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    Houston, TX · Concierge Metabolic Health

    A 10-minute appointment. 8 basic labs. A prescription. "See you next year."

    That's not healthcare. That's a conveyor belt. We do the opposite.

    Concierge metabolic medicine in Houston: 125-Marker Executive Panel + 12-Week Reset for high performers.

    We test 100 markers across 12 health domains at the entry tier. Your annual physical checks maybe 15. We see your body as one connected system, and build a protocol designed to fix the root cause. Not mask the symptom. The goal isn't to keep you as a patient for life. It's to get you better.

    HIPAA Compliant
    Board-Certified Clinicians
    30-Day Guarantee
    Telehealth Only
    CLIA-Certified Lab Partners
    Data-Driven Protocols

    My doctor said I was fine for three years. I wasn't. I found the markers he never checked, built a protocol around my own data, and got my health back. I built 1836 because nobody should have to figure this out alone.

    Stephen Myshak, Founder & CEO of 1836 Wellness
    Stephen Myshak
    Founder & CEO · 1836 Wellness
    −56 lbs
    8 Months
    48.3
    Bio Age
    from 54.0 baseline
    −69%
    Insulin

    One individual's results. Individual results vary.

    The Prescription Cascade

    Your doctor finds one number out of range. Writes a script. That script fixes one marker, and quietly throws three others off. Next year, you're on two medications. Then three. Your mom is on six and still feels awful.

    Meanwhile, nobody tested the other 100+ markers that explain why the first one was off in the first place.

    This is the system. It's not broken. It was built this way. One drug leads to another, one visit leads to the next, and you're a patient for life managing symptoms that could have been resolved at the root.

    The question isn't whether you can afford to do this. It's whether you can afford not to.

    What's another year of brain fog costing you at work?

    What's another 15 pounds doing to how you show up for your family?

    What happens when "I'll deal with it later" becomes a diagnosis you can't undo?

    Off the Protocol in 12 Weeks. Not On It for 12 Years.

    A structured 12-week reset with full transparency at every step.

    Week 1
    The Full Picture
    As the first step of your care, your clinician orders your diagnostic: 100 markers (81 blood + 19 urinalysis) across 12 health domains. Plus the 1836 Functional Bio Age, a single 7-domain composite scored on that same 100-marker set, and ASCVD cardiovascular risk scoring.
    Week 2
    Your Protocol
    Your NP walks you through every finding in a dedicated 45-minute telehealth consultation. Every recommendation tied to a lab value, backed by research, designed to work together. 35 decision rules. 12 domains. Zero guesswork.
    Weeks 3–11
    Execute & Message
    Follow the protocol. Message your NP anytime through the 1836 Patient Portal. Responses within one business day. Track labs, protocol, bio age, supplements. All in one app, on your phone.
    Week 6
    Mid-Program Check
    Optional mid-program labs to track progress on key markers. If something needs adjusting, your NP adjusts through the portal.
    Week 12
    The Re-Test
    A 112-marker re-assessment, with the biological age composite scored on the same 100-marker set as your baseline so the comparison is valid. Second 45-minute NP consultation to review what moved, what didn't, and what's next.
    Founder's Results: 8 Months
    −56.2 lbs
    Weight (281.4 → 225.2)
    48.3
    Bio Age (from 54.0)
    −69%
    Fasting Insulin
    82.4
    Composite Score (from 71.1)

    Stephen Myshak, CEO · 8-month founder protocol

    One individual's results. Individual results vary.

    I was pre-diabetic at 281 lbs. My annual physical said I was fine.

    I built 1836 Wellness because I lived the problem. The annual physical is dead. It misses 100+ data points that matter, catches everything late, and leaves you guessing. I wanted a company built to slow biological aging, not manage decline.

    Stephen Myshak, Founder & CEO of 1836 Wellness
    Stephen MyshakFounder & CEO
    Jul 2025
    281 lbs | 54.0 Bio Age | Insulin 17.5
    Starting point. Pre-diabetic despite 'normal' annual physical.
    Nov 2025
    248 lbs | 51.0 Bio Age | CRP 8.0
    Inflammation spike. The protocol surfaced it, and the plan was adjusted.
    Mar 2026
    225 lbs | 48.3 Bio Age | Insulin 5.5
    3.7 years younger on his re-test. Insulin back in range. One individual's results.

    Individual results. Outcomes vary by person and protocol.

    The Executive Reset: $3,500

    Your care begins with a clinician-ordered Precision Diagnostic to see what your doctor's been missing.

    100-Marker Entry Panel
    81 blood + 19 urinalysis across 12 clinical domains via a CLIA-certified reference laboratory
    1836 Functional Bio Age
    7-domain composite biological age + ASCVD risk scoring
    Two 45-Min NP Consultations
    Week 2 (results + protocol) and Week 12 (re-test review)
    Unlimited NP Messaging
    Secure messaging through the 1836 Patient Portal, 1 business day response
    1836 Patient Portal & App
    Labs, protocol, messaging, bio age trends, supplements, appointments. All in one place
    1836 Foundation
    In-house lifestyle app: nutrition, exercise, meal plans, coaching, community
    Prescription Review, If Clinically Indicated
    Your treating provider reviews your results and, only where clinically indicated after a clinical evaluation, may prescribe therapies dispensed by licensed 503A pharmacies. Medication is never guaranteed and is not an included feature of the program.
    Week 6 + Week 12 Labs
    Mid-program check + full re-assessment with Bio Age comparison
    Supplement Protocol
    Practitioner pricing (15–25% below retail), matched to your markers

    Compare all treatment programs →

    30-Day Satisfaction Guarantee

    If your Executive Panel does not reveal a single actionable finding beyond your standard annual physical, we will refund your service fees in full when requested within 30 days of your results consultation. Medication and dispensed pharmacy costs are excluded and non-refundable once dispensed. See our Refund Policy for full details.

    Health Is the One Thing You Can't Buy More Of

    You can make more money. You can find another job. You can replace a house, a car, a business. You cannot buy more time in a healthy body.

    "The greatest wealth is health."

    – Virgil

    "Take care of your body. It's the only place you have to live."

    – Jim Rohn

    76.4%
    Of U.S. adults have at least one chronic condition
    CDC, 2023
    Only 12%
    Of Americans are metabolically healthy
    NHANES
    Only 6.8%
    In optimal cardiometabolic health
    Tufts, 2022

    Don't be the person sitting in a hospital bed saying, "I should have started yesterday."

    You have two choices: Keep trusting the system that got us here, or take your health back. The best time to do this was 10 years ago. The second best time is today.

    See What Your Doctor Is Missing