Pacific Northwest clinical care

Serious metabolic care for real schedules.

Intake to follow-up on one clean pathway—forest-calm clarity with clinic-grade review. No circus. No miracle claims.

Start intake How it works

3 mapped pathways

48h typical review

0 hype guarantees

Clinician-reviewed metabolic pathways

Pathways

Mapped like a cascade—clear drops, steady flow

Programs aligned to metabolic goals. Medication, if prescribed, is separate and disclosed before you proceed.

Level 01

Trailhead

Foundations intake, habit map, and clinician orientation for metabolic readiness.

Begin →

Level 02

Current

Doctor-guided metabolic evaluation with structured follow-ups when clinically appropriate.

Begin →

Level 03

Summit

Comprehensive metabolic reset with closer touchpoints and adaptive reviews.

Begin →

Method

From intake to follow-through

One pathway. Clear stages. Clinical judgment at every drop in the cascade.

Share your story

Complete a focused intake—history, goals, constraints. About 15 minutes.

Clinician review

A licensed clinician reviews eligibility. No automatic prescriptions. Options explained plainly.

Steady follow-up

Check-ins, education, and adjustments when appropriate. Results vary; we say so up front.

In the wild

Built for misty mornings and full calendars

PNW calm meets clinic discipline—care that fits hiking boots and boardrooms alike.

Morning metabolic wellness routine in soft PNW light

Nature pace. Clinical rigor.

We borrow the Cascades’ patience: measurable progress without the urgency theater.

Voices

Notes from the trail

Shared experiences—not guarantees. Clarity over claims.

“It felt like a clinic that understood rain schedules and real life—not a weight-loss carnival.”

Avery L.Current pathway member

“Clear pricing, honest limits, and a clinician who explained options without pressure. That earned my trust.”

Morgan T.Summit pathway member

Pricing

Transparent tiers. No surprise upsells.

Membership covers clinical access and program support. Medication costs, if prescribed, are separate and disclosed before you proceed.

Trailhead

Intake + foundations

$129 / mo

Membership · meds not included

Online intake & clinician review
Metabolic habit map
Monthly async check-in
Education library

Start intake

Most chosen

Current

Doctor-guided metabolic care

$199 / mo

Membership · Rx evaluated separately

Everything in Trailhead
GLP / metabolic eligibility review
Dosing education if prescribed
Bi-weekly clinician touchpoints
Priority messaging

Start intake

Summit

Comprehensive reset

$279 / mo

Membership · Rx evaluated separately

Everything in Current
Closer marker coordination
Weekly coaching touchpoints
Adaptive protocol reviews
Priority scheduling

Start intake

FAQ

Straight answers

What to know before the first step.

Is Cascade Metabolic a pharmacy?

Cascade Metabolic is a telehealth metabolic pathway. Licensed clinicians review your intake and may prescribe when appropriate. Medications, including compounded options when used, are fulfilled by partner pharmacies.

Are compounded medications FDA-approved?

No. Compounded medications are not FDA-approved. Your clinician will discuss risks, benefits, and alternatives. Individual results vary, and compounded products are not claimed to be the same as any brand-name drug.

Will I automatically receive medication?

No. Eligibility depends on clinical review, health history, and applicable guidelines. If a medication is not appropriate, your clinician will explain other options.

What does membership include?

Membership covers clinical access, education, and program support for your tier. Medication costs—if prescribed—are separate and disclosed before you proceed.

How quickly can I begin?

Most intakes take about 15 minutes. Clinician review often completes within 48 hours, though timelines vary by case complexity and lab needs.

Ready for a clearer metabolic path?

Start with a clinical intake. Honest expectations, PNW-calm pacing, and a pathway that fits your life.

Start intake

Saved.