Family preparing a health dinner in the kitchen

Metabolic Health

If you feel like your medication list is getting longer and you aren’t feeling healthier, evaluating your metabolic health should be a top priority. The right nutrition can help you improve health issues like type 2 diabetes, obesity, high blood pressure, heartburn, joint pain, fatigue and skin problems. 

Having good metabolic health means that the following metrics/testing results are in ideal ranges without requiring medications:

  • Percentage of body fat/muscle mass/body composition
  • Blood sugar levels without signs of insulin resistance
  • Blood pressure
  • Blood lipids, including HDL and triglycerides

A metabolic health specialist at CHI Health Clinic can help you achieve your personal health goals. Therapeutic carbohydrate restriction is key to our approach, as consuming excess carbohydrates can lead to insulin resistance. 

Insulin resistance is a hormonal imbalance that is the root cause of many of our chronic conditions. A tendency to be insulin resistant may be inherited, but it is driven by diet. Insulin resistance is reversible with nutritional therapy and lifestyle intervention.  


Our comprehensive approach starts with a thorough evaluation, including:

  • Lab tests - fasting insulin, fasting blood sugar, lipid panel, hemoglobin A1C, vitamin D, thyroid levels, hsCRP, uric acid and others as indicated
  • Imaging if indicated/desired- liver ultrasound, heart and vascular disease tests, DEXA scan for body composition 
  • Review of contributing conditions -  depression/anxiety, substance abuse, obstructive sleep apnea, family history, etc 
  • Carbohydrate addiction evaluation

Metabolic Treatments

Your metabolic health practitioner will guide you with a tailored program that can reverse insulin resistance and improve your metabolic health. 

  • Therapeutic carbohydrate restriction
  • Intermittent fasting/Time restricted feeding
  • Optimizing protein intake
  • Correcting nutrition deficiencies 
  • Changing/eliminating medications
  • Managing/anticipating side effects (cravings, constipation, gout flares, etc.)
  • Managing care with your primary care provider/specialists

Who Do Metabolic Health Providers Help?

Our metabolic health practitioners help adults and children who:

  • Struggle with obesity or unintended weight gain; are above expected weight for their age
  • Want to avoid or reduce medications for metabolic disorders
  • Are newly diagnosed with prediabetes/Type 2 diabetes/insulin resistance
  • Are concerned about metabolic health or heart disease risk
  • Have abnormal lipid panels 
  • Have polycystic ovary syndrome (PCOS)
  • Have history of gout

This approach requires commitment and persistence. This is not a diet plan, this is a lifestyle change for long-term health and well-being. 

Call today to schedule your metabolic consultation with one of our providers accredited by the Society of Metabolic Health Practitioners (SMHP), or talk to your primary care provider about making a referral. 

SMHP Accreditation certifies that the practitioner has met the Society of Metabolic Health Practitioners standards for diet and lifestyle practices that address metabolic health. 

Our Metabolic Health Providers

Karen Miller, MD

Direct Primary Care,
Metabolic Health

Paula E. Walters, MD

Internal Medicine,
Direct Primary Care,
Metabolic Health,