For referring clinicians
You refer a defined question. We assess and treat within that scope, and send our findings and reasoning back to you. The ongoing care plan stays with you.
Co-management
Ongoing management decisions stay with you.
We take on the part you ask for, and report our reasoning.
Written to you after the consultation, with results copied to your practice.
Where we identify something beyond the referral, our intent is to discuss it with you before acting.
Referral scope
Each of these is an episode of care, not a transfer. Two of them overlap work you may normally hold — we say so plainly below, and we hand the patient back at the close.
The 40+ baseline or 60+ comprehensive biomarker panel — advanced lipids including Lp(a), fasting insulin and HOMA-IR, inflammatory markers. On-site or referred laboratory testing, interpreted by a physician.
Metabolic baseline, continuous glucose monitoring with pattern analysis, and a precision nutrition protocol, reviewed monthly or quarterly. Run for a period agreed with you at the outset, then returned.
Advanced lipid and Lp(a) assessment, ten-year risk stratification, and a protocol built to that picture. Run for a period agreed with you at the outset, then returned.
A twelve-week intensive combining continuous glucose monitoring, precision nutrition and group movement medicine.
A specialist hormonal panel with written recommendations, where that would be useful alongside your management.
The reversal pathways include structured medication reduction where a patient’s markers support it. We do not make that change. We write to you with the proposed adjustment, our reasoning and the monitoring plan — and the prescribing decision stays yours.
At the close of the episode the patient returns to you, with our findings, our reasoning, and recommendations for you to accept, adapt or decline.
After you refer
Timings below are marked where they need confirming. We would rather state nothing than state a turnaround we cannot hold to.
A Premier physician reviews the referral alongside your clinical question.
Receipt confirmed to your practice within 24 hours.
The patient is contacted to schedule, and seen for the referral question.
We write to you with findings, investigations and the proposed plan.
The patient returns to your care at the close of the episode, with our reasoning documented.
Making a referral
Urgent cases are best handled by phone — call (441) 292-5111 and ask for the referral team.
What helps us most: