Over time, I began to see the same pattern in very different patients. Some were high-performing professionals in their 30s, 40s, and 50s who were putting real effort into their health but not getting the results they expected. Others were older patients already dealing with chronic illness and looking for a way to push back. Despite those differences, the underlying issue was often the same: insulin resistance. As we age, and depending on genetics, most of us develop some degree of insulin resistance, often gradually and without obvious symptoms. Over time, this can lead to a predictable pattern: increased body fat, loss of metabolic flexibility, rising cholesterol, prediabetes, and inflammation. At a certain point, metabolism becomes less efficient and begins to drift. When that happens, elevated glucose and lipid levels start to damage small blood vessels. These damaged blood vessels affect critical organs in the body: the heart, kidneys, liver, and brain. So, most chronic diseases start with metabolic problems and, much later, manifest as heart attacks, chronic kidney disease, fatty liver, or dementia. I created the LifeLab Protocol to look more deeply, understand physiology more precisely, and intervene at the metabolic level before chronic illness takes hold. The techniques that we use also have a strong impact if chronic illness has already begun.

Most medical care is designed to respond to problems once they are clearly established. It works well for acute issues, but it doesn’t measure and improve physiologic function over time. At LifeLab, the focus is on understanding how the body is functioning now and where meaningful improvements can be made. A central part of that is cardiopulmonary exercise testing, or CPET. CPET allows us to measure VO₂ max, which provides insight into the integrated performance of the heart, lungs, and muscles under stress. It is strongly associated with long-term health and resilience. CPET also provides a detailed view of metabolism and fuel use during exercise. When combined with body composition and targeted lab work, including markers of insulin resistance and inflammation, it creates a more complete picture of metabolic health and cardiovascular risk. We use that data to build a personalized, structured plan.

The LifeLab Protocol is the framework we use to translate data into action. It’s organized around four core areas: sleep, sugar, fasting, and fitness. Each of these can be measured and adjusted over time. Sleep is addressed in terms of recovery and physiology. Sugar focuses on glucose regulation and insulin sensitivity. Fasting introduces metabolic flexibility through timed eating. Fitness and strength are guided by objective test data rather than general recommendations. What matters is how these pieces fit together. The protocol is structured, repeatable, and responsive to change. Who is the right fit for this kind of approach? This approach tends to attract people who are already making an effort with their health but want a more precise, structured understanding of what’s working and what isn’t. That often includes individuals thinking about long-term cardiovascular risk, metabolic health, or maintaining a high level of performance over time. It’s not a passive process. It requires engagement and a willingness to work with data and make adjustments.

The LifeLab Metabolic Reset Program is an eight-week, data-driven program designed to help participants understand and improve their metabolism in a structured, measurable way. Participants begin with a comprehensive in-person assessment at LifeLab Concierge Medicine between August and early September. This includes cardiopulmonary exercise testing, body composition analysis, and blood-based metabolic testing to establish a clear baseline. From there, the program unfolds over eight weeks through weekly video sessions led by me. These sessions are focused on helping participants interpret their own data and apply targeted changes across sleep, nutrition, fasting, and fitness using the LifeLab Protocol. At the end of the program, participants return for repeat testing. We reassess body composition, repeat CPET, and track key metabolic markers to measure objective change. The program culminates in a one-day, in-person capstone session in October at the Presidio, where we refine each participant’s long-term strategy based on their results. Space is intentionally limited to ensure depth, accountability, and meaningful outcomes.

The first step is to reach out through the website. There is a form where you can submit your information and place a deposit to reserve a position in the 8-week program. From there, initial testing is scheduled in August or September. Once that first round of testing is done, you can login to the weekly coaching sessions and repeat testing before the live conference on October 25th. The idea is to gain a much deeper understanding of your physiology and metabolism and see how quickly it changes even over a short period of time. For those interested in the clinical practice, there is also an opportunity to join as a Founder patient while space remains available.

The goal is to create a model of care that is grounded in measurement and focused on meaningful, long-term health improvements. We now have the tools to understand metabolism and physiology at a much deeper level than we did even a decade ago. The challenge is integrating that information into something that is practical and actionable. That’s what LifeLab does.

LifeLab is intentionally a small practice. Each patient requires a detailed assessment and ongoing engagement, so enrollment is limited. I am currently enrolling a small number of Founder patients through the end of the year. This phase focuses on building the model deliberately refining the protocol, and maintaining a level of depth that wouldn’t be possible at a larger scale.