Clinical Implementation Support for Perimenopause Metabolic Health
I offer structured lifestyle implementation programs that help medical practices improve outcomes for patients experiencing hormone-driven weight gain and metabolic resistance.
Brandi Montague, NBC-HWC, credentialed through the National Board for Health & Wellness Coaching.
Perimenopause Patients Thrive With Structured Implementation Support
Perimenopause is one of the most metabolically disruptive phases in a woman’s life.
Your patients commonly present with:
rapid weight gain; especially midsection
insulin resistance
loss of muscle mass
sleep disruption
heightened stress response
Even with excellent medical care, many patients struggle to implement lifestyle behavior changes consistently and sustainably.
Women gain ~1.5 pounds per year on average
Visceral abdominal fat increases, even without large weight changes
Metabolic Syndrome risk rises from ~13% to over 40%
These physiologic shifts make sustained weight loss and metabolic improvement significantly more challenging without targeted behavioral and lifestyle support.
Research Shows that During Perimenopause…
Behavior Change Implementation for Perimenopausal Patients
My role is to help patients translate medical guidance into sustainable daily action.
Program focus areas include:
metabolic nutrition strategy
protein optimization for midlife women
strength training integration for muscle preservation and growth
blood sugar stabilization
nervous system regulation
sleep optimization
habit architecture and accountability
My work complements physician-directed care and helps patients execute lifestyle changes that improve metabolic outcomes — for the long term.
Evidence-Based Support
Research consistently shows that adding health coaching to physician-directed care drastically improves outcomes. For example:
35% more patients reach clinical targets such as A1c, LDL, or blood pressure
Up to 7% average body weight reduction in coached primary care patients
Significant improvements in quality of life and self-efficacy
Nearly doubled rates of A1c goal attainment in coached populations
Source: PubMed Studies
Structured metabolic implementation support can significantly improve patient outcomes and engagement.
Practices often see:
improved adherence to treatment protocols
enhanced metabolic outcomes
increased patient satisfaction
stronger retention within cash-pay models
reduced physician follow-up burden
expanded revenue
By supporting implementation outside of the exam room, practices can deliver more comprehensive care without increasing clinical workload.
Your Patients and Your Practice Win
Patients Who Benefit the Most
This program is particularly effective for patients experiencing:
perimenopause-related weight gain
metabolic slowdown after age 40
insulin resistance or prediabetes
difficulty maintaining muscle mass
fatigue and sleep disruption
inconsistent lifestyle adherence
Most patients are between ages 38–52 and are motivated to improve metabolic health but need structured guidance and accountability to be successful.
Programs can be integrated into a practice by referral or directly embedded, depending on your preference, workflow and patient needs.
Referral Model
Clinicians refer appropriate perimenopausal patients for a structured 12-week metabolic program. Clinic receives a referral fee/patient.
Embedded Patient Support
Patients receive structured metabolic programs alongside their medical care plan, enrolling in-office. Coaching visits can be in-office or virtual. Revenue share.
Let’s discuss which model makes the most sense for your practice and patients.
Partnership Models
About the Practitioner
Brandi Montague is a National Board Certified Health & Wellness Coach (NBC-HWC) credentialed through the National Board for Health & Wellness Coaching.
Her work focuses on helping women navigate the metabolic changes that often occur during the years leading up to menopause. Brandi offers structured implementation programs that integrate easy-to-understand metabolic education; nutrition, movement, sleep optimization, and nervous system regulation strategies; and practical lifestyle implementation to help women navigate this stage of life with more clarity and confidence.
She collaborates with clinicians to support patient adherence, improve metabolic outcomes, and bridge the gap between treatment plans and daily implementation.
If your practice regularly works with perimenopausal patients struggling with weight gain, metabolic resistance, or lifestyle implementation, then structured coaching support may significantly enhance outcomes.
I welcome conversations with clinicians interested in integrating lifestyle behavior programs into their care model.