Your Questions About Functional Medicine, Answered
Below is everything you need to know before scheduling your first functional medicine consultation.
General functional medicine faqs
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Functional medicine is a framework for looking at health that focuses on the individual as a whole person.
Rather than asking only, "What diagnosis does this person have?" functional medicine asks, "Why might this person be experiencing these symptoms, and what factors could be contributing?"
This can include looking at nutrition, digestion, nutrient status, hormones, sleep, stress, lifestyle, inflammation, environmental factors and other aspects of health that may influence how you feel.
Functional medicine is not a magic wand, and it is not about finding one test or supplement that will fix everything. It is a process of gathering information, identifying priorities and working together to make meaningful changes over time.
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The modern functional medicine movement developed in the 1980s and was heavily influenced by Dr. Jeffrey Bland, a biochemist and researcher who helped develop and formalize the functional medicine model. He later founded the Institute for Functional Medicine.
However, the underlying philosophy is not new. Looking at nutrition, lifestyle, environmental influences and the interconnectedness of the body has been part of many healing traditions and areas of healthcare for a very long time.
What is newer is the development of a structured clinical framework for bringing these concepts together.
I think of functional medicine as another tool in the healthcare toolbox rather than a replacement for conventional medicine.
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This is actually where my own story with functional medicine began.
I originally went into chiropractic because I loved sports, athletics and the human body's ability to recover from injury. I had personally experienced physical therapy for knee injuries, and I became fascinated with how the body could heal and adapt.
When I entered chiropractic school, however, I discovered that the classes that really captured my attention were the ones focused on nutrition, biochemistry, vitamins, minerals, hormones and the body's internal physiology.
That was the part of healthcare that made me want to keep learning.
I began incorporating these concepts into my practice when I graduated in 2012, and learned there was a term for a framework of practice called "functional medicine."
In 2020, I decided to formalize that area of my education through Functional Medicine University. What was designed to be a multi-year educational process, I was able to complete in less than a year because of the additional time I had available that year.
That education helped fill gaps in my knowledge, gave me a more structured framework for evaluating patients and exposed me to many clinicians practicing functional medicine in different ways.
Since then, I have continued to build my own approach through additional education, clinical experience and working with patients.
There is no single "functional medicine doctor" degree. Functional medicine is a clinical framework that can be incorporated by appropriately licensed healthcare professionals within their individual scope of practice.
My background is as a Doctor of Chiropractic, and my functional medicine care is provided within my professional scope of practice.
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This is one of the most important distinctions to understand before scheduling.
Functional medicine at FLOW is not primary care.
Your primary care provider plays an important role in your healthcare. They can provide routine medical care, evaluate acute illness, prescribe medications, manage medical conditions, order appropriate diagnostic testing, coordinate referrals and help you navigate the healthcare system.
My role is different.
I do not provide acute medical care, I do not prescribe medications and I am not available as a 24/7 medical resource.
My functional medicine practice is focused primarily on wellness, prevention, health optimization and supporting people who want to take a more active role in addressing contributing factors to their health concerns.
You should have an established primary care provider or another appropriate plan for managing acute medical needs.
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No.
Functional medicine at FLOW is not intended to replace your primary care provider.
I strongly encourage every functional medicine patient to have an established primary care relationship and a plan for managing acute illness and medical emergencies.
If you have a serious or rapidly developing illness or injury, please seek appropriate medical care through your primary care provider, urgent care or an emergency department rather than contacting me through the functional medicine practice.
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No.
I do not prescribe medications through my functional medicine practice.
If medication is appropriate for your situation, I encourage you to discuss that with your primary care provider or appropriate medical specialist.
There is absolutely a time and place for conventional medical treatment, medications, procedures and specialists. Functional medicine does not replace those things.
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Functional medicine at FLOW is not designed to function as a primary care or specialty referral practice.
I may recommend that you discuss certain concerns with your primary care provider or another healthcare professional when appropriate, but I do not manage specialist referrals as part of my functional medicine practice.
This is another reason it is important to maintain an established relationship with your primary care provider.
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Yes.
I believe healthcare works best when providers work together rather than in isolation.
