Finally. A program built for how your body actually works.
You've Been Working Hard.
Your Hormones Have Been Working Harder.
It's time to stop guessing — and start understanding.
You've tried the diets. You've counted the calories, tracked the macros, white-knuckled your way through restriction after restriction. And for a while, some of it worked. Then it stopped.
The weight came back. The brain fog settled in. Your clothes stopped fitting even though your habits didn’t change, The energy you used to have disappeared somewhere around the time your labs started creeping in the wrong direction — and your doctor kept telling you everything looked fine
It was never a willpower problem. It was an information problem.
Imperfectly Optimal was built to fill that gap. We offer two programs designed to meet you where you are:
This program was made for you if…
- You are a woman nearing perimenopause, menopause, or post-menopause navigating unexplained metabolic changes
- You have been told your labs are normal but you know something is off — and you want the full picture
- You want to understand your metabolism, not just manage your symptoms
- You are ready to do the work — not because someone told you to, but because you've had enough of not knowing
- You want a clinical framework that respects your intelligence without requiring a medical degree
- You’ve done The Metabolic Reveal and you're ready for the deeper education that explains everything you saw in your data
- You are considering or currently on a GLP-1 medication and want to use lifestyle alongside it for more durable results
If you nodded at three or more of those — you are exactly who this program was designed for. And you are not broken. You have just been working with the wrong information.
And this is NOT for you if...
- You are looking for a meal plan to follow or a prescriptive diet program (caloric or macro counting)
- You are looking for prescribed medications or laboratory studies
- You are looking for a personalized supplement program
- You are taking injectable insulin for Type I or Type II DM.
- Your are multiple prescribed oral glucose lowering, diabetic medications (please consult your provider before enrolling)
- You want a quick fix — this program is designed to produce results that last, which requires 14 weeks of genuine engagement
THE IMPERFECTLY OPTIMAL APPROACH
This isn't a diet. It's a decoder ring for your body.
Every program inside Imperfectly Optimal is built on three pillars:
1. Education — Understanding what's actually happening.
You can't fix what you don't understand. Before anything changes, you'll understand exactly what insulin resistance is, how it develops, what's driving your symptoms, and why everything you've tried before wasn't targeting the real problem. This is the foundation everything else is built on — and it's the piece most women have never been given.
2. Real-Time Data — Seeing it for yourself.
A continuous glucose monitor turns abstract concepts into undeniable personal evidence. When you can see what your breakfast does to your blood sugar, what a stressful afternoon does without a single bite of food, and what a 10-minute walk after dinner does to your glucose curve — everything shifts. Not because someone told you. Because your own body showed you.
3. Practical Tools — Applying what you know.
Food sequencing. Protein-first meals. Post-meal movement. Stress and sleep strategies. These aren't rules — they're levers. And once you understand why they work, using them stops feeling like discipline and starts feeling like the most obvious thing in the world.
YOUR GUIDE THROUGH THIS

Hi, I'm Megan Donnelly-Davis, PA-C.
I'm a board-certified Physician Assistant with 16 years of experience in Emergency Medicine, Cardiothoracic Surgery, and Critical Care. I'm also a Certified Functional Medicine Practitioner and certified Glucose Revolution PRO—which is a fancy way of saying I never stopped asking why. And I'm a woman who had insulin resistance for years before anyone found it — while being told, repeatedly, that my labs looked fine.
During my pregnancy with my youngest son, my health hit a wall. Postpartum, my weight kept climbing along with my blood pressure, A1C, and triglycerides. I had headaches, worsening brain fog, and neurological symptoms alarming enough that MS was on my own differential. I was told it was stress. Mom brain. Just my thyroid. I wasn't satisfied. I sought out a practice that specializes in thyroid, metabolic, and hormonal health — providers who actually looked at the full picture. They found insulin resistance. They prescribed a CGM. They handed me The Glucose Revolution.
