Restart Your Tool and Stop the Stall
your "stall" isn't a lack of willpower—it’s a biological puzzle intensified by shifting hormones and metabolic adaptation. Whether you are 2 years or 10 years post-op, we solve the puzzle of why your "tool" stopped working
Step 1: The Audit ($99) — Comprehensive lab panel. Step 2: The Roadmap — 50 mins to build the strategy. Step 3: The Vitality Phase— Ongoing mastery and wholesale med access.
Most wellness programs start with a sales call. At Empower Wellness, we start with a clinical deep dive. As a DNP, I know that your "stall" isn't a lack of willpower—it’s a biological puzzle. To solve it, we need to look at the numbers.
What is the Metabolic Audit? The Audit is our proprietary entry point for new bariatric patients. Instead of a generic discovery call, we provide a focused, data-driven assessment of your current metabolic state.
How It Works:
Order Your Baseline Panel: You’ll pay a one-time audit fee of $99. This covers your initial 50-minute strategy session and the coordination of your labs.
The Data Collection: I will send you a comprehensive bariatric lab requisition (Quest, avg $200 cash price or use your insurance) or review your existing labs from the last 90 days.
The Audit Session: Once your data is in, we meet via secure telehealth for a 50-minute Metabolic Roadmap session.
The Path Forward: I will explain exactly which hormonal or nutritional gaps are holding you back. If we are a good fit, your audit fee is 100% credited toward your first month of membership.
Metabolic Audit
Your Journey Doesn’t Start with a "Chat." It Starts with Your Data
After your Metabolic Audit and Lab Panel are complete, we meet for your most important session. During this 50-minute virtual intensive, we stop guessing and start strategizing.
What to Expect:
1. The Lab Deep Dive We don't just tell you your labs are "normal." We share our screen and walk you through every marker—from your cellular energy (NAD+) to your hormonal drive (Testosterone) and your metabolic markers. You will finally understand the "Why" behind your symptoms.
2. Your Custom "Triple Threat" Protocol Based on your unique bariatric anatomy (RNY, Sleeve, or DS) and your current labs, I design your specific treatment plan. We coordinate the synergy between:
Metabolic Signaling: Your GLP-1 titration schedule.
Hormonal Preservation: Your Bio-identical Hormone (BHRT) or TRT replacement.
Cellular Repair: Your specific Peptide protocol for energy and recovery.
3. The Lifestyle Architecture Medication is a tool, not a cure. We build your "Muscle Shield"—a plan for high-protein intake (100g+ goal) and bariatric-specific activity that ensures you lose fat, not muscle.
4. Clinical Coaching & Safety You will walk away feeling confident. We cover exactly how to administer your medications, how to manage potential side effects, and what your 90-day trajectory looks like.
What You Get After the Call:
Your Metabolic Roadmap PDF: A written summary of your dosages, goals, and lab schedule.
Nutritional Support: A meal plan optimized for your needs
The Empowerment Library: Access to my private video guides on injection techniques and bariatric troubleshooting.
Direct Portal Access: A secure line of communication directly to me for any questions as you begin your protocol.
The 50-Minute Roadmap Consultation
From Data to Decision: Your Personalized Blueprint
The Connection: Why Your Anatomy Matters in the "Second Act"
Advanced Specialty Care for Bariatric Anatomy We provide expert metabolic and hormonal maintenance for all major bariatric procedures. Your anatomy requires a specialist who understands your unique nutritional and hormonal blueprint.
Roux-en-Y Gastric Bypass (RNY): Managing the complex interplay of malabsorption, "dumping syndrome," and micronutrient depletion.
Vertical Sleeve Gastrectomy (VSG): Supporting the "sleeve" through long-term hormonal shifts and metabolic adaptation.
Duodenal Switch (DS / SADI-S): High-level monitoring for high-malabsorption anatomies where precision dosing is critical.
Laparoscopic Adjustable Band (Lap-Band): Helping "Band" patients pivot to modern metabolic tools like GLP-1s.
Bariatric Revisions: Providing clinical guardrails for those who have undergone a second corrective procedure.
Most hormone clinics treat every patient with a "one size fits all" pill or patch. At Empower Wellness, we know that your surgical history dictates your hormonal future.
How We Optimize Post-Surgical Anatomy:
Precision Absorption: We choose the right delivery methods (subcutaneous injections or topical creams) to bypass the malabsorption issues common with RNY and DS.
Muscle Shielding: Bariatric patients are at a higher risk for muscle wasting during weight loss. Our Peak Performance and BHRT protocols are designed to protect your lean mass and bone density.
Nutrient Synergy: We monitor the specific vitamins (B12, Iron, D3) that act as co-factors for your hormones, ensuring your BHRT or TRT actually works at a cellular level.
The Vitality Phase: Long-Term Metabolic Mastery
You’ve optimized your labs. Now, let’s protect your progress
The Philosophy: Bariatric surgery is a lifelong tool, and your hormones and metabolism require lifelong management to match. The Vitality Phase is our month-to-month maintenance program designed for the bariatric veteran ready to pivot from weight loss to peak performance. We shift our focus to bone density, muscle retention, and cardiovascular health—ensuring your surgery supports a long, high-energy life
What to Expect in Vitality:
1. Refined Maintenance Dosing Once we hit your goal weight and hormonal "sweet spot," we shift from active weight loss to metabolic preservation. We find the lowest effective dose of GLP-1s and Peptides to keep your "food noise" silent and your energy high.
2. Quarterly Bio-Marker Monitoring We continue to monitor your labs every 90–120 days. This allows us to catch "metabolic drift" before it becomes a stall. We monitor your thyroid, sex hormones, and bariatric nutrients to ensure you stay in the Optimal Zone.
3. Advanced Longevity Support In the Vitality Phase, we shift focus toward bone density, muscle retention, and cardiovascular health—the three pillars of aging well as a bariatric patient.
4. Unlimited Portal Access You maintain your direct line to Rachel for any questions regarding your protocol, pharmacy refills, or lifestyle adjustments.
The Vitality Phase Logistics
Month-to-Month Flexibility: After your initial 90-day commitment, you move to a flexible month-to-month membership.
Streamlined Refills: We manage all pharmacy coordination so your maintenance medications arrive at your door without interruption.
Annual Strategy Review: Once a year, we do a 50-minute "Deep Dive" session to adjust your roadmap for the upcoming year.
The "Graduation Promise": Once you reach your goal weight, you unlock our exclusive Maintenance Pricing (approx. 50% savings).
The Roadmap Summary
(The “At-A-Glance” Box
The Roadmap Deliverables:
50-Minute DNP Intensive: A deep-dive screen-share of your specific labs.
The "Triple Threat" Protocol: Your personalized plan for Metabolism, Hormones, and Peptides.
The Metabolic Roadmap PDF: Your written "Operating Manual" (dosages, schedule, and goals).
Wholesale Med Access: Immediate setup with Pharmacy for at-cost medication.
The Empowerment Library: 24/7 access to video guides on injections and troubleshooting.
Request an Appointment
Ready for a Metabolic Reset? This comprehensive 50 minute clinical consult with Rachel, DNP, is designed to identify the hormonal and metabolic gaps standing between you and your peak vitality.