Functional medicine should complement appropriate conventional medical care, not compete with it.
I encourage patients to continue working with their primary care provider and other healthcare professionals as appropriate for their individual needs.
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There are two primary ways people typically work with me.
1. Wellness, prevention and optimization
Some patients don't have a major health problem. They simply want to understand their current health more thoroughly and be proactive.
They may want to:
• Establish a baseline of their overall health
• Take a closer look at nutrition and nutrient status
• Better understand their cardiovascular and metabolic health
• Review hormones or other areas of health when appropriate
• Evaluate their current supplement routine
• Identify areas they can improve before they become larger problems
• Establish health goals for the coming year
For these patients, I often use a comprehensive blood panel and may incorporate additional testing when appropriate.
The goal is not to order every test available.
The goal is to gather the information that is relevant to you and use it to create a practical plan.
Many patients in this category ultimately see me once or twice per year for ongoing wellness and prevention.
2. Goal-specific or condition-focused support
Other patients come to me because they have a specific concern they want to investigate or support.
This might include:
• Digestive or gut health concerns
• Hormone-related concerns
• Nutrient deficiencies or imbalances
• Frequent illness or concerns about immune resilience
• Inflammation
• Known autoimmunity
• Metabolic health
• Chronic symptoms that have not been fully explained
• Other health concerns where they want to take a deeper look at potential contributing factors
The appropriate approach depends on the individual.
Sometimes additional testing is helpful. Sometimes you have already had extensive testing and we can work with the information you already have.
The first appointment helps us determine which approach makes the most sense for you.
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No.
And that is okay.
Functional medicine may not be the right fit if you are primarily looking for medication management, acute medical care, a quick fix or someone else to take responsibility for your health.
There is absolutely a time and place for conventional medicine, medications, procedures, surgery and specialty care.
Functional medicine is a good fit for people who want to understand their health more deeply and are willing to actively participate in improving it.
I also believe that mindset matters.
I believe the human body has an incredible capacity to heal, adapt and become healthier when we provide it with the right environment and support.
That does not mean every condition can be reversed or that lifestyle replaces necessary medical treatment.
It means I believe you have an important role in your own health.
Testing faqs
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Not necessarily.
Testing is a tool, not the treatment itself.
I use testing when I believe the information will help us make a better decision about your care.
Depending on your goals, this may include bloodwork, hormone testing, gastrointestinal testing, nutritional assessment or other specialized testing.
I do not believe everyone needs every test.
That is why I prefer to meet with you first rather than having you purchase a long list of tests before we understand what you actually need.
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Testing is individualized, but may include:
• Comprehensive bloodwork
• Nutrient and metabolic markers
• Hormone testing
• Gastrointestinal or gut health testing
• Hair tissue mineral analysis
• Urine testing
• Other specialized functional medicine assessments when appropriate
Your testing plan will depend on your goals, symptoms, health history and previous results.
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Yes, when appropriate.
Sex hormone testing is not automatically included in every functional medicine assessment because hormone testing needs to be interpreted in the context of the individual.
Your age, sex, menstrual cycle, reproductive goals, symptoms, medications and other factors can all influence which testing is appropriate.
Depending on the situation, hormone testing may involve blood, urine or other testing.
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Bloodwork and hair testing provide different types of information.
Blood testing is particularly useful for understanding what is happening in the body at a specific point in time.
Hair tissue mineral analysis can provide additional information about mineral patterns over a longer period of time.
I sometimes use this as part of a more comprehensive assessment because it can add another piece of information when we are looking at nutrition, mineral status and overall physiology.
It is not a replacement for bloodwork. It is another tool that may be useful in the right patient.
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Absolutely, and I strongly encourage you to do so.
If you have had bloodwork, imaging or other relevant testing within approximately the past year, please upload those results to your patient portal before your appointment.
This allows me to review your information before we meet.
Please do not wait until your appointment to try to log into multiple healthcare portals and pull up your results.
Your appointment time is best spent discussing your health rather than trying to locate your records.
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Blood testing can be ordered through Quest Lab or Labcorp depending on your location.
This panel is around $250, but can change depending on add on preferences.
