― ― What We Treat
Specialized care for complex metabolic conditions.
Every service at Thrive is built around precision science, evidence-based
protocols, and the time your condition demands.
- Diabetes & Metabolic CareType 1 · Type 2 · Prediabetes · LADA
Comprehensive diabetes management goes far beyond HbA1c targets. Dr. Alfonso takes a full metabolic view — assessing cardiovascular risk, renal function, neuropathy, retinopathy, and the hormonal factors that affect glucose control.
- Continuous glucose monitoring (CGM) prescription & training
- Advanced GLP-1 receptor agonist therapy (Ozempic, Mounjaro, Zepbound)
- SGLT-2 inhibitor protocols for cardiorenal protection
- Insulin weaning & transition support where clinically appropriate
- Diabetic complication screening & prevention
- Comprehensive metabolic panel & cardiovascular risk assessment
- Weight Loss MedicineGLP-1 therapy, medical weight management
Weight management is a medical condition with biological drivers — not a willpower problem. Our program addresses the hormonal, metabolic, and psychological factors that make weight loss difficult and weight regain so common.
- GLP-1 / GIP dual agonist therapy (Wegovy, Zepbound, Saxenda)
- Hormonal root cause analysis — thyroid, cortisol, insulin resistance
- Medical nutrition therapy & metabolic coaching
- Body composition analysis beyond BMI
- Post-bariatric surgery support & management
- Sustainable long-term maintenance protocols
- Hormone OptimizationHRT for women · TRT for men · Thyroid
Hormones regulate every aspect of metabolic health — from blood sugar and weight to energy, cognition, sleep, and cardiovascular function. Dr. Alfonso specializes in identifying and correcting hormonal imbalances that conventional labs miss.
- Menopause & perimenopause HRT / MHT (estradiol, progesterone)
- Testosterone replacement therapy (TRT) for men & women
- Thyroid optimization — including T3, reverse T3, Hashimoto’s
- Adrenal & cortisol assessment
- Advanced hormone panels beyond standard reference ranges
- Longevity MedicineHealthspan optimization, metabolic resilience
Longevity medicine is the science of adding quality years to your life — not just years. We focus on the metabolic pillars of healthy aging: insulin sensitivity, inflammation, mitochondrial function, and hormonal vitality.
- Comprehensive longevity biomarker panel (ApoB, Lp(a), hsCRP, homocysteine)
- Metabolic age & biological age assessment
- Muscle mass preservation & body recomposition
- Sleep optimization & HRV-guided protocols
- Cognitive vitality & brain metabolic health
- Evidence-based nutraceutical & supplement guidance
- Concierge MembershipSame-day access · Extended visits · Direct line
Concierge Membership Includes:
- Unlimited office visits
- Same-day scheduling
- Direct physician messaging
- Annual comprehensive labs
- Care coordination
- Extended 60-min visits
- Quarterly lab panels
- CGM management
- Telemedicine included
- Full longevity panel
- Priority same-day access
- Annual health review
- Specialist coordination