Example Program: Metabolic Reset (6 weeks)

Example Program: Metabolic Reset (6 weeks)

Flagship "Sick to Well" Program

The Metabolic Reset is our primary offering for the Chronic Disease audience—people with diabetes, metabolic syndrome, hypertension, PCOS, and obesity who are ready to move from sick to well through root-cause reversal.

This document provides a concrete example of how the Regain Health architecture is configured to run a specific, time-bound health optimization program.

The Metabolic Reset serves as a template for how the core system engines are deployed:

  • The Spine: Configured with a metabolic-specific Baseline Health State (BHS).
  • The Brain: Assessment engine prioritized for metabolic bottlenecks (insulin resistance, energy).
  • The Muscle: Protocol engine delivering weekly optimization loops.

1) Positioning: "The Chronic Disease Reversal Clinic That Never Closes"

This program embodies our brand promise: "From sick to well. From well to optimal. Elite medicine for the rest of us."

For the Chronic Disease audience, we are the answer to 15-minute appointments and pill-only medicine. We offer root-cause reversal, not symptom management.

What we tell users this program is:

  • The elite-level metabolic care previously available only at Mayo Clinic or through concierge medicine.
  • A personalized, explanation-driven reversal protocol—not generic diet advice.
  • A health team that listens, remembers everything, and never rushes you.
  • Designed to work with, not against, existing clinicians.

What we tell users this program is not:

  • A diagnosis or medical treatment replacement (in standalone mode).
  • A promise to cure disease—we target reversal and improvement.
  • A generic content course or one-size-fits-all plan.

Claims boundaries: 05-Compliance-Safety-Privacy.md Brand guidelines: 08-Brand-and-Positioning.md

2) Entry criteria (soft)

Users qualify if any of these apply:

  • elevated weight or waist circumference.
  • history of prediabetes / insulin resistance / metabolic syndrome.
  • dyslipidemia (high TG, low HDL, elevated LDL/ApoB).
  • chronic fatigue, poor sleep, or low energy.
  • plateau despite “doing the right things.”

The program is designed to start with partial data and progressively improve fidelity.

3) Core outcomes (targets, not guarantees)

Each user receives a Week 0 KPI Contract. We set bold, clinical targets as optimization goals.

  • Weight: −5% to −10%
  • Metabolic Markers: Resting glucose, HbA1c, or Triglycerides (downward trend)
  • Sleep Efficiency: +10–20% (via wearable verification)
  • Adherence: ≥70% “green days” (behavioral KPI)

The Contract:

  • User Commitment: Adhere to nutrition guardrails (90%), log Essential 13 daily.
  • App Commitment: Provide real-time feedback, debug stalls, and adjust plans weekly.

If outcomes stall, the agents do not say "try harder." They debug the biological bottleneck (e.g., "Weight loss stalled. Is chronic stress/Cortisol preventing fat loss despite the calorie deficit?").

4) Baseline Health State (BHS)

The Baseline Health State reduces onboarding friction through the Give-to-Get model.

  • Rule: The Essential 13 are sufficient to generate a valid protocol; everything else is an accelerator.
  • Data Encouragement Strategy: For every piece of data shared, the user gets an immediate insight.
    • Example: User shares CGM data -> "Oatmeal spiked your sugar to 160. Let's try eggs tomorrow."

The Essential 13

Subjective (feel)

  1. Primary goal (weight loss, energy, sleep, longevity)
  2. Energy level (1–10): “How do you feel at 3 PM?”
  3. Sleep quality (subjective): “Do you wake up refreshed?”
  4. Hunger pattern (morning/afternoon/night)

Objective (measure) 5. Age 6. Sex 7. Current weight 8. Height 9. Waist circumference (proxy for visceral fat; allow estimation)

Context (life) 10. Dietary style (omnivore/vegan/keto/etc.) 11. Feeding window (first + last meal) 12. Activity constraints (injury/mobility) 13. Medications (especially metabolic meds: insulin, metformin, statins, GLP-1s)

Accelerators (not gates)

These increase precision and speed:

  • labs upload (clinical layer)
  • wearable sync (sleep/stress loop)
  • DNA data (genetic predispositions)
  • CGM (meal-specific response)
  • food photos (micronutrient precision)

5) Program structure (6 weeks)

Week 0 — Baseline & contract

  • Build baseline Health State snapshot.
  • Establish:
    • primary metabolic bottleneck hypothesis.
    • initial KPI targets.
    • constraints (injury, schedule, food access).
  • Deliver:
    • “what matters most right now” explanation.
    • protocol v1.

Weeks 1–5 — Weekly optimization loop

Each week follows the same loop:

  1. Check-in (adherence + barriers + subjective response).
  2. Health State update (ingest + new versioned snapshot).
  3. Explanation (what changed + what likely explains it).
  4. Protocol adjustment (nutrition dose, sleep defaults, movement Rx, stress/recovery).
  5. Education (one micro-lesson explaining why).

Week 6 — Consolidation & Transition (The Bridge)

  • Final comparison: baseline vs current KPIs.
  • Identify what worked, what stalled, and what remains uncertain.
  • Maintenance Mode: Transition the user from the intensive 6-week program to the Pro subscription for long-term optimization.
  • Deliver final maintenance recommendation and next-phase roadmap.

6) Protocol domains (always addressed)

Every weekly plan touches all four domains:

  1. Nutrition (guardrails > rules; glycemic control, satiety, micronutrients)
  2. Sleep (foundation; timing, light, temperature, routine)
  3. Movement (zone 2 bias + resistance; adapted to constraints)
  4. Stress & recovery (cortisol management + active recovery)

7) Adherence model

  • Each day is marked: green / yellow / red.
  • Weekly adherence rate is visible.
  • Low adherence triggers debugging, not blame (environment? sleep debt? plan too aggressive?).

8) Safety & escalation

  • Red-flag symptoms trigger immediate escalation guidance.
  • If data is missing or refused: explicitly state uncertainty and run safest-case logic.
  • Medication changes are never instructed.
  • Encourage clinician coordination.

Canonical: 05-Compliance-Safety-Privacy.md.

9) Privacy & trust guarantees (program-specific)

  • Health State export anytime.
  • Kill switch / deletion.
  • Weekly explanations include: what data was used + what assumptions were made.
  • Sensitive topics can be handled in incognito mode.

Canonical: 05-Compliance-Safety-Privacy.md.

10) Commercial packaging (referenced)

  • Sold as a one-time upfront program.
  • Includes Pro features for duration of the program.
  • Cohort-based delivery to ensure high-fidelity support.

11) Purpose of this Example

This program demonstrates how the Regain Health can convert:

  • intent → action
  • data → outcomes
  • outcomes → trust

It is the operational proof layer for the entire architectural philosophy.

12) Future Extensions (Edition Roadmap)

Once validated, this template extends to programs across both audience journeys:

Sick to Well (Chronic Disease Reversal):

  • Women's Metabolic Reset
  • Diabetes Reversal
  • Heart Health (hypertension, lipids)
  • Autoimmune Symptom Management

Well to Optimal (Longevity Optimization):

  • Longevity Protocol
  • Cold Plunge & Sauna Optimization
  • Biological Age Optimization
  • Executive Health

See 08-Brand-and-Positioning.md for edition naming guidelines.

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