For women in the shift
Perimenopause, without the guesswork
The weight that won't move, the sleep that won't hold, the energy that left without notice. A physician who treats the cause, not the calendar.

Physician-led
OB-GYN medical director
Is this you?
Women noticing the first real changes, cycles, sleep, mood, metabolism, who want a doctor, not a guess.
If any of this sounds familiar, you're in the right place, and you're not alone.
The Evoke difference
One plan for a hormonal shift, not four disconnected fixes
Perimenopause changes your hormones, your metabolism, your sleep, and your skin at the same time. Chasing each symptom on its own is why most women feel like nothing works. Dr. Hieb, an OB-GYN, looks at the whole picture and builds one plan.
- Labs and symptoms reviewed together, by a physician
- Hormone optimization matched to what your body actually needs
- Weight and metabolism support that respects the hormonal shift
- Sleep, energy, and recovery treated as part of the same plan
A plan, not a single appointment
The Perimenopause Reset
Women ready to feel like themselves again.
- [SLOT: physician consult + lab panel, Dr. Hieb to confirm]
- [SLOT: hormone optimization protocol, Dr. Hieb to confirm]
- [SLOT: metabolism / weight support, Dr. Hieb to confirm]
- [SLOT: nutrition + recovery add-ons, Dr. Hieb to confirm]
[PRICE SLOT: Dr. Hieb sets package price at presentation]

Your physician
Dr. Melissa Hieb, DO
Dr. Hieb is an OB-GYN who built Evoke Health so Casper could get medical-grade wellness and aesthetic care without the pretense of a coastal clinic. Every Evoke patient benefits from direct physician oversight, from the first consultation through the last treatment.
[ SLOT: board certifications, training, and years in practice, confirmed with Dr. Hieb ]
Good questions
What women usually ask first
Is this hormone replacement?
Hormone optimization is designed and supervised by an OB-GYN based on your labs and how you feel. What's right for you is decided at your consultation, not before.
I've been told my labs are normal. Can you still help?
Often yes. Feeling unwell with lab values inside the reference range is common in perimenopause. A consultation looks at the full picture, not one number.
Do I have to commit to a package to start?
No. You start with a consultation. If a plan is a good fit, Dr. Hieb will walk you through the options.
Why Evoke
Why Casper women choose Evoke Health
Most clinics sell a treatment. Evoke builds a plan, led by a doctor who treats the cause, not just the surface.
A physician, not a technician
Dr. Hieb, an OB-GYN, designs and oversees every plan. You are never handed off for the decisions that matter.
Treated as a whole person
Skin, hormones, energy, and weight are connected. We build one plan across them instead of four disconnected fixes.
Wyoming's integrated approach
The same advanced technology used in top clinics, paired with regenerative care, right here in Casper.
Natural results, on purpose
The goal is you, refreshed. Subtle, significant, and never overdone.
Start here
Start with perimenopause, without the guesswork
Tell us where you'd like to start. Our team will reach out to schedule your consultation with Dr. Hieb.
Prefer to talk now? Call 307-369-0077.