About our programs
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The metabolic assessment
For the person who wants REAL data and an action plan for what to do with it.
You went to your doctor. You got your bloodwork done. They called and said everything looks normal.
And yet — you're still exhausted. Still struggling to lose weight no matter what you try. Still feeling like something is off, even though every marker came back "fine."
Here's why.
Standard annual labs are designed to rule out disease. They check whether your cholesterol is dangerously high, whether your thyroid is dramatically underactive, whether your blood sugar has crossed into diabetic territory. They're looking for red flags — and if you don't have any, you get a clean bill of health and sent on your way.
What they're almost never looking at is optimization. The difference between functioning and thriving. The markers that explain why you feel the way you do even when nothing is technically "wrong."
Things like your IGF-1 levels, which govern how your body repairs and rebuilds tissue. Your free testosterone and SHBG, which affect your energy, body composition, and drive — in both men and women. Your morning cortisol, which tells us how your stress response is actually functioning. Your hs-CRP and homocysteine, which reveal low-grade inflammation that standard panels routinely miss. Your free T3 — not just TSH — which gives a true picture of how your thyroid is actually performing at the cellular level.
These are the markers that connect the dots. And your PCP almost certainly didn't run them.
Your annual labs aren’t telling the whole story
investment: $599
*Applies directly to the Accelerator if you end up enrolling
The 12-Week health accelerator
For the person who wants comprehensive care from start to finish and REAL results that last.
YOU'VE BEEN DOING EVERYTHING RIGHT. SO WHY ISN'T IT WORKING?
You're not someone who gives up easily. You've tried the programs, hired the trainers, downloaded the apps, and done the research. You know what clean eating looks like. You know you should be moving more. You've had stretches where it actually worked — and then life happened, or the results stalled, or the restriction got unsustainable and you were back where you started.
This isn't a willpower problem. It's an infrastructure problem.
The people who get lasting results aren't the ones who try harder. They're the ones who finally have the right support around them at the right time — someone who knows their labs, someone who checks in every week, someone who catches the slip before it becomes a spiral, and a plan that accounts for what happens after the program ends.
That's what we built the Legacy Health Accelerator to be.
Choose your track
clinical track | $2500
For clients who qualify for physician-supervised tirzepatide
The Clinical Track is for people who are ready to use every tool available — including medication — and want to do it the right way. Not through a telehealth app that approves you in 48 hours with no labs and no follow-up. Through a physician who has reviewed your full metabolic panel, a Registered Dietitian who is monitoring your progress throughout, and a coach who is with you every single week.
Who this is for:
Anyone ready to combine clinical support with real lifestyle infrastructure.
People who tried GLP-1s on their own and didn't get the results they expected.
People who want to make sure that when they come off the medication, they don't lose everything they gained.
foundation track | $997
The Foundation Track is built on the same infrastructure as the Clinical Track — the same labs, the same Niki review, the same coaching, the same calls, the same exit strategy. The difference is that this track doesn't include physician-supervised medication.
For some people, that's exactly right. They want the education, the accountability, and the metabolic clarity without adding a prescription to the mix. For others, the Foundation Track is the starting point — a way to build the foundation first, with the option to upgrade to the Clinical Track mid-program if they qualify and decide they want to.
The same program, without medication
Who this is for:
Anyone who wants to do this right without medication — or who wants to build the foundation first and decide later. People who are earlier in their health journey and want to understand what their body needs before adding anything clinical.
What makes this different
There are a lot of places to get a GLP-1 prescription right now. Online forms, two-day approvals, no labs required. We're not competing with those.
What we're offering is what happens when the medication is surrounded by the right infrastructure — a Registered Dietitian who knows your markers, a coach who knows your life, a physician who reviewed your actual bloodwork before signing off, and a team that is invested in what you look like on the other side of this.
The medication is a tool. The program is what makes it work.
Targeted peptide protocols
NOT EVERYONE NEEDS A FULL PROGRAM. SOME PEOPLE JUST NEED THE RIGHT PROTOCOL.
Maybe you've already done the work. Your weight is where you want it, your habits are solid, and you're not looking for a 12-week overhaul. What you're looking for is something more specific — faster recovery from training, better sleep, sharper cognition, more energy, support for your immune system, or optimization at a hormonal level that your annual labs have never addressed.
Or maybe you've heard about peptides and you want to explore what's actually available — not from a Reddit thread or a bro-science YouTube video, but from a physician-supervised program with real lab oversight and a clinical team that knows what they're looking at.
That's what our Targeted Peptide Protocols are built for.
Physician-supervised · Lab-guided · Available locally and remotely
We don't recommend peptides based on your goals alone — we recommend them based on what your biology actually supports. Before any protocol is ordered, we need your labs. Some peptides require specific markers to be within a healthy range before we'll prescribe them. Some are contraindicated based on your history. There are no exceptions to this.
If you've completed a Legacy Metabolic Assessment within the last six months, or if you've graduated from the Accelerator, we already have everything we need and can move straight to a protocol recommendation. If you're coming to us fresh without recent labs, the Metabolic Assessment ($599) is your starting point — it's what makes the recommendation clinically sound, and it's what the physician review is based on.
From there, a licensed physician authorizes your prescription and your medication is fulfilled through our compounding pharmacy — pharmaceutical grade, properly dosed, and cycled for the right duration so you're never on something longer than your body needs.
available protocols
how it works
Step 1
Labs first
Already have recent Legacy labs? We work from those. No recent labs? The Metabolic Assessment ($599) is your starting point and feeds directly into your protocol recommendation.
Step 2
Protocol recommendation
Our labs are reviewed by Niki and run through our clinical assessment process. We'll tell you which protocols your biology supports, which ones aren't appropriate right now, and why.
Step 3
Physician authorization
A licensed physician reviews your case and authorizes your prescription. Your medication is compounded and shipped directly to you.
Step 4
Ongoing support
Targeted Peptide clients aren't left on their own. You have access to your care team throughout your protocol for questions, side effect support, and dose management. At the end of your cycle, we evaluate and make recommendations for what comes next.
Peptide protocols are not a substitute for lifestyle foundations. We're direct about this with every client. If what you need is a full metabolic reset, the Accelerator is the right starting point. Targeted protocols are for people who have that foundation in place and are ready to optimize on top of it.
Full application link coming soon. If you’re interested in a targeted peptide protocol, please email josiah@legacywellness.me to start the process.
Not sure where to start?
Let’s get in touch and figure out the right fit for you! No pressure. No slimy sales tactics. Just data based protocols and personalized recommendations.