Focused Clinical Training
Metabolic Health and Insulin Resistance
Your metabolic patient has been told to eat less and exercise more for years. Nothing is working. The problem is not compliance. There is more driving it than conventional training was designed to find.
The Clinical Problem
The most dangerous metabolic patient is the one whose labs look normal.
Fasting glucose 95. HbA1c 5.5. Cholesterol borderline. But HOMA-IR is 3.8, fasting insulin is 22, triglycerides are 180, and HDL is 38. This patient is metabolically ill and on a trajectory toward type 2 diabetes, cardiovascular disease, and hormonal dysfunction. They will not be caught by standard screening labs.
Insulin resistance is not a diabetes problem. It is the central driver behind most of the chronic disease burden you see in primary care. The hormonal patient who is not responding. The metabolic patient who cannot lose weight despite doing everything right. The PCOS patient whose cycles will not regulate. These are insulin resistance presentations.
Stop cycling through the same metabolic visit every three months.
What You Will Learn
Four modules. Twelve lessons. A complete metabolic medicine framework.
01
Understanding Metabolic Health and Insulin Resistance
The Personal Fat Threshold hypothesis. IRS-1 serine phosphorylation and why standard glucose labs miss early insulin resistance. Clinical phenotyping across three patient types. Functional laboratory assessment including HOMA-IR calculation and the five-marker metabolic signature.
02
Clinical Interventions: Nutrition, Movement, and Supplementation
Protein-first protocol and leucine threshold. Food order strategy for 30 to 40 percent postprandial glucose reduction. Carbohydrate timing via the AMPK pathway. Resistance training and Zone 2 cardio prescriptions. Berberine, inositol, magnesium, and ALA with dosing and mechanism.
03
Advanced Presentations: Fatigue, PCOS, and Plateaus
Four metabolic fatigue phenotypes and the HPA-thyroid-mitochondrial distinction. Sleep deprivation and 40 percent insulin sensitivity loss. PCOS as insulin-driven hyperandrogenism including lean PCOS. Weight loss plateau physiology, diet break strategy, and metabolic flux protocol.
04
Clinical Integration: The Metabolic Practice
Three-visit workflow for initial consult, lab review, and follow-up. Body composition monitoring over scale weight. ICD-10 coding including E88.81 insulin resistance. Time-based billing for 99214 and 99215. Three-element integrative documentation notation for the chart.
What Is Included
Everything you need to implement immediately.
$397
One-time enrollment. Lifetime access.
Contact hours being prepared for ANCC/CNA submission. The Colorado Nurses Association is accredited as an approver of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Questions Before Enrolling
Book a free Bridge Call.
Tell Dr. Erwin where you are in your metabolic practice and what you are trying to solve. You will get an honest answer about whether this course is the right fit for you.
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