What we help with
The conditions behind “I’ve tried everything.”
If you’ve tried several approaches without a clear answer, one possibility is that the pieces have never been evaluated together.
The most common reasons patients arrive at Twin Cities Metabolism — and how we evaluate the cascade behind each one before recommending a single intervention.
Eight common entry points
What we actually work on.
Each card is a case profile — the diagnostic frame, the markers we run, the questions we’re answering. Click any to see the cascade.
A different way of looking at conditions
Most chronic conditions are cascades, not categories.
Conventional care names conditions by their loudest symptom: low thyroid, PCOS, perimenopause, IBS. Useful labels — but they hide a more important truth.
In our clinic, almost every patient we see has two or three of these conditions at once, driven by an overlapping set of upstream causes: gut dysfunction, undertreated thyroid, HPA axis stress, insulin resistance, hormonal disruption, hidden inflammation. The label changes; the underlying physiology often doesn’t.
That’s why our evaluation starts with the cascade — not the diagnosis. We measure first. The data helps narrow the priorities before a protocol is chosen.
Six areas we can examine
- Gut and microbiome
- Cortisol and stress patterns
- Insulin resistance
- Hormone-related patterns
- Thyroid function
- Inflammation
These areas can overlap and appear under different symptom or diagnosis labels.
- Weight-loss resistance
- Metabolic adaptation
- Low thyroid
- Insulin resistance and PCOS
- Hormone symptoms
- Perimenopause
- Food intolerance and IBS
- GLP-1 support
Illustrative — a symptom or diagnosis label does not identify which area is relevant for one person or establish causation.
Still not sure which fits?
None of these sound quite like you?
Answer a few quick questions and we’ll point you to the right starting point in about 90 seconds — no reading required.
Find your path →Why measure with us?
A lab-testing app hands you a hundred numbers. A national telehealth membership gives you video visits. We measure what they can’t — your actual resting metabolism and body composition — read every marker as one connected story, build the plan with you, and re-test to measure whether it’s working.
Lab-based testing runs the same locally or nationwide; resting metabolism and body composition are measured in our Roseville clinic.
“Jared’s knowledge is mind-blowing and he isn’t trying to sell you on any cookie-cutter products or packages or workout routines, he is helping you understand how YOUR body works… A test result may look normal to your normal doctor, but Jared can look at the ranges within the normal ranges and help you understand how YOUR body is working.”
— Tammy B., Google review
Individual results vary.
Medically reviewed by Dr. Jared Larsen, LN, CNS, DC, MS.