Physician-Led Metabolic Health Programs
Structured, physician-supervised care for adults ready to address the root causes of weight gain, metabolic dysfunction and hormonal imbalance - not just the symptoms. Every program at Summit is assigned by Dr. Miranda following a clinical evaluation. There is no self-selection, no checkout cart, and no one-size-fits-all protocol. Your program is built around your clinical picture — and most patients begin at Base Camp.
What Summit Programs Address
Most adults who struggle with weight, energy, and body composition are not failing because of a lack of effort. They are working against a biology that has shifted - often quietly over the years - in ways that diet and exercise alone cannot fully correct.
Summit programs are designed to identify and address thos underlying drivers:
Metabolic dysfunction - how your body processes and stores energy
Body composition - the balance between fat mass and lean muscle
Hormonal health - where clinically relevant, evaluated and managed as part of your overall program
Long-term stability - not rapid transformation, but durable metabolic control
Every program includes physician oversight, prescription management when appropriate and direct access to Dr. Miranda - not a call center, not a nurse line
How Programs Are Structured
Summit uses a tiered program model based on clinical intensity — the level of physician oversight, contact frequency, and support your metabolic picture requires.
Most patients begin at Base Camp. That is by design.
Base Camp is where the most physician time and attention is concentrated — because the beginning of any climb deserves the most support. Frequent touchpoints, proactive outreach, same-day messaging access, and a physician who is fully invested from day one. It is not a tier reserved for the most severe cases. It is where most people who are serious about lasting change begin.
As your health improves, your tier comes down. So does your monthly fee. Trailhead, Ridgeline, and eventually Summit at $99/month — where the climb is complete and maintenance oversight keeps you there.
Tiers range from $99/month for patients who have reached stability, to $299/month for patients beginning their climb — where most patients start and where the most physician support is concentrated.
Your starting tier is not self-selected. Dr. Miranda reviews your application, evaluates your clinical picture and recommends where you begin. As your health improves your tier — and your monthly fee — comes down.
Learn more about program tiers →
Who Summit Programs Are For
Summit is built for adults who:
Have tried to manage their weight through diet and exercise and are not seeing results proportional to their effort
Sense that something has shifted metabolically - energy, recovery, body composition-and want a physician to help identify what
Want a structured, physician-supervised program with real clinical oversight - not an app, not a subscription box, not a for reviewed by an algorithm
Are willing to do the work and want a physician partner who will do the same
Summit is not for patients looking for a quick fix, a temporary solution or a prescription without a program. Every patient who enrolls is making a commitment to structured clinical process Dr. Miranda makes the same commitment in return.
What Most Patients Can Expect
What to Expect After You Apply
1. Submit your application
Takes less than five minutes. No payment required at this stage.
2. Physician review within 48 hours
Dr. Miranda personally reviews every application. If you are a clinical candidate you will receive an invitation to schedule your initial consultation.
3. Initial consultation
You will meet with Dr. Miranda to review your history, discuss your goals and establish your starting program tier. Most patients begin at Base Camp.
4. Your program begins
Clinical management, labs, follow-up visits and direct physician access - structured around your clinical picture from day one.
The majority of patients who come to Summit begin at Base Camp. This is not a reflection of severity — it is a reflection of where meaningful, physician-directed metabolic work begins. Most patients have never had a physician sit down with them, review their full metabolic picture, and build a plan around what is actually happening in their body.
That is what Base Camp is. A real starting point. With a real physician. Doing real work.
From there, the path is forward. Trailhead. Ridgeline. Summit.
Every step of that progression is a clinical win — and a lower monthly fee.