (including GLP-1 and other weight loss medication options and nutrition coaching)
• Sleep Disturbances
• Fatigue
• Menopause Symptoms and Bioidentical Hormones
• Low Libido, Painful Intimacy, Vaginal Dryness
• Low Thyroid with Thyroid Optimization
• Sympathetic and Parasympathetic Nervous System Balance
• GUT Health
• Nutrition Counseling
• Mood Changes, Anxiety, Depression, Loss of Joy, Loss of Motivation
• Brain Health, Memory Concerns and Brain Fog
• Hair Thinning
• Bone Loss
• Urinary Incontinence

Dr Karen’s Telehealth - 40 and Forward:   Overview of How it Works:  

Step 1 — Your First Visit – the Discovery Phase

Experience a comprehensive telehealth consultation reviewing your symptoms, health history, and the changes that often occur in midlife and beyond.  We get to know you and your needs and start the process to clarify the causes of your concerns. 

Women often state:

“No one has ever addressed my concerns like this before.”
“This is the first time anyone has taken my symptoms seriously.”
“I feel better already and have hope that I can feel like myself again.”

Step 2 — Clarifying the Causes – the Action Phase

We review labs and connect the dots between metabolism, sleep, hormones, medications, and other factors affecting how you feel. 

Women often feel relieved and energized by understanding the causes behind their symptoms and are more engaged in their own care.  They feel encouraged - and never embarrassed - by Dr. Karen’s ease of understanding, welcoming nature, and creative guidance.

Step 3 — Protecting Long-Term Health – the Success Phase

Together we create a plan to resolve uncomfortable symptoms and support energy, brain health, metabolic health, and lifelong independence.

Women appreciate the integrative care, keeping natural solutions in the forefront, while assuring proper traditional medical care for necessary medical challenges.

Schedule Your First Visit – Contact us today to get started.  You'll talk to a real person, and they will always take good care of you! 

Office Phone:  (941) 343-9441
Office Fax:       (941) 349-9301
Email: appointments@womenstelemedicine.com

Message box: (if you can put one on the site) – if not it will have to come later under “contact us” on the website

We accept most insurances, including Medicare in the state of Florida.  (Sorry, we cannot accept HMOs)

Currently, we only accept Medicare in North Carolina, Tennessee, Colorado, Pennsylvania, Indiana, Louisiana, Mississippi, and Alabama

Licenses pending: Georgia, Missouri and Texas

If you are experiencing changes in your health or want guidance on protecting your long-term well-being, 40 and Forward offers thoughtful telehealth care designed specifically for women at this stage of life.

We care for you with kindness and understanding in an unhurried and respectful manner. 

Please be cognizant that Dr Karen takes great pride in knowing each of her patients extremely well, and does not conduct short, hurried visits.  Because of this, Dr Karen must keep her patient panel smaller than typical practices.  We invite you to become a patient now and encourage you to discover more about us as quickly as possible so you can establish a place with Dr Karen Leggett’s telehealth Practice. 

We look forward to meeting you and caring for your health and wellness needs.

Schedule Your First Visit – Contact us today to get started.  You'll talk to a real person, and they will always take good care of you! 

Office Phone:  (941) 343-9441
Office Fax:       (941) 349-9301
Email: appointments@womenstelemedicine.com

Message box: (if you can put one on the site) – if not it will have to come later under “contact us” on the website

We accept most insurances, including Medicare in the state of Florida.  (Sorry, we cannot accept HMOs)

Currently, we only accept Medicare in North Carolina, Tennessee, Colorado, Pennsylvania, Indiana, Louisiana, Mississippi, and Alabama

Licenses pending: Georgia, Missouri and Texas

 

What can I expect on my first visit with Dr. Karen?

Click here to Discover More About your Future Patient Journey

Click here to read about the Top 10 Reasons Women Seek Help from Dr. Karen