Currently Serving: Washington, Arizona, Oregon, Florida
Currently Serving: Washington, Arizona, Oregon, Florida
Personalized Weight Management for Women Over 40
Personalized Weight Management for Women Over 40
With or without GLP-1 medication, you deserve a plan that fits your health, your goals, and your life.
With or without GLP-1 medication, you deserve a plan that
fits your health, your goals, and your life.
With or without GLP-1 medication, you deserve a plan that fits your health, your goals, and your life.
Whether you’re getting started, navigating a plateau, reducing or stopping medication, or maintaining your progress, The Midlife Metabolic NP offers personalized support through four 12-week programs.
Whether you’re getting started, navigating a plateau, reducing or stopping medication, or maintaining your progress, The Midlife Metabolic NP offers personalized support through four 12-week programs.
Whether you’re getting started, navigating a plateau, reducing or stopping medication, or maintaining your progress, The Midlife Metabolic NP offers personalized support through four 12-week programs.
Let's Be Honest
Let's Be Honest
You’re tired of guessing what will work for your
body in midlife.
Maybe you’re considering a GLP-1. Maybe you’d rather take an approach without one. Or maybe you’re already taking medication and wondering what comes next.
You deserve a clear plan—and
a provider who listens.
You’re tired of guessing what will work for your body in midlife.
Maybe you’re considering a GLP-1. Maybe you’d rather take an approach without one.
Or maybe you’re already taking medication and wondering what comes next.
You deserve a clear plan—and a provider who listens.
Which Program Is
Right for You?
Which Program Is Right for You?
Four 12-week Programs. Find Your Starting Point.
Four 12-week Programs.
Find Your Starting Point.
The Method works whether or not you're on a GLP-1. The other three are built
for one specific stage of medication use — stopping abruptly, tapering off strategically,
or hitting a plateau while still on it.
The Method works whether or not you're on a GLP-1. The other three are built for one specific stage of medication use — stopping abruptly, tapering off strategically, or hitting a plateau while still on it.
The Midlife Metabolic
Maintenance Method
The Midlife Metabolic
Maintenance Method
A starting point for women seeking structured weight management—with or without GLP-1 medication. Medication eligibility is determined through clinical evaluation.
A starting point for women seeking structured weight management—with or without GLP-1 medication. Medication eligibility is determined
through clinical evaluation.
Cold Stop Protocol
Cold Stop Protocol
Support for women who have had to stop a GLP-1 unexpectedly and need help planning their next steps.
Support for women who have had to stop a
GLP-1 unexpectedly and need help
planning their next steps.
Transition & Maintain
Transition & Maintain
Individualized support for women considering a gradual GLP-1 reduction or transition, with ongoing weight-management planning.
Transition & Maintain
Individualized support for women considering a gradual GLP-1 reduction or transition, with ongoing weight-management planning.
Plateau Protocol
Plateau Protocol
Evaluation and personalized support for women taking a GLP-1 whose weight loss has stalled.
Evaluation and personalized support for women taking a GLP-1 whose weight loss has stalled.
"What Happens When I Stop?"
Your insurance stopped covering weight loss medications — and now you're choosing
between the medication and something else your family needs.
The cost has climbed past what you can justify, month after month, until it just
doesn't add up anymore.
The side effects have gotten so bad that you can't get through a full day without
the nausea or exhaustion taking over.
Or you've hit your goal and decided you don't want to depend on medication
for the rest of your life.
No one prepared you for this part.
What’s Keeping
You Stuck?
What’s Keeping You Stuck?
...you're considering a GLP-1, but you’re not sure whether it’s right for you.
...you're considering a GLP-1, but you’re not sure whether it’s right for you.
...you're looking for a way to manage your weight without medication, but you’re tired of guessing where to start.
...you're looking for a way to manage your weight without medication, but you’re tired of guessing where to start.
...you're taking a GLP-1, but the scale has stopped moving—and you’re wondering what needs to change.
...you're reducing or stopping medication, and you’re worried about returning hunger, cravings, or weight regain.
...you're ready to maintain your progress, but you’re unsure what ongoing support should look like.
...you're taking a GLP-1, but the scale has stopped moving—and you’re wondering what needs to change.
...you're reducing or stopping medication, and you’re worried about returning hunger, cravings, or weight regain.
...you're ready to maintain your progress, but you’re unsure what ongoing support should look like.
You don’t have to figure out every
next step on your own.
You don’t have to figure out every next step on your own.
