The Metabolic Guide

A revolutionary approach to lose body fat, manage Metabolic Syndrome, & improve health for the rest of your life.

Every human is unique, with a different makeup of tissues, metabolism, & tolerances that change with time.

So, why should you blindly follow a rigid set of universal “diet” rules?

Learn to fuel your body without overfilling it.

Let’s face it: the “calories in, calories out” approach or the [insert new trendy diet] fails to help most people manage their weight or body fat long-term. With a deeper understanding of metabolic health and advanced testing, we offer an individualized lifestyle approach to managing the many effects of Metabolic Syndrome, including excessive body fat stores.

The Metabolic Guide program starts with in-depth testing of your body composition (tissues), fat-burning efficiency, insulin resistance, and carbohydrate tolerance. This approach allows us to personalize a lifestyle protocol to your physiology. Using a Continuous Glucose Monitoring (CGM) device will enable you to self-experiment and learn how nutrition affects glucose levels around the clock.

Our physician-led lifestyle medicine program also teaches you how other lifestyle factors (physical activity, stress, sleep, & more) affect skeletal muscle mass and visceral fat—significant predictors of chronic illnesses, longevity, and health span.

Rather than a false quick fix, The Metabolic Guide gives you the innovative tools to reach and, more importantly, sustain your healthy lifestyle.

Get Started

  • Each 1 month introduction plan is designed to get a baseline of your metabolic health as your start your new lifestyle journey.

    Both options include Continuous Glucose Monitor (CGM) education and remote coaching by email during the intro period. Each plan includes at least one:

    • Body Composition Test: Measurement of body tissues, including skeletal muscle, body fat, and visceral (organ) fat.

    • Lab work panel: Our basic cardiometabolic panel, including, complete metabolic panel (kidney & liver function, electrolytes), lipid/cholesterol panel, HA1c (average blood sugar), TSH (thyroid-stimulating hormone), insulin, hemoglobin, uric acid

    • Fat-burning efficiency test: We measurelactate levels at rest (finger prick blood test) to helps determine how efficiently your body utilizes fat vs. glucose for energy

    • Carbohydrate Tolerance Test: Individualized oral glucose challenge protocol to grade your ability to tolerate dietary carbohydrates.

    • Doctor consult: 45-60 minutes in-person at our clinic to review above results and develop a lifestyle prescription.

  • This 1-month plan includes:

    • 2 x CGM sensors (28-30 days)

    • 2 x Doctor Consults

    • 2 x Body Composition tests

    • 2 x Lab work panel

    • 2 x Lactate test

    • 20% Supplement discount

    Price = $359

    NeuCare PC members = $251

  • This 1-month plan includes:

    • 1 x CGM sensor (14-15 days)

    • 1 x Clinic doctor visit

    • 1 x Body composition test

    • 1 x Lab panel

    • 1 x Lactate test

    • 10% Supplement discount

    Price = $259

    NeuCare PC members = $181

  • After completing an introduction plan, you may continue the Metabolic Guide by enrolling in one of our maintenance plans. Each provides remote doctor coaching, but have varying levels of testing & monitoring.

    6-MONTH PACKAGES

    Intensive Maintenance

    • 10 x CGM Sensors (each 14-15 days) = 80% of days

      • Extra sensors = $50 each

    • 2 x Doctor consults

    • 3 x Body composition tests

    • 2 x Lab panel

    • Supplement discount = 20%

    • Price = $167/mo x 6, or pay upfront $899 total ($100 savings) — NeuCare PC members receive 30% discount.

    Basic Maintenance

    • 5 x CGM Sensors (each 14-15 days) = 40% of days

      • Extra sensors = $50 each

    • 1 x Doctor consult

    • 2 x Body composition tests

    • 1 x Lab panel

    • Supplement discount = 10%

    • Price = $100/mo x 6, or pay total upfront $499 ($100 savings) — NeuCare members receive 30% discount.

    MONTHLY À LA CARTE

    Monthly price = $9/mo +

    • CGM sensor (14-15 days) = $60 each

    • Doctor consult = $200 each (no charge for NeuCare PC members)

    • Body composition test = $60 each ($42 for NeuCare PC members)

    • Lab panel = $60 each (reduced cost for NeuCare PC members)

Existing patients: contact us to get started.

