Our Approach

Root-cause medicine that addresses the whole person.

Evidence-based functional medicine. Unhurried consultations. Personalized care. Real results.

Core Philosophy

Four convictions that shape every visit.

Root Causes, Not Symptoms

We investigate why problems occur, not just treat what's visible. Weight gain from metabolic dysfunction requires different care than weight gain from hormonal imbalance.

Integrated Care

Your body systems are connected. We optimize metabolism, hormones, nutrition, sleep, stress, and movement together — not in isolation.

Prevention & Optimization

We identify risks early and help you prevent disease. We also help high performers optimize their health baseline.

Personalization

Your genetics, age, lifestyle, and goals are unique. Your treatment plan reflects that.

The Roges Approach

Four clinical pillars, applied to every patient.

Advanced Diagnostics

Comprehensive lab testing reveals what standard panels miss: micronutrient deficiencies, subclinical thyroid dysfunction, metabolic inflammation, hormone imbalances.

Personalized Treatment

Medications, bioidentical or conventional HRT, peptide therapy, nutrition, supplements — all customized to your labs and goals.

Ongoing Monitoring

Regular reassessment every 4–12 weeks. Direct messaging access between visits. Continuous optimization.

Lifestyle Integration

Medicine + nutrition + movement + sleep + stress management. No medication works alone.

What to Expect

How care unfolds, from first visit to ongoing partnership.

First Visit

45–90 unhurried minutes. Complete health history. Thorough physical exam. Advanced labs ordered. You'll feel heard.

Between Visits

Direct messaging access to Dr. Roges. Questions answered within 24 hours.

Follow-Up

Data-driven assessment. Lab review. Dose optimization. Adjusted plan.

Ongoing

Regular reassessment. Continuous optimization. Long-term partnership.

Three Care Pathways

Choose the program closest to your goal.

Metabolic Health

Weight loss, diabetes reversal, metabolism, energy, digestion.

Goal: Restore metabolic function.

Explore Metabolic Health

Hormone & Optimization

Hormone optimization, peptides, IV support, aesthetics.

Goal: Restore vitality, age well.

Explore Hormone & Optimization

Executive Health

Comprehensive 1-day assessment. Cardiac, metabolic, cancer, cognitive, nutrient screening.

Goal: Complete health clarity.

Explore Executive Health

The Roges Difference

What sets this practice apart.

Unhurried time

Not a 15-minute factory visit. Real consultation.

Advanced diagnostics

Comprehensive testing, not guessing.

Concierge model

Same physician. Direct access. Continuity.

Evidence-based

Science-grounded recommendations.

Transparent

Clear pricing, options, and reasoning.

Long-term partnership

We're invested in your success.

On Key Topics

Where we stand on the things patients ask about most.

Medications

We use them when evidence supports them, with the right patient, at the right time. Not first-line default.

Supplements

Only what testing indicates you need. Quality-focused, not marketing-driven.

Hormones

We offer bioidentical and conventional HRT. You choose.

Aging

Not decline to be managed, but a process to optimize.

Why Dr. Roges Practices This Way

The conviction behind the practice.

UCSD-trained, board-certified physician. Early in his career, Dr. Roges recognized that conventional medicine treats symptoms, not causes. He pursued functional and integrative medicine to address root causes and optimize the foundation.

His patients reversed diabetes, lost weight permanently, restored energy and libido, and transformed their health. He realized: this is medicine done right.

What Patients Say