The Metabolic Shield is a specialized clinical program designed for men with low-grade or indolent prostate cancer (such as those on Active Surveillance) and those seeking to reduce recurrence risk. It combines advanced oncological surveillance with targeted metabolic optimization, addressing underlying drivers like insulin resistance, systemic inflammation, and hormonal signaling to help slow or prevent disease progression.

An initial in-person visit to our clinic is required for your comprehensive intake, initial physical evaluation, and baseline diagnostics. Following your initial visit, your ongoing care, routine follow-ups, nutrition counseling, and clinical monitoring can be conveniently provided remotely via telemedicine, allowing you to receive high-touch care from the comfort of home.

No. The Metabolic Shield program is designed to work alongside your existing urologist and oncological care team. While your urologist manages conventional treatment pathways, our clinic provides specialized metabolic management, targeted lifestyle intervention, and advanced biomarkers to ensure your surveillance is proactive and complete.

Emerging oncology research shows that prostate tissue is highly sensitive to metabolic signals. Elevated fasting insulin, insulin-like growth factor-1 (IGF-1), visceral obesity, and chronic systemic inflammation can create an environment that encourages tumor growth. By optimizing metabolic control—lowering insulin, reducing inflammation, and improving body composition—we aim to "starve" these metabolic pathways.

Yes. For patients with metabolic dysfunction, insulin resistance, or excess visceral fat, GLP-1 receptor agonists can be a powerful tool to improve insulin sensitivity and support favorable body composition changes. Our clinical team closely monitors GLP-1 therapy alongside prostate-specific kinetics and metabolic markers to ensure safety and maximal benefit.

Traditional active surveillance often relies primarily on routine PSA testing and periodic biopsies. The Metabolic Shield elevates surveillance with a multi-layered diagnostic strategy:

• Advanced Imaging Integration: Leveraging multiparametric MRI (mpMRI) and PSMA PET expertise.

• Biomarker Dynamics: Tracking PSA kinetics (velocity and doubling time), fasting insulin, IGF-1, and high-sensitivity CRP (hs-CRP).

• Liquid Biopsies: Utilizing ctDNA and advanced non-invasive liquid diagnostics when clinically indicated.

Monitoring schedules are customized to your individual risk profile. Typically, patients receive comprehensive biomarker evaluations every 3 to 6 months, coupled with regular clinical consultations—conducted via telemedicine after your baseline in-clinic evaluation—and ongoing support from our clinical team, nutritionist, and exercise specialist.

The Prostate Metabolic Shield™ is structured as a dedicated, focused 1-year clinical specialty protocol for active surveillance and metabolic optimization:

• Program Investment: The program fee is $3,950 for the 1-year pathway

• What Is Included: This fee covers your initial in-person comprehensive consultation and customized protocol recommendations, followed by one full year of continuous physician oversight, clinical tracking, and care coordination with our allied health team (nutritionist and fitness trainer) tailored specifically to your prostate health protocol.

• Focused Scope: This is a concierge specialty program designed to work in tandem with your urologist and primary care physician; it does not replace or cover general primary medical care.

• Insurance & HSA/FSA: While the specialized program management fee is direct-pay, ancillary external expenses—such as routine or advanced blood panels, mpMRI/PSMA-PET imaging, and prescribed therapeutics (including GLP-1 medications when indicated)—are typically processed through your regular health insurance. You may also utilize HSA or FSA funds for eligible program fees and medical costs.

• After completing your initial year in the Metabolic Shield program, ongoing support and continued annual engagement are available for $3,950 per year. This ensures uninterrupted access to regular monitoring, consults, and personalized care coordination.

You can request an initial consultation directly through our website or by contacting our clinical coordinator. During your initial in-person intake, we review your full oncological history, imaging, and metabolic labs to build your customized Metabolic Shield protocol.