Michelle Pearlman
Physician · Obesity medicine
11–15 years of experience
Menopause Society Certified Practitioner
About Prime Institute
Prime Institute is a small Coral Gables practice that Michelle Pearlman runs with Dr. Amy Pearlman, a urologist who covers the sexual health side. Pearlman is a gastroenterologist and obesity medicine doctor who describes her own approach as food is medicine. She runs the hormone program for women and prescribes estrogen, progesterone and testosterone for perimenopause and the years after menopause. It comes with nutrition and exercise planning, body composition scans and referrals for bone density testing, with monthly follow-ups and portal messaging in between. Most of her practice is weight and metabolic care, so hormone therapy here sits inside a wider metabolic program rather than a standalone menopause visit. Both doctors are licensed only in Florida, and a new patient from out of state has to be seen in the office for the first consultation.
Care
Treats
- Perimenopause
- Menopause
- Hot flashes
- Sleep problems
- Mood & anxiety
- Brain fog
- Vaginal dryness
- Low libido
- Irregular periods
Prescribes
- Hormone therapy
- Testosterone
- Weight medication
Particular focus
- Bone health
- Heart health
- Weight & metabolism
Cost and insurance
Insurance
Doesn’t accept insurance
Provides itemized receipts you can submit for out-of-network reimbursement.
Self-pay
Available — prices aren’t published, ask for rates
Patients are given the clinical documentation to seek out-of-network reimbursement themselves, and testing and medications can still be submitted to insurance.
Verified October 2026.
Qualifications
MD, MSCP
