“My labs aren't technically abnormal, but are they actually optimal?”
Your physician looks at your existing results in the context of your history, symptoms, and goals, not just the reference range printed on the page.
Metabolic Optimization Consultation · 40 Minutes · 100% Telehealth
Forty minutes of one-on-one telehealth time with a board-certified physician who has read your history, your medications, your supplements, and any labs you already have before the call starts. You leave with a written plan: what to do first, what can wait, and what to stop worrying about.
You choose your state, your physician, and your time on the next screen. Payment is taken when you schedule.
If you have been reading, tracking, and testing but still can't tell what to do first, that is what this visit is for.
Your physician looks at your existing results in the context of your history, symptoms, and goals, not just the reference range printed on the page.
Wearables and panels produce endless numbers. A physician can help you decide which ones are worth tracking and which are noise for you.
Bring your full list. You review what you take, why you take it, and what is worth keeping, changing, or stopping.
That is the point of the visit. You leave with written priorities and clear next steps.
Feeling well is the best possible starting point for a prevention-minded conversation about the years ahead.
Common topics, tailored to you:
Not every patient receives a medication or supplement recommendation. Recommendations are individualized and made only when clinically appropriate. Metabolic Care does not prescribe controlled substances, testosterone or performance-enhancing drugs, and does not provide emergency care.
Board-certified doctors in longevity, prevention, family, functional, and lifestyle medicine. You pick yours when you book.
You are not booking a questionnaire, a coaching call, or an automated report. You are booking one physician's undivided attention for 40 minutes.
Longevity + Prevention Medicine
One of the most recognized voices in longevity and prevention medicine in the United States, focused on healthspan, the years lived in good health.
Board-certified in family medicine · Co-founder and former CMO of AgelessRx · Led the PEARL rapamycin trial
Over two decades, Dr. Zalzala has worked at the intersection of clinical care and health innovation, focused on healthspan, the years lived in good health.
Family + Functional Medicine
Board-certified family medicine physician with more than 20 years across primary care, urgent care, hospitalist, and occupational medicine, in the United States and internationally.
20+ years in practice · Institute for Functional Medicine trained, 2025 · Direct primary care background
That range shows up as a practical, patient-centered approach to everyday health decisions.
Founder · Decades of Clinical + Metabolic Experience
Founder of Metabolic Care, in clinical practice since 1989, with a career spent on the practical side of medicine: nutrition, supplements, sleep, exercise, and medication strategies chosen because they are safe, accessible, and supported by science.
In clinical practice since 1989 · Residency at Stanford University Hospital · Founder of Metabolic Care
For someone trying to optimize their health, that is 35 years of judgment about which small changes actually hold up.
Lifestyle Medicine + Evidence-Based Nutrition
Board-certified in both Emergency Medicine and Lifestyle Medicine, with 20 years of emergency medicine experience and a focus on nutrition and exercise prescription.
Board-certified in Emergency and Lifestyle Medicine · MD, NYU · MPH, Harvard
Her focus areas, nutrition and exercise prescriptions, and mind-body medicine, line up closely with the questions most people bring to a metabolic optimization visit.
You will see everyone licensed in your state, with their backgrounds, before you pick a time. Availability depends on each clinician's licensure and your location. Meet the full Metabolic Care team
Most health information is not wrong. It just wasn't written for your history, your labs or your medications.
Podcasts, wearables, supplement stacks, competing diets, panels full of numbers. Working out which of it applies to you is a clinical judgment call. A physician can look at your history, medications, symptoms, existing testing, risk factors, lifestyle and goals as one connected picture instead of a list of separate datapoints, and 40 minutes is long enough to actually do it.
Metabolic Care works alongside the care you already receive. Recommendations are individualized and no outcomes are guaranteed.
Four steps. The intake and the record review happen before the call, so the appointment itself is all conversation.
You complete an intake and upload what matters: current medications, supplements, any lab results you already have, and the questions you want answered. Your physician reads it before you meet, so the visit does not start from zero.
You meet by video, one-on-one with your physician. 40 minutes as a new patient, 25 minutes as a returning patient. Nothing rushed, nothing generic.
Work through the metabolic factors and health goals most relevant to you, and decide together what deserves attention first, second, and later.
You receive a written plan: your priorities in order, your next steps, and a clear sense of what to ignore for now. Booking a follow-up later is optional. Nothing renews automatically.
In patients' own words.
5.0
Rating on Google
Based on verified patient reviews of Metabolic Care.
