About

Vitality Medical and Wellness Consulting

Why We Exist

Too many women in midlife do everything “right” — eat well, exercise, and push through their days — yet still feel exhausted, foggy, and weighed down by stubborn pounds that won’t budge. It’s discouraging to show up for yourself and not see the changes you’ve worked so hard for.

At Vitality Medical and Wellness Consulting, we believe it’s not right that women who’ve worked so hard to succeed should feel betrayed by their own bodies during the prime of their lives. You deserve to feel clear-headed, energized, and confident — in your career, in your family, and in your future.

Happy woman enjoying sunset stay on the green grass on the forest peak of mountain
Happy woman enjoying sunset stay on the green grass on the forest peak of mountain
Abstract design featuring soft pink leaves against a pale pink background, creating a calm and soothing aesthetic.
Attractive young asian woman practicing yoga meditation at sunrise by the ocean
Abstract design featuring soft pink leaves against a pale pink background, creating a calm and soothing aesthetic.

A Better Way to Care for Women

Most medical practices fall into two extremes:

  • Clinical but impersonal care that treats symptoms in isolation.
  • Holistic and alternative remedies without medical expertise that don’t go deep enough.

We bridge those worlds. At Vitality Medical and Wellness Consulting, you’ll experience physician-led, patient-centered care that combines advanced medical expertise with personalized coaching. Here, your voice matters. You’ll be heard, guided, and supported with protocols designed for real life.

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Dr. Amy Loden Tiffany headshot

Meet Dr. Amy Loden Tiffany

Board-Certified in Internal Medicine, Obesity Medicine, Lifestyle Medicine, and Health & Wellness Coaching | Fellow of the American College of Physicians | Menopause Society Certified Practitioner | Certified Life Coach

Dr. Amy Loden Tiffany is a physician, author, TEDx speaker, and advocate for women’s health. With more than 15 years of experience, she blends her medical expertise with mindset and behavior change strategies that drive sustainable results.

She earned her MD from the University of Missouri School of Medicine graduating at the top of her class, completed her residency at Weill Cornell Medical Center in New York City, and holds an MBA from Washington University in St. Louis. Over the past two decades, she has invested years of training and significant personal resources into testing and refining the exact methods she now uses with clients.

In August 2025, she released her book, The Postpartum Pivot, which helps women rethink and rebuild their health after childbirth — extending her mission of guiding women through life’s most overlooked transitions.

Her passion is helping women in midlife — from postpartum through perimenopause and beyond — reclaim their health so they can thrive in their careers, families, and futures.

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Meet Anna Burke,
FNP-BC

Board-Certified Family Nurse Practitioner | Advanced Training in Culinary Medicine (Harvard University)

Anna Burke, FNP-BC, is a board-certified Family Nurse Practitioner with the American Nurses Credentialing Center. She earned both her undergraduate and graduate degrees at Saint Louis University, graduating with honors and completing her Master of Science in Nursing.

more than a decade, Anna worked in critical care medicine at Missouri Baptist Medical Center before transitioning her career to primary care with a focus on obesity management, behavioral health, and preventive medicine. Today, she co-manages a panel of patients alongside Dr. Loden Tiffany, treating chronic disease, acute illness, and supporting long-term wellness goals.

Anna has also completed advanced training in Culinary Medicine at Harvard University and is a Certified Health Coach, allowing her to integrate nutrition, lifestyle strategies, and coaching into her care. Known for her gentle demeanor and evidence-based practice, she puts patients at ease while guiding them toward sustainable results.

Her clinical interests include obesity management, preventive medicine, and improving mental health in primary care. A native of Chicago, Anna has made St. Louis her home since 2007. Patients and colleagues alike describe her as caring, approachable, and deeply committed to helping people live healthier, fuller lives.

Meet Brittney Tihen,
FNP-BC

Board-Certified Family Nurse Practitioner | Credentialed by the American Nurses Credentialing Center (ANCC)

Brittney Tihen, FNP-BC, has nearly 12 years of experience in both academic and private practice settings. She is passionate about providing individualized care and works closely with patients to find sustainable solutions that focus on prevention and the reversal of chronic disease. Her approach is rooted in the belief that health is personal and that long-term wellness is achieved through tailored, practical strategies.

Brittney earned her Bachelor of Science degree from the University of Missouri-Columbia, where she built a strong foundation for her healthcare career. She went on to complete her Master’s degree at Maryville University, where her academic excellence and dedication to nursing earned her induction into the Sigma Theta Tau International Honor Society of Nursing (Sigma).

In addition to her clinical training, Brittney holds a Physical Activity and Public Health Specialist Certificate from the American College of Sports Medicine, further reinforcing her commitment to lifestyle-based approaches to health and disease prevention.

In her current role, she supports Dr. Loden and Anna in a variety of clinical tasks, helping to ensure patients receive thorough, coordinated, and compassionate care.

Outside of work, Brittney enjoys spending time with her husband and their four children. As a family, they love being outdoors, staying active, trying new restaurants, and traveling whenever possible.

Our Commitment to You

We deliver physician-led, patient-centered care that’s backed by science, tailored to your life, and designed for measurable results. Our clients consistently see:

  • Sustainable Weight Loss
  • Improved Labs (Cholesterol, Glucose, a1c, Insulin, Liver, and Inflammatory Markers)
  • Better Sleep and Sharper Focus
  • Reduced Inflammation and Joint Pain
  • Increased Energy
  • Increased Productivity
  • Renewed Confidence at Work and Home
Beautiful brunette sleeping peacefully in bed at home in the bedroom
Beautiful brunette sleeping peacefully in bed at home in the bedroom
Abstract design featuring soft pink leaves against a pale pink background, creating a calm and soothing aesthetic.

Take the Next Step

If you’re tired of doing everything “right” and still not seeing results, then booking a consultation with Vitality Medical and Wellness Consulting is the right next step for you.