A structured functional medicine evaluation for symptoms that have persisted without a clear explanation. An hour of history, your existing records read properly, the laboratory work that is actually indicated, and a written roadmap you keep — whether or not you continue with me afterward.
Most of what I find useful in a first visit is not something a test produced. It is the shape of the history.
The timing depends on how quickly laboratory work comes back. Nothing is rushed to fit a schedule, and nothing waits longer than it needs to.
You complete a comprehensive health questionnaire and send whatever previous records and laboratory results you can gather. I go through them before your visit, so the hour is spent on you rather than on paperwork. A ferritin from eighteen months ago, read next to a recent one, often tells a story neither value tells alone.
A full hour building a timeline. When this started and what else was happening then. Which symptom came first and which arrived together. What you have already tried and what happened — including the things that partly worked, which are frequently the most informative. Then I order the laboratory work that is actually indicated.
Your results are read against your history rather than in isolation. Three normal thyroid results drifting steadily in one direction across two years is a finding, even though each was reported as unremarkable. This is the part of the work you do not see, and it is most of what you are paying for.
We go through what the results show, what they do not show, and how they fit what you told me. You should leave understanding your own laboratory work well enough to explain it to someone else — and holding a written roadmap that names the likely contributors in order of how much they are likely to matter.
A comprehensive health history completed before your intake, so the visit starts from what matters.
Your previous records and laboratory results, read in sequence rather than as isolated snapshots.
60 minutes. The full history — symptoms, medications, supplements, prior results, and what you are hoping changes.
Foundational laboratory recommendations when clinically appropriate. I order a test when I expect the result to change what I recommend.
The clinical work between visits — reading your results against your history and preparing your roadmap.
45 minutes. Your results explained in full, including what they rule out.
A personalized starter plan that is yours to keep and to take to any other clinician.
Laboratory costs, which are billed by the laboratory. Ongoing implementation and monitoring after your Review of Findings. Primary, acute, and urgent care.
Functional medicine gets talked about as finding the root cause, singular, as though one hidden thing is waiting to be located. That is rarely how bodies behave. Usually several contributors of different sizes are at work, and the useful question is which ones are both significant and changeable.
Named in order of how much each is likely to matter, with the reasoning behind the ranking.
Usually fewer things than people expect. A plan you can actually carry out beats a plan that is thorough on paper.
Which signals should shift if it is working, and on roughly what timeline.
And why — so the plan has a sequence rather than being everything at once.
The complete evaluation. Foundational laboratory work is ordered where indicated and billed by the laboratory.
For histories where it is clear from the outset that a specialty panel will change the plan — not simply where more testing is wanted.
If you continue into a program. Your Root Cause Review investment, plus the cost of any advanced panel ordered with it, is credited toward Reset or Rebuild when you enroll within 60 days of your Review of Findings.
Payment is due when you book your intake. Laboratory costs are quoted before anything is ordered. A full refund is available if you cancel 48 or more business hours before your intake; after your intake the fee is non-refundable. Self-pay only — functional medicine is not billed to insurance, though outside laboratories may bill your plan for conventional work when appropriate.
No. The Root Cause Review is an evaluation, not an ongoing care relationship. It does not include primary care, acute care, or prescription management beyond what is addressed during the review. If you want ongoing care afterward, the Integrative Primary Care Membership and the Reset and Rebuild programs are available separately.
You need to be physically located in Colorado or Connecticut at the time of each visit, because those are the states where I hold an active license. All visits are currently by secure video. If you divide your time between the two, that is not a problem — just tell me where you are.
It depends on what is indicated and how your insurance handles it. Conventional laboratory work can often be billed to your plan, and self-pay options are available. Advanced specialty panels are billed directly by the testing company. You will always have the expected cost before anything is ordered.
Your Review of Findings is scheduled once results are in. If recommended laboratory work has not been completed within 45 days of your intake, I will complete your Review of Findings with the information available rather than leaving it open indefinitely.
Only if your history points there and the result would genuinely redirect the plan. Advanced testing is a tool, not a product. A test that produces an interesting result but no change in plan has cost you a few hundred dollars to tell you something you cannot act on.
Yes, and many people do. Your written roadmap is yours to keep and to share with any other clinician. With your permission I am glad to coordinate.
Tell me what has been going on and what you have already tried, and I will tell you honestly whether the Root Cause Review fits — including if the answer is that something simpler would serve you better.
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