For Black Women Who Are Done Being Dismissed
You've Been Told You're Fine.
You Know You're Not.
Expert perimenopause, hormone, and metabolic care — built specifically for Black women 35+, rooted in finding your root cause.
We don't guess. We test the root cause.
Virtual care available in NY · CT · MA · FL
What we treat
Care for Every Stage of Midlife
Navigate perimenopause and menopause
Sleep through the night
Fix brain fog
Balance hormones (PCOS)
Support healthy weight
Reverse hair thinning
Cool hot flashes
Lift your mood
Heal gut issues
Understanding Your Body
You're Not Imagining It.
Here’s What’s Happening.
Perimenopause can start in your late 30s — years before most doctors start looking for it.
Progesterone drops first. That's your 3am wake-ups, your mood shifts, your anxiety that feels different.
As estrogen fluctuates, so does your serotonin — brain fog, low mood, cycles that don't make sense anymore.
Insulin sensitivity shifts with hormonal change. That's the weight around your middle — not your diet, your biology.
None of this shows up as "abnormal" on a standard lab panel. That's why you keep being told you're fine.
At Sistah Pause™, we run 100+ biomarkers to read the full picture. Not what's in range — what's optimal for your body.
Meet Your Provider
Mariama-Seray Barrie
FNP-BC, MSCP
I built this practice because I needed it — and it didn't exist. After 15 years watching Black women get dismissed at one of the most important health transitions of their lives, I was done watching it happen. I went through it myself. I know what it costs to keep showing up to appointments and leaving without answers.
I'm a Board-Certified Family Nurse Practitioner and one of a small number of clinicians in the country with the Menopause Society Certified Practitioner (MSCP) credential. This is the only thing I do.
Start with clarity. Continue with care.
How we support you
Whether you're booking your first Discovery Session or continuing your wellness journey, we meet you exactly where you are.
DISCOVERY
Pause, Sis:
Discovery Lab Clarity Session
Your starting point. We review your labs, connect every finding to what you've been experiencing, and hand you a clinical roadmap built around your body — not a standard protocol.
Most clients say this is the first time they've truly understood what's been happening to them.
membership
Thrive On, Sis:
Longevity Plan
For clients who've completed a program and aren't done yet. Quarterly lab reviews, community, and ongoing care as your body continues to change.
Because perimenopause doesn't end at 12 weeks. Neither should your care.
Your 12-Week Transformation
After Your Discovery Lab Clarity Session
Based on your labs, most clients move into one of three programs. Your Discovery Session tells us which one is right for your body — you won't have to figure that out on your own.
Hormone Optimization
For women whose labs show hormone decline driving sleep disruption, mood changes, and cycle irregularity. We rebuild your hormonal foundation week by week.
1
Metabolic Reset
For women experiencing hormone-related weight gain, insulin resistance, and metabolic shifts. We address the root cause — not the symptoms of it.
2
PCOS Transform
For women managing PCOS through a perimenopausal hormonal shift. A comprehensive root-cause protocol designed for the complexity of what you're navigating.
3
I'll recommend which program fits your body based on what I find in your labs. You'll receive a clear clinical recommendation — not a menu to figure out on your own.
Feeling like yourself again isn't just possible—it's within reach.
Most patients report improved energy, balanced hormones, better sleep, and sustainable weight loss within the first few months. Personalized care that actually works—because we listen, test, and treat the root cause.
medical-GRADE supplements
Clinician-guided Supplements
Your care may include prescription medications, supplements, or supportive therapies—with or without hormone therapy—based on your labs, preferences, and goals. Everything is reviewed and recommended as part of your care. You can also browse our curated dispensary of high-quality supplements, selected specifically to support Black women's hormonal health. Many patients use our supplements alongside lifestyle changes as an alternative or complement to hormone therapy.
Real Stories, Real Results
FROM OUR patients
If Any of This Is Your Life Right Now — This Is for You
Get support today for
hot flashes
brain fog
sleepless nights
weight changes
thinning hair
low libido
mood swings
infertility
hot flashes brain fog sleepless nights weight changes thinning hair low libido mood swings infertility
Your symptoms are not a mystery. They are data. And I know how to read them.
free guide
Download “A Guide for Black Women: Perimenopause, Menopause, & Post-Menopause”
It’s time to reclaim your health and thrive through every stage of menopause. This free guide is designed for Black women, offering practical tools, expert insights, and the encouragement you need to feel empowered and supported on your journey.