Module 1: Introduction

An orientation to the course, the problem it addresses, and the clinical opportunity it represents. No biochemistry yet. Just context.

Module 2: The Science of Metabolic Health

A systems-biology framework for understanding how diet drives metabolic disease at the cellular level. The Insulin/ROS Hypothesis provides a unified mechanistic explanation for the obesity, diabetes, and cardiovascular disease epidemics that standard dietary guidelines cannot account for.

Module 3: Clinical Assessment and Predictive Diagnostics

Standard diagnostic criteria for metabolic disease—fasting glucose, HbA1c, BMI—identify disease only after significant cellular dysfunction has occurred. This module teaches a predictive diagnostic framework that identifies insulin resistance 10–15 years before standard criteria are met, enabling early intervention.

Module 4: Disease-Specific Nutritional Protocols

Evidence-based dietary protocols for the reversal of type 2 diabetes, cardiovascular disease, non-alcoholic fatty liver disease, and metabolic syndrome. Includes medication management during dietary intervention and safe deprescription protocols.

Module 5: The Art of Patient Counseling

Dietary behavior change is the most challenging clinical intervention a physician can attempt. This module applies the four principles of the Harvard Program on Negotiation to patient counseling, providing a rigorous, evidence-based framework for navigating resistance, building alliance, and achieving durable dietary change.

Module 6: The History of Nutritional Science

A rigorous examination of how the low-fat dietary framework was established through flawed epidemiology, suppressed clinical trial data, and industry-funded research. Physicians cannot practice evidence-based nutritional medicine without understanding why the prevailing guidelines are not evidence-based.

Module 7: Food Systems, Public Health, and Physician Advocacy

The metabolic disease epidemic is not primarily a failure of individual willpower, it is a failure of the food system. This module examines the upstream drivers of dietary disease, from soil microbiome depletion to agricultural subsidies, and equips physicians to advocate for systemic change as a clinical act.

Cumulative Assessment