That’s why I created Midlife Metabolic NP: to help women over 40 build a personalized plan for weight management—with or without GLP-1 medication.
Four 12-week programs. Support for
where you are now.
That’s why I created Midlife Metabolic NP: to help women over 40 build a personalized
plan for weight management—with or without GLP-1 medication.
Four 12-week programs. Support for where you are now.
Imagine Having A
Clear Next Step
Imagine Having a Clear Next Step
...knowing your plan considers your health history, preferences, and goals—with or without GLP-1 medication.
...knowing your plan considers your health history, preferences, and goals—with or without GLP-1 medication.
...having practical guidance that fits your everyday life, so you’re not left wondering where to start.
...having practical guidance that fits your everyday life, so you’re not left wondering where to start.
...working with a nurse practitioner who helps you understand your options, assess your progress, and adjust your plan when needed.
...working with a nurse practitioner who helps you understand your options, assess your progress, and adjust your plan when needed.
Less guessing. More clarity
about what comes next.
Less guessing. More clarity about what comes next.
About Your Provider
About Your Provider
Wauna Burge
MSN, NP-BC
Founder of Midlife Metabolic NP
Wauna Burge, MSN, NP-BC Founder of Midlife Metabolic NP
I'm a board-certified Nurse Practitioner dedicated to helping women over 40 navigate metabolic changes with evidence-based, compassionate care.
My focus goes beyond weight loss — it's about creating sustainable habits that support energy, muscle health, confidence, and long-term success.
Together, we'll build a personalized plan designed for your life — not a one-size-fits-all approach.
I'm a board-certified Nurse Practitioner dedicated to helping women over 40 navigate metabolic changes with evidence-based, compassionate care.
My focus goes beyond weight loss — it's about creating sustainable habits that support energy, muscle health, confidence, and long-term success.
Together, we'll build a personalized plan designed for your life — not a one-size-fits-all approach.
What Your Care
Can Include.
What Your Care Can Include.
A Plan Built Around You
A Plan Built
Around You
An individualized weight-management plan based on your health history, preferences, and goals.
An individualized weight-management plan based on your health history, preferences, and goals.
Practical Nutrition & Movement Guidance
Practical Nutrition
& Movement Guidance
Support with food choices and everyday movement that fits your life.
Support with food choices and everyday movement that fits your life.
Personalized
Medication Support
Personalized Medication Support
Medication evaluation and management when appropriate—with options for care without a GLP-1.
Medication evaluation and management when appropriate—with options for care without a GLP-1.
Support When
Things Change
Support When
Things Change
Guidance for navigating weight-loss plateaus, medication changes, and maintaining your progress.
Guidance for navigating weight-loss plateaus, medication changes, and maintaining your progress.
Follow-Up &
Progress Reviews
Follow-Up &
Progress Reviews
Check-ins through secure forms and messaging, so we can review your progress and adjust your plan without a scheduled live visit.
Check-ins through secure forms and messaging, so we can review your progress and adjust your plan without a
scheduled live visit.
Lab Testing
Included
Lab Testing Included
Your program fee includes the lab testing covered by your program and a review of your results to help guide your personalized care plan.
Your program fee includes the lab testing covered by your program and a review of your results to help guide your
personalized care plan.
Introducing
Introducing
A Personalized Approach to Midlife Weight Management
A Personalized Approach to
Midlife Weight Management
This isn't another diet.
It isn't another quick fix.
Structured, nurse practitioner–guided care for women over 40—with or without
GLP-1 medication.
Our four 12-week programs support different starting points: beginning ]weight management, navigating an
unexpected GLP-1 stop, exploring a gradual medication transition, or addressing a weight-loss plateau.
This isn't another diet.
It isn't another quick fix.
Structured, nurse practitioner–guided care for women over 40—with or without GLP-1 medication.
Our four 12-week programs support different starting points: beginning weight management, navigating an unexpected GLP-1 stop, exploring a gradual medication transition, or addressing a weight-loss plateau.
WHY THIS WORKS
WHY THIS WORKS
Built By Clinician,
not a Marketing Team
Built By Clinician,
not a Marketing Team
You're working with a Nurse
Practitioner who understands:
You're working with a Nurse Practitioner who understands:
GLP-1 Medications
GLP-1 Medications
Midlife Hormonal Changes
Midlife Hormonal Changes
Metabolic Health
Metabolic Health
Nutrition
Nutrition
Muscle Preservation
Muscle Preservation
Long Term Maintenance
Long Term Maintenance
Most Importantly:
Most Importantly:
I understand what happens after the excitement of weight loss wears off -
because that's when the real works begins.
