Continued Care is the clinical successor to the Metabolic Rebuild—the 4-month structured program where our partnership begins.
The Clinical Relationship That Continues
Meaningful metabolic and hormonal change creates a new phase of care: protecting what you have built as your physiology continues to adapt.
The provider who built your plan stays your provider. The monitoring infrastructure, the messaging access, and the clinical relationship do not reset when the Metabolic Rebuild concludes. What changes is the cadence, calibrated to match where your physiology is now. High-stakes metabolic and hormonal shifts do not resolve on a fixed four-month timeline. As your weight continues to trend toward your goal, your medications require titration, and your hormonal landscape stabilizes, the clinical relationship extends to match.
Ongoing care at this practice is a commitment to stewardship, structured into two tiers. Active Continuity provides the same clinical rigor and high-frequency oversight as the Rebuild for patients whose physiology is still in active motion. Continuity Care provides long-term medical management at a lighter cadence for those who have reached a point of clinical stability.
Your provider guides the transition between these tiers based on your objective progress and the complexity of your trajectory.
Why Metabolic and Hormonal Care Does Not End at Four Months
Three clinical realities drive the transition from the Metabolic Rebuild into ongoing stewardship.
The weight-defense response persists.
Your body’s biological resistance to sustained weight loss remains active for 12 to 24 months after meaningful loss occurs. During this critical window, your metabolic results either become durable or they quietly reverse as the body attempts to return to its previous set point. Continued clinical oversight—not willpower—is the mechanism that determines which outcome prevails.
Chronic metabolic conditions require longitudinal management.
Most women in this practice carry co-morbid conditions that do not resolve in four months: insulin resistance, elevated cholesterol, high blood pressure, hypothyroidism. A four-month program addresses the acute picture. Ongoing care manages the chronic one.
Hormonal care is ongoing by nature.
Bioidentical hormone replacement therapy (BHRT) is durable, ongoing care—not a short-term scaffold. It requires persistent prescribing, meticulous lab monitoring, and formulation adjustments as you move through perimenopause, menopause, and beyond. The provider who mapped your physiology is the one who monitors its evolution; that continuity is a clinical standard, not a convenience.
Active Continuity
$425 per month · Ongoing · Typically 12–18 months
Active Continuity is the phase where clinical progress is fortified. Your body’s weight-defense response remains active for 12 to 24 months after meaningful weight loss. This is the window where results either consolidate or quietly reverse — and it is the clinical reason this phase exists.
Active Continuity is designed for patients whose metabolic and hormonal picture remains in active motion — weight loss is continuing, medications are being titrated to their optimal dose, and your physiology is consolidating its new baseline.
For patients who deferred bioidentical hormone replacement therapy (BHRT) during the Metabolic Rebuild to prioritize establishing a metabolic foundation, this is frequently where BHRT initiation occurs. The clinical relationship remains high-frequency, high-touch, and hands-on.
What this includes:
Clinical Visits: Six extended (1-hr) clinical visits per year with your dedicated provider to review biomarkers, symptoms, and trajectory.
Medication & BHRT Management: Ongoing prescribing, dose titration, and formulation adjustment as your hormones transition.
Quarterly Lab & Prescription Reassessments: Review of metabolic labs with adjustments to your nutrition, exercise, movement and supplement prescriptions, if indicated.
Biometric Monitoring: Continued use of your Rebuild device kit (smart scale, health monitor, blood pressure cuff) with structured provider review of your data pipeline, including an annual 4-week CGM monitoring block.
Provider Access & Support: HIPAA-compliant messaging with 48-hour response, weekly open office hours, and access to the curated recipe library.
Continuity Care
$250 per month · Long-Term Stewardship · Your Metabolic and Hormonal Medical Home.
Continuity Care is where stability becomes durable. You have reached a healthy weight, your medications are stable, and your hormonal profile is established. At this milestone, the clinical cadence shifts to match your stability, but the quality of stewardship remains unchanged.
This is your permanent metabolic and hormonal medical home — a longitudinal relationship that could last a decade or more, with a provider who knows your full history and watches the markers that matter most as your biology moves through perimenopause, menopause, and the years beyond.
What this includes:
Clinical Visits: Three extended (1-hr) visits per year with your dedicated provider to review biomarkers, symptoms, and trajectory.
Medication & BHRT Management: Continuous prescribing and monitoring of BHRT and metabolic medications.
Annual Lab & Prescription Reassessments: Review of metabolic labs with adjustments to your nutrition, exercise, movement and supplement prescriptions, if indicated.
Biometric Monitoring: Continued use of your Rebuild device kit (smart scale, health monitor, blood pressure cuff) with structured provider review of your data pipeline.
Provider Access & Support: HIPAA-compliant messaging with 48-hour response, weekly open office hours, and access to the curated recipe library.
What does not change
The things that define this clinical relationship do not change when you move to Continuity Care. Messaging access, open office hours, biometric monitoring, the data pipeline, and BHRT management all continue at the same clinical standard. The visit cadence adjusts to match your clinical stability. The quality and depth of each visit does not.
A Transition Guided by Your Clinical Progress
You do not need to determine your long-term tier today. The transition from Active Continuity to Continuity Care occurs when your clinical picture warrants a shift in cadence — a conversation initiated by your provider when your objectives have been met and your physiology has stabilized.
Your provider recommends the transition when several clinical markers converge: your weight is at or near your clinical goal and has remained stable, your metabolic medications require no further titration, your metabolic markers (A1C, lipids, insulin) are trending well, and your BHRT dose is established with follow-up labs confirming your levels are steady.
This transition is designed to feel like exactly what it is: clinical progress. Your metabolic and hormonal environment has stabilized to the point that the oversight cadence can change, while the depth of the relationship remains the same.
The door remains open in both directions. If your physiology shifts — due to life circumstances, a change in hormonal status, or a need to pivot your medication strategy — stepping back into Active Continuity is always an option.
Where the relationship begins
If you are reading this page, you are evaluating more than a program — you are evaluating whether this practice can be your long-term medical home. That is exactly the right question to be asking before you begin. The Metabolic Rebuild is where the clinical relationship starts, and the care described here is what it can become over time.
Schedule a Discovery Visit
No charge · 15 minutes
A conversation to determine whether structured metabolic care is the right fit.
Schedule a Discovery VisitSchedule a Metabolic Evaluation
$595 · Credited toward the Metabolic Rebuild
For those ready to begin the diagnostic process immediately. This comprehensive evaluation maps your full metabolic and hormonal picture and serves as the entry point to the Metabolic Rebuild.
Schedule a Metabolic Evaluation