Why We Prescribe What We Prescribe
A protocol is more than a vial. It's a mechanism chosen for your physiology, a titration schedule built around your tolerance, and a physician in California watching the trend lines with you. Here's how we think about all three.
What We Believe About Metabolic Medicine
Obesity Is Physiology, Not Willpower
Body weight is defended by hormones — leptin, ghrelin, GLP-1, GIP. When that signaling is dysregulated, effort alone loses. We treat the signaling, then teach you to live inside the new set point.
The Dose Is a Tool, Not a Target
The correct dose is the lowest one producing steady progress with tolerable side effects. We titrate to response, not to a package insert schedule, and we hold or step back when your body says to.
Protect Lean Mass or the Loss Doesn't Count
Rapid weight loss without protein and resistance training costs muscle. Every protocol ships with intake targets, training guidance and check-ins that track composition, not just the scale.
Evidence Over Hype
If a compound has phase-3 data, we say so. If it's research-grade with promising preclinical work, we say that too — plainly, before you buy anything.
How a Protocol Gets Built
Clinical Screening
A two-minute intake plus history review. We screen for thyroid cancer history, MEN2, pancreatitis, pregnancy, eating-disorder risk and drug interactions before any prescription exists.
Compound Selection
Dual agonist versus single, weekly versus daily, weight versus recovery. Your physician matches the mechanism to your goal, your GI tolerance and your training load.
Titration and Tolerance
Four-week escalation windows. If nausea, fatigue or plateaus appear, we hold the dose or extend the window rather than pushing through it.
Monitoring and Maintenance
Ongoing check-ins on weight trend, waist, energy, appetite and labs where indicated — then a maintenance dose designed to be sustainable, not a cliff.
The Three Families We Prescribe
GLP-1 and Dual Incretin Therapy
Semaglutide and tirzepatide mimic the gut hormones released after a meal. They slow gastric emptying, quiet hypothalamic hunger signaling and improve insulin sensitivity. Tirzepatide adds GIP receptor activity, which improves lipid handling and, in head-to-head trials, deeper weight reduction.
SURMOUNT-1 and STEP 1 — 20.9% and 14.9% mean body weight reduction at 72 and 68 weeks.
Regenerative Peptide Therapy
BPC-157 is a synthetic fragment of a gastric protective protein studied for angiogenesis, tendon and ligament healing and gastrointestinal integrity. Evidence here is preclinical and mechanistic rather than phase-3, and we prescribe it as an adjunct with that framing stated up front.
Animal and in-vitro models of tendon, ligament and mucosal repair; not FDA-approved.
Longevity and Performance Support
NAD+ and secretagogue protocols target cellular energy metabolism and endogenous growth hormone rhythm rather than appetite. They sit alongside a weight protocol for men whose fatigue, recovery and sleep are limiting the rest of their progress.
Used adjunctively; monitored the same way as every other protocol we write.
Protocols Available in California
Semaglutide
The clinical gold standard for appetite regulation.
Tirzepatide
Dual incretin action for the deepest documented weight reduction.
BPC-157
A gastric peptide studied for systemic tissue repair.
TB-500
A synthetic fragment of Thymosin Beta-4 studied for soft-tissue recovery.
CJC-1295 / Ipamorelin
A paired secretagogue protocol that supports your own growth hormone rhythm.
NAD+ Injectable
A mitochondrial cofactor protocol for energy, focus and cellular repair.
Semaglutide (Oral)
The same GLP-1 signal, taken as a daily oral dose instead of a weekly injection.
MOTS-c
A mitochondrial-derived peptide studied for metabolic flexibility and exercise-like signaling.
PT-141 (Bremelanotide)
An on-demand therapy that works on desire in the brain, not blood flow in the body.
Semax / Selank
Intranasal peptides studied for focus, stress resilience and neurotrophic support.
Sermorelin
The original growth hormone-releasing peptide — simpler and gentler than newer secretagogue combinations.
Find the Protocol That Fits You
A licensed California physician reviews your history and tells you honestly which mechanism — if any — is right for your body.
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