I understand what happens after the excitement of weight loss wears off
because that's when the real works begins.
I understand what happens after the excitement of weight loss wears off because that's when the real works begins.
Is This Right For You?
Is This Right For You?
Our programs may be a good fit if:
Our programs may be a good fit if:
You’re a woman over 40 looking for personalized weight-management support.
You’re a woman over 40 looking for personalized weight-management support.
You’re considering a GLP-1—or prefer a plan without one.
You’re considering a GLP-1—or prefer a plan without one.
You’re taking a GLP-1, but your weight loss has stalled.
You’re taking a GLP-1, but your weight loss has stalled.
You’ve had to stop a GLP-1 unexpectedly and need guidance on what comes next.
You’ve had to stop a GLP-1 unexpectedly and need guidance on what comes next.
You want to explore reducing medication or maintaining your progress.
You want to explore reducing medication or maintaining your progress.
You’re ready to participate in follow-up check-ins through secure forms and messaging.
You’re ready to participate in follow-up check-ins through secure forms and messaging.
Care is available in Arizona, Florida, Oregon, and Washington. Please confirm that we serve your state before booking your Discovery Call.
Care is available in Arizona, Florida, Oregon, and Washington.
Please confirm that we serve your state before
booking your Discovery Call.
Right now, you could keep “Googling” plateau fixes at midnight and hope the next tweak works — or you could have:
Right now, you could keep “Googling” plateau fixes at midnight and hope the next tweak works — or you could have:
A protocol matched to your exact stage — starting, tapering, stopped, or stalled instead of a one-size-fits-all approach that often comes with this medication
A protocol matched to your exact stage — starting, tapering, stopped, or stalled instead of a one-size-fits-all approach that often comes with this medication
Labs that are reviewed and explained, not just filed away as a logistical step to satisfy requiremen
Labs that are reviewed and explained, not just filed away as a logistical step to satisfy requiremen
A written plan after every visit, so you always know the next step and feel confident that you play an active role in the decision-making surrounding your care
A written plan after every visit, so you always know the next step and feel confident that you play an active role in the decision-making surrounding your care
A clinician who adjusts the plan as your body changes, not a static PDF or one-time chat on a platform housing tens of thousands of patients
A clinician who adjusts the plan as your body changes, not a static PDF or one-time chat on a platform housing tens of thousands of patients
How It Works
1. Book Your Discovery Call
We’ll discuss your goals, explore which program may fit your needs,
and answer your questions about getting started.
2. Begin Your 12-Week Program
At your initial clinical appointment, we’ll review your health history, determine whether GLP-1
medication is appropriate, and develop your personalized treatment plan. Your full program
fee is charged when this appointment begins, and your 12-week program starts that day.
3. Continue With Convenient Follow-Ups
All remaining follow-ups take place asynchronously through secure forms and messaging—
without scheduled live visits. We’ll review your progress, answer questions, and
adjust your care plan as appropriate throughout your program.
How It Works
1. Book Your Discovery Call
We’ll discuss your goals, explore which program may fit your needs, and answer your questions about getting started.
2. Begin Your 12-Week Program
At your initial clinical appointment, we’ll review your health history, determine whether GLP-1 medication is appropriate, and develop your personalized treatment plan. Your full program fee is charged when this appointment begins, and your 12-week program starts that day.
3. Continue With Convenient Follow-Ups
All remaining follow-ups take place asynchronously through secure forms and messaging—without scheduled live visits. We’ll review your progress, answer questions, and adjust your care plan as appropriate throughout your program.
Frequently Asked Questions
Frequently Asked Questions
Question 1: Do I have to take GLP-1 medication to participate?
No. The Midlife Metabolic Method offers a structured approach to weight management with or without GLP-1 medication. Your plan is personalized to your health history, preferences, and goals.
Question 2: Can I join if I’ve never taken weight-loss medication?
Yes. You can begin the Midlife Metabolic Method without previous medication use. During your initial clinical appointment, we’ll discuss your options and determine whether a GLP-1 is appropriate for you. You can also participate without GLP-1 medication.
Question 3: Which program is right for me?
We’ll discuss your goals and potential program fit during your Discovery Call. Your treatment plan will be finalized during your initial clinical appointment.
