Program IV
The Maintainer

The long game,
kept.

For the person who has already done the hard work — and refuses to lose it.

A quieter membership for people who have already transformed and want a clinician, a coach, and a team that keeps them there. Fewer touchpoints. Same standard. Built for the decade after the reset, not the week after the promise.

"Because how something is kept is how it feels."

01
Outcomes

What actually happens.

94%
Members retained at 24 months
Cohort of graduates from Metabolic + Aesthetic
1 hr
Total clinical time / month
Enough to hold, not enough to hijack the calendar
0
Emergency reboots, member cohort
The point of maintenance

Numbers reported from consented member cohorts. Individual outcomes vary and depend on baseline, adherence, and clinical judgment. We measure and publish because the alternative is theater.

As considered by
  • The Wall Street Journal
  • GQ
  • Bloomberg
  • Vogue
  • Financial Times
  • Monocle
Physician-led
Every plan authored by a licensed clinician.
Discreet by default
Unmarked packaging, on-file logistics.
Quarterly re-labs
The protocol updates when biology asks.
No auto-renewal traps
Pause standing orders anytime.
02
The Protocol

The path, step by step.

  1. 01
    Graduation intake
    We review the protocol that got you here and strip it to what still earns its place. Nothing lives on your counter without a reason.
  2. 02
    The lean stack
    A pared-down protocol — targeted peptides, key labs, a maintenance ritual — designed for a decade, not a quarter.
  3. 03
    One clinical hour, monthly
    Thirty minutes with your clinician, thirty with your coach. Enough to catch drift. Not enough to become a hobby.
  4. 04
    Bi-annual labs
    We watch the numbers that actually predict the next ten years. Fewer labs, better labs.
  5. 05
    The Maintainer Circle
    Quiet dinners, walking salons, once-a-year retreat. Company for the long game.
03 · Who it's for

Freedom From · Freedom To

This is for you if
  • You have already done a reset — with us or elsewhere — and you want to keep it.
  • You want the smallest useful clinical footprint.
  • You want the maintenance, not the reboot.
This is not for you if
  • You have not done the hard work yet. Start with Metabolic or Aesthetic.
04
What comes with membership

One door. The whole house.

Clinical

Monthly clinical hour, bi-annual labs, maintenance protocol.

Coaching

Coach on retainer, seasonal check-ins, off-week nudges.

Circle

The Maintainer Circle — the quietest room in the house.

Shop

Standing replenishment on your protocol. No re-ordering to think about.

The stack includes
  • ·Lean maintenance stack
  • ·Bi-annual labs
  • ·Monthly clinical hour
  • ·Coach on retainer
  • ·Replenishment on standing order
Cadence

Monthly · Bi-annual labs · Seasonal retreats

Investment

From $650 / month · Graduates only

Pricing is honest and reviewed at consult. No high-pressure close.

Begin

You choose the outcome.
We build the responsible path.

Program IV
Numbers next to sentiment

The quiet proof.

Real cohorts. Real labs. Initials for privacy where consent stops there — one founding member on the record, in full, below. The rest borrow her credibility.

On the record · 2026
Founding member · consented
"I've had physicians for twenty years. This is the first team that read the file before they wrote a plan — and the first plan that survived the year."
Isabella MarchettiAuthor & publisher · Miami · Founding member since Q1 2026
HbA1c
5.9 → 5.3
12 months
ApoB
118 → 74
on protocol
VO₂ max
+14%
year-over-year
The membership is worth more than the price tag suggests. My coach texts me on a Sunday because a scan number moved. That's the whole product.
R. Osei
Member · Maintainer
Maintainer
One clinical hour a month. Zero emergency reboots. This is what maintenance is supposed to feel like.
S. Whittaker
Two years graduated
Maintainer
I was afraid of the rebound. Nine months in, the numbers have held — because the plan got smaller, not louder.
Alex R.
Reset → Maintainer
Maintainer
1,240+
Members on file
96%
Protocol completion
4.9 / 5
Post-consult NPS
12
Cities served in-home
Reading
The short path, or your own

Not sure this is your door?

Answer three questions and we'll recommend the right program — or pick your own room. Your reading follows you on every page.

Find your way · 60 seconds

Three questions.
Jump straight in.

Three answers place you on one of our four paths — enough to know where to start today. Accuracy doubles if you answer three more, but you don't need to. Nothing is charged, nothing is sent — the site just remembers.

Your path · forming0 / 3
1Goal
2Phase
3Timeline
Step 01 · The room

Which of these is you, right now?

Each answer points to one of our four rooms. Pick the one that reads truest — not the one that sounds best.

Step 02 · The pace

How far along are you?

This sets the pace we start you at — not the ceiling you'll reach.

Step 03 · The tempo

How soon do you want the first shift?

This becomes the shape of your first 30 days.

Program IV
Frequently, honestly

Straight
answers.

If your question is not here, the fastest path is a consult. We won't chase you and we won't upsell.

Book a consult

No. Long-term protocol members from other clinics qualify — we review your file first.

Six months to establish the rhythm. Month-to-month after.

No. That's the whole point of the Maintainer program — the smallest useful clinical footprint.

Yes. Standing orders can be paused indefinitely; the Circle stays open.

We catch it at the bi-annual read and step you back into a short reset arc — then back to maintenance.

A single-session Maintainer intake is available for graduates evaluating fit.