Our Programs
Pivot offers custom built physician-guided programs organized around each individual’s unique needs and desires. We focus on optimizing lifestyle, metabolism, hormones, body recomposition, recovery, gut symptoms, healthy aging, and more. With our advanced personalization we can build a plan together. Most patients begin with a General Consult, then move into the subscription based programthat best fits their individual needs
• Foundational Wellness & Resilience - For patients who want a smarter starting point built around sleep, nutrition, body composition, recovery, and metabolic resilience.
• Metabolic Optimization - For insulin resistance, adiposity, energy, cardiometabolic risk, and body-composition improvement.
• Hormone Optimization (TRT/HRT) - For carefully evaluated hormone concerns in men and women, with monitoring and whole-picture review.
• Medical Weight Loss - For evidence-based fat-loss treatment integrated with muscle-preserving habits and long-term planning.
• Post-GLP-1 Body Recomposition - For patients who need to rebuild strength, lean mass, and sustainable habits after medication-driven weight loss.
• Gut & Microbiome Optimization - For bloating, bowel-pattern changes, food intolerance, GI discomfort, and selective gut-directed workup.
• Precision Genetic Review - For optional advanced personalization when the foundation is already strong.
• Compliant Peptide Therapies - For carefully governed, evidence-aware use of compliant peptide options where clinically appropriate.
• Microplastic Exposure Review - For practical environmental source reduction and exposure-aware counseling without fear-based detox rhetoric.