Expected outcomes
What should improve.
- Lower fasting insulin and HOMA-IR within 12-16 weeks
- More regular ovulatory cycles in 40-60% of adherent members within 6 months
- Reduced free testosterone with corresponding hirsutism and acne improvement

Protocol
Insulin, androgen, and cycle restoration with the labs that actually drive the plan.
Medically reviewed byDr. Marcus Hale, DO
Metabolic + Men's Health Lead - updated April 2026How we review
Best fit
We screen eligibility before any prescription enters the conversation. Decline is treated as an outcome, not a failure.
Contraindications
These are hard stops. We route into a different protocol or refer out, rather than working around a contraindication.
Execution
Each phase has explicit entry criteria, actions, and exit conditions. The plan moves on data and tolerance, not a calendar.
Phase 01
Weeks 0-2
Validate Rotterdam criteria and the metabolic phenotype before stacking treatments.
Phase 02
Weeks 3-12
Address the metabolic substrate before chasing androgen signs or hormonal layers.
Phase 03
Weeks 13-26
Re-measure, then decide on hormonal layering, ovulation support, or continued metabolic work.
Stack components
Prescription
Provider-selected and state-dependent.
Labs
Coaching
Expected outcomes
Risk picture
Monitoring cadence
Labs and availability
Common questions
Evidence
Trials, regulatory guidance, and peer-reviewed evidence the protocol is anchored against.
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Take the assessment and we’ll route you into labs, a foundational stack, coaching, or provider review based on what you answer.
