Service

Quarterly Mechanistic Checkup

Ongoing mechanistic support. Subscription.

Price
$300/mo
Timeline
Ongoing
Duration
Monthly + quarterly deep dive

A monthly subscription for existing clients who want continuous mechanistic guidance as they heal. Three monthly 30-minute check-ins plus a 60-minute quarterly deep dive, with email support between sessions.

Who it's for
  • Post-consultation clients wanting ongoing support
  • Long-term mechanistic refinement
  • Multiple health changes happening over 6–12 months
  • Value continued mechanistic guidance
Timeline

From start to delivery.

  1. 1
    Monthly 30-min sessions
    Three per quarter.
  2. 2
    Quarterly 60-min deep dive
    Comprehensive review every 3 months.
  3. 3
    Email between sessions
    Reasonable Q&A within scope.
What's included

The full scope of work.

    • ·Mechanistic Q&A and protocol adjustment
    • ·New testing interpretation
    • ·Brief summary + action items emailed
What's not included

Boundaries of this engagement.

  • Crisis or acute care
  • Clinical monitoring
  • Lab ordering or prescriptions
Payment & logistics
  • $900 billed quarterly = $300/mo effective
  • Annual prepay: $3,300
  • Cancel anytime with 1 week notice
Deliverable

What the written summary looks like

Every engagement produces a structured mechanistic summary. Outline only — client material is never reproduced.

  1. Section 1
    Case overview

    Concise restatement of the case as submitted.

  2. Section 2
    Key biological axes

    Which mechanistic systems appear most relevant.

  3. Section 3
    Upstream / downstream hierarchy

    Proposed ordering of contributing mechanisms.

  4. Section 4
    Competing explanations

    Alternative mechanistic readings considered.

  5. Section 5
    Testing gaps

    Where current data is insufficient for a confident reading.

  6. Section 6
    Mechanistic hypotheses

    Tiered hypotheses with confidence labels.

  7. Section 7
    Care-team discussion points

    Questions to bring to your clinician(s).

  8. Section 8
    Scope limitations

    What this analysis does not and cannot do.

  9. Section 9
    Next questions

    What to revisit when new data arrives.

Download sample structure (fictional data)
Fit

This is for / not for

For
  • Complex chronic cases that have stalled across multiple specialists
  • Multi-system symptom patterns
  • People with existing labs and records to synthesize
  • People actively working with licensed clinicians
  • People seeking mechanistic interpretation, not protocols
  • People who need synthesis across domains (gut, immune, energy, autonomic)
Not for
  • Emergency or acute medical needs
  • Medication management or adjustment
  • Anyone seeking diagnosis
  • Replacement for clinical care
  • People seeking guaranteed protocols or outcomes
  • People unwilling to coordinate with a licensed clinician
Why the fee reflects the work

What $300/mo reflects

  • Pre-review time

    Records, labs, prior protocols, and clinician notes are read and indexed before any session.

  • Multi-domain synthesis

    Findings are mapped across gut, immune, energy, autonomic, and barrier axes.

  • Live working session

    A focused session that prioritizes interpretation over screen-sharing.

  • Written mechanistic summary

    A document you can bring to your clinical team.

  • Follow-up clarification

    One round of asynchronous clarification questions.

  • Limited active roster

    Active client load is capped to preserve depth of analysis.

Educational mechanistic analysis only. Not medical diagnosis, treatment, prescription, or a substitute for licensed clinical care. For urgent abnormalities, contact your clinician.

Ready to start?

Send a brief note describing your situation and what you'd like to discuss.