What we help with
The conditions behind “I’ve tried everything.”
Seven of the most common reasons patients arrive at Twin Cities Metabolism — and how we evaluate the cascade behind each one before recommending a single intervention.
Open to the public · No referral required · Functional medicine evaluation
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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 right protocol falls out of the data.
Seven common entry points
What we actually work on.
Each card is a real case profile — the diagnostic frame, the markers we run, the questions we’re answering. Click any to see the cascade.
How we evaluate them
Same playbook regardless of the entry point.
Whichever condition brought you in, the diagnostic path runs through the same three tools. Each catches a different layer of the cascade.
DIRECT MEASUREMENT
RMR Test
A 20-minute Breezing Med breath test that measures your actual metabolic rate. See the RMR Test →
BODY COMP + CELLULAR
InBody Scan
Multi-frequency BIA: composition, cellular phase angle, hydration, grip strength. See the InBody Scan →
FULL CASCADE WORKUP
Metabolic Blueprint
Full chemistry, GI-MAP, DUTCH metabolites — the diagnostic foundation. See the Blueprint →
Where to start
Three entry points, depending on where you are.
JUST CURIOUS
Free 30-min consult
Free · 30 min · no pressure
Talk through your situation on a free 30-min call and figure out which entry point fits your case.
START SMALL
Comprehensive Assessment
$195 · ~45 min · 3-page report
InBody + RMR + clinical interpretation. The 45-minute metabolic snapshot.
FULL DIAGNOSTIC
Metabolic Blueprint
~$1,250 · full workup · written report
The full cascade workup. Foundation under every protocol we build.
Open to the public. No referral required. HSA/FSA eligible. Telehealth nationwide. HSA/FSA typically accepted for clinical components. Located at 1700 Hwy 36 W, Suite 400, Roseville, MN 55113 · (651) 636-0055.
Medical disclaimer. The content on this page is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Twin Cities Metabolism delivers functional medicine evaluation and clinical protocols; results vary by individual and depend on adherence and underlying physiology. Always consult a licensed clinician about your specific situation. Reviewed by Dr. Jared Larsen, LN, CNS, DC, MS. Last reviewed: May 2026.