Expert Weight Loss & Perimenopause Care
Personalized care from NPs who listen, educate, and help you feel your best again.
NY, NJ, CT, MA, VT & FL
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Personalized care from NPs who listen, educate, and help you feel your best again.
NY, NJ, CT, MA, VT & FL
Founded in 2023, Fleming Adult Health NP, PLLC was built with one mission: to help women and men finally feel like themselves again.
After nearly 20 years in healthcare, our founder, Cara Fleming, AGPCNP-BC, saw firsthand how many people were struggling with weight gain, hormonal changes, fatigue, brain fog, and metabolic symptoms — yet weren’t getting the personalized support they deserved.
Having faced her own weight and wellness challenges, Cara created a practice that delivers evidence-based care with compassion, clarity, and real-world results. Today, our team has helped hundreds of people across the Tri-State area and Florida improve their weight, hormones, confidence, and overall health.
We offer comprehensive, nurse-practitioner–led programs designed for real people with real symptoms. Whether you're dealing with stubborn weight gain, perimenopausal changes, hot flashes, mood shifts, low energy, or metabolic concerns — we have a program tailored for you.
Our offerings include:
Each program is built to not only help you see progress, but to help you understand your body and maintain results long term.
At Fleming Adult Health NP, PLLC, we go beyond prescriptions. We take a whole-person, personalized approach to care — blending medical expertise with supportive, practical guidance you can actually use.
We focus on:
You’ll work one-on-one with experienced NPs who listen, explain your options clearly, and build a plan that fits your goals, symptoms, and life.

Cara is a board-certified Nurse Practitioner with nearly 20 years of experience. She specializes in helping men and women overcome stubborn weight gain, insulin resistance, low energy, and metabolic challenges using an evidence-based, supportive approach.
Warm, relatable, and highly thorough, Cara is known for truly listening and guiding p
Cara is a board-certified Nurse Practitioner with nearly 20 years of experience. She specializes in helping men and women overcome stubborn weight gain, insulin resistance, low energy, and metabolic challenges using an evidence-based, supportive approach.
Warm, relatable, and highly thorough, Cara is known for truly listening and guiding patients step-by-step toward sustainable results.
✔ Weight Loss for Men & Women
✔ Metabolic Optimization
✔ Insulin Resistance / Pre-Diabetes Support

Deirdre brings over 15 years of experience as an Acute Care NP, along with firsthand insight from her own weight-loss journey. She helps patients manage appetite changes, cravings, insulin resistance, low energy, and metabolic symptoms with compassion and clear guidance.
Her calm, encouraging style makes patients feel supported, confident,
Deirdre brings over 15 years of experience as an Acute Care NP, along with firsthand insight from her own weight-loss journey. She helps patients manage appetite changes, cravings, insulin resistance, low energy, and metabolic symptoms with compassion and clear guidance.
Her calm, encouraging style makes patients feel supported, confident, and capable.
✔ Weight Loss Coaching & Medication Management
✔ Insulin Resistance & Metabolic Care
✔ Personalized Lifestyle Support

Dena is a board-certified Women’s Health NP with more than a decade of experience in reproductive and midlife care. She helps women navigate perimenopause and menopause with evidence-based treatment for hormonal symptoms such as brain fog, hot flashes, sleep disruptions, mood changes, and sexual health concerns.
Patients value her warm, va
Dena is a board-certified Women’s Health NP with more than a decade of experience in reproductive and midlife care. She helps women navigate perimenopause and menopause with evidence-based treatment for hormonal symptoms such as brain fog, hot flashes, sleep disruptions, mood changes, and sexual health concerns.
Patients value her warm, validating, inclusive style and her ability to help them finally feel understood.
✔ Perimenopause & Menopause Telehealth Care
✔ Hormone Symptom Management
✔ Midlife Emotional & Physical Wellness Support

We believe that feeling your best shouldn't be complicated.
Your health is an investment—let’s make it a priority together

Personalized plans that help you lose weight safely and sustainably.

Find relief from hot flashes, brain fog, sleep issues, and more.
Quick online scheduling, no referral needed.
Discuss your goals and get a personalized plan.
Ongoing support and adjustments as needed.
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