The scale will not budge.
METABOLISM
Weight & Metabolic Health
Unexplained changes, insulin resistance, cravings, post-meal energy crashes.
Metabolic Health
Weight and metabolism are connected systems
Unexplained weight changes, insulin resistance, cravings, and energy crashes are often linked to hormones, thyroid function, sleep, stress, gut health, and inflammation — not willpower alone.
We evaluate metabolic patterns holistically to understand what may be driving your body's set point and how to support sustainable change.
Blood sugar roller coaster.
Fatigue with central weight gain.
Diets that stopped working.
Where We Begin
Comprehensive Root CauseConsultation
A single, unhurried telehealth appointment where your whole history is reviewed: records, prior labs, medications and supplements. We identify what may need further evaluation.
Self-pay telehealth practice. Laboratory testing, supplements, medications and ongoing care are additional. Care complements, and does not replace, your primary care physician.

How It Connects
Systems we evaluate in metabolic care
Insulin & blood sugar
Post-meal crashes, cravings, and abdominal weight gain that suggest metabolic inflexibility.
Hormonal influences
Thyroid, cortisol, and sex hormone shifts that change how your body stores and uses energy.
Inflammation
Low-grade inflammatory states that can impair metabolism and make weight loss resistant.
Sleep & stress
Poor sleep and chronic stress directly affect appetite hormones and metabolic efficiency.
Common Concerns
Symptoms we explore in metabolic care
You do not need a formal diagnosis before scheduling. These are common patterns patients describe when metabolism may be part of the picture.
The scale will not budge.
Difficulty losing weight despite consistent nutrition and movement — or gaining without clear lifestyle changes.
Blood sugar roller coaster.
Intense hunger, shakiness between meals, or needing sugar to get through the afternoon.
Fatigue with central weight gain.
Loss of muscle tone, increased abdominal fat, or feeling puffy and inflamed alongside weight changes.
Diets that stopped working.
Approaches that helped briefly but no longer produce results — suggesting an underlying metabolic shift.
Our Approach
How we address metabolic concerns
Care is individualized. Testing, nutrition, lifestyle, and treatment recommendations depend on your history, goals, and what the evidence supports.
Metabolic assessment
We review prior labs, weight history, eating patterns, movement, sleep, and medications that affect metabolism.
Targeted labs
Fasting insulin, inflammatory markers, thyroid, and other tests when they clarify the clinical picture.
Personalized protocol
Nutrition timing, movement, sleep, stress, and clinically appropriate therapies integrated into a realistic plan.
The Difference
Calorie counting vs. metabolic root-cause care
When metabolism is dysregulated, eating less and exercising more is not always the answer. We look for why.
Our Philosophy
“Your body is not failing you. Often, it is responding to signals you have not yet had the chance to understand.”
Metabolic care should feel clarifying — not punitive.
Common Questions
Questions patients often ask
Do you replace my primary care physician?
No. Continue routine preventive, screening and acute care with your existing team. This care complements it.
Are supplements or testing required?
No. Recommendations are individualized, and testing is suggested only when clinically appropriate, with purpose and cost discussed first.
Where is telehealth available?
Care is provided by secure telehealth where Dr. Schwartz holds an active license, currently Florida. You must be physically located in Florida at the time of your appointment. Additional states may be added.
Do you prescribe GLP-1 medications?
When clinically appropriate, medications may be discussed as part of an individualized plan. All options, risks, and costs are reviewed before any recommendation.