The supplement protocol behind your results.
These are the supplements Dr. Miranda builds every metabolic plan around — sequenced in three tiers so you add them in the right order, at the right time. Your personal protocol is tailored to you, your labs, and your phase inside your Summit care plan. This is the framework it’s built on.
Extended GLP-1 use can affect how your body absorbs several key nutrients — which is why Summit monitors iron, B12, vitamin D, calcium, magnesium, zinc, thiamine, folate, and vitamin A on longer-term therapy. This protocol is built to cover those gaps precisely, not by guessing at the vitamin aisle.
Tier 1 — Start Now
Required · Day 1The foundation. Start these from day one — they cover the deficiencies caloric restriction and GLP-1 therapy create, and prevent the side effects that derail most people early.
Prevents leg cramps (which peak weeks 2–8) and supports sleep quality.
Near-universal deficiency in obesity; K2 directs calcium to bone rather than arteries.
Reduces inflammation, supports cardiovascular health, and improves insulin sensitivity.
Reduced intake narrows B12 sources; the sublingual form bypasses GI variability.
Covers the micronutrient gaps that open up under caloric restriction.
Tier 2 — Add by Week 2
Highly recommendedThe muscle-protection layer. Losing weight is easy to do badly — losing fat while keeping your muscle is the whole game. These make that possible.
The most evidence-backed lean-mass preservative available — with strong additional data in women for cognitive support and mood during weight loss.
Hitting your protein target through food alone is unlikely on a calorie deficit. Take it before you feel hungry, not after.
Drives muscle protein synthesis directly during caloric restriction.
Tier 3 — Targeted Add-Ons
PersonalizedThe fine-tuning. Everyone gets the gut-support base; the rest is matched to your body and goals inside your care plan.
GI motility and satiety — essential during dose advances, when constipation risk peaks.
GLP-1 alters gut motility; a good probiotic reduces nausea, bloating, and bowel irregularity.
Metabolic & testosterone support
- Zinc 30 mg with food — a testosterone-synthesis substrate and a common deficiency in metabolic syndrome.
- Month 2 bridge (labs first): discuss Boron glycinate 6–10 mg to lower SHBG and raise free testosterone, and Ashwagandha KSM-66 400 mg to reduce cortisol.
Skin, hair & hormonal support
- Collagen peptides 10–15 g daily — supports skin elasticity during rapid loss and reduces the hair thinning common at months 3–6.
- Zinc 15–20 mg with food — collagen + zinc together is your best defense at months 3–5.
- PCOS: Myo-inositol 2 g + D-chiro 50 mg — evidence-based for insulin sensitivity; added at Month 2 with labs.
Every supplement here, in one dispensary.
Skip the guesswork on brands and quality. Everything in this protocol is available in Dr. Miranda’s Fullscript dispensary — professional-grade, third-party tested, and shipped straight to your door.
- 10% off storewide
- Free shipping over $50
- Extra 15% off your first order
This page is educational and reflects the general framework used at Summit Metabolic Health — it is not a prescription or individualized medical advice. Doses shown are common starting points; your actual protocol is personalized to your labs, medications, and phase within your care plan. Dietary supplements are not evaluated by the FDA to diagnose, treat, cure, or prevent any disease. Talk with Dr. Miranda or your physician before starting any supplement, especially if you are pregnant, nursing, or taking other medications.