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 starting 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.
The Summit Program — $149/month
One flat price until you reach your goal.
Monthly physician consultation (video or async)
Personalized dosing management and titration
Direct messaging with Dr. Miranda
Full Ten Commandments of GLP-1 framework
Care plan management through your secure patient portal
Ready to maintain? Once you reach your goal weight, you drop to $99/month — quarterly check-in, prescription renewal, and tapering support as you work toward medication independence.
Medication is prescribed through an independent licensed 503A compounding pharmacy and billed directly to you — typically $50–$200/month depending on dose. Labs are ordered at cost and billed separately.
Summit Complete— $399/month
For patients who want more access and a fully managed experience.
Everything in the standard program, plus:
Twice-monthly physician consultations
Labs included — three comprehensive panels per year, no separate bill
Priority scheduling and response
All inclusive, no extra fees every.
The hardest part isn't the mountain.
It's deciding to start climbing.
Most programs hand you a prescription and a portal login. Summit hands you a physician, a plan, and a path — one designed from Day 1 to get you to a place where you need us less, not more.
You'll start where every climber starts — at the base. Early days are about building momentum. Learning your body's signals. Finding the dose that works. Protecting your muscle while the weight comes off. Dr. Miranda is with you every step — not an algorithm, not a nurse queue, not a chatbot.
As you climb, things get easier. The habits take hold. The cravings quiet. The energy returns. You stop thinking about food the way you used to.
And then you reach the top.
Maintenance isn't failure to finish. It's proof you made it. A lighter commitment to protect everything you've built — quarterly check-ins, prescription renewals, and the security of knowing your physician hasn't disappeared now that the hard work is done.
This is the only program designed to get less demanding as you get healthier.
Because your success is the point — not your subscription.