Weight changes during perimenopause and menopause are often driven by hormonal shifts, metabolic slowdown, and changes in insulin sensitivity—not simply diet or exercise habits.

Nikki Shockley, APRN, FNP-BC provides medically guided metabolic and weight optimization through telehealth for women navigating these changes. Care focuses on identifying the root causes of stubborn weight gain using advanced testing, hormone evaluation, and personalized treatment strategies.

For appropriate patients, treatment may include metabolic support, nutrition strategies, lifestyle optimization, and prescription medications such as GLP-1 therapies. The goal is not quick fixes, but long-term metabolic health, sustainable weight management, and improved energy.

Metabolic weight optimization focuses on addressing the biological factors that influence weight, including hormone balance, insulin resistance, metabolism, and lifestyle patterns.

Many women notice weight gain during their 40s and 50s even when their habits haven’t changed. This is often related to hormonal shifts during perimenopause and menopause that affect metabolism, appetite regulation, and fat distribution.

Through telehealth care at Twin Ports Telemedicine, Nikki evaluates these underlying factors and develops personalized strategies to support healthy weight regulation and long-term metabolic health.

Who can benefit from metabolic weight optimization?

This program is designed for women who are experiencing:

• stubborn weight gain during perimenopause or menopause
• fatigue or low energy
• insulin resistance or metabolic concerns
• difficulty losing weight despite healthy habits
• weight changes related to hormone imbalance

Many women seeking care are already eating well and staying active but find their metabolism responding differently as hormone levels shift.

What does metabolic weight optimization include?

Treatment plans are individualized and may include:

Hormone evaluation

Hormonal shifts can influence metabolism, appetite, sleep, and energy. When appropriate, hormone testing and treatment may be incorporated into a metabolic support plan.

Nutrition and metabolic strategies

Patients receive practical guidance on protein intake, blood sugar balance, and sustainable nutrition habits that support metabolism and energy.

Lifestyle and activity guidance

Movement strategies are tailored to support metabolic health and muscle preservation rather than excessive cardio or restrictive routines.

Prescription medications when appropriate

For some patients, medications such as GLP-1 therapies may be recommended as part of a comprehensive metabolic treatment plan.

Metabolic Membership Program

Metabolic Support Membership

For patients seeking ongoing support with weight management, metabolic health, and hormone-related weight changes, Twin Ports Telemedicine offers a structured Metabolic Support Membership.

This membership provides continuous medical guidance, education, and accountability to help patients make sustainable progress toward improved metabolic health.

What the Membership Includes

• Initial medical consultation
• Ongoing metabolic and weight management support
• Monthly follow-up visits
• Nutrition and lifestyle guidance
• Support for prescription weight loss medications when appropriate
• Education on protein intake, strength training, and metabolic health
• Secure messaging for questions and support

This program is designed to provide consistent guidance and accountability while helping patients build sustainable habits that support long-term metabolic health.

Membership Investment

Enrollment Fee: $250
(includes initial consultation)

Monthly Membership: $199 per month
(3-month minimum commitment)

Medication and laboratory testing are billed separately when applicable.

Who This Program Is For

This program is ideal for individuals who:

• struggle with stubborn weight gain
• are experiencing metabolic changes during perimenopause or menopause
• want medical guidance while using weight loss medications
• want structured accountability and ongoing support

Get Started

If you’re ready to improve your metabolic health and receive ongoing support, the first step is scheduling a consultation.

The focus of care is long-term health, metabolic balance, and sustainable weight management rather than rapid short-term weight loss.