The Midlife Metabolic Method supports women getting started with or without a GLP-1. The Cold Stop Protocol supports women after an unexpected medication stop. Transition & Maintain supports women exploring a gradual medication transition. The Plateau Protocol supports women whose weight loss has stalled while taking a GLP-1.
Question 4: What happens during the Discovery Call?
We’ll talk about your goals, your current situation, and what you’re looking for in care. You can ask questions and learn how the programs work. The Discovery Call does not replace your clinical evaluation or guarantee a prescription.
Question 5: When does my program begin, and when will I be charged?
Your 12-week program begins on the day of your initial clinical appointment. The full fee for your selected program is charged when that appointment begins—not when you book your Discovery Call.
Question 6: Are all programs 12 weeks?
Yes. Each initial program lasts 12 weeks and includes a personalized care plan and follow-up support. The focus of your care depends on your needs and the program you select.
Question 7: Is GLP-1 medication included in the program price?
For medication-inclusive programs, the fee includes the prescribed GLP-1 supply for your 12-week treatment plan. Medication is prescribed only when clinically appropriate, and your dose and treatment may change based on your response.
Programs without GLP-1 treatment do not include a GLP-1 prescription. We’ll explain your program’s medication coverage and total cost before your initial appointment.
Question 8: Are labs included?
Yes. Your program fee includes the lab testing specified for your program and a review of your results. We’ll explain which tests are covered before you begin.
Question 9: Are vitamins or supplements included?
Recommendations are individualized. Any vitamins or supplements included in your selected program will be identified before you enroll, along with any recommended products that would cost extra.
Question 10: How do follow-up appointments work?
After your initial clinical appointment, routine follow-ups take place asynchronously through secure forms and messaging. This means you submit updates and questions for review without attending a scheduled live visit.
These check-ins help us assess your progress, review concerns, and adjust your treatment plan when appropriate. Messaging is not monitored continuously and is not an emergency service.
Question 11: What happens if my weight loss stalls or my goals change?
Your care plan can change with your needs. If you experience a plateau, want to discuss medication changes, or shift your focus to maintenance, we’ll reassess your progress and adjust the focus of your care as appropriate.
You do not have to repeat the initial program simply because your goals change.
Question 12: What happens after my first 12 weeks?
After completing your initial program, you may continue care in additional 12-week periods at a lower renewal rate.
If you’re continuing medication, you may transition into our Refill Membership, which includes another 12 weeks of NP-guided care and prescribed medication when clinically appropriate.
If you’re participating without GLP-1 medication, you may renew for another 12 weeks of continued NP-guided care, with support tailored to your progress and goals.
We’ll review your treatment needs and required follow-up information before renewal. Your plan can be adjusted to address a plateau, support maintenance, or reflect changes in your goals.
Renewals are optional and are not automatic. You’ll receive an invoice with your renewal price and authorize payment before continuing.
Question 13: Can I keep renewing?
Renewals are available in 12-week intervals when continued care is appropriate. Your plan may focus on continued weight management, a plateau, maintenance, or medication changes as your needs evolve.
The renewal price will be provided before you decide to continue.
Question 14: Will my program renew automatically?
No. Renewals are optional. You’ll receive a new invoice and provide payment authorization for each additional 12-week period.
Question 15: What if I don’t complete my follow-up forms?
Follow-up information is an important part of your care. Missing check-ins does not pause or extend your program or qualify you for a refund. Medication refills may be delayed until the information needed for clinical review is complete.
Question 16: Do you accept insurance?
No. Midlife Metabolic NP is a cash-pay practice and does not accept or bill insurance. A superbill for eligible clinical services is available upon request for you to submit to your insurance company. Reimbursement is not guaranteed and depends on your plan’s out-of-network benefits.
Question 17: Which states do you serve?
We currently serve women in Arizona, Florida, Oregon, and Washington. You must be physically located in a state we serve when receiving clinical telehealth care.
Question 18: Will I be able to stop medication or keep the weight off permanently?
Results and long-term treatment needs vary. Some women choose care without medication, while others may benefit from continued medication treatment. We’ll help you evaluate your options and develop a plan based on your health and response to care. Weight loss, successful medication discontinuation, and prevention of weight regain are not guaranteed.
Question 1: Do I have to take a GLP-1?
No. The Midlife Metabolic Method offers a structured approach to weight management with or without GLP-1 medication. Your plan is personalized to your health history, preferences, and goals.
Question 2: Can I join if I have never taken weight-loss medication?
Yes. You can begin the Midlife Metabolic Method without previous medication use. During your initial clinical appointment, we’ll discuss your options and determine whether a GLP-1 is appropriate for you. You can also participate without GLP-1 medication.
