Clinical Services

Nutrition Medicine and Internal Medicine Services for Metabolic Health and Longevity

From preventing and reversing chronic disease to optimizing metabolic health for the long term, every service integrates clinical medicine and precision nutrition, grounded in evidence and adapted to Filipino food culture.

Areas of Care

One doctor. From disease treatment to longevity optimization.

As both an Internal Medicine physician and a Registered Nutritionist-Dietitian, Dr. Zapanta treats chronic disease and builds long-term metabolic health in the same consultation. Whether you are managing a condition or optimizing for longevity, the prescription and the nutrition protocol are designed together.

Clinical Internal Medicine

Comprehensive outpatient and inpatient medical care for adults. Dr. Zapanta manages the full spectrum of internal medicine, from annual check-ups to complex chronic disease cases requiring coordinated care.

Common concerns include diabetes, hypertension, dyslipidemia, thyroid disorders, anemia, and general adult health screening.

  • Full history, physical exam, and clinical assessment
  • Laboratory interpretation and monitoring
  • Medication review and adjustment
  • Referral coordination when specialist care is needed
Best for

Adults managing one or more chronic conditions, patients needing a regular internist, and those seeking a thorough medical check-up.

Medical Nutrition Therapy (MNT)

Individualized medical nutrition planning for specific medical conditions, built around Filipino food, rice, adobo, sinigang, kakanin, and everyday ingredients you can actually find in your local palengke or grocery.

Evidence-based protocols for diabetes (blood sugar control), hypertension (low-sodium Filipino eating), weight management, and chronic kidney disease (CKD) renal diet.

  • Full dietary assessment (food recall, habits, lifestyle)
  • Written medical nutrition plan with Filipino food substitutions
  • Carbohydrate, sodium, protein, and calorie targets
  • Follow-up reviews to adjust as labs improve
Best for

Patients with diabetes, hypertension, CKD, obesity, dyslipidemia, or anyone who wants a science-backed approach to eating for their health condition.

Sports Nutrition

Performance nutrition for Filipino athletes, gym-goers, weekend warriors, and active individuals. Dr. Zapanta helps you fuel training, optimize body composition, and recover faster, without falling for supplement myths.

Backed by his fellowship training in sports and metabolic nutrition, consultations cover macronutrient periodization, hydration, pre- and post-workout fueling, and weight-class management for competitive athletes.

  • Body composition assessment (not just BMI)
  • Sport-specific nutrition periodization
  • Evidence-based supplement guidance
  • Weight gain or weight-cut strategies done safely
Best for

Athletes, fitness enthusiasts, gym members, competitive sports players, and anyone wanting to improve performance or body composition under proper medical supervision.

Enteral & Parenteral Nutrition

Specialized nutrition support for patients who cannot eat normally, whether due to surgery, critical illness, neurological conditions, or gastrointestinal disease. This is hospital-based, closely monitored care.

Enteral nutrition (tube feeding) and parenteral nutrition (IV nutrition / TPN) are prescribed and managed with precise caloric and micronutrient calculations tailored to the patient's medical condition and metabolic needs.

  • Metabolic and nutritional assessment for inpatients
  • Enteral formula selection and tube feeding regimen
  • Total Parenteral Nutrition (TPN) prescription and monitoring
  • Transitional feeding plans (from IV/tube to oral diet)
Best for

Hospitalized patients, post-operative cases, ICU patients, stroke patients with dysphagia, cancer patients, and those with severe malnutrition who need clinical nutrition support.

Lifestyle Medicine & Longevity Optimization

A precision approach to living longer and feeling better at every age. Dr. Zapanta integrates evidence-based interventions across nutrition, sleep, physical activity, and stress management into a plan built around your metabolic data and daily life.

This is not about trendy supplements or quick fixes. It is about making durable changes to the habits that determine how long you stay healthy: blood sugar regulation, body composition, energy, and cardiovascular risk reduction.

  • Metabolic health deep-dive (labs, body composition, habits)
  • Sleep and circadian rhythm assessment
  • Physical activity prescription alongside precision nutrition
  • Evidence-based longevity interventions, the ones with real clinical backing
Best for

Health-conscious individuals, professionals optimizing performance, patients with pre-diabetes or early metabolic syndrome, and anyone who wants to extend their healthspan, not just their lifespan.

Simple Process

How a Consult Works

Three steps from first contact to your consultation. No complicated forms. No long waits for confirmation.

Request

Fill out the booking form on this site, message via WhatsApp, or call the clinic directly. Include your main concern and preferred schedule. If you have recent labs, have them ready.

Confirm

The clinic staff will confirm your appointment slot, send the clinic address (or teleconsult link), and let you know what to bring. Usually confirmed within one business day.

Consult

Meet with Dr. Zapanta in person or via video. Leave with a clear diagnosis, a written treatment plan, and, if nutrition work was done, a medical nutrition plan document you can actually use.

Additional Services

Other Ways Dr. Ivan Can Help

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Are You Admitted in the Hospital?

Ask your attending physician to refer you to Dr. Ivan for nutrition support. He provides inpatient Medical Nutrition Therapy and enteral/parenteral nutrition management across his affiliated hospitals.

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Executive Health Check-up

Dr. Ivan can facilitate your wellness check-up in any of his affiliated hospitals. A comprehensive executive health evaluation with nutrition and internal medicine review in one visit.

Ready to Start?

Book a Consultation

In-person across 9 Metro Manila clinics, or via teleconsult from anywhere in the Philippines. Same doctor. Same standard of care.