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Metabolic Health

Metabolic care that looks at the whole picture

Metabolism is complex, and no two people are the same. I care for patients navigating insulin resistance, prediabetes, PCOS / PMOS, metabolic syndrome, thyroid and hormone shifts, and changes in energy or body composition. Every plan is individualized — built around your labs, history, and goals — using tools like GLP-1 medications and peptides to support your metabolism when they’re clinically appropriate.

The Approach

Care built around
your whole metabolism

Medications like GLP-1s — semaglutide and tirzepatide — and peptides can be powerful tools when they’re clinically appropriate, but they’re one part of a much bigger picture, never the whole plan.

At Encompass Care, metabolic health is evaluated alongside nutrition, exercise, sleep, stress, hormone balance, thyroid function, insulin regulation, and cardiovascular risk factors.

Two people can look similar on paper and still need completely different plans, depending on their history, labs, and goals.

My approach is weight-inclusive and compassionate. Metabolic health is about how your body functions and how you feel day to day — not a number, and not willpower.

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Who I Help

Common reasons patients
seek metabolic care

Unexplained weight changes A metabolism that feels stuck Insulin resistance Prediabetes PCOS / PMOS Metabolic syndrome Elevated cholesterol Fatigue & low energy Changes in body composition Cravings & appetite concerns Blood sugar fluctuations Diets that haven’t lasted
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The Whole Picture

Metabolic health doesn’t work in isolation

I look at the systems that influence weight, energy, and long-term health — including insulin regulation, blood sugar, nutrition, muscle mass, sleep, stress, thyroid function, hormone balance, cardiovascular risk, and inflammation.

InsulinBlood sugarMuscle massNutritionThyroidSleepMetabolic Health
Care Options

Two pathways to
metabolic health

GLP-1 management is included within the Primary Care Membership when clinically appropriate. Medications may be prescribed when appropriate, with medication costs, labs, and outside services billed separately.

Primary Care Membership
  • Ongoing metabolic management
  • GLP-1 prescribing (semaglutide, tirzepatide) when appropriate
  • Lab monitoring
  • Medication adjustments
  • Lifestyle and nutrition guidance
  • Integrated primary care relationship

Best for patients seeking long-term metabolic support and prevention.

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Functional Medicine
  • Deeper investigation into root causes
  • Advanced testing when appropriate
  • Personalized nutrition and lifestyle strategies
  • Comprehensive metabolic evaluation
  • Structured implementation support

Best for patients with persistent symptoms, complex histories, or those seeking a deeper understanding of their health.

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Real Medical Oversight

Supervised care, not a prescription mill

GLP-1 medications are prescribed and managed by a board-certified provider — never a questionnaire and a vial in the mail. Every plan includes:

Board-certified clinician (Natalie Ball, FNP-BC)
Required baseline labs before prescribing
Ongoing monitoring and dose adjustment
Eligibility determined by clinical evaluation
Tracking that goes beyond a single number — A1c, lipids, body composition, and energy

GLP-1 therapy carries potential risks and side effects and is not appropriate for everyone. Eligibility is determined through clinical evaluation.

The Process

What to expect

1
Initial consultation
2
Comprehensive metabolic lab review
3
Personalized care plan
4
Ongoing monitoring, adjustment & support
Ongoing Care

What metabolic care
looks like at Encompass

Initial evaluation and goal setting
Comprehensive lab review
Medication management when appropriate
Ongoing monitoring and dose adjustments
Muscle preservation strategies
Nutrition and protein optimization
Cardiometabolic risk assessment
Integration with your overall health plan
A Personal Note

Why I approach metabolic care differently

Many patients come to me after trying multiple diets, medications, or exercise plans without understanding why progress has stalled.

My goal is to understand your whole metabolic picture and build a plan that supports your long-term health, energy, and quality of life.

— Natalie Ball, MSN, APRN, FNP-BC

Common Questions

Metabolic care, answered

What side effects should I expect?

The most common are gastrointestinal — nausea, fullness, or changes in digestion — and they’re usually mild and dose-related. Starting low and increasing gradually helps minimize them, and any concerning symptoms are reviewed with you directly.

What happens if I stop the medication?

Appetite and some weight changes can return after stopping, which is why I focus on sustainable nutrition, muscle, and lifestyle habits alongside the medication. Whether and when to taper is a clinical decision I make with you.

Do I need lab work?

Yes. Baseline labs before starting and periodic monitoring afterward are part of safe, responsible prescribing — and they help me track metabolic health, not just weight.

How does dosing work?

I start at a low dose and titrate gradually based on your response and tolerance, rather than rushing to a target. The goal is steady, sustainable progress with minimal side effects.

Compounded or brand-name medication?

Depending on availability, clinical appropriateness, and current regulations, brand-name or compounded options may be discussed. I prioritize safety and quality and walk through the considerations with you transparently.

Is this only about weight loss?

No. GLP-1 medications are one tool within comprehensive metabolic care — I also focus on insulin regulation, energy, body composition, muscle preservation, and cardiometabolic risk.

Patient Reviews

What patients experienced

★★★★★
I had an outstanding experience with Natalie at Encompass Care. She truly listened to all my needs and took the time to understand my health goals, working closely with me every step of the way. Her kindness, attention to detail, and genuine care made all the difference.
ZocDoc · Verified Patient
★★★★★
Dr. Natalie was incredibly patient, calm, and understanding. She presented several options regarding next steps in my treatment and I felt heard. I feel more confident than I have in a long time in regards to my medical care.
ZocDoc · Verified Patient
★★★★★
She was very nice, asked a lot of questions about my medical history, and we covered all my concerns. She is knowledgeable and easy to work with — I came in feeling overwhelmed and left with a clear plan.
ZocDoc · Verified Patient · September 2025

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