Lab-Based Protocols
Physician-Led · Lab-Based · Built For One Person
Your body doesn't need more supplements. It needs the right ones.
Most people over 40 aren't under-supplemented. They're under-informed. There is nothing wrong with what's sitting on your counter — you've just never been handed the data to know which of it is working for you and which of it your body doesn't need. I build nutrition and supplement protocols from your blood work, your DNA, and your actual needs, for men and women both, so every dollar you put toward your health is aimed at something real.
About 4 minutes · Then book your call on my calendar
- FDA-Registered Facilities
- NSF
- Clinical Grade
- cGMP
The Missing Piece
Nothing's wrong with your supplement cabinet. It's just missing a map.
You're already doing the hard part. You're taking action on your health when most people your age aren't. I respect that, and I'm not going to talk you out of it.
But think about how most stacks get assembled. A podcast mentions a compound. A friend at the gym swears by something. An ad follows you around for two weeks. Someone with a big following tells 400,000 different people they all need the same thing. Every one of those inputs might be pointing at a good product — the question is whether it's a good product for you, at the dose you need, in the form you can actually use.
That's not a character flaw. That's a data gap. Nobody handed you your own numbers.
It's why the magnesium may be in a form you don't absorb well. Why the B12 might not convert the way you'd expect because of a gene variant nobody's looked at. Why the fish oil you take faithfully may or may not be enough, depending on where your omega-6 to omega-3 ratio actually sits — a number that takes about ten minutes to measure and almost nobody does.
Good products, aimed precisely, are a different experience entirely.
What Changes
Imagine shopping with your own numbers in hand
You walk into your supplement routine knowing exactly which four things move the needle for your physiology, and which four you can stop thinking about. You know the dose. You know the form. You know why each one is there and what it's supposed to change.
You stop wondering. You stop restarting. You stop buying something in March and abandoning it in May because you were never sure it was doing anything in the first place.
That's confidence you can't get from a review section or a podcast episode. It comes from one place: knowing what's actually happening inside you.
That's the whole point of this. Not fewer supplements. Better aim.
Or keep reading to see how we find your numbers
Same Shelf, Different Outcome
The products aren't the variable. The aim is.
Without Your Data
- Chosen from reviews, trends, and word of mouth
- The same recommendation everyone else gets
- No baseline, so no way to confirm what worked
- Dose and form are whatever the label suggests
- You hope it's helping
- Good products, unclear results
- The routine grows and never gets refined
With Your Data
- Chosen from your blood work, DNA, and nutrient status
- Built for one person only
- Baseline labs, then repeat labs — the data answers the question
- Dose, form, and timing matched to your physiology
- You know it's working, because you can see it
- Good products, aimed precisely
- The routine gets sharper every cycle
Same quality formulas. Completely different experience.
How Deep This Goes
We don't guess. We look.
Every protocol I build starts with data. How much data is your call, and it depends entirely on what you're solving. What follows is a menu of what's available — and there's more available beyond this list. I don't order all of it for anyone. It's here to show you how deep we can go when a question about your physiology needs a real answer.
Comprehensive Blood Panel
Far beyond the annual physical. Full metabolic and lipid detail, inflammatory markers, complete thyroid panel, hormone panel, iron and B-vitamin status, kidney and liver function, insulin and HbA1c. This is the foundation of every protocol I write.
Genetic & Nutrigenomic Analysis
Your DNA doesn't change, so you test it once and use it forever. It tells us how you methylate, how you detoxify, how you handle caffeine, fats, and carbohydrates, and which nutrient forms you should be taking versus wasting money on.
Micronutrient Assay
Serum levels tell you what's floating in your blood. This tells us what's actually getting into your cells and being used. It's the difference between a nutrient you're taking and a nutrient you have.
GI-MAP With Zonulin
Microbiome balance, pathogens, opportunistic overgrowth, digestive and absorption markers, plus zonulin as a marker of intestinal permeability. If absorption is compromised, nothing else you take works properly.
Organic Acid Testing
A metabolic snapshot at the cellular level — mitochondrial function, neurotransmitter metabolites, detox capacity, yeast and bacterial byproducts, and functional vitamin status.
Omega-6 To Omega-3 Ratio
One of the most modifiable inflammation levers in the body, and one almost nobody measures. Most Americans run wildly out of range and have no idea.
Upstream, Not Downstream
One thing I want to be clear about: I'm not looking to label you with a condition. That's not what this is. Diagnosis is your physician's job and I'm glad they're doing it.
My job is to optimize the physiology underneath. I work upstream — at the level of nutrient status, absorption, inflammation, and metabolic function — because that's where most of what people feel actually originates. Waiting until something is far enough along to earn a name is working downstream. I'd rather find the drift while it's still just a number moving in the wrong direction.
