Trajectory Health Partners

01/08/2026

Dr. Jerome-Zapadka is honored to serve on the Scientific and Clinical Advisory Committee for the Coalition for Metabolic Health. The Coalition supports the new 2025–2030 Dietary Guidelines for Americans, which place a stronger focus on whole foods from both plant and animal sources. The guidelines recognize protein as an important part of a healthy diet, recommend less sugar and refined carbohydrates, and reduce the suggested amount of grains.

The Coalition also applauds the inclusion of therapeutic low-carbohydrate options for people with chronic disease. This is an approach Dr. Zapadka used in her own clinical practice for several years to help reverse metabolic fatty liver disease (MASLD). These updates are based on decades of scientific and clinical research and are an important step toward improving metabolic health across the country.

Join us at THP, where our team can help you put these guidelines into action to improve or reverse fatty liver disease, prediabetes, type 2 diabetes, and unhealthy cholesterol levels.

Expert CMH members aim to assist policymakers in implementing low-carbohydrate recommendations to address chronic disease WASHINGTON (January 7) — Today,

12/29/2025

🎉 Celebrating One Year of Trajectory Health Partners! 🎉

As we wrap up our first year of practice at THP, we’re celebrating what matters most—real people changing their trajectories.

Meet Steve. Just 5 months into his journey, his progress is a powerful example of what’s possible with a personalized, metabolic-focused approach.

After presenting with fatty liver disease and metabolic syndrome, Steve adopted a very low-carbohydrate nutrition plan, increased aerobic and resistance training, and stayed committed to the process.

📉 In 5 months:
• Weight: 261.5 → 232.1 lbs
• Waist: 51.5 → 47 inches
• Visceral fat score: 21 → 14
• Insulin: 14.7 → 6.8
• Triglycerides: 214 → 89
• HDL: 29 → 44

Most exciting of all 🙌
➡️ A Velacur liver scan showed resolution of his fatty liver.

Steve says he feels like a new person and is motivated to keep going—and we couldn’t be prouder.

Here’s to our first year at Trajectory Health Partners, and to many more trajectories changed ahead. ✨

10/20/2025

Have you been diagnosed with pre-diabetes or type 2 diabetes? These are conditions of insulin resistance that put you at risk for multiple other problems such as heart disease, multiple cancers, end-stage liver and kidney disease, dementia and early death.

Rather than “manage“ these conditions with ever increasing medications, at Trajectory Health Partners we specialize in diabetes and prediabetes reversal, with science backed nutritional and lifestyle changes. This allows patients to avoid, reduce, and even stop many medications.

Call or visit our website to arrange a consultation (covered by insurance) to learn how you can improve and even reverse your pre- and type 2 diabetes.

09/05/2025

Diseases like obesity and fatty liver disease demand prevention, not just treatment. Dr. Jerome-Zapadka is excited to serve on the advisory committee of the Coalition for Metabolic Health to support early intervention. Read more about our work:

WASHINGTON (September 4) – Launched with seed funding from the Baszucki family’s $50 million commitment to improve metabolic health, the

09/01/2025

Dr. Zapadka is excited to be presenting at this event!

This three-day conference will bring together liver health professionals, patient advocates, caregivers, individuals with lived experience, researchers, and policymakers to share knowledge, foster collaboration, and advance advocacy.

08/12/2025

THP staff are so excited to attend the Society of Metabolic Practitioners 10th anniversary event! See their most recent update below:

Metabolic Health Lifestyle and TCR (Therapeutic Carbohydrate Reduction) Interventions:

✅ Thousands of lives changed.

✅ Individuals recovering

✅ Practitioner Practices becoming more effective

✅ Patients healing from what they were told were chronic & progressive, or couldn't find effective healing strategies.

The Mission: Fix Metabolic Health for More

The 10th Annual San Diego Symposium for Metabolic Health is your front-row seat to the future of how we fight chronic disease

• Evidence-based
• Patient-centered
• CME/CMHE eligible

(Continuing Medical Education / Continuing Metabolic Health Education Credits for necessary units to get & keep up to date The SMHP accreditation Requirements)

Whether you’re a clinician, coach, researcher, or someone navigating your own metabolic health journey, this Symposium delivers something rare: real science, 📊🧬🩺 real strategies, and real connection.

We can’t wait to welcome you to San Diego and online, to celebrate 10 years of progress—while fueling the next decade of change!

hashtag

Updated Presenters on the event page-

https://lnkd.in/g-K9XMEC

📅 filling nicely as we obtain all of the presentation abstracts, visit the event page above

We look forward to you joining us!!

In person we'll welcome you to the beautiful Loews Coronado Bay Resort 🎇🌴🌅🚤⛵️🌞

or Tune in via Livestream 💻 from anywhere in the world ** includes recordings to view and review in your time with no expiration! 💻

07/12/2025

Who better than Stan Zapadka, an engineer, to come out of retirement to become our Certified Velacur Technician! This amazing and economical technology can both diagnose and stage fatty liver disease. This becomes especially important in patients with type 2 diabetes, prediabetes, high triglycerides, and obesity.. If you have any one of these, you are at high risk to have fatty liver disease, and to have the more advanced type which puts you at risk for progressive liver disease. Fatty liver disease is now a leading cause for liver transplantation. You may not have any symptoms, which is why it is so important to be screened for this potentially devastating disease.

