Metabolic Health · Pillar
Weight loss that lasts.
Comprehensive metabolic testing. A plan built on your biology. 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: metabolic testing, body composition analysis, hormone evaluation, 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?
Two doors into metabolic care.
Sustainable weight loss, with a physician.
Comprehensive metabolic testing, a personalized nutrition and lifestyle plan, and modern GLP-1/GIP/glucagon treatment when appropriate. Medical Weight Loss is your starting point.
- Comprehensive metabolic testing
- Body composition & metabolic age analysis
- GLP-1 / GIP / glucagon treatment when appropriate
- Personalized nutrition & lifestyle plan
Timeline: 12–24 weeks to initial results, ongoing support thereafter.
Programs
The Medical Weight Loss program.
Medical Weight Loss
Comprehensive metabolic testing, body composition analysis, personalized nutrition, and GLP-1/GIP/glucagon treatment — built around a long-term maintenance strategy.
- Comprehensive metabolic testing
- Body fat / muscle / water analyzer
- Personalized nutrition & lifestyle plan
- GLP-1 / GIP / glucagon treatment
Timeline: 12–24 weeks active, ongoing maintenance.
Amplify your results
Pair metabolic care with the rest of the practice.
Peptides & IV Therapy
GLP-1 peptides and recovery protocols amplify metabolic and weight-loss programs.
ExploreBio-Identical Hormone Replacement
Hormone imbalances quietly stall metabolism — optimizing them unlocks results.
ExploreAnti-Aging Medicine
Protect muscle, skin, and vitality while the weight comes off.
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 fat / muscle / water analysis with body age estimation
- Initial consultation with Dr. Roges
Personalized Program Launch (Week 3)
- Individualized program recommendation
- GLP-1 / GIP / glucagon treatment discussed when appropriate
- Personalized nutrition & lifestyle plan
- Long-term maintenance strategy mapped out
Active Treatment & Optimization (Week 4+)
- Weekly or biweekly check-ins
- Follow-up labs and body composition re-tests
- Dose optimization
- Nutrition coaching
- Direct messaging support
Long-Term Success & Maintenance (Month 6+)
- Transition to maintenance protocol
- Quarterly monitoring
- Lifestyle integration
- Prevention strategy
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.