HOW THE CLINICAL PARTNERSHIP BEGINS
One clinical partnership, in phases, that lasts for as long as you need.
A lab result you can’t ignore. A diagnosis you didn’t expect to hear at 45.
Care here starts with a six-month clinical intensive that exists to change your trajectory, and then remains with you to ensure the changes hold.
THE DESIGN GOAL
What six-months is designed to change
By the end of the six-month clinical intensive, you should know exactly what was driving your weight loss resistance, and be living inside the plan built to resolve it.
The design goal is specific:
Fat loss with muscle preservation.
Labs trending in the right direction, and reassessed to prove it.
A medication plan that is rigorously monitored rather than experimental.
Lean mass protected and verified against your own body-composition data.
MONTH ONE
The Metabolic Evaluation
It begins with clarity: you will leave the Metabolic Evaluation knowing what is driving your weight loss resistance, how perimenopause is shaping your metabolic picture, and what needs to happen in order for things to start to shift.
A comprehensive 60-minute intake, metabolic and hormonal laboratory assessment, home monitoring kit and 60-minute Review of Findings create the clinical baseline.
MONTHS TWO THROUGH SIX
The Metabolic Rebuild
Regular 1:1 care, medication management, individualized nutrition and exercise prescriptions, strength programming, rigorous monitoring, and weekly group learning turn your findings into your plan of care.
One dedicated provider holds your whole picture.
The clinician who evaluated you manages your plan and answers your messages, through six months and beyond. At least one hour of 1:1 visit time monthly, scheduled together, with a guaranteed 48-business-hour response between visits. No handoffs, no re-explaining your history.
Fat loss, with muscle preservation.
Lean mass drives metabolic rate, insulin sensitivity, and independence as you age; unstructured weight loss puts it at documented risk. Your nutrition and exercise prescriptions are designed to protect it, and your kinesiology-trained provider builds and progresses your strength program from your body-composition data.
A community of peers doing the same work.
The Metabolic Lab: a weekly 45-minute group telehealth session, included at every paid tier — clinical teaching, open data Q&A, strength-form review, and community. Between visits, you aren't doing this alone.
Decisions made from your data, not merely recall alone.
Your monitoring kit keeps working. Your provider reviews trends (body composition, blood pressure, sleep, recovery) at every visit and at structured intervals between, so your plan follows your physiology, not merely what you remember to report.
Medications inside a structure, not instead of one.
GLP-1, hormone therapy, and other medications enter your plan if and when your evaluation indicates, adjusted as you respond. Foundation comes before deficit, so that the weight you lose is primarily fat, not muscle. Early on, the scale may be quiet, by design.
Objective reassessment.
At week 16, a comprehensive lab reassessment, alongside your body-composition data, shows whether change is happening inside your physiology, not just on the scale. It informs what comes next: whether your medication plan continues, adjusts, or begins a planned taper.
THE CLINICAL INTENSIVE
$995/month
Includes the clinical monitoring kit ($675 value, yours to keep), two onboarding sessions, a minimum of one hour of 1:1 visit time monthly, medication management, nutrition and exercise prescriptions, a strength program built by your provider, ongoing data review, messaging with a 48-business-hour response, member office hours, the weekly Metabolic Lab, and a week-16 reassessment. Lab testing, medications, and supplements are billed separately.
Month two opens a 60-day window. Opt out at any point, no questions asked; past month three, you are committed for the six-month term. You keep all devices in every scenario.
AFTER THE CLINICAL INTENSIVE
Care continues at the pace your physiology requires.
$395/month
For patients whose clinical picture is still in motion. Includes six 45-minute 1:1 clinical visits per year.
ACTIVE CARE
$250/month
For ongoing metabolic and hormonal stewardship once the clinical picture has settled. Includes four 45-minute 1:1 clinical visits per year.
STEADY CARE
Explore whether the partnership is a fit.
A Discovery Visit is a no-charge, 15-minute telehealth conversation. Ask questions, describe what you are experiencing, and find out whether this is the right clinical fit.