Add up the last five years before you judge the number
Most people who flinch at our fee have already spent more than it — in fragments small enough to never feel like a decision. The $180 consult. The $400 panel your insurance denied. The supplements that arrive monthly and never get reassessed. The practitioner you left after four months. The second opinion. The third.
Run the honest tally: appointments, labs, supplements, programs, coaches, courses, the retreat, the elimination diet that cost you groceries and social life. For the people who reach us, five years of sampling routinely lands between $12,000 and $40,000 — spread thin enough that it never triggered a real decision.
That money did not fail because the practitioners were bad. It failed because no one held the whole picture long enough for the pieces to compound. You didn't buy a framework. You bought fragments, repeatedly, and fragments don't accumulate into anything.
The real comparison is not "this fee versus zero." It's "this fee versus another five years of the same spend with the same result."
I used to give people what they wanted. Now I give them what they need
Early in practice I was accommodating. Someone would ask for the cheaper option, or to skip the testing, or to do the gut work but not the nervous-system work, and I would say yes — because I wanted to help and because a yes closes and a no doesn't.
Those people did not get better. Not because they were unwilling, but because I had handed them a partial framework and let them believe it was the framework. That is on the clinician, not the patient. Selling someone a version of care you already know is insufficient is a quiet kind of dishonesty, even when everyone leaves the call happy.
So we stopped. We now describe the whole thing, the whole cost, and the whole expectation before anyone pays anything. It kills conversion. It also means nobody gets three months in and discovers the "real" program costs another five figures.
Why we won't sell you half of it
The most common question we get is some version of: can I just do this part and not that part? Usually it's the testing without the implementation support, or the protocol without the diagnostics, or the clinical work without the nervous-system and lifestyle work.
The answer is no, and it isn't a pricing tactic. The framework produces outcomes because the sequence is intact. Diagnostics without implementation is an expensive PDF. Implementation without diagnostics is guessing with better branding. Clinical protocols on an unregulated nervous system don't hold — the body spends the inputs on survival instead of repair.
When we let people carve it up, we own a bad outcome they paid for. We would rather lose the sale than sell you the version of care that already failed you four times.
What the fee actually buys
Doctor time, not staff time. Your case is held by a physician, not triaged to a coach with a template. That is the single largest cost in the model and the reason the roster is capped.
Diagnostics that change decisions. Genetic, biochemical and terrain-level testing selected for your case — not a fixed panel sold to everyone because it's easy to bundle.
Interpretation and sequencing. The expensive part is not running labs. It's knowing what to do first, what to leave alone, and what your body cannot tolerate yet.
A finite roster. We are a small, waitlisted practice. Capacity is the product. If we doubled the roster the fee could drop and the outcomes would go with it — which defeats the entire purpose of paying for this.
We talk to you before we take you
Nobody is sold into this from an ad. There's a conversation first, and it is as much us assessing fit as you assessing us. Three positions end that conversation with a no:
"Doc, just fix me." Passive care doesn't produce outcomes here. The protocol lives in your week, not in our office.
"What's the cheaper option?" Asked as a budget question, it's fair and we'll point you somewhere honest. Asked as a request for a discounted version of the same result, the answer doesn't exist.
"Can I skip this part?" Covered above. The sequence is the product.
We decline people regularly, including people who can comfortably pay. Money has never been the qualifier. Readiness is.
If this isn't your moment, here's the honest route
Private Concierge is not the only door and it is not a moral upgrade. If the fee would put real pressure on your household, that pressure will show up in your physiology and work against everything we're trying to do.
Start with the free Compass to see which system is actually driving your pattern. If you want clinical direction without the concierge structure, Foundation and DNA Precision are the same philosophy at a different depth, and we'd rather you do one of those properly than stretch into the top tier and resent it.
What we won't do is quietly sell you a thinner version of Concierge and let you believe it's the same thing.
What we will not promise, at any price
We don't promise a cure, a timeline, or a symptom-free life. We don't promise your labs will normalize by a specific date. Anyone who does is selling certainty that biology does not offer.
What we commit to is a framework applied properly: the right diagnostics, an honest read, a sequence that respects what your body can currently handle, and a physician who stays with the case long enough to adjust it. That is what produces outcomes — and it is the only thing worth paying for.