Call our office at 878-208-0288 for more information if you feel you may be a candidate for screening.

07/03/2025

We reached another milestone this week at Trajectory Health Partners!

When we opened our practice, one of our goals was to be a hub for education for students and practitioners, regarding Therapeutic Carbohydrate Reduction. We hosted a student who recently received her Bachelor of Science in Nutrition. She had the opportunity to learn about fatty (steatotic) liver disease, insulin resistance and Metabolic Syndrome, and the unique nutritional needs of these patients to reverse rather than " manage" these diseases. She also had an opportunity to learn about the importance of health coaching to implement the behaviors needed for long-term success, the Velacur liver scan to not only diagnose and stage fatty liver, but to also follow this to document its resolution, and the importance of a sophisticated Body Composition Analysis to assure that patients are making impact on fat mass and visceral fat, while maintaining or gaining muscle mass. We had such a great morning together, and are ready to open our doors to further students.

Please contact us if you are interested in this opportunity!

06/23/2025

Please join us in congratulating the one and only Dr. Zapadka, who was recently (and again!) named as one of the top doctors in the Pittsburgh area. We're lucky to have her and her passion at the helm of Trajectory Health Partners!

From anesthesiologists to cardiologists find the best doctors and top-rated medical specialists located in and around Pittsburgh, PA. Pittsburgh Magazine is partnering with Castle Connolly, a healthcare research company and the official source for Top Doctors for more than 30 years. Castle Connolly....

05/19/2025

Changing the trajectory of a life, it's at the heart of what we do. And this time it's not just about our patient's life, but also the lives of those caring for her, especially our Nurse Practitioner, Cameron Zapadka.

A young mother brings her infant son to each appointment. Our team is enthralled with him. She has fatty liver disease with signs of early liver scarring, insulin resistance, obesity and high triglycerides. We all understood what was at stake, and that she needed to improve her health to be there for her son. In just three months on our comprehensive program including Therapeutic Carbohydrate Reduction, she has lost 40 pounds, four inches off her waist, normalized her insulin level and insulin resistance score, and feels so much better with increased energy and the motivation to continue with her new lifestyle. We can't wait to see her next Velacur liver scan to see the impact we are making on her fatty liver!

We are thrilled for her. And for Cameron, who left general medicine to continue his journey to become certified as a Metabolic Health Practitioner. For him to witness her dramatic changes with appropriate nutrition rather than medication, and to understand what is possible for patients with the right nutritional/lifestyle advice and ongoing support has been profound. He later shared..."I left work with a feeling of happiness". Every patient deserves this. Every provider deserves this.

If you have pre-diabetes, Type 2 diabetes, obesity, high triglycerides or PCOS, you are at risk for fatty liver disease and should be evaluated. Call us and let's set up an appointment!

Trajectory Health Partners is a center for metabolic, liver and obesity medicine. We treat insulin resistance, fatty liver disease, and metabolic syndrome, teaching our patients lifestyle changes to improve their overall health.

05/01/2025

Changing the trajectory of a life…it is at the heart of what we do, and the driving force behind our name-Trajectory Health Partners!

This time it’s personal. Melissa Guzzetti, our Fitness Instructor, has been my dearest friend since second grade. In middle age she began to experience decreased energy, increasing weight, degenerative joint disease and high blood pressure. I remember once after we saw a hockey game, I was concerned about her making it back to the parking lot.

She reached out to me, and I recommended she be tested for insulin resistance. Once this was confirmed I provided her with the tools we use at our THP program to begin to take her health and her life back!

Therapeutic Carbohydrate Reduction strikes again! Not only did she lose 75 pounds, but I also introduced her to Chris Cosky at B Well Nation Fitness Center. Here she took the B Well At Home resistance band workshop and discovered her love for fitness that she thought was lost forever. Melissa has gone on to become a certified fitness instructor and is now teaching this class to our patients, as well as paying it forward with her own business- Move with Melissa! She is passionate about helping others find their best self! Check out her full bio on our website:
https://www.trajectoryhp.com/medical-providers

I am always in awe when I see her walk into the office, strong and filled with energy and new purpose! She has reached her goal of being able to play on the floor with her granddaughter, and is on her way to reaching her dream of being there for her granddaughter’s wedding. I plan on being there with her!

If you have fatty liver, weight issues, pre- or type 2 diabetes, high triglycerides or PCOS, you have insulin resistance. We have the program to help you take your life and health back…just ask Melissa! Call us or drop us a note on our website to get started today.

- Karen

04/12/2025

Therapeutic Carbohydrate Reduction strikes again!

Just three months into our opening and we have our second patient on her way to reversing her type 2 diabetes! We can't wait until her next Velacur liver scan to see the impact on her severe fatty liver!

If you have pre- or type 2 diabetes, central obesity, PCOS, or high triglycerides, you have insulin resistance, and are at risk for fatty liver disease and should be screened.

Therapeutic Carbohydrate Reduction is a path forward to disease remission, weight loss, better health and increased energy!

Make an appointment with us at our Cranberry Township location at www.trajectoryhp.com or call 878-208-0288

Trajectory Health Partners is a center for metabolic, liver and obesity medicine. We treat insulin resistance, fatty liver disease, and metabolic syndrome, teaching our patients lifestyle changes to improve their overall health.