
San Diego Metabolic Health & Direct Primary Care
Quick Facts
| Practice Type | Direct Primary Care |
| Location | San Diego, California, Arizona |
| Doctors | Brian Lenzkes MD, Internal Medicine |
| Telehealth Type | Telemedicine with remote monitoring via CGMs |
| Telehealth Available | Yes |
About
At San Diego Metabolic Health & Direct Primary Care, Dr. Brian Lenzkes delivers individualized primary and metabolic care to patients in California and Arizona. His practice combines the latest clinical research with proven diet and lifestyle interventions. Every program targets the root causes of illness rather than managing symptoms alone.
The practice serves patients both in-person at its San Diego office and via telemedicine. Dr. Lenzkes uses biofeedback tools like continuous glucose monitors for remote health monitoring. His membership programs cover direct primary care, medical weight loss, metabolic care, body composition analysis, and bioidentical hormone replacement therapy. The practice prioritizes reducing medication dependence wherever clinical evidence supports it. Patients describe the office environment as calm and spa-like.
Details
Website
Visit websiteMembership Details
Membership-based, self-pay programs
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Frequently Asked Questions
The practice runs on a self-pay membership model with no insurance billing. Patients enroll in a program that matches their health goals, such as direct primary care, medical weight loss, or metabolic care. Each membership provides individualized support from Dr. Lenzkes and his team. Separate patient agreements exist for each program type.
Yes. The practice serves patients throughout California and Arizona. Dr. Lenzkes offers telemedicine appointments for those who prefer care from home. Remote patients receive the same personalized support, including biofeedback tools like continuous glucose monitors for health tracking.
San Diego Metabolic Health & Direct Primary Care operates as a self-pay practice and does not bill insurance for membership services. Patients pay directly for their program. This structure lets Dr. Lenzkes focus on individualized care rather than insurance requirements.
The practice specializes in metabolic diseases, including type 2 diabetes, obesity, and hormonal imbalances. Dr. Lenzkes approaches these conditions by addressing root causes through diet, lifestyle, and clinical nutrition. He also provides preventive primary care and works to reduce patients' dependence on long-term medications wherever possible.
Body composition analysis measures the ratio of fat, muscle, and other tissue in the body. Dr. Lenzkes uses this data to create more precise weight loss and metabolic care plans. It provides a clearer picture of health progress than weight alone.
Yes. Bioidentical hormone replacement therapy, or BHRT, is one of the core services at San Diego Metabolic Health & Direct Primary Care. Dr. Lenzkes incorporates BHRT as part of a broader metabolic and wellness strategy when clinically appropriate.
Dr. Lenzkes integrates biofeedback technology into his telemedicine programs. Continuous glucose monitors allow him to track patients' health markers remotely and adjust care plans based on real-time data. This approach supports accountability and helps patients understand how their daily habits affect their health.
The direct primary care membership at San Diego Metabolic Health & Direct Primary Care focuses on prevention, wellness, and reducing medication dependence. Dr. Lenzkes guides care using current research and his own clinical experience. Patients receive a primary care relationship built around their individual health goals rather than insurance-driven visit quotas.
Practice last updated March 21, 2026



