Take your concerns seriously.
Understand your symptoms, history, and goals. Look for what may be driving the problem and explain what the evidence can—and cannot—tell us.
Who we are
Your symptoms deserve attention. Your questions deserve answers. Dr. Tro built Toward Health around the belief that care starts with taking you seriously.
We look for underlying causes and bring medical expertise, coaching, and care coordination together around your health.
Nationwide care. A personal connection.


Our story
Dr. Tro lost 150 pounds himself. That experience changed how he understood medicine—and what patients need from it.
He founded Toward Health to connect careful medical care with the education, coaching, and ongoing support that make change possible in everyday life.
Members of our team have navigated their own health transformations, too. We bring that firsthand understanding to your concerns, your setbacks, and your next step.
Read Dr. Tro’s story →If you’ve felt dismissed or are struggling to get a clear plan, we start by listening.
Understand your symptoms, history, and goals. Look for what may be driving the problem and explain what the evidence can—and cannot—tell us.
Bring medical care, hormonal and metabolic health, coaching, and care coordination into one clearer plan, with testing and screening matched to your needs.
Review records, help with second opinions, and coordinate with specialists or hospital teams when your care calls for it.
Physicians, clinicians, coaches, researchers, and care coordinators bring different perspectives to the same goal: helping you understand your health and move forward.
Your team helps match services to your needs and care plan.
Explore our approach to care →Clinical, research, operations, and technology leaders working as one team to make metabolic care more human, connected, and effective.
Led by Vanoush Sabbagh, the team keeps communication clear and helps patients move smoothly through every stage of care.
Lead Care Coordinator
Vanoush brings more than five years of patient-services experience to clear communication, thoughtful follow-up, and coordinated support throughout each patient’s care.
Care Coordinator
Esther has supported the practice since 2022. She helps patients stay informed and prepared while bringing her background in clinical documentation and research support to the care experience.
Care Coordinator
Maddie combines a biology background with experience supporting the clinical team. She helps patients navigate next steps with practical guidance, encouragement, and attentive follow-up.
Care Coordinator
Jennifer helps patients stay connected to their care team and navigate the practical details of care through clear communication, thoughtful follow-up, and organized support.
Led by Brian Wiley, the coaching team brings practical accountability, lived experience, and sustainable support to the work between visits.
Lead Health Coach
Brian draws on his experience with food addiction, obesity, and weight regain to help patients navigate cravings, setbacks, and sustainable routines with empathy and accountability.
Food Addiction Health Coach
Tia combines training in low-carbohydrate nutrition and food-addiction recovery with lived experience to help people understand addictive eating patterns and build practical recovery strategies.
High-Accountability Health Coach
Vic brings structure, consistency, and accountability to sustainable behavior change. His coaching is informed by his own long-term ketogenic journey and maintained weight loss.
Clinicians and researchers who connect patient care, clinical inquiry, and evidence-based program development.
Medical Director
Dr. Calkins combines clinical practice with work in metabolic health. His background includes physics, medical training at the University of Florida, and residency at Wake Forest School of Medicine.
Senior Advisor for Clinical and Translational Research
Dr. Saner is a family physician specializing in obesity medicine, clinical nutrition, and cardiometabolic disease. Her research and education work focuses on translating evidence-based interventions into primary care.
Associate Director of Research
Dr. Curtis coordinates research initiatives focused on metabolic health, chronic disease, and care delivery. Her background spans metabolic, cardiovascular, and neurological research.
Physician Assistant
Mary is a board-certified physician assistant who combines patient care with clinical research. She was lead author of a peer-reviewed case report examining ketogenic nutrition and Cushing’s disease.
Let’s talk about where you are and where you want to go.