“My consultation with Dr. Meakin was very informative. I learned so much about my health and Dr. Meakin explained everything very clearly. We established certain goals to achieve over the next 3 months and I feel confident as I begin the process.”FanniMetabolic Care patient
“Thank you Dr. Meakin for thoroughly reviewing my lab results. Your explanations were very clear and helpful. After speaking to you today, I feel much more at ease and confident about achieving my health goals.”Metabolic Care patient
“Dr. Meakin takes his time, listens intently, offers educated suggestions. He gives detailed information about disease, medications, exercise and diet. He treats the whole patient.”AnneMetabolic Care patient
These reflect individual experiences with Metabolic Care. Patient experiences vary and do not guarantee outcomes. Read more patient reviews
Two appointments. $450 for a new patient, $300 for a follow-up.
Both are 100% telehealth visits with a Metabolic Care physician. One-time fee. No membership and nothing that renews.
For someone meeting one-on-one with a Metabolic Care physician for the first time.
One-time fee · Labs, medications, and supplements purchased separately
For established patients returning to review progress or refine an existing plan.
One-time fee · Labs, medications, and supplements purchased separately
Choose Follow-Up if you have met one-on-one with a Metabolic Care physician within the last 6 months, including through another Metabolic Care service. Choose New Patient if you have only spoken with a patient coordinator, or if it has been longer than 6 months. If you are still unsure, book the New Patient Consultation. Your physician will have the full picture.
You do not need lab results to book. If you have them, upload them and your physician will review what is relevant.
Metabolic Care is a direct-pay practice. Fees are not covered by Medicare, Medicaid or commercial insurance, and Metabolic Care does not submit or contest insurance claims. Some patients are able to use HSA or FSA funds depending on their circumstances, and receipts can be provided on request.
Recommendations are individualized, and no medication or supplement is appropriate for everyone. Metabolic Care complements the care provided by your own physicians, does not provide emergency care, and does not guarantee outcomes. Care is delivered on a HIPAA-compliant, encrypted platform.
Metabolic optimization is physician-led care focused on how your metabolism is actually working and on protecting your long-term health. Instead of waiting for a problem, you and a physician review your history, lifestyle, existing lab results, and goals, then decide which changes are most likely to help you specifically. Some practices call this health optimization, longevity medicine, or prevention medicine. The work is the same.
Adults who want to be proactive about metabolic health, prevention, healthspan and longevity. It suits people who are already deep in nutrition, exercise, supplements or lab testing and want a physician to help prioritize, and people who simply want a knowledgeable place to start.
You do not need lab results to book. If you have them, you are welcome to upload existing results, records, medication lists and supplement lists before your visit, and your physician will review what is relevant. Neither consultation includes a laboratory panel. If new testing would be useful, your physician can discuss it with you and it would be arranged and billed separately. If you would rather start with a physician-reviewed lab panel, see the Advanced Metabolic Roadmap.
Your physician may recommend medications or supplements when clinically appropriate for your individual situation. Nothing is guaranteed or required, and no medication or supplement is right for everyone. Metabolic Care does not prescribe controlled substances, testosterone or performance-enhancing drugs. The consultation fee covers your physician's time. Anything prescribed or recommended is purchased separately.
No. Each consultation is a one-time fee, taken when you schedule. Nothing renews and there is no membership. Booking a follow-up later is entirely your choice.
No. This is a focused consultation about metabolic health and optimization. It complements the care your own physicians provide and does not replace primary care, specialty care or emergency care.
Physicians are licensed state by state, and availability depends on the clinician's licensure and your location. You select your state at the start of booking, so you only see the physicians licensed where you live, along with their backgrounds. Any of them can conduct a Metabolic Optimization Consultation. If you would like help choosing, a free Care Navigation Call is available.
Metabolic Care is direct-pay and does not submit or contest insurance claims; fees are not covered by Medicare, Medicaid or commercial insurance. Some patients are able to use HSA or FSA funds depending on their own circumstances, and receipts are available on request.
You leave with a written plan: priorities and next steps you can begin on your own. You can book a follow-up whenever you want to review progress or adjust your plan, and nothing obliges you to. Ongoing messaging between appointments is not included with a consultation.
A Care Navigation Call is a short, non-clinical conversation with our team. No medical advice is given. It exists to help you pick the right service, not to stand in for the physician visit. If your questions are about cancer care, start with the Cancer Care Consultation instead.
You already have the questions. Forty minutes with a physician is what turns them into a plan.
The best time to sort out your metabolic health is while you still have plenty of room to act on it.