You don't need a diagnosis to deserve better data.
Which of these we actually use is part of what the consultation is for. I'd rather order the two or three panels that will change your protocol than six that won't.
For Women
Your panel is not the same panel
Most lab work ordered for women is a shortened version of what gets ordered for men, plus a thyroid marker or two. That's not personalization. That's an oversight with a copay.
- The full thyroid picture, not just TSH TSH alone misses a great deal. I want free T3, free T4, reverse T3, and thyroid antibodies. "Your thyroid is normal" is a conclusion reached far too often from far too little data.
- Complete iron status Not just hemoglobin. Ferritin, saturation, and binding capacity. Iron depletion is common in women, and it produces exactly the fatigue, hair changes, and exercise intolerance that get attributed to stress or age.
- The hormone cascade, with proper timing Estradiol, progesterone, DHEA-S, testosterone, SHBG, and where appropriate FSH and LH. If you're still cycling, when we draw matters as much as what we draw — a progesterone value collected on the wrong day tells us almost nothing. That detail alone gets missed constantly.
- Perimenopause and menopause context Symptoms dismissed as "just hormones" usually have measurable drivers underneath — thyroid, insulin, inflammation, nutrient status — and those drivers respond to targeted nutrition and supplementation.
- Bone and mineral status Vitamin D, calcium, magnesium, and related markers. This matters earlier than most women are told it does.
- Nutrient demands that differ from men's Iron, iodine, B12 and folate status read against your methylation genetics, and choline. Standard multivitamins are formulated for an average that doesn't include your physiology.
Same rigor, same depth, same 415-biomarker capability. Different questions, because you're a different organism.
The Formulas
Physician-grade, and I've watched them move labs
I've formulated supplements for other companies for years. I built IOH Nutritionals because I wanted formulas I could hand to my own clients without a disclaimer — clinically relevant doses, bioavailable forms, verified potency, made in FDA-registered, GMP-compliant facilities.
But the part that matters more than the label: these are the products I've used with clients who ran blood work before and blood work after. I'm not selling you a formula and hoping. I've seen what these do inside a documented protocol, in real people, on paper.
And I won't ask you to take anything I don't take myself.
Sequence
The right things, in the right order, compound
This is the part almost everyone misses. Sequence matters as much as selection.
If absorption is broken, fixing that first makes everything you take afterward more effective. If inflammation is driving hormone dysfunction, chasing the hormone marker first is treating the smoke instead of the fire. If you're deficient in the cofactors a pathway needs, adding more of the end product does very little.
Give the right person the right inputs in the right order and the effects stack on each other. Give that same person the same products in the wrong order and you get a fraction of the result at the same cost.
That's not a supplement problem. That's a strategy problem. And it's why a protocol has to be built, not bought.
Proof, Not Promises
There is very little on these panels I haven't watched move.
I don't ask anyone to take my word for it. We take a baseline, we run the protocol, and we retest. Over 33 years I've watched markers across nearly every system on these panels respond — with food, with targeted supplementation, and with nothing exotic. Here is the territory that's actually in play.
Metabolic & Blood Sugar
- Fasting glucose
- Fasting insulin
- HbA1c
- HOMA-IR / insulin sensitivity
- C-peptide
- Uric acid
Lipids & Cardiovascular
- Triglycerides
- Triglyceride to HDL ratio
- HDL and LDL
- ApoB
- Lipoprotein(a)
- Homocysteine
Inflammation
- hs-CRP
- Fibrinogen
- Omega-6 to omega-3 ratio
- Ferritin as an inflammatory marker
- White cell patterns
Hormones
- Total testosterone
- Free testosterone
- SHBG
- Estradiol
- Progesterone
- DHEA-S
- Cortisol rhythm
Thyroid
- TSH
- Free T3 and free T4
- Reverse T3
- Thyroid antibodies
Blood & Iron Status
- Hemoglobin
- Hematocrit
- Ferritin
- Iron saturation and binding
- Red cell indices
Nutrient Status
- Vitamin D
- B12 and folate
- RBC magnesium
- Zinc and copper balance
- Cellular micronutrient panel
Gut & Immune
- Zonulin
- Secretory IgA
- Microbiome balance
- Digestive and absorption markers
- Food sensitivity response
That's not the full list. It's the part that fits on a page. When a marker is in range but not optimal, it still gets addressed — because "not yet a problem" is the best possible time to work on something.
The Test Almost Nobody Runs
Food sensitivity testing. Specifically IgA food sensitivity panels — and this one changes people's lives more often than any other single test I order.
