Metabolic Health
We help you lose weight, improve your body composition and maintain metabolic health as you age.
Metabolic health = the way your body responds to food as energy
Improved metabolic health leads to improved body composition and fat loss. When patients say they want to "lose weight," what they really mean is they want to lose fat tissue. We help you lose weight in a healthy way while maintaining and then building muscle to sustain the fat loss and keep you strong as you age. ​
Metabolism is the delicate balance of multiple systems that power the body with energy. We need energy to complete the most basic activities like breathing and digesting. Our bodies require even more energy during transitional periods in our life like pregnancy and menopause. We work with patients to optimize their energy utilization and look for potential barriers such as thyroid disorders and autoimmune disease.
​
If these systems go awry, patients may require dietary and lifestyle interventions or sometimes medication to support the body to reestablish balance.
​
We know that Metabolic syndrome increases the risk of coronary artery disease. Hormonal influence is important to consider including estrogen, progesterone, thyroid as well as insulin.
​
For some patients, optimization can be achieved with small changes in diet, movement and stress levels. For others, clinically significant weight loss is helpful to lower blood pressure, cholesterol and sugar levels to redefine balance in the body.
​
This type of care is time intensive. Our current health care system doesn't allow for physicians to spend time with patients. We aim to change that.
Conditions
Diabetes & Metabolic Syndrome
Polycystic Ovarian Syndrome
Obesity & Weight Management
Thyroid Disorders
Comprehensive Testing
Laboratory
We are learning more about the power of preventative medicine. Many of these evidence-based lab tests are not performed because insurance companies will not cover their costs. We provide these tests at fraction of the insurance prices. This leaves the decision to the physician and patient. Too many out-of-network practitioners are offering these tests at outrageous prices. It's time to spill the tea. They aren't that expensive.
Imaging
- Metabolic Panel
- Liver function testing
- Complete Blood Count
- Insulin Resistance Screening including Hemoglobin A1c
- Lipoprotein Particle Analysis including Lp(a)
- Cardiac Inflammatory markers
- Inflammatory markers
- Hormone testing
- Thyroid Function Testing
Full lab panel testing available. Discounted lab pricing available through Quest
- Coronary Artery Calcium (CAC) Score
- Body Composition Analysis (BCA) on Inbody 570
Metabolic Solutions
Individual Consultative and Program offerings
Program offerings
6 Month Metabolic Reset Program
​
After a successful 3 month pilot program, we are thrilled to offer an extended 6 month program to both our Fulcrum DPC members and nonmembers. We have have two groups in the year as outlined below.
​
When are you offering this program
October - March
April - September
​
What we are offering in this program
Partnership for 6 months to improve your metabolic health with the help of Dr. Lucas and health coaching with Emily. We will consider associated metabolic dysfunction including thyroid dysfunction, insulin sensitivity and utilize nutrition, movement, medication and behavior modification to optimize your metabolic function and improve longevity. We will consider medications, if indicated.
Medically supervised weight loss programs, focusing on personalized care and addressing underlying health issues, can lead to greater weight loss and better long-term success than generic programs.
​
Yes we can consider medications to support your metabolic health journey but we first will teach you the basics. This foundation will help medication to be more successful and your results more sustainable.
Included in this program
​
-
Intensive - 3 Month​​
-
Clinical Support
-
Monthly 1-on-1 visits with Dr. Lucas
-
Twice/month 1-on-1 visits with Emily, health coach
-
Monthly online Q&A (question and answer) with Dr. Lucas and Emily
-
-
Education
-
Course education on science of metabolic health and obesity medicine.
-
Workbook for education and health coaching.
-
Nutrition guidance
-
Exercise guidance
-
Community for accountability, recipes and tips to support your success
-
Access to additional resources
-
-
Objective tracking
-
Comprehensive labwork in 1st month and follow up labs in 3rd month*
-
3 Inbody body composition scale measurements
-
Professional macro tracking software
-
-
Communication
-
Messaging with your team​​
-
-
-
Continued support - 3 Month​
-
Clinical Support
-
1 follow up visit with Dr. Lucas. Consideration for medication.
-
Monthly health coaching with Emily (telehealth or inperson)
-
Monthly Q&A
-
Continued access to community
-
-
Education
-
Course education​
-
-
Objective Tracking​​
-
Follow up body composition
-
Follow up labwork
-
-
​
Max # participants = 10
​
Fulcrum DPC Members
$750
​
DPC Members, please call the office or send a portal message to sign up.
​
Non-member
$1500
​​​​
​
​
​
Cost of medications not included.
​
Included labs *
Complete Blood Count
Comprehensive Metabolic Panel
HbA1c
Insulin
Lipid profile
Apolipoprotein B
Vitamin D
Ferritin
Advanced lipid testing available at additional cost.​​​​
Additional imaging at extra cost.
2025 April Fulcrum Metabolic Reset Pilot Program Results
-
3 month duration, 7 participants
-
All participants lost body fat
-
All participants lost Visceral fat
-
All participants reported feeling better and reported a positive experience.
-
Non-scale victories included better sleep, feeling stronger, less anxiety and irritability. ​
-
If you decide to join a group after an initial consultation, your consultation fee will go towards the group package cost. HSA/FSA accepted.
Individual consultation
Physician Consultation
​
Initial - 60 minutes - $300
Follow up - 30 minutes - $150
​
​
Includes body composition analysis
$100 deposit required to schedule
​​​
This deposit will be applied to the total amount due for the consultation.
​​
​
Fulcrum DPC members
Initial - 60 minutes - $150
Follow up - 30 minutes - $75
​
Dr. Rulf's patients can call the office to schedule a metabolic health consult and are not required to pay a deposit.
Health Coaching
​
30 minutes - $40
1 month, weekly appointments - $140
​
​
Please email/call our front desk for information.
​​
​
Fulcrum DPC patients
Included with membership - 4 sessions/year​​​
​
​
Fulcrum DPC members can message/call for appointment and are not required to pay a deposit.​
Looking for primary care?
At Fulcrum family health, our direct primary care model allows for consistent access to our physicians and transparent pricing. This encourages patients to build a strong connection with their physician-led team.
Join Fulcrum direct primary care and receive 15% off all wellness services as well as 4 free health coaching visits, access to our body composition machine and so much more. Interested in learning more?