Sarah M. from Des Moines, Iowa
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Backed by Actual Lab Data, Not Guesswork. Fasting Insulin. HOMA-IR. GI-Map. Cortisol. Hormones. Toxins. Nutrients. We measure all of it.
Daily Monitoring
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Therapeutic NutritionSelect every statement that applies to you. Your severity grade updates below as you check boxes.
You were handed a prescription, told to "watch your carbs," and sent home. Year after year, your dose increases and your A1C creeps up — and nobody ever asks why your blood sugar is dysregulated.

Untreated insulin resistance quietly damages every system in your body — heart, brain, kidneys, nerves, and eyes.
Medications lower the number on the meter but never address why your cells stopped responding to insulin in the first place. The resistance worsens silently while your dose keeps climbing.
Long-term metformin use depletes B12, magnesium, and other nutrients essential for nerve and metabolic health — accelerating neuropathy and fatigue that the drugs were meant to prevent.
A disrupted microbiome directly impairs glucose metabolism and increases leaky gut inflammation. Standard care never runs a GI-Map, so the real driver stays hidden.
Standard panels check A1C and fasting glucose alone — skipping fasting insulin, HOMA-IR, cortisol, hormones, toxins, and gut mapping that reveal why your blood sugar is out of control.
You're handed a prescription and told to 'watch your carbs.' Year after year the dose increases, the A1C creeps up, and nobody asks why your blood sugar is dysregulated.
Standard workups check A1C and fasting glucose, skipping fasting insulin, HOMA-IR, gut mapping, cortisol, hormones, and toxin screens that reveal the true metabolic drivers.
Prediabetes is brushed off as 'borderline' until it becomes full diabetes — missing the critical window where insulin resistance is fully reversible.
Conventional care focuses on lifelong drug management rather than restoring insulin sensitivity, gut health, and metabolic function so you can reduce or eliminate medication.

We run full insulin panels, HOMA-IR, organic acids, comprehensive thyroid, cortisol, heavy metals, GI-Map, and nutrient status — not just A1C.
A therapeutic nutrition plan built around your specific metabolic drivers, food sensitivities, and gut microbiome — not a generic 'diabetic diet.'
Evidence-based nutraceuticals like berberine, magnesium, chromium, and alpha-lipoic acid — dosed precisely from your labs — plus gut lining repair.
Regular follow-up labs and protocol adjustments ensure you're progressing toward remission, with a clear plan for safely reducing medications with your prescriber.
Measures true insulin resistance — not just blood sugar — to catch metabolic dysfunction years before A1C ever rises.
Gut dysbiosis directly impairs glucose metabolism and drives leaky gut inflammation that worsens insulin resistance.
Cortisol, thyroid, and leptin imbalances silently keep blood sugar elevated — often missed on standard labs entirely.
Inflammatory cytokines block insulin receptor signaling, keeping glucose high even when your diet is clean.
Endocrine-disrupting toxins impair pancreatic beta cell function and insulin signaling at the cellular level.
Metformin depletes B12 and key minerals essential for glucose metabolism — we test and replete precisely.

Standard care checks A1C and fasting glucose alone — skipping fasting insulin, HOMA-IR, gut mapping, cortisol, and toxins — leaving the true metabolic drivers hidden for years.
of patients achieve remission with intensive metabolic intervention (DiRECT Trial, Lancet)

Board-Certified Functional Medicine Practitioner
Dr. Brandon Mannie is a board-certified functional medicine practitioner with over 400 hours of post-graduate training in clinical nutrition and functional medicine. He graduated from Northwestern Health Sciences University in 2004 and has been in private practice ever since.
Over the past 20+ years, Dr. Mannie has consulted with more than 3,000 patients — people who were told their labs were "normal," yet still felt far from well. His approach goes beyond symptom management: he investigates the root causes driving chronic illness and builds personalized protocols that restore true, lasting health.
Dr. Mannie operates a fully virtual telehealth practice, serving patients nationwide. His clinical expertise includes type 2 diabetes, insulin resistance, metabolic syndrome, weight loss resistance, and neuropathy.
"I've seen patients who were dismissed for years finally get real answers and real results. That's why I do this work."
These are the stories of patients who were told there was nothing more that could be done — and who chose to look deeper.

"I was told I'd just have to live with the fatigue. Dr. Mannie proved them wrong."
"After 4 years on Metformin and still feeling exhausted, Dr. Mannie found my issue was cellular resistance and gut inflammation. Within 90 days on his protocol, my energy is back and I've lost 15 pounds that wouldn't budge before."
"I was told I'd just have to live with the fatigue. Dr. Mannie proved them wrong. Within 90 days on his protocol, my energy is back and I've lost 15 pounds that wouldn't budge before."
"I was told my fasting glucose was 'normal' — meaning they had no idea why I felt so terrible. The functional labs revealed elevated fasting insulin and systemic inflammation. The targeted protocol changed everything."
"As a nurse, I was skeptical of anything outside conventional medicine. But when conventional medicine failed my Type 2 Diabetes for three years, I had nothing to lose. The root cause approach is exactly what I wish I had been taught."
"The difference between this approach and everything else I tried is that it actually makes sense. They found the cause — chronic gut inflammation and heavy metal toxicity triggering my immune system — and addressed it systematically."
"I had given up on ever having energy to play with my grandkids. The functional protocol — particularly the gut healing and targeted nutrient support — gave me my life back."
"Three specialists and a decade of suffering. One functional consultation changed the trajectory completely. My metabolic dysfunction had a root cause — and now it has a solution."
"I lost 47 pounds with Dr. Mannie's protocol without starving or resorting to injections. I sleep better, my anxiety is down, and I have boundless energy throughout the day."
"I was told I'd just have to live with the fatigue. Dr. Mannie proved them wrong. Within 90 days on his protocol, my energy is back and I've lost 15 pounds that wouldn't budge before."
"I was told my fasting glucose was 'normal' — meaning they had no idea why I felt so terrible. The functional labs revealed elevated fasting insulin and systemic inflammation. The targeted protocol changed everything."
"As a nurse, I was skeptical of anything outside conventional medicine. But when conventional medicine failed my Type 2 Diabetes for three years, I had nothing to lose. The root cause approach is exactly what I wish I had been taught."
"The difference between this approach and everything else I tried is that it actually makes sense. They found the cause — chronic gut inflammation and heavy metal toxicity triggering my immune system — and addressed it systematically."
"I had given up on ever having energy to play with my grandkids. The functional protocol — particularly the gut healing and targeted nutrient support — gave me my life back."
"Three specialists and a decade of suffering. One functional consultation changed the trajectory completely. My metabolic dysfunction had a root cause — and now it has a solution."
"I lost 47 pounds with Dr. Mannie's protocol without starving or resorting to injections. I sleep better, my anxiety is down, and I have boundless energy throughout the day."
Book a complimentary 1-on-1 strategy call with Dr. Brandon Mannie's clinical team. No obligation, no hard sell — just clinical clarity on your path to metabolic reversal.