A structured clinical program for insulin resistance, prediabetes, and metabolic weight gain. Lab-guided, lifestyle-first, and led by a board-certified nurse practitioner — not a health coach.
The people who get the most from this program have usually already tried the standard advice. They've cut calories, exercised more, maybe tried a diet or two. The weight hasn't moved. The energy hasn't come back. The labs are still creeping in the wrong direction.
The reason is almost always the same: nobody has identified why the metabolism isn't working. Without that answer, no protocol — however disciplined — will deliver lasting results.
This program starts with the why. Comprehensive lab evaluation, clinical interpretation, and a personalized plan built around your specific metabolic picture. Three video visits with Sergio to guide and adjust the plan over 12 weeks.
This is not a diet program. It is a medically guided metabolic intervention built around the science of how insulin resistance develops and what actually reverses it.
Not sure if this is right for you?
Start with a $175 initial evaluation (includes follow-up visit). We'll review your history, run the right labs, and discuss whether the Metabolic Reset is the best fit for your goals.
60-minute comprehensive intake in Week 1, 30-minute mid-program review in Week 9, and 30-minute final visit in Week 12 with transition planning.
Comprehensive metabolic lab panel ordered and interpreted by Sergio — fasting insulin, HOMA-IR, HbA1c, full lipid panel, thyroid, Vitamin D, and more.
A personalized, carbohydrate-aware nutrition framework — not a rigid meal plan. Built around your labs, lifestyle, and goals.
Progressive movement protocol, sleep optimization, and stress management guidance — the lifestyle pillars that drive metabolic change.
Secure messaging through Practice Better between visits. Questions answered, adjustments made, momentum maintained throughout the 12 weeks.
Educational handouts, reference guides, progress tracking tools, and a personalized transition plan at program completion.
Labs are billed separately. Most patients use Rupa Health (cash-pay, significantly reduced rates). Patients who prefer to use their insurance can request the lab orders be sent to their primary care provider for ordering. Medications and supplements, if clinically indicated, are also billed separately. The $497 program fee covers all clinical visits and program materials.
60-minute intake visit covering full health history, goals, and symptoms. Comprehensive lab orders placed. Baseline tracker completed. Initial nutrition and movement guidance delivered.
The core of the program. Nutrition framework, movement progression, sleep and stress protocols delivered week by week. Messaging support throughout. Food logging and progress tracking.
30-minute mid-program video visit. Lab results reviewed, progress assessed, protocol adjusted. Supplement and medication review if applicable. Advanced strategies introduced.
30-minute final visit. Progress celebrated, final lab recheck ordered, personalized maintenance protocol delivered. Path forward discussed — monthly membership, follow-up visit, or independent continuation.
One patient — we'll call her Alice — came to us with stubborn weight gain, persistent fatigue, and an A1C that was trending toward diabetes. She was on three medications and had one clear goal: to get off them.
After 12 months of working together — her doing the hard work, Sergio guiding the process — she had reversed her prediabetes, lost over 30 pounds, and was completely off all three medications. Her labs didn't just look normal. They looked optimal.
The 12-Week Metabolic Reset is entirely remote. Every visit, every message, every adjustment happens via secure video or messaging — which means it works equally well whether you're in Ellensburg, Suncadia, Bainbridge Island, or anywhere else in the state. Our patients come from across Washington, including the upper Kittitas County communities of Cle Elum and Roslyn, the I-90 mountain corridor through North Bend and Snoqualmie, and the Wenatchee Valley towns of Leavenworth and Chelan.
Eastside Seattle residents in Mercer Island, Redmond, Kirkland, Sammamish, Issaquah, and Woodinville frequently choose the Metabolic Reset because it fits around demanding professional schedules. Island residents on Bainbridge, Vashon, and in the San Juan Islands around Friday Harbor benefit from not needing to coordinate ferry schedules. Kitsap Peninsula communities including Poulsbo and Gig Harbor, along with Southwest Washington residents in Camas and Ridgefield near the Columbia River Gorge, get the same structured, data-driven 12-week program via telemedicine.
Lab draws are coordinated at Quest Diagnostics locations near you — baseline labs, mid-point labs at week 6, and final labs at week 12 track your progress objectively.
Enroll in the Metabolic Reset or start with an initial consultation to make sure it's the right fit for your goals.
Enroll — $497 Initial Consult First — $175