NeuCare Comprehensive Primary Care members receive a 30% discount.

Our Principles

  • Science-based

    We also wished magic potions existed. However, we won’t sell you fake shortcuts or snake oil. Instead…

    Our program was designed and supervised by a family physician with a deep understanding of human physiology. Using a framework of bioenergetics & metabolic dysfunction, we provide scientific tools, rather than guesswork and folklore.

  • Flexible

    The program doesn’t rely on a strict set of “approved” foods, pre-packaged meals, or broad category restrictions such as zero carbs, no red meat, etc. Instead…

    The program will teach you what foods your body will tolerate and in what amounts. This allows you to make wiser nutrition choices within any environment.

  • Sustainable

    The weight loss industry is full of “lose 30 pounds quickly” promises. This approach often sabotages success long-term. Instead…

    The Metabolic Guide lays a foundation for successful lifelong weight management and metabolic health. Our patients often do lose a lot of fat mass in the first 3 months, but we care more about 3 or 10 years from now!

  • Medications optional

    Ozempic & other GLP-1 meds are touted as the miracle solution for obesity by many clinics and companies. Instead…

    This guide works with or without drugs. We offer an option for physician-supervised appetite management with GLP-1 and other “weight loss” meds. However, our goal is to manage problems with as few of meds as possible.

  • Health-focused

    Most weight management programs look purely at the scale for success. We believe that is a grave error for many reasons. Instead…

    We will help you shed excessive body fat but is more broadly focused than “pounds lost.” Maintaining metabolic health & muscle mass is crucial, especially as we age. We want people to be healthy & strong; rather than aiming for “thin.”

  • Empowering

    Most diet plans are led by dogma or a guru that demands strict adherence to arbitrary rules. This inevitably leads to “failures” and guilt, as well as waiting for results. Instead:

    The Metabolic Guide puts the individual in control. With instant feedback, the effects of positive choices are reinforced immediately. When people make less healthy choices, we view it as a learning experience.

FAQs

  • Yes. Our program is compatible and helpful for people following a low-carb diet. We use the CGM to show your personal degree of CARBOHYDRATE TOLERANCE, rather than recommending an extremely carb restriction to everyone.

  • Yes! Preferring to eat mostly plants is not a problem. The Guide gauges tolerance your tolerance of grains, fruits, and other plant-based carbohydrates.

  • Our program is safe and helpful when blood sugars are already very high or on medication(s) to control them. In fact, CGMs were designed primarily for this purpose! We can discuss your individual health history, including diabetes management, during the introductory visit.

  • No. 100% No! While we do have some nutritional supplements available to purchase, they are not required. In fact, we prefer people eat whole, “real” foods to pills or powders. In some cases, meeting a dietary goal (ex. protein) can be challenging. So, adding something like a protein powder, shake, or bar can help.

  • No, but we believe human movement—physical activity or the dirty “e” word—is fundamental to optimum health. No amount of healthy eating can replace a sedentary lifestyle. If already overweight, we understand exercise can be difficult and painful. This program is primarily focused on nutrition, but we do provide counseling on how to get more active which will help sugars in the short-term.

  • We are currently using the Freestyle Libre 3 or 3-Plus, but this is subject to change based on availability.

  • Our program does NOT address any hormones (thyroid, estrogen, testosterone, etc.) or prescribe “replacement” therapies. We feel this is best discussed with a primary care physician, OB/GYN, or endocrinologist if you have questions or concerns.

  • No. We do not prescribe or recommend any type of stimulant weight loss meds, including phentermine.

  • We do not contract with or bill any insurance plans. Our program requires full payment by credit card. We do provide a receipt of payment which can be submitted to your insurance plan to seek “reimbursement.” Given the many variables, we cannot know or guarantee if an insurance plan will consider the claim.

  • Currently, the program is only for adults aged 18 & older.

  • This program is helpful and safe even if a person already has diabetes, hypertension, or high cholesterol and is taking meds (s) for those conditions. Our long-term goal is to help people be less reliant on pills. However, this program will not prescribe medications—you will need to continue care with a provider to manage those.