Richa Mittal MD

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Richa Mittal MD MD Obesity Medicine & Certified Menopause Practitioner, Lifestyle/Culinary med- treat/prevent cardiometabolic disease.

Metabolic & Obesity Longevity Concierge Practice , Nourished blog for menopause/midlife women: www.richamittalmd.com

10/20/2026

I’m not saying I’m old, but the library closing was a legitimate reason to stop studying. 😂📚

75 days left this year. The girl who chased perfection is done. I’m choosing me — one day, one habit at a time.As a phys...
10/17/2026

75 days left this year. The girl who chased perfection is done. I’m choosing me — one day, one habit at a time.

As a physician and a midlife woman, here’s what I know: you don’t need a January reset. You need one small thing you can do today — a walk, a real meal, an earlier bedtime, one strength session. A call with a friend who makes you LAUGH.

Small, consistent choices are what actually move the needle on metabolic health, especially in midlife.

Don’t wait for the new year to take care of the one body you get. Start where you are.

What’s one habit you’re choosing for the next 75 days? Tell me below — I’ll be cheering you on. 💚

womenshealth

10/15/2026

Direct care practice is one of the best things I’ve ever done. And also one of the hardest.

I get to spend more time with my patients, practice medicine the way I’ve always wanted to, and build relationships that actually mean something. There’s freedom, flexibility, and so much joy in that.

But there’s also loneliness. Frustration. Second-guessing yourself. The pressure of running a business while trying to be the best doctor you can be. Some days I feel like I’ve figured it all out, and other days I wonder what on earth I’m doing. 😂

I can love my practice and still admit that it’s hard. It’s freeing and overwhelming. Fulfilling and exhausting. Lonely (sometimes!) and beautiful. Most days, I wouldn’t trade it for anything. ❤️ Anyone else feel like they’re living all of these emotions at once?

10/14/2026

Normal or not?? 😩

You’re exhausted, not sleeping well, struggling with brain fog, and just don’t feel like yourself. The truth is, normal lab results don’t always tell the whole story, especially during perimenopause and menopause. If you know something feels off but keep being told everything looks fine, here are 5 things worth taking a closer look at. 👇

- Your sleep quality. If you’re waking up at 3 AM every night, night sweats or menopause-related sleep disruption could be contributing to your exhaustion, even if you’re getting 8 hours in bed.

- Your ferritin levels. Your hemoglobin can be normal while your iron stores are low, especially if you’re still having heavy periods during perimenopause.

- Your thyroid testing. If you’re constantly cold, constipated, or losing hair, ask whether your TSH and free T4 results need another look.

- Your protein intake. If you’re eating toast for breakfast and a salad for lunch, you may not be getting enough protein to support muscle maintenance and recovery.

- Your perimenopause symptoms. Estrogen can fluctuate significantly during perimenopause, so a single normal hormone test doesn’t rule it out. Track changes in your cycle, mood, sleep, and hot flashes, and discuss them with a menopause-informed clinician.

You don’t have to just accept feeling exhausted, frustrated, or unlike yourself as a normal part of getting older. There are options (including medications!) and you deserve to feel good again.

"Dr. Mittal and her team are amazing!! Dr. Mittal is an outstanding listener and her level of expert guidance during thi...
10/14/2026

"Dr. Mittal and her team are amazing!! Dr. Mittal is an outstanding listener and her level of expert guidance during this tumultuous phase of mid-life health has been a game changer. Really appreciate how kind and caring she and her team are. Weight loss - dialing it in. Hormones - dialing it in. Overall health - better than ever! Don't hesitate to schedule with her."

Your health journey is about more than weight.
Nutrition, hormones, sleep, movement, energy, and overall well-being all play a role. We’re proud to help our patients put the pieces together.

10/13/2026

Is it the only way? 😅

You can spend years in school, go through residency, earn all the degrees, get all the credentials, and become a really good doctor…

But apparently none of that matters if you’re not willing to dance on TikTok to get patients through the door. 😂💃

One of the wildest parts of opening a direct care practice is realizing that being a good doctor and getting people to know you’re a good doctor are two VERY different skill sets.

I went to medical school to take care of patients. Nobody mentioned I’d also need to become a content creator, marketing director, social media manager, and part-time influencer. 🫠

I love what I do, but sometimes I just want to practice medicine without having to figure out the Instagram algorithm.

Please tell me I’m not the only one who feels this way and please interact with this reel so I know my algorithm is not broken. 😭

10/08/2026

A reassuring lab report is good news.

But it doesn’t always answer the question that matters most: What is your risk of developing cardiovascular disease over time, and what can we do now to lower it?

A standard cholesterol panel and blood sugar are useful starting points. They give us valuable information, but they need context. Your age, blood pressure, smoking history, metabolic health and family history all help determine what those numbers mean for you.

For example, if a parent or sibling had a heart attack at a young age, that history deserves attention even when your routine results fall within the lab’s reference range. A number labeled “normal” may also be above the treatment goal appropriate for someone with higher cardiovascular risk.

Depending on your situation, looking closer may include:

- ApoB, which helps assess the number of cholesterol-carrying particles that can contribute to plaque buildup.
- Lipoprotein(a), or Lp(a), a largely inherited risk factor that a standard cholesterol panel does not measure.
- hs-CRP, a marker of inflammation that can add context to cardiovascular risk in selected patients.
- Assessment of metabolic health, including whether there are signs of insulin resistance.

Sometimes, imaging can help answer a question bloodwork cannot. A coronary calcium CT, for example, can identify calcified plaque in the heart’s arteries and help guide preventive treatment when the next step is uncertain. Other imaging or genetic testing may be appropriate in specific circumstances.

“Normal” is reassuring. My job is to understand what it means for you.

Apparently we can tell women to “get their body back” all day, but making sure they have actual postpartum support is as...
10/07/2026

Apparently we can tell women to “get their body back” all day, but making sure they have actual postpartum support is asking too much.

As a provider and a mom of two, I have a problem with that.

This was such an interesting observational study​. It found that postpartum weight retention was associated with higher midlife health risk, especially in regards to BP/blood sugar. Excessive weight gain in pregnancy was associated with higher weight in midlife. Managing weight gain earlier in a woman’s life and in different seasons of pregnancy and postpartum has impacts later on.

Because this was observational, it shows associations; it doesn’t establish that changing weight would prevent those outcomes.​ But we can absolutely demand better care. If we’re going to talk about women’s long-term health, we need to talk about whether they have time to eat, help at home, access to care, and a provider who actually follows up.

“Take care of yourself” is a lovely sentiment. Who’s making it possible?

​P.S. I’m trying! If you’re in the Dallas area and looking for a new provider, please reach out. I can see patients locally and all across Texas via tele-health.

Source: Grobman et al. | Obesity, 2026 | doi:10.1002/oby.70312

Excited my practice Radiant Health Weight Loss and Wellness was voted as Best of Texas 2026 Physician Practices!
10/07/2026

Excited my practice Radiant Health Weight Loss and Wellness was voted as Best of Texas 2026 Physician Practices!

Address

3550 Parkwood Boulevard, Suite 701
Frisco, TX
75034

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm

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+14692943501

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