Patient app
Patients log meals and protein, plus weight, waist and blood pressure. Glucose and ketone readings are optional, chosen per patient.
The problem
GLP‑1 programs lose patients and muscle in the same window.
Drop-off around day 60
Many patients stop around the two-month mark, after early side effects and before results feel settled. Each one takes future visits and refills with them.
Muscle loss
A meaningful share of weight lost on GLP‑1 medicines can come from lean mass. Without enough protein, strength work and tracking, patients lose muscle they need to keep.
No time to watch everyone
Most clinics can't review every patient between visits, so problems surface late or not at all.
One practice's results
What this looks like at The Adapt Lab.
89%
of patients complete the 12-week intensive
83%
of those who complete it continue into maintenance
Results from the Metabolic OS Reset program at The Adapt Lab, one cash-pay practice with doctor-led follow-up in Solana Beach, California. They are not a forecast for any other clinic. The pilot is designed to find out whether they carry over to yours.
How it works
A supervised program built around the prescription.
Your prescriber keeps the medication plan. Metabolic OS handles what happens between visits.
Daily checks and alerts
Every patient is checked daily. Low protein, missed logging and high blood pressure are flagged for your team to follow up.
Protocol
A structured nutrition, protein and strength protocol that runs alongside the prescriber's plan, with targets the clinician sets for each patient.
Weekly report
Each patient gets a weekly summary of logging, protein, weight and readings, with one thing to focus on next. It downloads as a PDF to bring to visits.
Who does what
From a logged meal to the right person.
Patient
Logs readings and meals in the app.
Metabolic OS
Checks every patient, every day.
Alerts
Go to your staff, or to our coaches on the coaching tier.
Prescriber
Receives anything clinical.
Medication and clinical decisions always stay with the prescriber.
Two ways to run it
Run it with your staff, or let our team run it.
For clinics with their own coaching staff
App only
- The patient app, daily checks and alerts
- Your staff respond to alerts and coach patients
- Clinic dashboard and co-branded patient materials
For clinics that want it handled
App plus coaching
- Everything in app only
- Our team follows up on alerts and coaches each patient
- Your staff enroll patients; clinical issues go to the prescriber
Priced per active patient, per monthNo setup feeNo exclusivityHome kit at cost
Patient data
Built to keep patient data contained.
Signed before anything flows
Your clinic and Metabolic OS sign a business associate agreement before the first patient enrolls.
Each clinic kept separate
Each clinic's patients live in their own database. Staff see only their own clinic's patients.
Every outside service is covered
Any service that handles patient data, including the AI that reviews readings and gives patients feedback, works under its own business associate agreement. Meal photos and voice notes are never stored.
The pilot
Three to five clinics, 90 days, measured on four gates.
No software fee on either tier for 90 days. Success is agreed up front, and you continue only if the gates clear.
Week 2
Activation
Patients are set up and logging.
Day 30
Engagement
Patients are still logging past the first month.
Day 60
Signal
Flagged patients correct course within 5 days.
Ongoing
Response
Every flag gets a response within 5 days.
What your clinic commits
- A named champion with time set aside
- 10 to 15 active patients in the first 30 days
- A 15-minute weekly check-in
What we provide
- Onboarding and staff training
- A named escalation contact
- Coaching for your patients, on the coaching tier
Who built it
Built in a clinic, used with real patients first.
Metabolic OS was built by Dr. Chad Larson, founder of The Adapt Lab in Solana Beach, California. He has more than 20 years of clinical experience in metabolic health.
The app and protocol ran with his own patients before they were offered to any other clinic.
Contact
Want one of the pilot spots?
Book a 20-minute call with Dr. Larson, or send a short note about your clinic and your GLP‑1 program. He replies personally.
chad@getmetabolicos.com
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