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 an intensive six-month clinical partnership that exists not only to change your trajectory — the weight, the labs, the symptoms — but to remain 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. And the fluency to read your own metabolic and hormonal signals without guessing.
No honest clinician promises specific outcomes — biology does not allow it. What this practice promises instead is a structure designed to support change.
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, and in what order, for things to start to shift.
Your clinical-grade, home-based, remote patient monitoring kit (a $675 value) ships the day you book — providing weeks of your own baseline data. This data, alongside a 60-minute intake and a comprehensive metabolic and hormonal laboratory assessment, provides answers that are delivered during a 60-minute Review of Findings visit. Your findings and your monitoring kit are yours to keep whether or not you continue past month one.
MONTHS TWO THROUGH SIX
The Metabolic Rebuild
One dedicated provider who holds your whole picture.
The clinician who evaluated you is the one who prescribes and adjusts your plan, and answers all of your messages directly — through all six months and beyond. A minimum of one hour of 1:1 visit time every month, scheduled the way you and your provider decide together, with a guaranteed 48-hour business-day response to any messages between visits. No handoffs, no re-explaining your history.
Fat loss, with muscle preservation.
Lean mass drives your metabolic rate, your insulin sensitivity, and your long-term independence as you age — and losing it is the most documented risk of unstructured weight loss. Your individualized nutrition and exercise prescriptions are built to protect it, and your strength program is built personally by your provider — who also holds a degree in kinesiology (exercise science) — and progressed monthly from your own 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 your peers who are navigating the same physiology. Between visits, you are never doing this alone.
Decisions made from your data, not merely recall alone.
The monitoring kit that shipped at booking keeps working. Your provider reviews your trends — body composition, blood pressure, sleep, overnight recovery — at every visit and between visits, so the plan adjusts to what your physiology is actually doing and not only what you happen to remember to report on the day of your visit.
Medications inside a structure, not instead of one.
GLP-1, hormone replacement therapy, and other medications when indicated — each entering your plan when and how your evaluation results indicate, and adjusted as your physiology responds. The order is set by your physiology, not a standard calendar: foundation before restriction, so that what follows produces fat loss rather than muscle loss. Early on, the scale may be quiet. That is by design.
Objective reassessment.
A comprehensive laboratory reassessment at week 16 confirms the change is happening inside your physiology — not just on the scale. It verifies that lean mass is protected and your labs are moving with your progress, and it helps inform what happens next: whether your medication plan continues, adjusts, or begins a planned taper.
THE INVESTMENT AND THE TERMS
$995/month
6 months · $5,970 total · month one is your Metabolic Evaluation · clinical-grade, home-based, remote patient monitoring kit ($675 value) shipped at booking
THE $995 MONTHLY INVESTMENT IS ALL-INCLUSIVE:
a minimum of one hour of 1:1 visit time every month — no handoffs
two 45-minute onboarding sessions to open the Metabolic Rebuild
GLP1, HRT, and other medication management when indicated
individualized nutrition and exercise prescriptions, recalibrated as you make progress
a strength program built by your provider
the weekly Metabolic Lab group session
your clinical-grade, home-based, remote patient monitoring kit — yours to keep
provider review of your data at every visit and between visits
HIPAA-compliant messaging with guaranteed 48 business hour response
twice weekly open office hours
week-16 comprehensive laboratory reassessment
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. Medication costs are separate and always quantified up front. Labs are ordered through insurance whenever possible. Pay-in-full available on request.CONTINUED CARE
When the Rebuild ends, the partnership continues
Meaningful metabolic and hormonal change creates a new phase of care: progressing and protecting what you have built as your physiology continues to adapt.
The provider who built your plan stays your provider — same clinical partnership, remote patient monitoring system with weekly data review, messaging access, weekly Open Office Hours and Metabolic Lab. What changes is the 1:1 visit cadence — calibrated to the progress your physiology has made.
Active Care · ongoing
$395/month
For patients whose physiology is still in motion. Your weight is still trending toward goal. Your medications are still being titrated. Your hormonal landscape is still shifting. The biology that drove your original metabolic dysfunction is still active. Six 45-minute 1:1 clinical visits per year, with higher-frequency oversight to protect your progress.
Steady Care · ongoing
$250/month
For patients whose physiology has settled. Your weight is at or near goal and stable. Your metabolic medications require no further titration. Your HRT dose is established. Four 1:1 clinical visits per year, to match your clinical stability. MMM becomes your metabolic and hormonal medical home through menopause and beyond.
The move between tiers is a clinical decision made with you, and a transition designed to feel like exactly what it is: clinical progress. If your physiology shifts back at any time — due to life circumstances, a change in hormonal status, or any other change — stepping back into Active Care is always an option.
Ready to start?
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.