Direct Primary Care

Your health is more than numbers. Get concierge-level virtual primary and metabolic care with expert second opinions, personalized support, and a comprehensive approach to long-term health. Proactive monitoring of weight, blood pressure, activity, and blood sugar helps your team stay connected to your health between visits.

Together, we focus on the root causes of chronic conditions and practical next steps that fit your life.

This program is HSA/FSA eligible.

Concierge-Level Virtual Care · Expert Second Opinions · Proactive Health Monitoring

When managing your healthcare becomes another job

  • Thoughtful answers are difficult to get between appointments.
  • Your records, medications, specialists, and home measurements feel disconnected.
  • You want prevention and everyday care from a physician who stays involved.

Direct Primary Care provides ongoing virtual access, second opinions, coordination, and proactive care through one continuing physician relationship.

In the news

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  • USA TODAYVideo interview
  • MedscapeExpert commentary
  • FOX NationKennedy interview
  • NOLA.comLouisiana feature
  • Louisiana Public Broadcasting and PBSPublic TV interview
  • WWLTV, CBS New OrleansLocal news interview
  • Diet DoctorPhysician interview
  • Fox NewsExpert citation
  • Woman’s WorldMagazine feature

What We Treat

Concierge Virtual Primary & Metabolic Care

Expert second opinions, comprehensive primary and metabolic care, proactive monitoring, and convenient virtual access when you need support.

Weight Maintenance & Prevention

Ongoing accountability and personalized support for people focused on maintaining progress and managing weight over time.

Cholesterol & CAC/CCTA Screening

Lean Mass Hyper Responders, hyperlipidemia, hypertriglyceridemia, familial hypercholesterolemia, at-home Holter monitoring, risk reduction, statin therapy support, and contributing genetic factors.

Hypertension

Medication management, prescribing and deprescribing, and ambulatory monitoring over one to three days.

Fatty Liver & Chronic Kidney Disease

NAFLD, FibroScans, and proactive diagnostic testing.

Diabetes & Insulin Resistance

Prediabetes prevention, diagnosis, and remission; type 2 diabetes prevention, diagnosis, and remission; and type 1 diabetes diagnosis, treatment, lifestyle changes, and long-term control.

Autoimmune Conditions

ANA-positive titers, rheumatoid conditions, Hashimoto’s, and ulcerative colitis.

Sleep Apnea

At-home sleep studies and comprehensive screenings for diagnosis and treatment.

What to Expect with Toward Health

We understand metabolic health because we’ve lived it. Our nationwide team combines expert primary and metabolic care, personalized support, care coordination, and proactive monitoring to help you make practical, sustainable progress.

A Comprehensive Approach to Your Health

We start with a detailed review of your health history, current concerns, and goals, then build a focused primary and metabolic care plan. At-home monitoring of blood pressure, glucose, ketones, and other key metrics helps your team guide next steps between visits.

Nationwide Care, Anytime, Anywhere

Stay connected to your care team by video, text, phone, or email. Regular check-ins and ongoing support keep your care moving wherever you are.

Seamless, Coordinated Care

Your Toward Health team can coordinate with your existing medical team, helping keep everyone aligned with your goals and treatment plan.

Progress You Can See

Real-time data and regular follow-up help you understand what is working, adjust your plan with your care team, and build sustainable habits over time.

Your Health Is Connected

Weight, blood sugar, blood pressure, sleep, cholesterol, liver health, medications, and everyday symptoms influence one another. We look at the full picture and build one coordinated primary and metabolic care plan around your health and goals.

Metabolic disease shown in the roots of a tree, with thirteen connected conditions arranged along the branches Dyslipidemia Sarcopenia& arthritis Migraines Acidreflux Type 2diabetes Dementia Fattyliver Cancer Heartdisease High bloodpressure Stroke PCOS /ED Obesity

One Care Team. One Connected Plan. Ongoing Support.

Your Program and Care Team

Direct Primary Care Plan

Concierge-level nationwide virtual primary and metabolic care with a dedicated doctor, dedicated health coach, dedicated care coordinator, and real-time remote monitoring.

  • Four medical visits and eight individualized one-on-one health coaching visits
  • A scale and blood pressure monitor, plus monitoring for compatible connected devices such as CGMs and sleep rings
  • Open access to the office, including urgent issue escalation and after-hours support

For Ages 15+

$250/month
12-month commitment

$500 one-time onboarding fee

This program is HSA/FSA eligible.

Our Clinical Team

Our experienced clinicians lead your care and provide hospitalization consultation when needed.

Toward Health multidisciplinary care team

Dr. Tro Kalayjian

Dr. Laura Buchanan

Dr. Laura Buchanan

Mary Dugandzic, PA-C

Mary Dugandzic, PA-C

Where our clinicians have trained, taught, researched, and led.

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  • Yale Training + invited lecture
  • Stanford Medicine IRB/Data Agreement
  • Wake Forest School of Medicine Coauthored research
  • Greenwich Hospital Grand Rounds
  • University of South Florida Education + research
  • UC Santa Barbara Invited lecture
  • University Hospitals Invited lecture
  • Virginia Commonwealth University Medical Grand Rounds
  • The Obesity Society Invited lecture
  • AAHPO Invited speaker
  • SMHP Founding board
  • Coalition for Metabolic Health Advisor
  • Montefiore Clinical experience

Ready for More Connected Care?

Get concierge-level virtual primary and metabolic care built around your health, your goals, and the support you need between visits.

Frequently Asked Questions

Toward Health is an out-of-network provider. If your commercial plan includes out-of-network benefits, you may be eligible for reimbursement. We can provide a superbill for eligible medical services to submit to your insurer. Medicare, Medicare Supplement, and Medicaid are not eligible for superbills.

Yes. You can use HSA or FSA funds for the program and eligible equipment.

The Direct Primary Care program requires a 12-month commitment so your care team can provide consistent follow-up, monitoring, and personalized support over time.

Yes. Our physicians are licensed in 48 states across the continental United States, allowing most patients to establish a virtual patient-physician relationship regardless of location.

The program covers scheduled visits, open-access care, and ongoing support. You are responsible for outside services such as labs, imaging, specialist visits, prescriptions, and services billed through insurance. If you do not have insurance, we can help connect you with lower-cost options for eligible labs and imaging.

The program includes four medical visits, typically one 90-minute visit, one 60-minute visit, and two 30-minute visits. It also includes eight individualized health coaching visits; a scale and blood pressure monitor; monitoring for compatible devices such as CGMs, sleep rings, and health kits; and open access to the office, including support for urgent after-hours needs.

Talk with our concierge team

Choose a date and time below for a free 20-minute discovery call with our team.

This is not a medical appointment. For new, non-clinical inquiries only. Existing patients should use their secure care channel or call (845) 397-2873. Do not include medical information in the scheduling form. For a medical emergency, call 911. Review our Privacy Policy and Terms. For scheduling help, call (845) 397-1115.

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