VitalityMD is a specialized women’s health practice focused on comprehensive evidence-based perimenopausal and menopausal care, offering perimenopausal and menopausal hormone therapy, cardiometabolic optimization including GLP and GIP therapies, and support for sleep, mood, libido, energy, anxiety, and stress.. Founded and led by Mona Saint, MD, MPH., a physician board-certified in Obstetrics & Gynecology, Integrative Medicine, and Obesity Medicine. Dr. Saint provides care that is deeply personalized and grounded in decades of clinical expertise and almost two decades of teaching mindfulness, meditation, peak performance and stress resilience tools. .
Our calm, modern San Juan Capistrano setting is intentionally designed for the woman who values a holistic, high-touch medical experience. Here, you aren’t just a chart number; you are a partner in a physician-led journey toward your best health and long-term longevity.
The choices you make in your 30s, 40s, and 50s are the architectural blueprints for your 60s, 70s, 80s, and beyond. At VitalityMD, we don’t view our care as transactional fifteen minute fast medicine; we partner with you for individualized, hormone, metabolic and longevity medicine.
So many women are doing all the “right things,” yet still feel off. We prioritize immediate relief, restoring your energy, sleep, and metabolic rhythm now, as the foundation for the decades to come. By optimizing your biology today, you are protecting your bone density, cardiovascular health, and cognitive reserve.
I want this to be the best chapter of your life, ensuring every decade that follows is even better. We play the long game so you can keep playing yours—whether that’s traveling the globe, dominating the pickleball court, or staying active with your future grandchildren for years to come.
Personalized, physician-led care for women who are intentional about how they live and how they age.
You’re capable. You show up. You take care of everyone else. But somewhere along the way, you stopped feeling like yourself.
Waking at 2 a.m. with a racing mind.
Weight that won’t budge despite your best efforts.
Brain fog and fatigue stalling your day.
Being told your labs are “normal” when you feel anything but.
This is not a failure of will. It’s physiology. We connect the dots between your hormones, metabolism, and nervous system to get you back in the driver’s seat of your health.

Every partnership at VitalityMD begins with an extensive one-hour physician visit designed to create clarity and a future care partnership around your hormone, metabolic, and nervous system challenges and your peak performance goals. This foundational visit is the start of your care. Dr. Saint learns about your hormonal patterns and mind body tendencies, to identify the specific patterns behind your energy shifts and lifestyle nervous system physiology. This deep dive allows us to order advanced metabolic, and longevity biomarker testing, which can be run through your insurance or at a Labcorp or Quest discounted rate.
From there, at your follow-up visits your individualized care is built on precise data and a clear synthesis of your unique physiology, mind body type, and hormonal patterns. Your care may include hormones, weight and metabolic prescriptions, or evidence based supplements and mindfulness tools, all tailored to your health challenges and goals. We partner with you every step of the way to ensure your treatment is data-driven, so you can show up fully for the people you care for and enjoy your best years yet to come.

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