A proactive approach to menopause that establishes your baseline, addresses symptoms and key health markers, and supports healthy aging through personalized guidance and ongoing adjustment.

EverWell by St. Luke's
The Institute for Women’s Longevity
Getting older isn’t just about living longer; it’s also about living better.
EverWell by St. Luke’s is a first of its kind Institute for Women’s Longevity in St. Louis, focusing on women who are transitioning into perimenopause and menopause. This stage of life is like no other, with many women experiencing physical and emotional changes previously unknown to them.
Fortunately, there is help. Our expert team provides evidence-based, personalized care for women navigating midlife health changes including:
- Hormone-Related Symptoms
- Sexual Health
- Sleep Issues
- Weight Changes
- Long-Term Wellness
- Post-Cancer Care Plans
Your EverWell Journey
EverWell is an ongoing, high-touch partnership designed to evolve with you. Your first year establishes your personalized baseline, identifies your priorities and creates a plan for meaningful, measurable progress. We combine clinical assessment, appropriate laboratory testing, lifestyle measures and, when available, data from your own wearable to create a complete picture of your health.
Throughout the year, you have personalized guidance, thoughtful follow-through and accountability – not simply a list of recommendations. We follow your progress, identify what is working and make adjustments as your needs change.
At the end of each year, we reassess your progress, review your data and reset your goals based on how you – and your health – have evolved. The result is a personalized, concierge-level approach to health that grows with you, year after year.
Here’s What You Can Expect During Your First Visit (90 Minutes) at EverWell
Your first 90 minutes are where your EverWell journey begins. We slow down and get to know the whole you – not just a symptom, diagnosis or single organ system. We’ll talk about how you’re feeling today, review your medications and supplements, medical history, nutrition, activity, sleep, stress and other lifestyle factors, and discuss what you want to accomplish. When applicable, we’ll incorporate your wearable data and appropriate laboratory testing to establish a personalized baseline. We’ll also discuss the health priorities that matter most for women at your stage of life, using current medical evidence to identify both your goals and our goals for the year ahead. Together, we’ll create a practical, personalized roadmap for where you are now and where you want to go.
EverWell is designed to enhance – not replace – the care you receive from your regular physicians and clinicians. While traditional healthcare may focus on individual organs, symptoms or diagnoses, EverWell steps back to look at how the pieces of your health connect – your hormones, heart, bones, metabolism, sleep, sexual health, mental well-being and overall vitality. We follow your progress throughout the year, adjust your plan as you evolve and, at the end of each year, reassess your data and reset your goals based on how you and your health have changed. This is where we begin your journey toward a longer, vibrant healthspan.
From Your Baseline to Your EverWell Journey
At the end of your first 90 minutes, we have a clearer picture of where you are today, what matters most to you, and where there may be opportunities to improve your health and well-being. Together, we identify the areas that make the most sense to focus on first. Some women may have one clear priority, while others may benefit from addressing several interconnected areas. There is no expectation of addressing everything at once. We prioritize what is most meaningful and appropriate for you, create a plan for the year ahead, and build from there at a pace that feels right.
Your EverWell journey is intentionally designed to evolve. As we learn more about you and see how you respond, we may shift our focus, add another area of wellness or simply continue what is working. The goal is not to fit you into a program; it is to create a personalized health journey that fits you.
Learn What You Can Expect from Each Part of Your Everwell Journey
A personalized approach to metabolic health and weight that looks beyond the scale, using health data and lifestyle factors to set realistic goals, track progress, and adjust your strategy over time.
A personalized assessment of sleep, stress, energy, and recovery that combines your experience with available data to develop practical strategies and refine them as your needs change.
A proactive plan to protect long-term strength, mobility, and independence by assessing risk, focusing on nutrition and strength-building, and providing ongoing support and reassessment.
A private, personalized approach to sexual health that explores concerns and contributing factors while providing ongoing, judgment-free support tailored to your goals.
A personalized wellness program for life after cancer treatment that complements oncology care by supporting energy, sleep, strength, metabolic and bone health, sexual health, and healthy aging, with goals that evolve over time.
Your Questions, Answered
The more you know, the easier the decision becomes. Browse our frequently asked questions for a clear, straightforward look at EverWell by St. Luke's.
Meet Your Provider
With over 25 years as a practicing and highly sought after women’s health physician, Dr. Marcrander understands the unique needs of women in transitional life stages. She believes in listening closely, understanding each woman’s symptoms and goals, and creating practical care plans that support health, confidence and quality of life.