Metabolic Health, Done Right.
Physician-Led. Structured. Built to Last.
Physician-supervised weight management and metabolic optimization - with real medical oversight, personalized care plans and a physician who actually knows your name.
Serving Tennessee, Georgia, Florida, Washington, and Ohio.
If You Feel Like Something Has Changed
You’ve tried to be responsible.
You’ve cleaned up your diet.
You’ve joined a gym.
You’ve told yourself you just need to be more consistent.
And maybe you are consistent.
But the results don’t match the effort.
The weight feels harder to lose than it used to.
Energy feels less predictable.
Recovery is slower.
Your body feels different than it did even a few years ago.
It can start to feel frustrating — or discouraging.
You may wonder if it’s age.
Or stress.
Or hormones.
Or something you’re simply supposed to accept.
Summit was built for adults who sense that shift and want clarity.
Because weight gain and metabolic change are rarely about willpower alone.
They are often signals — hormonal changes, muscle loss, or metabolic slowdown.
This practice exists to address those signals with structured, physician-directed care.
Not blame.
Not extremes.
Not quick fixes.
This practice exists to answer the question your last doctor didn't have time to ask: what is actually happening inside your body — and what do we do about it?
Summit was built for adults who sense that shift and are ready for a real answer.
How It Works
A structured process designed for clarity, accountability, and sustainable progress.
Find Out If You Qualify — No Commitment
Complete a brief medical intake. Takes less than five minutes. No payment required until you're accepted and ready to begin.
A Real Doctor Reviews Your Case
Dr. Miranda personally reviews your intake within 48 hours. If you're a clinical candidate, you'll be invited to schedule your consultation.
Your Personalized Plan, Built for You
A physician-led telehealth visit to establish your baseline, review labs if indicated, and design a metabolic strategy built around your body — not a template.
We Stay With You Every Step
Monthly follow-up visits, medication management, and direct messaging with Dr. Miranda — not a call center. Your progress is tracked. Your plan evolves with you.
Ready to Begin?
Applications are reviewed within 48 hours
Founding Member Offer — Limited Spots
⚡ Founding Member Offer — Limited Spots
Join during our launch period and lock in preferred pricing on your first 3 months.
Founding Member pricing is available for limited number of patients.
Meet yourself Where You Are.
Every patient starts at a different place on the mountain. Some are at the very beginning - significantly out of alignment, with a real climb ahead. Others are nearly at the top, needing a Physician to help close the last gap and stay there.
Dr. Miranda reviews every application personally and determines your stating tier based on your clinical picture. Where clinically relevant and discussed with you, every tier includes evaluation and management across the full metabolic hormone axis - thyroid, cortisol, insulin sensitivity, sex hormones and growth hormone. The goal of every program is to climb - and to eventually need less of this than you do today.
Base Camp
$299/month
Where most patients begin. Starting at Base Camp means you're ready to do the work with a physician who is fully invested from day one. The highest level of access, the most frequent touchpoints, and the most proactive oversight — because the beginning of any climb deserves the most support.
The highest level of physician access Summit offers. Most frequent contact, fastest response, most proactive oversight. This is where the hardest work happens.
Same day secure messaging with Dr. Miranda
Twice-monthly consultations
Proactive physician outreach between visits
Full Lab evaluation as part of your individualized plan and discussed with your directly
Personalized treatment plan
Nutrition, exercise, and lifestyle coaching
Trailhead
$249/month
For patients with meaningful metabolic misalignment across multiple systems - the path is clear, the work is active, and frequent physician contact keeps progress on track.
High-touch care for the patients navigating a complex but defined clinical picture. One physician, one integrated plan.
Monthly consultations with Dr. Miranda
Twice-monthly physician touchpoints
Priority messaging - 24 hour response
Hormonal axis evaluation and management when clinically indicated - addressed as part of your individualized plan and discussed with you directly
Comprehensive quarterly progress review
Nutrition, exercise, and lifestyle coaching
Ridgeline
$199/month
For patients making active progress - dysregulation is present but the trajectory is positive and momentum needs physician oversight to be sustained.
More frequent contact that standard monthly visits with a physician who stays close as the terrain gets steeper.
Monthly video consultation with Dr. Miranda
Priority messaging - 24 hour response
Hormonal axis evaluation and management when clinically indicated and addressed as part of your individualized plan and discussed with you directly
Quarterly progress review
proactive check-ins between scheduled visits
Nutrition, exercise, and lifestyle coaching
Summit
$99/month
For patients who have reached metabolic alignment - the peak. The climb is complete. A physician stays in your corner to make sure you keep the view.
The clinical intensity is low because your health is where it needs to be. Summit is the goal every Base Camp patient is climbing toward.
- Quarterly visits
Hormonal axis evaluation and management when clinically indicated and addressed as part of your individualized plan and discussed with you directly
Quarterly progress review
Proactive check-ins between scheduled visits
Nutrition, exercise, and lifestyle coaching
Every Base Camp patient is climbing toward Summit
The price goes down as your health goes up.
Base Camp→Trailhead → Ridgeline → Alpine → Summit
That progression is not a pricing gimmick. It is the clinical outcome made visible. A patient at Summit paying $99/month has climbed the whole mountain. That is what every program we build is designed to achieve.
The Ten Commandments of GLP-1
Every Summit patient receives this physician-designed framework. Because clinical care is only part of the answer.
I. Be Consistent — Stay on schedule with your treatment plan.
II. Hydrate Daily — 1–2 liters minimum, every day.
III. Replenish Electrolytes — Add sodium daily, especially early in treatment.
IV. Prioritize Protein — 0.8–1.2g per pound of goal body weight.
V. Lift Weights — Strength train at least twice weekly to protect muscle.
VI. Progress Thoughtfully — The lowest effective dose always wins.
VII. Eat Slowly — Stop at 80% full. Your hunger signals are changing.
VIII. Avoid Ultra-Processed Foods — Choose whole inputs whenever possible.
IX. Guard Your Bowels — Hydrate, add fiber, and stay ahead of constipation.
X. Measure Beyond the Scale — Track strength, waist circumference, and energy.
Structure drives transformation.
Common Questions
Still have questions? Take a look at the FAQ or reach out anytime. If you’re feeling ready, go ahead and apply.
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No. Summit is a cash-pay practice. This is intentional — it allows Dr. Miranda to prescribe based on what's clinically right for you, not what an insurance company will approve. No prior authorizations. No delays.
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No. Summit allows for telehealth consultations, follow-ups, and messaging are all handled virtually.
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Summit currently serves Tennessee, Georgia, Florida, Michigan, Washington, and Ohio. Additional states will be added as capacity grows.
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Yes. Enrollment is month-to-month. Cancel with 30 days notice.
About Dr. Miranda
Paul Miranda, MD is a board-certified Family Medicine physician with over 20 years of clinical experience, including extensive work in emergency medicine, geriatrics, and chronic disease management.
Summit Metabolic Health was built because Dr. Miranda kept seeing the same pattern: patients doing everything right and still losing the battle against metabolic dysfunction. Properly managed clinical intervention changes that equation. Summit exists to manage it properly.
Board Certified — American Board of Family Medicine
Active medical licenses across multiple states
Telehealth provider across TN, GA, FL, WA, and OH