Wellness Programs

Wellness programs

Treat the root cause. Not just the symptoms.

Most people spend years managing symptoms without ever understanding why they feel the way they do. Our structured wellness programs are built to find out and fix it.

Four pillars of health

Where we look when nothing else has worked.

The Symmetry Wellness Formula addresses the four systems that drive most chronic symptoms, in the right order, at the right depth.

Wellness programs are offered at an additional cost and are not included in the Direct Primary Care membership.

01

Hormone Balance

Sex hormones, thyroid, stress hormones, and the nutrients that support them. When these are off, everything is off.

02

Gut Health

Digestion, absorption, and the microbiome. The gut drives inflammation, immunity, and mood, often overlooked as a root cause.

03

Detox Support

Your body detoxifies constantly. We assess metabolic burden and support the pathways that keep your system running clean.

04

Lifestyle Habits

Sleep, stress, movement, and nutrition. The foundation everything else depends on, and often the first place to intervene.

Free · 15 minutes

Start with a conversation.

Before any program, we offer a free 15-minute discovery call to understand where you are and whether we're the right fit. No pressure, no pitch, just an honest conversation about your health.

Book a wellness consultation (opens the secure scheduling portal in a new tab)
“We use the Symmetry Wellness Formula: a structured four-step system where we address your hormones, optimize gut health, provide lifestyle support, and detoxify your body. This approach ensures we're treating root causes, not just masking symptoms.”
Tiffany Pulgiano, DNP, APRN, Symmetry Primary Care

Wellness programs

Three levels of depth. One goal.

Choose the program that matches where you are and how deep you want to go. All programs include labs, office visits, portal access, and targeted supplementation.

Foundational

Hormonal Wellness Triad

Balance sex hormones, stress hormones, and thyroid: the core triad that drives how you feel every day.

3-Month Program
  • Full hormonal lab panel (sex, stress & thyroid)
  • Nutrient assessment (B12, Vit D, ferritin)
  • Saliva cortisol testing
  • Hormone education
  • Office visits, calls & portal access
  • Targeted supplement protocol

Hormone Rx billed separately if prescribed

Book a consultation (opens the secure scheduling portal in a new tab)

Most comprehensive

Hormone & Metabolic Reset

Full hormonal balance plus a deep metabolic and detox assessment, for those ready to understand the whole picture.

3-Month Program
  • Complete hormonal panel
  • Metabolic panel: insulin, A1c, hs-CRP, homocysteine, lipids, ApoB
  • Saliva cortisol testing
  • Health coaching & education
  • Office visits, calls & portal access
  • Targeted supplement protocol

Rx medications billed separately if prescribed

Book a consultation (opens the secure scheduling portal in a new tab)

Advanced

Optimal Wellness

Hormones, metabolism, functional digestion, and nutritional support for complex chronic conditions.

6-Month Program
  • Complete hormonal & metabolic panels
  • Functional digestion assessment
  • Food sensitivity testing
  • Comprehensive supplement protocol
  • Health coaching & education
  • Office visits, calls & portal access

Rx medications billed separately if prescribed

Book a consultation (opens the secure scheduling portal in a new tab)

Add-on

Weight Loss Optimization

For those with 25+ lbs to lose. Includes CGM monitoring, food journaling, hair support, and nutrition medications and supplements tailored to your metabolism. Can be added to any wellness program.

Add to any program · Medications billed separately

For DPC members: Office visits, phone calls, and portal messages during your wellness program are covered under your DPC membership, making each program more valuable at no additional cost, and DPC members receive 25% off all wellness programs. Lab costs for saliva cortisol and specialty testing (food sensitivity, stool) are included in program pricing unless noted. Prescription medications including hormone therapy, metformin, spironolactone, and GLP-1s are billed separately. Programs are cash-pay and not billed to insurance.

Your next step

Ready for care that actually puts you first?