Tirzepatide · Clinically supervised · Root cause protocol
This program pairs the most effective metabolic medication available with the clinical protocol that gives it the best possible foundation — root cause identification, muscle preservation, GI support. Because the medication works best when everything around it does too.
Founding member rate — $315/month. Month-to-month, no annual commitment, cancel anytime.
Clinical credibility, built in
2-minute screening quiz
9 questions screen for known contraindications, assess your GI baseline, and identify which factors in your health history would shape the protocol. Results arrive in your inbox immediately — no consultation required.
The clinical evidence
Tirzepatide is the first dual GLP-1/GIP receptor agonist — activating two metabolic pathways where prior medications activated one. The clinical evidence is unambiguous, and it's worth understanding why before starting.
Regulates appetite signaling, gastric emptying, and insulin secretion.
Improves insulin sensitivity and fat metabolism at the cellular level.
Clinical trials run under controlled conditions — active monitoring, dietary guidance, regular follow-up, protocol adjustments. They are not what happens when a telehealth platform writes a prescription and ships medication with a PDF. Same molecule, very different real-world outcomes. Supervision is the variable.
The problem
Tirzepatide's efficacy is well-established. What isn't well-established in the direct-to-consumer telehealth market is what happens around the prescription — and that's where results live or die.
Most GLP-1 telehealth platforms write the script, send a basic dietary PDF, and consider the job done. No muscle preservation plan. No root cause identification. No active dose management. When the medication stops, so do the results.
Without a resistance protocol and targeted protein intake, up to 40% of total weight lost on GLP-1 medications can be lean mass — not fat. Losing muscle reduces your metabolic rate, weakens your frame, and sets up long-term regain.
Nausea, constipation, reflux, and vomiting are common reasons people discontinue early — and almost all of them are preventable or manageable with proper titration and dietary guidance. But only if someone is actually supervising between renewals.
Clinical data shows significant weight regain in patients who discontinue GLP-1 therapy without a root cause protocol in place. The medication suppresses appetite — it does not fix the biology that was driving weight resistance. That work has to happen in parallel.
Active clinical management
This is what separates a supervised protocol from a prescription. Every known risk of tirzepatide therapy has a clinical response built into this program from day one. Pick one.
In trials without a resistance protocol, up to 40% of total weight lost on GLP-1 therapy is lean mass. Losing muscle reduces your metabolic rate and makes long-term maintenance significantly harder.
How we manage it
A prescription is a piece of paper. A protocol is monthly labs, body composition tracking, dose adjustments, root cause treatment, GI management, and a clinician who knows your name. The medication produces the opportunity. The protocol determines whether that opportunity becomes a permanent change.— The difference between a prescription and a protocol
The missing piece
Tirzepatide creates a powerful metabolic window. Whether it produces lasting change depends on whether the underlying biological driver is also being addressed. Select your suspected driver.
The medication reduces intake, but insulin resistance itself continues untreated. We address it directly — CGM data, targeted labs, and a dietary protocol built to prevent regain.
Add-on labs: fasting insulin trend, uric acid
The Root Cause Quiz identifies your most likely primary driver in about 3 minutes — and shapes your protocol and lab panel from day one.
Everything included at $315/month
No separate lab fees. No separate medication cost. No add-ons to unlock basic oversight. Everything required for a properly supervised tirzepatide protocol — in one place, at one price.
Included
Written by Dr. Pedi after reviewing your labs and clinical picture. Your tirzepatide ships directly from our 503A pharmacy partner at a dose calibrated to your clinical needs and tolerance. Refills automatically while your membership is active.
Included
Initial Quest panel includes fasting insulin, hsCRP, full thyroid panel, lipase, HbA1c, full lipid panel, CBC, CMP, Vitamin D — plus root cause driver add-ons based on your quiz result. Bimonthly follow-up labs throughout your program.
Included
Video consultation reviewing your lab results, confirming your root cause driver, establishing your clinical protocol, and writing your prescription. Not a 5-minute scripting call — Dr. Pedi reviews your case personally before every prescription.