What I saw on that CGM in the first 48 hours changed everything I thought I knew about food, energy, and my own body. 50 pounds gone. Pre-diabetes reversed. Permanently. Brain fog lifted. Joint pain resolved. Energy restored. Muscle mass maintained. And for the first time in my adult life — I don't feel like I'm on a diet. I built Imperfectly Optimal to give you the same thing someone finally gave me: the information, the tools, and the support to actually understand your body. So you can stop cycling through approaches that don't work — and start building something that lasts.
I am based in Buffalo, NY, a mom to three kids spanning every life stage, and married to Matt — a mental health therapist who keeps our household emotionally regulated while I talk about glucose curves at the dinner table and see the eye rolls.
I have been where you are. I know the way out. And I'm here to walk you through it.
The Metabolic Reveal
A 4-week, CGM-guided cohort program. Real data. Real answers.
You'll learn exactly how your metabolism responds to food, movement, stress, and sleep — and walk away with your personalized Metabolic Blueprint.
The Metabolic Method
A 14-week deep-dive coaching program
For the woman who is ready to build lasting metabolic health with expert guidance every step of the way.
Not sure which is right for you? Both will change the way you understand your body. The Metabolic Reveal gives you the data. The Metabolic Method gives you the full transformation. Many women choose one — some choose both.
The Foundation Coaching Package
A 5-session, 1:1 coaching experience. Your schedule, your space, your pace.
For the woman who wants real answers and a real relationship — not a program, a partnership.
YOU NEED THIS COURSE IN YOUR LIFE!!!
I have always struggled with weight and cravings, and unfortunately, as I’ve gotten older and had children, it has only become more difficult. I had heard about continuous glucose monitors before, but I never knew where to start or how to actually interpret the data. This course was truly revolutionary and life-changing. Megan seamlessly walked through the information in a brief, easy-to-understand, and engaging way. The material wa seye-opening, practical, and incredibly empowering. The course was also incredibly positive and never judgmental. Rather than feeling ashamed that I ate the ice cream, I felt empowered to understand what that treat might do to my body and how to best support myself through it. Most importantly, being able to see my own glucose data and apply the knowledge I learned throughout the course to better understand my body and make meaningful changes has been the greatest gift of all. I already feel more informed, confident, and in control of my health. I am already recommending this course to friends and family, and I truly cannot say enough wonderful things about it!
This program was eye opening for me and my non-scientific brain!
I have always tried to & thought I ate healthy for the most part. I never really paid attention to how the food that I was eating made me feel. As I age, but my lifestyle hasn’t slowed down, I had been feeling more tired than usual and experiencing the afternoon slump at work which led me to the program. I have learned( and continue to learn) what foods trigger glucose spikes which have been contributing to my exhaustion. Some of the hacks such as the order you eat your food, the time of your exercise after a meal and how much eating just a handful of fresh arugula can do, have been fun to implement and watch the results on the graph. On a side note, in the two weeks since I’ve been doing the program, I lost 3 pounds so that was an unexpected and welcomed benefit!!
THIS IS YOUR STARTING POINT.
Your body has been sending signals for years. It's time to finally understand what they mean.
You don't have to keep guessing. You don't have to keep starting over with approaches that never addressed the real problem. You don't have to keep walking out of appointments feeling dismissed — like the version of yourself you used to be is just gone.
She's not gone. You just haven't had the right information yet.
That changes here.
The right education. The right data. Someone who has lived this exact story and knows the way through.
Founding member pricing will be available for the first cohort only. Spots will be limited and enrollment closes when they're filled so get on the waiting list to be the first to know when enrollment opens. If something in this page made you feel seen for the first time in a long time — trust that. This is your starting point.
Program Summaries
4-Week Metabolic Reveal
- 4 Weeks
- Self Guided $199
- Virtual with Kick-Off session, weekly office hours, and group chat
- Starting at $399
14-Week Metabolic Method
- 14-Weeks of Self Guided weekly modules with workbook $399
- Full Support with 1:1, monthly group calls, and office hours $1,499
- Payment plan available, $200 off if paid in full
20 Minute Discovery Call
- $30 fee, rolled in program cost upon booking
