Coaches do not prescribe
Every coach stays inside scope. Medical decisions remain with a licensed provider. The coach keeps the execution tight and loops the provider in with labs and symptoms when it matters.
Accountability
Protein, sleep, training, adherence. The plumbing most routines skip, wired to your labs and your real schedule.

Methodology
Every coach stays inside scope. Medical decisions remain with a licensed provider. The coach keeps the execution tight and loops the provider in with labs and symptoms when it matters.
Protein targets, training volume, sleep protocol - every weekly target anchors to a biomarker, a symptom score, or a measured trend. We do not run plans on vibes.
Weekly structure with daily messaging during titration windows. Quiet months when things are steady. The point is survival, not performance art.
If coaching is the wrong answer - because you need the provider, not the accountability - we say so at intake. The assessment routes you there directly.
Programs
Weeks 1-4 of any Rx
The window where GLP-1 nausea, TRT sleep shifts, or peptide titration can derail a plan. Daily messaging, dose-day rituals, and symptom scoring.
Included with every regulated Rx program
Month-to-month
Quarterly labs drive the plan. Between reviews, weekly check-ins tighten sleep, training, and protein intake toward the markers you are actually moving.
$149/mo - intake and waitlist at assessment
90-day block
When a prescription is not the answer - or the answer yet - a structured behavior block with hard adherence metrics. Ends on a retest, not a subscription renewal.
Project-based; outcomes reviewed at close
Weekly cadence
Your coach pulls last week's data, your sleep and training signal, and aligns this week's protein, fiber, and training targets.
Short message check. If something is off (nausea, sleep, skipped training), we adjust before it compounds.
Weight trend, waist where relevant, RHR and HRV from your wearable. Honest numbers beat vibes every time.
Groceries, food prep, calendar. The small structural work that makes Monday's plan actually happen.
Coach team

Registered Dietitian - 12 years
Focus
GLP-1 titration, macronutrient programming, fiber and GI tolerance
Mara led nutrition for a hospital-based bariatric program before ALUKARD. She treats the first four weeks of any GLP-1 the way she treated first-week post-op patients - daily contact, zero guessing, lots of broth.

Strength & Conditioning - 9 years
Focus
TRT programming, body-composition arcs, strength on low-volume schedules
Devon built coaching programs for pro baseball strength staffs and now splits that rigor across busy professionals on TRT. Low-volume plans that still build strength and protect lean mass through deficits.

Clinical Health Psychologist
Focus
Sleep architecture, HPA-axis rhythm, adherence behavior
Ari trained at a Stanford sleep lab before shifting to outpatient coaching. Most of what shows up as 'hormonal' or 'metabolic' on labs has a sleep story underneath - she pulls it out first.
Labs that sharpen coaching
50+ biomarkers
The baseline that tells you whether you need a deeper panel next.
Never had modern labs, or the last draw was over two years ago.
Results typically available in 3-7 business days after collection
Start at $99100+ biomarkers
The panel that answers hormone, metabolic, and cardiovascular questions in one draw.
Considering HRT, GLP-1, or peptides and wanting one panel under both.
Results typically available in 5-10 business days after collection
Start at $199Stack that coaches actually prescribe

Closes the 10-15 g daily fiber gap that wrecks GLP-1 tolerability.

3-5 g/day. 2-5 lb lean-mass delta across 8-12 weeks. 500+ trials strong.

Methylated B12, folate, and D3 - the gaps women's labs actually flag.
SECTION // COACHING MEMBERS
Members who started with labs, then layered nutrition, training, sleep, and recovery coaching against the markers that mattered for their goal.
Common questions
Nutrition, movement, sleep hygiene, supplement routines, lab follow-up, GLP-1 side-effect management, and habit architecture. It's structured support, not generic motivation.
No. Coaching supports behavior change and execution; it doesn't diagnose or treat. Medical decisions remain with licensed clinicians, and coaches escalate cleanly when concerns surface.
Yes. Coaches can translate biomarker priorities (low ferritin, elevated ApoB, high HbA1c, low vitamin D) into practical weekly actions and follow-up cadence.
Cadence is set during intake and adjusts with goals and life stage. Most programs run weekly or biweekly check-ins with asynchronous messaging between sessions.
ALUKARD coaching complements existing care. Coaches will not override a treating clinician's plan and will coordinate with the member to keep recommendations aligned.
The assessment routes you to titration support, a 90-day behavior block, or longevity coaching based on what you actually need.