Included
Monthly 1-on-1 with your clinical nurse — labs, biometrics, medication response, side effects, and protocol compliance. Every concern is flagged to Dr. Pedi. Dose adjustments and GI support happen between calls, not only at renewals.
Included
Every other month, you meet directly with Dr. Pedi to review your labs, your dose, and your protocol. This is where prescription adjustments happen and your root cause protocol gets recalibrated based on your results.
Included
Driver-specific meal plan, 16-week workout rotation calibrated to your driver (not generic exercise advice), and a nutraceutical protocol targeting your specific metabolic pattern. Updated after every lab review, delivered through your members portal.
Included
Monthly biometric submission generates a personalized progress report reviewed on your nurse call. You see your trends, your compliance score, and exactly how your body is responding to the protocol over time.
Your patient journey
Here's exactly what happens — no ambiguity about what you're walking into. Open each step for the detail.
13 questions identify your most likely primary root cause driver. Your result routes you to a personalized protocol and determines which lab add-ons are ordered with your initial panel. You can also enroll directly — the quiz is completed after enrollment if skipped.
5 minutes · Free
A short eligibility screen (5 questions, 90 seconds) confirms you don't have clinical contraindications to tirzepatide — personal or family history of medullary thyroid cancer, pancreatitis, or current pregnancy. Once cleared, enrollment completes through secure checkout. Full intake form follows by email.
Eligibility: 90 seconds · Intake form: 10–12 minutes
Lab requisition sent to the Quest location nearest you. No doctor visit required. Results reviewed personally by Dr. Pedi — not an algorithm, not a nurse screening a portal. Your initial panel includes every marker needed to prescribe safely and build your protocol.
Days 2–5 · Included in membership
Video consultation via Jane App. Dr. Pedi reviews your labs, confirms your root cause driver, writes your prescription if you are clinically appropriate, and establishes your personalized protocol. This appointment is the foundation for everything that follows.
Days 7–10 · Telehealth via Jane App
Prescription sent to our 503A pharmacy partner and shipped directly to you. Your members portal activates simultaneously with your full personalized protocol — meal plan, workout rotation, nutraceuticals — built from your labs and driver. Everything calibrated before your first dose.
Days 10–14 · Delivered to your door
Monthly nurse check-ins review your biometrics, medication response, and protocol compliance. Bimonthly Quest labs track your metabolic markers and guide dose adjustments. Dr. Pedi reviews every lab result and approves every prescription renewal. You are never on your own.
Ongoing · All included
The lab panel
Every marker needed to prescribe tirzepatide safely, establish your root cause baseline, and track your metabolic response throughout treatment. Most of these you've never had ordered — pick a group to see what's in it.
All labs through Quest — one visit. Panel is tailored to your quiz result and ordered with your initial visit; bimonthly follow-ups repeat the core panel plus driver-specific markers. No second lab visit required.
Oasis Health
& Medicine · California
Why Dr. Pedi
My path to prescribing tirzepatide started in an obesity research lab, not a pharmacy sales catalog. During my master's in exercise physiology, I co-authored research published in Obesity Research & Clinical Practice showing that people today are heavier than people in the 1980s consuming the same calories and doing the same exercise. Something biological — not behavioral — had fundamentally shifted.
From naturopathic medical school I went to a residency under Dr. Mimi Guarneri — founder of the Scripps Center for Integrative Medicine. Three years of that training taught me to read weight as a metabolic signal that reflects decades of underlying dysfunction — and to look at the markers that predict what's coming, not just what's already arrived.
I prescribe tirzepatide because the evidence is compelling and the clinical need is real. I build a full protocol around every prescription because that is what my training, my research, and over a decade of practice show is required for results that last.
Not necessarily. Most GLP-1 side effects are manageable with proper titration, dietary timing adjustments, and GI support protocols — things that most direct-to-consumer platforms never provide. Many patients who discontinued elsewhere do well in a properly supervised setting. Eligibility is determined on a case-by-case basis after your clinical intake.
Founding patient offer
We're in founding phase — working with a limited number of patients while the full platform scales.
Founding member rate
$315/month
Founding spots are limited. We review every patient personally — this is not an automated platform.
Month-to-month. No annual commitment. Cancel anytime.