Here's why it matters so much. A great number of people are faithfully eating foods they believe are healthy, and those exact foods are provoking an immune response in their gut. Not an allergy. Not something that shows up as an obvious reaction. A low-grade, daily inflammatory signal that quietly drives everything downstream — bloating, joint aches, fatigue after meals, brain fog, stubborn weight, inflammatory markers that won't come down no matter how clean the diet looks on paper.
You can eat a perfect diet and still be inflaming yourself. Until you test, you have no way of knowing which of your "healthy" foods is the one doing it.
And Then There's The Scale
This is the part that surprises people most: you often don't have to overhaul what you eat. You have to aim it.
When the foods on your plate are the ones your body actually handles well, and the nutrients your metabolism was short on are finally present, your own physiology starts doing work it couldn't do before. Your gut secretes GLP-1 in response to what you eat — protein, fiber, and fat composition all influence that signal. Feed it correctly and satiety, appetite regulation, and blood sugar stability tend to improve on their own, from the inside out.
Weight comes off. Body composition shifts. You look different in the mirror. And it happens because the foundation got built, not because something was forced.
These are individual results from documented pre- and post-protocol lab work. They are not averages, they are not typical, and they are not a promise. Your physiology is yours. What I will commit to is this: we will measure, we will build from what we find, and we will measure again. The data tells the truth whether it flatters me or not.
Case Studies
What happens when you stop guessing
The results below came with lab work on both ends.
Dr. Ethan · M.D. · NFL Team Physician
"As a physician, I am naturally skeptical and highly selective about the programs I follow — but this protocol exceeded every expectation I had, both personally and professionally. His approach was structured, science-based, and designed to work with my physiology rather than forcing my body into extremes. Within just a few weeks, I noticed clearer energy, reduced inflammation, improved sleep, and sharper mental clarity."
Down 30 pounds. A physician who read the methodology before he followed it — and then followed it.
Cole N. · 46 · Veteran · Competitive CrossFitter
"I found myself taking a random collection of supplements that I either heard other people took or that I got sold through social media. I was spending hundreds of dollars a month and not knowing if it was helping or hurting me. I also get annual blood testing with my primary care physician, but I don't get anything other than a shrug of their shoulders when they don't see obvious illness they can prescribe medication for. With Dr. Andreas's guidance, I now have confidence in what works for me and it helps me tune out all the other noise."
Cole was already disciplined and already training hard. What changed wasn't effort. It was precision.
Jason K. · 59
"I tried fixing it on my own — reading everything I could online — but I quickly got overwhelmed. So many conflicting programs, diets, and miracle supplements. I didn't even know where to start."
Six months in, holding his own in the gym alongside his 28-year-old son-in-law. Watch his full interview →
Todd Parker · Wealth Advisor
"For most of my adult life, maintaining a healthy lifestyle felt like a cycle of crash dieting and extreme workouts — short bursts of effort with modest results and no sustainability. By first understanding the genetics of food, how my body uniquely responds to it, and pairing that with intelligently designed workouts, I've achieved a level of health and fitness that finally feels sustainable — and continues to improve."
One year in: "I know this isn't a phase. It's a permanent lifestyle change." Watch his full interview →
Christopher M. · 52
"When I received my customized plan, I was skeptical. It included things like rice and sweet potatoes and I immediately thought, this isn't going to work. But I committed to trying it exactly as designed. To my surprise, I started making real, visible progress."
Testosterone rebounded naturally toward 500 ng/dL from the low 200s, under his own physician's care. Watch his full interview →
Jim R. · 42
"Dr. Andreas totally made me a believer in doing blood work. I never really did until a few months ago, and it's been incredibly beneficial because it shows you in black and white what the root problems are. Get your lab work done and let Dr. Andreas analyze it. You won't regret it."
Found by testing, not guessing. His nutrition looked fine on paper until the labs said otherwise.
Full stories, lab detail, and video interviews
Note on the case studies above: my client work to date has been predominantly with men, and these results reflect that. The methodology is not gender-specific — the panels, the interpretation, and the protocol design apply equally. As women's before-and-after lab sets accumulate, they'll appear here too.
These are individual client results achieved with a customized protocol and consistent adherence. They are not averages and they are not typical. Your results depend on your physiology, your starting point, and your execution.
The Process
Here's exactly how this works
Application
Answer a short set of questions about your history, your goals, and what testing you've already had done. Four minutes. When you're finished you'll be taken to my calendar to book your call.
Your Complimentary Consultation
You and I get on Zoom. Not a coordinator, not an assistant — me. Send your existing lab work ahead of time and I'll review it before we talk. We'll go through what you have, what it's telling us, what's missing, and what testing would actually change the plan. If you don't need more testing, I'll tell you that too. And I'll be straight with you about cost before you spend a dollar.