Question 3: Which program is right for me?
We’ll discuss your goals and potential program fit during your Discovery Call. Your treatment plan will be finalized during your initial clinical appointment.
The Midlife Metabolic Method supports women getting started with or without a GLP-1. The Cold Stop Protocol supports women after an unexpected medication stop. Transition & Maintain supports women exploring a gradual medication transition. The Plateau Protocol supports women whose weight loss has stalled while taking a GLP-1.
Question 4: What happens during the Discovery Call?
We’ll talk about your goals, your current situation, and what you’re looking for in care. You can ask questions and learn how the programs work. The Discovery Call does not replace your clinical evaluation or guarantee a prescription.
Question 5: When does my program begin, and when will I be charged?
Your 12-week program begins on the day of your initial clinical appointment. The full fee for your selected program is charged when that appointment begins—not when you book your Discovery Call.
Question 6: Are all programs 12 weeks?
Yes. Each initial program lasts 12 weeks and includes a personalized care plan and follow-up support. The focus of your care depends on your needs and the program you select.
Question 7: Is GLP-1 medication included in the program price?
For medication-inclusive programs, the fee includes the prescribed GLP-1 supply for your 12-week treatment plan. Medication is prescribed only when clinically appropriate, and your dose and treatment may change based on your response.
Programs without GLP-1 treatment do not include a GLP-1 prescription. We’ll explain your program’s medication coverage and total cost before your initial appointment.
Question 8: Are labs included?
Yes. Your program fee includes the lab testing specified for your program and a review of your results. We’ll explain which tests are covered before you begin.
Question 9: Are vitamins or supplements included?
Recommendations are individualized. Any vitamins or supplements included in your selected program will be identified before you enroll, along with any recommended products that would cost extra.
Question 10: How do follow-up appointments work?
After your initial clinical appointment, routine follow-ups take place asynchronously through secure forms and messaging. This means you submit updates and questions for review without attending a scheduled live visit.
These check-ins help us assess your progress, review concerns, and adjust your treatment plan when appropriate. Messaging is not monitored continuously and is not an emergency service.
Question 11: What happens if my weight loss stalls or my goals change?
Your care plan can change with your needs. If you experience a plateau, want to discuss medication changes, or shift your focus to maintenance, we’ll reassess your progress and adjust the focus of your care as appropriate.
You do not have to repeat the initial program simply because your goals change.
Question 12: What happens after my first 12 weeks?
After completing your initial program, you may continue care in additional 12-week periods at a lower renewal rate.
If you’re continuing medication, you may transition into our Refill Membership, which includes another 12 weeks of NP-guided care and prescribed medication when clinically appropriate.
If you’re participating without GLP-1 medication, you may renew for another 12 weeks of continued NP-guided care, with support tailored to your progress and goals.
We’ll review your treatment needs and required follow-up information before renewal. Your plan can be adjusted to address a plateau, support maintenance, or reflect changes in your goals.
Renewals are optional and are not automatic. You’ll receive an invoice with your renewal price and authorize payment before continuing.
Question 13: Can I keep renewing?
Renewals are available in 12-week intervals when continued care is appropriate. Your plan may focus on continued weight management, a plateau, maintenance, or medication changes as your needs evolve.
The renewal price will be provided before you decide to continue.
Question 14: Will my program renew automatically?
No. Renewals are optional. You’ll receive a new invoice and provide payment authorization for each additional 12-week period.
Question 15: What if I don’t complete my follow-up forms?
Follow-up information is an important part of your care. Missing check-ins does not pause or extend your program or qualify you for a refund.
Medication refills may be delayed until the information needed for clinical review is complete.
Question 16: Do you accept insurance?
No. Midlife Metabolic NP is a cash-pay practice and does not accept or bill insurance. A superbill for eligible clinical services is available upon request for you to submit to your insurance company. Reimbursement is not guaranteed and depends on your plan’s out-of-network benefits.
Question 17: Which states do you serve?
We currently serve women in Arizona, Florida, Oregon, and Washington. You must be physically located in a state we serve when receiving clinical telehealth care.
Question 18: Will I be able to stop medication or keep the weight off permanently?
Results and long-term treatment needs vary. Some women choose care without medication, while others may benefit from continued medication treatment. We’ll help you evaluate your options and develop a plan based on your health and response to care. Weight loss, successful medication discontinuation, and prevention of weight regain are not guaranteed.
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