Metabolic health
The fixable window is exactly the window standard panels call normal.
No charge. No card. No pressure.
Recognition
The stakes
Insulin resistance, sarcopenia, fatty liver begin years before any diagnosis and reverse cleanly when caught early. Conventional care waits for glucose to rise and misses the years that matter.
The outcome
These are the targets we measure toward, traceable to a finding on your panel. Not a cure. Not a guarantee. Not a weight-loss promise.
The markers
The pattern across all of them, against optimal, not disease cutoffs.
Fasting insulin
Moves years before HbA1c. The earliest reliable signal.
HOMA-IR
Insulin resistance as a derived index.
Triglyceride-to-HDL ratio
A pragmatic read on insulin-driven dyslipidemia.
Body composition over BMI
Muscle mass and visceral fat tell the real story.
Visceral fat
The metabolically active depot.
VO2 max
The fitness read. The decade-ahead predictor.
Marker list provisional. Pending Dr. Tagge’s clinical sign-off.
The panel
Two ways in. The entry panel reads the metabolic network at baseline. The comprehensive panel adds the inflammation, particle, and stress markers that travel with insulin resistance.
Entry panel
6 tests · 60 biomarkers
The metabolic network at baseline. Fasting insulin, glucose, lipid panel, hs-CRP. Read against optimal.
At-vendor lab cost, no markup.
Lab cost plus $97 interpretation and review.
Comprehensive panel
19 tests · 89 biomarkers
Everything in the entry panel plus the advanced lipid sub-fractions, particle count, glycation, and inflammation that travel with the system.
At-vendor lab cost, no markup.
Lab cost plus $97 interpretation and review.
See-it-in-real-time
A continuous glucose monitor for fourteen days. The personal patterns no textbook can predict, surfaced in your own data. The CGM and the data are yours after.
Pricing
Ordered through the Partnership at vendor cost. Standalone pricing available.
CGM pricing placeholder. Pending Dr. Tagge sign-off.
Member price is the at-vendor lab cost passed through with no markup. Non-member price adds the $97 interpretation and review visit. Both prices update with the live Fullscript vendor cost.
Inside the Partnership
Prescribed inside a Plan, not in isolation. For sustained improvement in metabolic markers and body composition. Not weight loss in isolation.
Pending Dr. Tagge sign-off: GLP-1 prescribing language pending legal and carrier review.
Common questions
Why test fasting insulin if my glucose is normal?
Insulin moves first. Years before glucose or HbA1c rises, your body compensates by producing more insulin to keep glucose in range. A fasting insulin above the optimal range is the earliest reliable signal that the system is straining.
Do I need a DEXA scan?
Not always, but it is the best single read on body composition. It tells you muscle mass, visceral fat, and bone density in one pass. Worth doing as a baseline, then every two to three years if you are working on metabolic health intentionally.
What is a meaningful VO2 max number?
Context matters. The right target depends on your age, sex, and goals. The actionable question is whether your VO2 max is improving, holding, or declining. That trajectory predicts more about your decade ahead than the absolute number.
Where do GLP-1 medications fit?
They are real tools when the data supports them. I prescribe them as part of a Plan, not in isolation. The point is sustained improvement in metabolic markers and body composition, not just weight loss.
Catch it in the years standard panels call normal. Reverse it before it becomes disease.
No charge. No card. No pressure.