Metabolic Health · Pillar
Metabolic disease ends here.
Reverse diabetes. Achieve lasting weight loss. Restore your metabolism — with a physician who actually has time for you.
UCSD-trained · Board-certified · In-person in CA + telehealth nationwide
Does this sound like you?
Does this sound like you?
If you checked 3 or more, a comprehensive metabolic assessment with Dr. Roges may reveal the root cause.
Conditions we treat
Metabolic disease, treated at the root.
Type 2 Diabetes & Prediabetes
Modern, individualized care with the goal of true reversal where possible. Continuous glucose monitoring, medication optimization, nutrition therapy, and cardiometabolic risk reduction.
Insulin Resistance & Metabolic Syndrome
Root-cause diagnosis and comprehensive intervention to address insulin sensitivity, lipid patterns, and blood pressure together.
Obesity with Metabolic Dysfunction
For patients with significant weight to lose and complex metabolic history requiring intensive, long-horizon care.
Weight Loss Resistance
When standard diets fail: RMR testing, hormone evaluation, behavioral coaching, and medication review.
Digestive & Gut Dysfunction
Leaky gut, SIBO, dysbiosis, and microbiome imbalances affecting metabolism, energy, and inflammation.
Non-Alcoholic Fatty Liver Disease (NAFLD)
Metabolic root-cause approach to restore liver health through diet, weight, and targeted therapy.
Which path is right for you?
Three doors into metabolic care.
Sustainable weight loss, with a physician.
Consistent weight gain or want lasting loss without yo-yo dieting. Medical Weight Loss is your starting point.
- Metabolic assessment & labs
- GLP-1 options discussed when clinically appropriate
- Personalized nutrition plan
- Ongoing coaching & monitoring
Timeline: 12–24 weeks to initial results, ongoing support thereafter.
"I lost 38 pounds in seven months — and for the first time, it actually feels sustainable."
— Jennifer M., Medical Weight Loss
Programs
Four programs, organized around the work that needs doing.
Medical Weight Loss
Physician-supervised weight loss combining metabolic testing, GLP-1 options when appropriate, and nutrition coaching.
- Metabolic assessment & labs
- GLP-1 / weight-loss medication options
- Personalized nutrition plan
- Behavioral coaching
Timeline: 12–24 weeks active, ongoing maintenance.
Diabetes Reversal & Management
Modern, individualized care with the goal of true reversal — not lifelong medication.
- Continuous glucose monitoring (CGM)
- Medication optimization
- Nutrition therapy for glycemic control
- Cardiometabolic support
Timeline: Reversal arc typically 12+ months.
Obesity Medicine & Deep Metabolic Work
For complex cases and chronic dieters: RMR testing, behavioral coaching, and long-term maintenance strategy.
- RMR & body composition
- Hormone & behavior evaluation
- Intensive coaching
- Long-term maintenance plan
Timeline: 12+ months, ongoing.
Functional Nutrition
Food as medicine — personalized to your labs and goals. Pairs with all metabolic programs.
- Micronutrient testing
- Gut & microbiome assessment
- Anti-inflammatory eating plan
- Supplement guidance
Timeline: 8–12 weeks to feel meaningful change.
Amplify your results
Pair metabolic care with the rest of the practice.
Peptide Therapy
GLP-1 peptides and recovery peptides amplify metabolic and weight-loss programs.
ExploreIV & Vitamin Therapy
NAD+ for energy, lipotropic injections for metabolism support.
ExploreHormone Optimization
Hormone imbalances quietly stall metabolism — optimizing them unlocks results.
ExploreExecutive Physical
Comprehensive baseline if you want to know your full metabolic and cardiac picture first.
ExploreYour journey
What to expect, step by step.
Comprehensive Assessment (Week 1–2)
- Detailed metabolic history & symptom review
- Comprehensive labs: glucose, insulin, lipids, inflammatory markers
- Body composition analysis
- RMR testing where indicated
- Initial consultation with Dr. Roges
Personalized Program Launch (Week 3)
- Individualized program recommendation
- Medication options discussed (GLP-1, others as indicated)
- Nutrition & lifestyle plan
- Behavioral coaching plan
Active Treatment & Optimization (Week 4+)
- Weekly or biweekly check-ins
- Follow-up labs every 4–12 weeks
- Dose optimization
- Nutrition coaching
- Direct messaging support
Long-Term Success & Maintenance (Month 6+)
- Transition to maintenance protocol
- Quarterly monitoring
- Lifestyle integration
- Prevention strategy
Patient stories
Real results, real patients.
"I lost 38 pounds in seven months — and for the first time, it actually feels sustainable."
— Jennifer M., Medical Weight Loss
"My A1c went from 8.4 to 5.7 in nine months. No insulin, and I feel like I got my life back."
— Marcus T., Diabetes Reversal
"After 20 years of failed diets, something finally stuck."
— Lauren P., Obesity Medicine
"My energy is back. I didn't realize how much my nutrition was holding me down."
— Priya R., Functional Nutrition
FAQ
Metabolic health, questions answered.
Ready to transform your metabolic health?
Book a free intro call with Dr. Roges' team and find out which program is right for you.