Begin with a complete baseline
Month 1 opens with the full blood panel and the first specialty lab, creating the baseline for the year ahead.
Patient care Annual programs Nuvitru concierge annual program
Signature Year
A high-touch annual program for people who want advanced testing, practitioner-guided interpretation, personalized supplement and peptide strategy, and structured implementation support across the year.
Led by Dr. Lahana and the Nuvitru care team.
4specialty lab checkpoints
Up to 6peptide cycles when eligible
4scheduled doctor check-ins
445-minute dietitian visits
Why Signature Year
Most people collect labs and appointments. You get a system.
The work does not happen in one appointment. The value is in the sequence: test, interpret, implement, refine, and keep the full care team moving in the same direction.
Move through four lab checkpoints
The default sequence moves through gut, hormone, nutrient, and toxin testing in months 1, 4, 7, and 10.
Review, then implement
A scheduled doctor check-in follows each specialty lab, followed by a 45-minute dietitian visit to turn the findings into action.
Refresh the plan monthly
Your training protocol is refreshed each month while compounded supplement support and care-team messaging continue throughout the year.
Use each phase to shape the next
Peptide cycles, when clinically appropriate, and each new result are coordinated with the larger annual plan rather than handled in isolation.
Everything has a role
One program. A full year of care.
Each inclusion supports the sequence. Testing informs the plan, the team helps put it into practice, and each quarter creates the next decision.
A mapped testing sequence
- Month 1: Full blood panel and gut-focused specialty lab
- Month 4: Hormone-focused specialty lab
- Month 7: Nutrient-focused specialty lab
- Month 10: Toxin-focused specialty lab
Scheduled reviews and implementation
- Four scheduled doctor check-ins with Dr. Lahana after specialty lab milestones
- Four 45-minute dietitian visits after those check-ins
- Monthly training-protocol refreshes across all 12 months
- Portal messaging with the dietitian and clinical team throughout the year
Supplement and peptide strategy
- Personalized supplement protocol built from your labs and goals
- A full year's program-defined compounded supplement supply
- Up to six peptide cycles when clinically appropriate, with up to two single peptides or one combination per eligible cycle
- Prescribing clinician review and protocol management for eligible peptide support
Continuity and coordination
- Lab, scheduling, and supplement coordination
- Austin clinic access layer or a defined virtual benefit
- Priority next-step coordination when escalation is needed
- Annual review and written next-year plan
Your Signature Year
Exactly what happens, month by month.
Every scheduled marker below is part of the default annual rhythm. Your practitioner may adjust the sequence when your results or clinical needs call for it.
Swipe horizontally to move through all 12 months.
| Month | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Specialty labQuarterly in the default sequence | Gut | Hormones | Nutrients | Toxins | ||||||||
| Peptide cycleEvery two months, up to 6 cycles | Cycle | Cycle | Cycle | Cycle | Cycle | Cycle | ||||||
| Doctor check-inWith Dr. Lahana after each specialty lab | Check-in | Check-in | Check-in | Check-in | ||||||||
| Dietitian visit45 minutes, 4 visits | Visit | Visit | Visit | Visit | ||||||||
| Full blood panelBaseline | Baseline | |||||||||||
| Training protocolNew plan monthly | Refreshed every month across all 12 months | |||||||||||
| SupplementsCompounded and shipped | A full year's program-defined supply, compounded and shipped | |||||||||||
| Care team accessPortal messaging | Message your dietitian and clinical team throughout the year | |||||||||||
The timeline shows the default sequence. Your practitioner may adjust timing or testing based on your labs, goals, clinical fit, and availability.
For each eligible cycle, the program may support up to two single peptides or one combination peptide, at prescribing clinician discretion and within the terms confirmed at enrollment.
Scheduled program check-ins are shown above. Separately booked functional medicine doctor appointments may carry an additional cost.
The annual rhythm
Twelve months, one coordinated plan.
The month-by-month schedule becomes four connected phases, each using new information to shape what comes next.
Months 1 to 301
Gut and baseline phase
Complete the full blood panel and gut specialty lab, follow with a scheduled doctor check-in, then meet with your dietitian to translate the findings into the next plan.
