Meet Yourself Where You Are.
Every patient starts at a different place on the mountain. Some are at the very beginning - significantly out of alignment, with a real climb ahead. Others are nearly at the top, needing a physician to help close the last gap and stay there.
Dr. Miranda reviews every application personally and determines your starting tier based on your clinical picture. Where clinically relevant and discussed with you, every tier includes evaluation and management across the full metabolic hormone axis - thyroid, cortisol, insulin sensitivity, sex hormones and growth hormone. The goal of every program is to climb - and to eventually need less of this than you do today.
Base Camp
$299/month
For patients at the most significant point of metabolic misalignment - where the clinical picture is complex, compounding factors are present, and the closest possible physician partnership is required to begin the climb safely.
The highest level of physician access Summit offers. Most frequent contact, fastest response, most proactive oversight. This is where the hardest work happens.
Same day secure messaging with Dr. Miranda
Twice-monthly consultations
Proactive physician outreach between visits
Full Lab evaluation as part of your individualized plan and discussed with your directly
Personalized treatment plan
Nutrition, exercise, and lifestyle coaching
Trailhead
$249/month
For patients with meaningful metabolic misalignment across multiple systems - the path is clear, the work is active, and frequent physician contact keeps progress on track.
High-touch care for the patients navigating a complex but defined clinical picture. One physician, one integrated plan.
Monthly consultations with Dr. Miranda
Twice-monthly physician touchpoints
Priority messaging - 24 hour response
Hormonal axis evaluation and management when clinically indicated - addressed as part of your individualized plan and discussed with you directly
Comprehensive quarterly progress review
Nutrition, exercise, and lifestyle coaching
Ridgeline
$149/month
For patients making active progress - dysregulation is present but the trajectory is positive and momentum needs physician oversight to be sustained.
More frequent contact that standard monthly visits with a physician who stays close as the terrain gets steeper.
Monthly video consultation with Dr. Miranda
Priority messaging - 24 hour response
Hormonal axis evaluation and management when clinically indicated and addressed as part of your individualized plan and discussed with you directly
Quarterly progress review
proactive check-ins between scheduled visits
Nutrition, exercise, and lifestyle coaching
Summit
$99/month
For patients who have reached metabolic alignment - the peak. The climb is complete. A physician stays in your corner to make sure you keep the view.
The clinical intensity is low because your health is where it needs to be. Summit is the goal every Base Camp patient is climbing toward.
- Quarterly visits
Hormonal axis evaluation and management when clinically indicated and addressed as part of your individualized plan and discussed with you directly
Quarterly progress review
Proactive check-ins between scheduled visits
Nutrition, exercise, and lifestyle coaching
Every Base Camp patient is climbing toward Summit.
The price goes down as your health goes up.
Base Camp → Trailhead → Ridgeline → Summit
That progression is not a pricing gimmick. It is the clinical outcome made visible. A patient at Summit paying $99/month has climbed the whole mountain. That is what every program we build is designed to achieve.
Not sure which is right for you? Apply now.