Two clinical tracks. One physician.
Summit isn’t a prescription-delivery service. It’s a physician-led metabolic practice built around your full hormonal picture — GLP-1 therapy where indicated, hormone optimization where indicated, and a structured care plan that moves with you as your biology changes.
Eating the same. Moving the same. Gaining weight anyway. That’s not a discipline problem.
Weight and hormones are rarely separate problems. Thyroid function, cortisol, insulin sensitivity and sex hormones all interact to decide how your body stores and releases energy. Dr. Miranda evaluates the full metabolic hormone axis at intake — then builds your program around what’s actually driving your case, not a generic protocol.
Find what changed
Baseline labs and a full metabolic-hormone workup — thyroid, cortisol, insulin sensitivity, sex hormones — so treatment targets the real cause.
Treat it properly
GLP-1 therapy and hormone optimization where indicated, dosed and monitored by a physician — the same tools used in a clinical setting.
Build the exit
As your metabolism resets, we taper you down and off — the endpoint most programs never mention.
A real clinic, run by one doctor.
Apply
A short, focused intake — no waiting room, no referral.
Physician review
Dr. Miranda personally reviews your application and full history.
Baseline labs
Bloodwork maps your metabolic-hormone axis and sets your plan.
Monthly follow-ups
Direct messaging and check-ins adjust your plan — through taper.
Two tracks, often combined.
Most patients need more than a prescription. Your program is built from one or both of these, based on what your labs and history show.
GLP-1 Metabolic Program
Compounded semaglutide or tirzepatide, prescribed and titrated by Dr. Miranda and filled through Aspire Pharmacy, an independent licensed 503A compounding pharmacy. Dosing is adjusted to your response and tolerance — not a fixed schedule.
Hormone Optimization (HRT)
For patients whose hormones are part of the picture — thyroid, cortisol, insulin, and sex hormones. Optimizing the underlying axis is often what makes weight loss hold, and taper possible.
Paperwork, labs and your patient app — in one place.
New patients complete a short intake and consent online, then everything — visits, secure messaging, labs and your care plan — lives in the Healthie patient app.
Apply & paperwork
Start your application and complete intake & consent forms online in a few minutes.
Start nowPatient app (Healthie)
Visits, secure messaging, labs and your care plan — all in one secure portal.
Learn moreCompanion tools
Meal planner, exercise planner and daily check-ins — free to use, patient or not.
Open freeA program with a finish line.
Apply in about five minutes. Dr. Miranda reviews every application himself.