- Blood panel
- Gut lab
- Doctor check-in
- Dietitian visit
Months 4 to 602
Hormone phase
Move into hormone-focused testing, review the new findings, and use the next dietitian visit to refine the active protocol.
- Hormone lab
- Doctor check-in
- Dietitian visit
- Monthly plan
Months 7 to 903
Nutrient phase
Use nutrient-focused testing to sharpen the plan, then connect the results to the next scheduled clinical and dietitian reviews.
- Nutrient lab
- Doctor check-in
- Dietitian visit
- Protocol refresh
Months 10 to 1204
Toxin and year-end phase
Complete toxin-focused testing, review the year with your care team, and use the final dietitian visit to prepare the next phase.
- Toxin lab
- Doctor check-in
- Dietitian visit
- Next-year plan
Throughout the year
Monthly training-protocol refreshes, program-defined supplement support, portal messaging, and clinically appropriate peptide coordination continue between milestone visits.
Your annual care team
Three roles. One shared rhythm.
Clinical decisions, real-life implementation, and the logistics around both stay connected instead of becoming separate workstreams for you to manage.
Dr. Lahana or an NP or MD
Owns quarterly interpretation, clinical review, escalation decisions, and medical oversight across the year.
Nuvitru dietitian
Connects each clinical review to a 45-minute implementation visit and supports monthly nutrition, lifestyle, and training-plan refinement.
Nuvitru care coordinator
Keeps labs, scheduling, reminders, supplement logistics, and next steps organized around the plan.
Two ways to join
In Austin or from home.
The annual structure stays intact. The location-specific benefit changes so the program fits how you will actually receive care.
Signature Year in Austin
- All Signature Year testing, guidance, and coordination
- Twelve months of program-defined clinic modality access
- A clinic rhythm connected to the active phase of your plan
- Priority booking for eligible therapies
Signature Year from home
- All Signature Year testing, guidance, and coordination
- Virtual practitioner and implementation sessions
- Remote lab coordination where available
- Protocol updates and supplement coordination from home
Who it is for
Built for someone ready to use the year well.
- You want a full-year plan instead of isolated appointments.
- You are ready for testing to be translated into consistent action.
- You value a clear sequence of clinical and dietitian check-ins.
- You want supplement and peptide strategy coordinated with the larger plan.
- You want a structured Austin or virtual care experience.
Signature Year is a disciplined annual program with a default testing sequence, scheduled visits, clinically guided product support, and defined care boundaries. It does not provide unlimited clinician access, supplements, peptides, testing, or clinic services.
Questions before you begin
A clear program should come with clear boundaries.
We will confirm your fit, location, exact inclusions, and program terms before enrollment.
Does everyone complete the same tests in the same order?
No. The page shows the default annual framework. Your practitioner may change the sequence or select a more appropriate panel based on your history, goals, prior results, and clinical needs.
Are supplements and peptides unlimited?
No. Signature Year includes a full year's program-defined compounded supplement supply and up to six scheduled peptide cycles when clinically appropriate. Each eligible cycle may support up to two single peptides or one combination peptide. Exact compounds, quantities, timing, and prescribing require clinical eligibility and are confirmed during enrollment and review.
Are additional doctor appointments included?
The month-by-month timeline shows the scheduled program check-ins. Separately booked functional medicine doctor appointments may carry an additional cost, which the team confirms before scheduling.
Can I join if I do not live in Austin?
The virtual program preserves the annual care structure through virtual sessions, remote lab coordination where available, and protocol and supplement coordination. Location-specific availability is confirmed before enrollment.
Why is the program structured for a full year?
The value comes from the sequence. Testing, interpretation, implementation, and refinement happen over time so each phase can respond to what came before it.
Signature Year / $9,990
Ready for a year of guided execution?
Start with a discovery call. We will listen to your goals, answer practical questions, and confirm whether this annual path fits.
Apply for Signature YearNo obligation. Final fit and terms are confirmed before enrollment.
Nuvitru programs support wellness planning and optimization and are not intended to diagnose, treat, or cure disease. Testing and protocol sequence may be adjusted by your practitioner. Peptide therapy, when applicable, is subject to clinical eligibility and practitioner approval. Program availability, testing access, visit format, and included benefits are confirmed during enrollment based on location and clinical fit.