Nationwide Virtual Metabolic Care With a Dedicated Physician-Led Team

Get ongoing virtual care from a dedicated physician, health coach, and care coordinator for weight, insulin resistance, type 2 diabetes, blood pressure, cholesterol, fatty liver, sleep, and medication management. Regular visits, connected monitoring, and between-visit access help your team see trends, coordinate next steps, and keep one medical plan moving.

When clinically appropriate, your team can also coordinate labs, sleep studies, continuous glucose monitors, and imaging through insurance or available self-pay options.

This program is HSA/FSA eligible.

Leading Metabolic Health Experts · Dedicated Care Team · Low-Cost Direct Labs & Imaging

Ongoing virtual metabolic care, not occasional telehealth check-ins

  • Care feels fragmented across prescriptions, labs, connected devices, and specialists.
  • Weight, blood sugar, blood pressure, cholesterol, or liver health remain difficult to manage over time.
  • You want a metabolic health physician who reviews trends and works with a coach and care coordinator.
  • Distance or a demanding schedule makes consistent specialty care difficult.

A dedicated physician, health coach, and care coordinator work together around remote monitoring and an evolving medical plan.

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 Our Virtual Metabolic Health Team Helps Manage

Metabolic conditions rarely occur in isolation. Your physician looks at how weight, blood sugar, blood pressure, cholesterol, liver health, sleep, appetite, and medications interact, then builds a coordinated plan with your coach and care coordinator.

Concierge Virtual Metabolic & Primary Care

Expert second opinions, coordinated 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 clinical care, health coaching, care coordination, and real-time monitoring to support practical, sustainable progress.

A Comprehensive Approach to Your Health

We start with a detailed review of your health history, current needs, and goals, then build a focused 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. Learn what GMI, time in range, and glucose variability mean.

Metabolic Health Is Connected

Weight, blood sugar, blood pressure, sleep, cholesterol, liver health, and medications influence one another. We look at the full picture and build one coordinated 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

Virtual Metabolic Care Plan

Nationwide virtual care from leading metabolic health experts.

  • Regular clinical visits and personalized coaching
  • Real-time remote monitoring of weight, blood pressure, activity, and blood sugar
  • Open access to your care team between scheduled visits

For Ages 15+

$250/month
12-month commitment

$500 one-time onboarding fee

This program is HSA/FSA eligible.

Our Clinical Team

Our experienced metabolic health clinicians lead your broader care team, including hospitalization consultation and urgent issue escalation 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

Get started with Toward Health today.

Every journey begins with a single step. Let us help you move toward a healthier, happier life with real care and expert support. Together, we’ll make your better life a reality.

Frequently Asked Questions

As an out-of-network provider, we can help you navigate potential reimbursement options. If your commercial insurance includes out-of-network benefits, you may be eligible for reimbursement for your program. We can provide you with a super bill* for medical services, which you can submit to your insurance for reimbursement under your out-of-network coverage.
*Medicare, Medicare Supplement, and Medicaid are not eligible for superbills.

Yes! You can use your HSA/FSA for our metabolic health programs and equipment.

Virtual Metabolic Care programs require a full 12-month commitment to ensure lasting results. We are dedicated to being long-term partners in your healthcare journey, providing continuous support and personalized care throughout.

Yes. Our physicians are licensed nationwide, allowing us to provide care across the United States.

While the retainer for your program covers appointments, open-access care, and ongoing support, you will be responsible for external services such as lab work, imaging, specialist visits, prescriptions, and anything processed through your insurance.
If you do not have medical insurance, we’ve established partnerships with trusted medical care teams to provide you with affordable options for necessary diagnostic tests.

Your program includes four (4) medical visits with the provider—typically one 90-minute visit, one 60-minute visit, and two (2) 30-minute visits. Additionally, you will receive eight (8) individualized one-on-one health coaching visits, remote monitoring equipment (including a scale and blood pressure monitor), and remote monitoring for other connected devices such as continuous glucose monitors (CGMs), sleep rings, and health kits. The program also provides open access to the office, including support for urgent after-hours needs.

Talk with our concierge team

Discovery calls are scheduled on our dedicated booking page.

View available times This is not a medical appointment.

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