Metabolic dysfunction + dysautonomia — draft

Provider-guided draft · every step is provider-entered and monitored — nothing auto-prescribes.

Provider-guided builder. No autonomous selection or dosing. All plan text is provider-entered; dosing references are source-attributed, provider-reviewed material only. Not patient-facing.

Components

1 step

Tesamorelinevidence 0

Provider-only dosing references:

1-2 mg SC daily at bedtime — Practitioner Peptide Dosing Reference (commonly published ranges) (Compiled practitioner reference) · internal_protocol · NOT reviewed

Instruction: As directed by your provider.

Monitoring: Monitor tolerance.

Safety: Contact the clinic with concerns.

Sign-off

Signed off 2026-06-14T00:42:53.888+00:00.

Exports

Care Plan — Metabolic dysfunction + dysautonomia — draft · patient_care_plan · approved · approved
Provider Summary — Metabolic dysfunction + dysautonomia — draft · provider_summary · draft

Audit history (4)

2026-06-14 00:42:54 · sign_off by dr_demo — Signed off
2026-06-14 00:42:53 · update_component
2026-06-14 00:42:52 · add_component
2026-06-14 00:42:52 · create_plan by dr_demo — Draft created

Applies to

signed off1 components0 evidence links

Safety check

caution: 3 missing safety item(s) — confirm before sign-off.

caution: Component "peptide #1" has no linked evidence/source.

Patient context

Captured at draft creation.

Phenotype

{
  "scores": {
    "gut_immune": 0,
    "dysautonomia": 48,
    "babesia_pattern": 0,
    "connective_tissue": 0,
    "mold_cirs_pattern": 0,
    "neuroinflammation": 0,
    "bartonella_pattern": 0,
    "immune_dysregulation": 0,
    "metabolic_dysfunction": 52,
    "mitochondrial_dysfunction": 13
  },
  "primary": "metabolic_dysfunction",
  "secondary": "dysautonomia",
  "recoveryStage": "improving"
}

Safety

{
  "highFlags": [],
  "criticalFlags": [],
  "overallRiskLevel": "Moderate Review Priority",
  "overallRiskScore": 26,
  "missingInformation": [
    "current_medication_list_confirmed",
    "pregnancy_status_confirmed",
    "infection_status_confirmed"
  ],
  "monitoringConsiderations": [
    "Cardiac monitoring",
    "Metabolic monitoring",
    "Medication review",
    "Physician review before protocol selection"
  ]
}

Labs

{
  "systems": {
    "immune": 0,
    "hormonal": 0,
    "metabolic": 77,
    "nutritional": 6,
    "inflammatory": 0,
    "mitochondrial": 0,
    "detoxification": 0,
    "connective_tissue": 5,
    "neuroinflammatory": 0
  },
  "confidence": 0.32,
  "missingMarkers": [
    "crp",
    "hscrp",
    "esr",
    "ferritin",
    "fibrinogen",
    "wbc",
    "neutrophils",
    "lymphocytes",
    "monocytes",
    "eosinophils",
    "basophils",
    "igg",
    "iga",
    "igm",
    "lactate",
    "pyruvate",
    "ck",
    "free_t3",
    "free_t4",
    "reverse_t3",
    "testosterone",
    "estradiol",
    "progesterone",
    "dhea_s",
    "am_cortisol",
    "b12",
    "folate",
    "iron",
    "iron_saturation",
    "magnesium",
    "zinc",
    "copper",
    "ast",
    "alt",
    "ggt",
    "bilirubin",
    "albumin",
    "creatinine",
    "egfr"
  ],
  "abnormalMarkers": [
    {
      "flag": "high",
      "value": 116,
      "marker_name": "fasting glucose"
    },
    {
      "flag": "high",
      "value": 24,
      "marker_name": "fasting insulin"
    },
    {
      "flag": "high",
      "value": 6.4,
      "marker_name": "hba1c"
    },
    {
      "flag": "high",
      "value": 220,
      "marker_name": "triglycerides"
    },
    {
      "flag": "low",
      "value": 38,
      "marker_name": "hdl"
    },
    {
      "flag": "high",
      "value": 150,
      "marker_name": "ldl"
    },
    {
      "flag": "low",
      "value": 26,
      "marker_name": "vitamin d"
    }
  ]
}

Outcomes

{
  "trends": {
    "pem": [],
    "pain": [
      {
        "date": "2026-01-10T09:00:00+00:00",
        "value": 3
      },
      {
        "date": "2026-02-09T09:00:00+00:00",
        "value": 3
      },
      {
        "date": "2026-03-11T09:00:00+00:00",
        "value": 2
      }
    ],
    "sleep": [
      {
        "date": "2026-01-10T09:00:00+00:00",
        "value": 4
      },
      {
        "date": "2026-02-09T09:00:00+00:00",
        "value": 5
      },
      {
        "date": "2026-03-11T09:00:00+00:00",
        "value": 7
      }
    ],
    "fatigue": [
      {
        "date": "2026-01-10T09:00:00+00:00",
        "value": 6
      },
      {
        "date": "2026-02-09T09:00:00+00:00",
        "value": 5
      },
      {
        "date": "2026-03-11T09:00:00+00:00",
        "value": 3
      }
    ],
    "brain_fog": [],
    "functional": [
      {
        "date": "2026-01-10T09:00:00+00:00",
        "value": 50
      },
      {
        "date": "2026-02-09T09:00:00+00:00",
        "value": 60
      },
      {
        "date": "2026-03-11T09:00:00+00:00",
        "value": 75
      }
    ]
  },
  "baselineVsCurrent": [
    {
      "metric": "fatigue_score",
      "current": 3,
      "baseline": 6
    },
    {
      "metric": "brain_fog_score",
      "current": null,
      "baseline": null
    },
    {
      "metric": "pain_score",
      "current": 2,
      "baseline": 3
    },
    {
      "metric": "sleep_quality_score",
      "current": 7,
      "baseline": 4
    },
    {
      "metric": "pem_score",
      "current": null,
      "baseline": null
    },
    {
      "metric": "work_capacity_percent",
      "current": 75,
      "baseline": 50
    }
  ],
  "clinicalImprovementScore": 62,
  "functionalImprovementScore": 64
}