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Root Cause Review · Functional Medicine · Colorado & Connecticut

Finally connect the dots. Understand what’s actually driving your symptoms.

When symptoms persist or your health history feels complicated, it helps to have someone connect the pieces. Get a clearer understanding of what may be contributing — and where to begin, before committing to ongoing care.

$575 · Two extended appointments · Personalized written recommendations

How it works

Time to be heard. Space to connect the dots.

Time to tell your full story, with a provider who listens. Thoughtful review beyond the appointment. Then, a conversation that brings the findings and your next steps into focus.

  1. Before we meet

    Your history, gathered

    Share your health questionnaire, existing records, and prior lab results.

  2. First visit · 60 minutes

    Your story, understood

    Time to discuss your symptoms, concerns, and health timeline.

  3. Between visits

    Connecting the pieces

    I interpret your information together and prepare your written recommendations.

  4. Review of Findings · 45 minutes

    Clarity on your next steps

    We discuss the findings, your questions, and what to prioritize.

What you leave with

A written summary of your picture, in plain language.

  • What I found. The patterns connecting your symptoms, history and existing labs — read as one picture rather than separate complaints.
  • What is most likely contributing. Named plainly, in order of how much I think each one matters, including what I think we can set aside.
  • Where to start. The two or three things worth addressing first, and what would tell us they are working.

Yours to keep.

What it costs

Your Root Cause Review

$575 self-pay, paid in full at booking

Includes

  • Comprehensive health questionnaire
  • 60-minute intake consultation
  • Review of your existing labs and records
  • Independent pattern review between appointments
  • Basic lab recommendations when appropriate
  • 45-minute Review of Findings visit
  • Personalized written recommendations

Not included

  • Supplement protocol
  • Advanced functional testing
  • Ongoing messaging or support
  • Reassessment and follow-up visits
Book Your Root Cause Review

Optional add-on

Add specialty-test interpretation

$775 total — the review plus interpretation of one specialty panel
$200 more than the review alone · laboratory fees are separate and paid directly to the laboratory

Whether a panel is appropriate is decided at your intake, not at booking. If you add this and it turns out not to be appropriate for you, the $200 is refunded.

About optional specialty testing

These are the panels I reach for most often. Only one is included in the $775 option — which one, if any, is decided at your intake once I have your full history, and laboratory fees are paid directly to the laboratory.

Hormones & cortisol

DUTCH

A dried urine panel showing sex hormones and their metabolites, plus cortisol measured across a full day.

When it helps: When cycle changes, perimenopause symptoms or stress patterns don’t line up with a single blood draw.

What DUTCH shows
Gut

GI-MAP

A DNA-based stool analysis identifying bacteria, yeast, parasites and pathogens, alongside markers of digestion and gut inflammation.

When it helps: When gut symptoms persist and the cause isn’t clear.

What GI-MAP measures
Gut

GI Effects

A comprehensive stool panel weighted toward how well you are breaking food down and absorbing it, plus inflammation and the broader microbiome.

When it helps: When digestion and absorption are the open question rather than infection.

How the two differ
Metabolic

Organic Acids (OAT)

A urine panel reading metabolic byproducts — B vitamin status, mitochondrial function, neurotransmitter turnover and yeast markers.

When it helps: Fatigue and cognitive symptoms without a clear source on standard labs.

What OAT is useful for
Cardiometabolic & nutrients

Advanced blood panel

An expanded blood draw going well beyond a routine panel — fasting insulin and HbA1c, ApoB and lipoprotein(a), hs-CRP and homocysteine, full iron studies, a complete thyroid panel with antibodies, B12, folate and vitamin D.

When it helps: When standard labs came back “normal” but the picture still doesn’t fit. Often billable to insurance at a conventional laboratory.

Nutrient status

Micronutrient panel

Measures vitamin, mineral and antioxidant status inside the cell rather than in serum, which can read differently from a standard blood level.

When it helps: Suspected deficiencies, restricted diets, malabsorption, or a long supplement list that isn’t landing.

Genetics

Genetic panel

Looks at inherited variants affecting detoxification, methylation, nutrient metabolism and how you process certain medications.

When it helps: Occasionally useful for explaining a persistent pattern or guiding a nutrient choice. Genetics are not a diagnosis and rarely change day-to-day care on their own — I read them alongside your history and symptoms, never in isolation.

Some functional tests are not used for conventional diagnosis. I interpret results alongside your history, symptoms and standard labs — no single test explains every symptom.

What comes next

Clarity first — then the right level of care.

Part of what I am working out during your review is how much support your situation actually calls for. For some people that is a short, focused list to carry out on their own. For others it is three or six months of structure, testing and follow-up, because the pattern is layered and will not shift in one go. By the end of your Review of Findings you will know which one you are — and why.

Your $575 review fee credits toward either one when you enroll within 60 days of your Review of Findings — so the review is a step into the program, not a separate cost.

And if what you need is an ongoing provider rather than a program, that is a real answer too. Integrative primary care membership

Full credit terms, including how specialty-panel laboratory costs are applied, are in the questions below. The credit does not apply to membership.

Before you book

Common questions

Is this a good starting point if my health history is complex?

Yes — that is who it is designed for. A complex history is usually the reason nobody has had time to read it all together. The review sets aside a full hour for your story and a separate block of my time between visits to work through your records and results as one picture. If your symptoms are new, severe or changing quickly, prompt conventional evaluation comes first.

Do I need new labs before my review?

No. The review works from the records and lab results you already have, so bring whatever you can gather. If foundational labs would genuinely change my recommendations I may suggest them, but they are not required for everyone, and testing is never automatic here. Any laboratory testing is billed separately.

Do I have to join a program afterward?

No — completing a review doesn’t enroll you in anything, and your recommendations are yours either way. It is designed as a starting point, though: many patients use it to work out whether Reset or Rebuild is the right next step, and your $575 is credited toward either if you enroll within 60 days of your Review of Findings.

How does the Root Cause Review credit work?

If you enroll in Reset or Rebuild within 60 days of your Review of Findings, your $575 Root Cause Review fee is credited toward your program fee. If you completed the Advanced Specialty Panel option, the laboratory cost of that panel is also credited, up to the included laboratory amount of the program you enroll in ($400 for Reset or $800 for Rebuild) — and that panel then counts as one of your program’s included tests. The credit does not apply to membership.

How does payment work, and what if I need to cancel?

The fee is due in full when you book your intake, and it covers the whole review including my work between visits — it is not a per-visit charge. If you cancel 48 or more business hours before your intake you receive a full refund; later than that, a refund less a $100 administrative fee. Once your intake has happened the fee is non-refundable, and test kits are non-refundable once ordered. Functional medicine is self-pay; your conventional labs and medical care continue to be billed to insurance when eligible — how payment and insurance work.

How long does the review take?

About six weeks end to end for most patients. Please schedule your intake within 30 days of purchase, and complete the review within 90 days of that intake — visits not used within that window expire. If you add specialty testing, laboratory processing time can extend things; if recommended labs aren’t completed within 45 days of your intake, I go ahead with your Review of Findings using what is available rather than leave you waiting.

Does the review include ongoing care?

No. It includes your two appointments and your personalized written recommendations. Supplement protocols, advanced functional testing, messaging between visits and continued reassessment are not included — those belong to Reset, Rebuild, or membership primary care.

Start with a clearer picture.

Take time to understand your health and your options before deciding what comes next.

$575 · Telehealth in Colorado and Connecticut

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