Your Custom Protocol
Once we have the data, I write your plan: a custom meal plan and a custom supplement protocol built around the specific things that will move the needle for you over the next 90 days. Which products, what dose, what form, when to take them, and in what order. Written for one person. You.
Transparent Pricing
Let's talk about money before you book
I'd rather be upfront than waste your time or mine. The consultation costs you nothing. Depending on what you need, working with me runs anywhere from about $500 to $5,000.
Here's what actually drives that number, and it's probably not what you think.
The lab draw is the cheap part. What you're paying for is the interpretation. For many of my clients I'm running up to 415 biomarkers. Four hundred and fifteen. That's not a number you skim over coffee. That is hours of work cross-referencing your metabolic panel against your genetics, your micronutrient status, your inflammatory markers, and your hormone cascade to find the actual bottleneck — and then translating all of it into a blueprint you can execute Monday morning.
That's what you're buying. Not a lab report. A plan.
You already have extensive, recent blood work and it meets standard. I review it, we get on a call, and I build your supplement and nutrition plan from what's already on paper. Most reviews run one to two hours of my time.
A comprehensive blood panel plus full interpretation and your custom protocol. Price depends on how deep we go on the panel.
Blood work plus genetics and nutrigenomics, cellular micronutrient assay, gut testing with GI-MAP and zonulin, organic acids, and fatty acid ratios — fully interpreted, with a complete nutrition and supplement blueprint built on top of it.
Most people don't start at the top, and I'm not going to push you there. We order what will actually change your protocol and nothing more.
And your genetic panel is one-and-done. You pay for it once and it informs every decision you make about your body for the rest of your life.
Now compare that against what you're already spending. Two hundred, three hundred dollars a month on bottles you can't verify you need. That's $3,600 a year aimed at a guess. I'm asking you to spend a fraction of that once, on the truth.
Everything is handled case by case. That's what the call is for.
Before You Apply
One thing about where you live
100% Telehealth · Available In 47 Of 50 States
I cannot order blood work for residents of New York, New Jersey, or Rhode Island. That isn't my rule and it isn't my preference — those three states have their own laws governing who may order laboratory testing, and I follow them.
Here's the workaround, and it's a good one: if you live in one of those three states and you can obtain blood work through your own physician, bring it to me. I'll review it, interpret it, and build your protocol exactly the same way. The only piece I can't do is place the order.
So if you're in New York, New Jersey, or Rhode Island — still apply. Get your labs drawn on your end and we go from there.
Fit
This is built for you if…
A Fit
- You're taking supplements and honestly can't tell me why
- You want energy back, brain fog gone, gut working, hormones where they should be
- Your labs came back "normal" and you don't feel normal
- You've been told your symptoms are just age, just stress, or just hormones
- You're tired of the trial-and-error tax
- You'd rather see a number move than hope something's working
- You want the truth, including when the answer is "you don't need that"
Not A Fit
- You want a pill instead of a plan
- You want the protocol without the testing
- You're looking for the cheapest option rather than the right one
- You want a prescription-first approach — I'm pro-medicine, in the right order, and the foundation comes first
The Physician
Who's building your protocol
I've been in clinical practice for 33 years. I built one of the largest wellness centers in the country before moving my work online. I've formulated supplements for multiple companies, presented over a thousand times, and I've reviewed a lot of blood work belonging to men and women who were told everything looked fine.
I'm 56 and medication-free. Ironman triathlete. Master's men's physique competitor. I'm not asking you to do anything I'm not doing.
I'm not anti-medicine. I'm pro-medicine in the right order — optimize the physiological foundation first, then add exogenous support if it's still warranted. Most of the time, when you fix the foundation, you need a lot less of everything else.
Dr. Andreas Boettcher, B.S., D.C., C.F.M.P.
Founder · It's Only Halftime
Ironman Triathlete
Master's Men's Physique Competitor
Medication-Free at 56
33 Years of Clinical Practice
Questions, Answered
Before you apply
Do I have to come into an office? Where are you located?
Can I use lab work I already have?
I already have recent, comprehensive blood work. What then?
Do you work with women?
I live in New York, New Jersey, or Rhode Island. Can I still work with you?
Why does this cost what it costs?
Do I have to buy IOH supplements?
Is the consultation actually free, or is it a sales call?
How fast will I feel something?
Are you replacing my doctor?
What if my labs point to something beyond supplements?
Start Here
You've already decided you care about this
You wouldn't be reading this far down the page if you didn't. You're already spending money on your health every month. The only question is whether that money is aimed at something measured or something guessed.
Send me what you've got. Let's find out what your body is actually asking for.
4 minutes · Then pick your time on my calendar
