Skift Metabolic is a provider-led telehealth practice built for adults who want to optimize weight, energy, performance, and long-term health with a more personal medical experience.
Care is designed around the idea that you are an n-of-1 — one individual with your own physiology, goals, history, lifestyle, and response to treatment. The plan should fit you, not the average person.
Metabolic health describes how efficiently your body produces and uses energy. It influences body weight, blood sugar, energy levels, inflammation, cardiovascular health, and long-term disease risk. Improving metabolic health can help patients lose weight, improve performance, increase energy, and reduce their risk of chronic disease.
A clinical, personal, and performance-minded approach to medical weight loss, GLP-1 telehealth, and lifestyle optimization.
Many people are working incredibly hard to improve their health but still feel stuck. They are often given generic advice, rushed appointments, or medications without enough education and follow-through.
I have seen it across years of clinical practice — patients who were motivated, intelligent, and committed, but who never had a provider sit down long enough to actually understand them. They deserved more.
I built Skift Metabolic to be that practice. A place where patients are listened to without a clock running, where the plan is built around your life rather than the average, and where the goal is not just a number on the scale — it is more energy, better performance, and a longer, fuller life.
In medicine, n-of-1 means you are treated as one unique individual — something that rarely, if ever, is achievable in your current experiences. Your history, goals, metabolism, lifestyle, stress, training, family life, and response to therapy all matter. The plan should evolve with you.
My experience includes cardiac surgery and orthopedic spine surgery, where I cared for patients facing the consequences of chronic disease, obesity, reduced mobility, and declining metabolic health.
That perspective shaped how I practice today. It reinforced my belief that earlier, more personalized intervention — combined with the right plan and ongoing support — can change a patient's trajectory and protect their long-term health.
Before becoming a PA-C, I served as a Navy Corpsman. That background shaped my direct, practical, and mission-focused approach to patient care.
As a CrossFit L1 Coach, husband, and father, I understand that health is not just lab values. It is energy, capacity, confidence, and being able to show up for the life you want.
Individualized metabolic care designed for patients who want clarity, structure, and long-term results.
A comprehensive, provider-led evaluation designed to understand your full picture — not just your weight.
This is where we establish your baseline and build your personalized strategy.
Evidence-based medical weight loss with thoughtful use of modern therapies when appropriate.
Medication is used as a tool — not the entire plan.
A long-term partnership focused on progress, plan adjustments, and accountability.
This is where long-term results are built and maintained.
Comprehensive medical care extending beyond metabolic health — for patients who want one provider who knows their whole picture.
Evidence-based hormone evaluation and treatment to support energy, performance, mood, body composition, and long-term health.
For patients who want to address hormonal contributors to weight, fatigue, and recovery.
Personalized primary care for adults who want a thoughtful, accessible provider who actually knows them.
Healthcare built around continuity, accessibility, and your goals.
Keep it simple. Patients should understand the process in seconds.
Choose a time that works for you using the online scheduler.
Complete your telehealth visit and discuss your history, goals, and options.
Get a personalized treatment plan based on your needs and eligibility.
Stay supported with follow-up visits, monitoring, and plan adjustments.
These comments are from prior patient feedback on William's Providence clinical profile and are included here as background on his communication style and patient experience.
“The Dr. seemed very knowledgeable and was kind and courteous, and he laid out the options very clearly.”
“My appointment with William C Smith was very informative. He was kind and thorough explaining the x-ray of my neck.”
“My experience with the provider was extremely good. The provider provided me with the information to help me feel at ease.”
Skift Metabolic provides concierge telehealth visits for eligible adult patients located anywhere in Washington State. Below are some of the cities and regions we commonly serve.
Answers to common questions about concierge telehealth, GLP-1 therapy, and how Skift Metabolic works.
Concierge medical weight loss is a provider-led, high-touch model focused on personalized evaluation, ongoing follow-up, and integrated lifestyle support — rather than the high-volume, quick-fix model used by many weight loss clinics.
When clinically appropriate, GLP-1 receptor agonists may be prescribed as part of an individualized treatment plan. Eligibility, education, and ongoing monitoring are part of every prescribing decision.
Skift Metabolic provides telehealth to eligible patients across Washington State, including Richland, Kennewick, Pasco, the Tri-Cities, Spokane, Yakima, Walla Walla, and Seattle.
Care is provider-led, concierge-style, and built around the n-of-1 philosophy: you are treated as one unique individual, not as an average data point. Visits are unhurried, follow-up is direct, and the plan evolves with you.
Skift Metabolic is a direct-pay practice. This allows for longer appointments, personalized treatment plans, and ongoing access without the limitations often imposed by insurance-based models.
Use the secure scheduler below to book your visit. New and returning patients welcome.
Have a question before booking? Reach out and we will get back to you as soon as possible.
