Metabolic + Peptide Management
We've designed our Metabolic + Peptide Management program to bring together medical science and an integrative approach, helping you find a sustainable path to better health. Each patient's plan is tailored to their unique health goals while promoting patient safety. Your provider will attend to your various metabolic concerns such as weight gain, fatigue, and fitness optimization. Your provider will utilize your biometric data and review a set of comprehensive labs to address any underlying concerns that may be contributing to your overall wellbeing. During your metabolic + peptide management appointment, your provider will evaluate and select the most suitable GLP-1 agonist, peptide, or NAD+ supplement to align with your body's specific needs.

Overview | Care Instructions | FAQ | What Our Patients Say |  When to Schedule

Medical Procedure Overview
Based on your personal goals, your provider will create a detailed treatment plan combining a variety of peptides, supplements, and/or weight loss medications to achieve your overall health goals.
Your Provider Makes a Difference
Sally Escuin
MSN, FNP-C
Sally Escuin is a board-certified Family Nurse Practitioner with over 7 years of experience in family medicine, emergency care, and intensive care. She earned her Bachelor of Science in Nursing from Texas Woman’s University and completed her Master of Science in Nursing at the University of Texas at Arlington. With a deep-rooted belief in a holistic and preventive approach to health, Sally integrates evidence-based medicine with personalized care, focusing on nutrition, lifestyle, and longevity. She is passionate about empowering patients to take an active role in their wellness journey. A proud Filipino-American, Sally enjoys traveling, curating her growing collection of tropical plants, and is a self-proclaimed sneakerhead. She is married to Mark and is a proud mom to Caroline and Mark Anthony.
FAQ
GLP-1 agonist medications like semaglutide and tirzepatide work in two main ways: they slow down your digestive system to help you feel full longer, and they act on your brain to reduce hunger and cravings. This combination helps improve how your body processes carbohydrates, stabilizes blood sugar and ultimately promotes weight loss and reduces inflammation.
Your provider will walk you through the entire injection process so that you feel comfortable with at-home administration.
NAD+ is important to cellular health. As we get older, our bodies naturally produce less NAD+, a molecule that helps repair damaged cells. This decline in NAD+ levels makes it harder for us to fix cellular damage and can "turn off" genes that speed up degenerative aging. Consequently, we may experience a loss of energy, a decrease in cognitive function, and the visible signs of aging.
Common benefits of peptide therapy include increased muscle mass and strength, boosted energy and metabolism, weight loss, better sleep, faster healing, cognitive enhancement, improved skin health, anti-aging effects, and immune support.
Extend Your Results at Home
- Focus on long-term lifestyle changes to maintain results.
- Ensure that you follow a high quality diet, as discussed by your provider.
- Hydrate well to minimize any side effects of medications and diminish water retention.
- Stay active! The best form of movement is one that you will stick to, find something you love. Your provider will offer suggestions to meet your goals and improve your overall health.

What Our Patients Say
"Jen and the Cult team provide top notch services and the latest products/techniques. It literally feels like you are going to visit your besties because they make you feel at ease. The professionalism is second to none and the results provided are astounding! I won’t go anywhere else! Cult gal for life! 🙂"
"Stephanie was so sweet & gentle! I can be quite the baby when it comes to pain but she did the numb block and talked me through the procedure. I felt very comfortable in Stephanie’s hands. She was just as excited about my lips as I was! Love her vibe!"

"McKinsey, assisted by Bailey, always take exceptional care of me. I love their company and the results from the treatment they provide. 10/10 every time!"
"Jen is very meticulous and professional. The perfect combination for amazing aesthetic results"
"Everything was clean and everyone was friendly. McKinsey was knowledgeable and did an excellent job. I’m a returning client and plan to be for a long time."
When to Schedule Your Treatment
Book any follow-up appointments as directed by your provider or anytime you want to reevaluate your treatment plan.