General:
Comprehensive Metabolic Panel (CMP)
GGT
Lactate Dehydrogenase
Complete Blood Count with Differential and Platelets
Metabolic:
HbA1c
Insulin
Lipid Panel
Optional add on: Advanced Lipid Panel and Omega Check
Thyroid:
TSH
Free T4
Free T3
Optional add on: Reverse T3, TPO Antibodies, Thyroglobulin Antibodies
Inflammation:
ESR
hs-CRP
Homocysteine
Uric Acid
Creatine Kinase
Vitamins:
Vitamin D
Vitamin A (Retinol)
B12
Folate
Optional add on: MMA
Minerals:
Iron Panel: Serum Iron, TIBC, Iron Saturation, Ferritin
Zinc
Copper
Other Hormones that can be added on:
Cortisol
DHEA-S
FSH / LH
Estradiol
Testosterone Free + Total
Prolactin
AMH
Working together faqs
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Your initial functional medicine consultation is one hour and is currently $150.
This is primarily an opportunity for us to understand your health history, your goals and what you are hoping to accomplish.
We will discuss:
• Your primary concerns
• Your health history
• Your current symptoms
• Nutrition and lifestyle
• Sleep and stress
• Current medications and supplements
• Previous testing
• Your health goals
From there, we will determine whether additional testing or a specific treatment strategy makes sense.
You are not required to purchase testing during your first visit.
The first appointment is also an opportunity for both of us to decide whether working together is a good fit.
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Because functional medicine requires preparation.
A significant part of the work happens outside of your actual appointment.
Depending on your situation, I may spend two or three times the length of the appointment reviewing your history and lab work, researching your specific concerns, considering possible contributing factors and developing your plan.
That preparation is part of the value of functional medicine.
The more complete information you provide before your appointment, the more productive our time together can be.
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That depends on your goals.
Some patients will leave their first appointment with recommendations and a plan to follow up after completing testing.
Others may already have enough information to begin making changes without additional testing.
For patients working through a chronic or more complex concern, I generally work in approximately three-month phases.
At the end of each phase, we evaluate what has changed and determine the next step.
That might mean:
• Continuing the current plan
• Adjusting nutrition
• Changing supplements
• Completing additional testing
• Repeating certain laboratory markers
• Moving into another phase of the plan
• Transitioning into a wellness approach
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There is no one-size-fits-all answer.
For chronic health concerns, I often tell patients:
For as many years as you have been dealing with an issue, give yourself at least that many months to work on it.
If something has been developing for ten years, it is unrealistic to expect your body to completely change in one month.
Functional medicine is not a magic wand.
Your body needs time, consistency and the right environment to adapt.
Many patients begin seeing meaningful progress within the first few months, but more complex or longstanding concerns may require six months, a year or longer.
My goal is not to keep you in treatment indefinitely.
Ideally, we work together to address your original goals and then transition you toward a wellness and prevention approach.
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Sometimes people notice improvements quickly.
Sometimes they don't.
There is no responsible way to promise a specific timeline.
Your symptoms, health history, nutrition, sleep, stress, genetics, environment and consistency all influence how your body responds.
Functional medicine is a process rather than an overnight solution.
The patients who tend to benefit most are the ones who are willing to participate actively in their own health.
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No.
Supplements are tools, not requirements.
Sometimes supplementation is appropriate and can be very helpful. Other times, the most important interventions are nutrition, sleep, stress management, movement or other lifestyle changes.
If I recommend a supplement, I will explain why I believe it may be useful and how it fits into your overall plan.
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Yes.
I offer both in-person and telehealth options for functional medicine visits.
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Functional medicine at FLOW is not a 24/7 medical access service.
Your care is primarily provided through scheduled appointments.
I do not have the capacity to provide around-the-clock patient messaging or manage acute medical concerns through messaging.
If you develop an urgent or serious medical issue, please contact your primary care provider, urgent care or an emergency department as appropriate.
This boundary allows me to protect the time necessary to thoroughly prepare for the patients I am actively working with.
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This may be the most important question.
I am willing to put in as much effort as you are willing to put into yourself.
I can provide education, interpretation, recommendations, accountability and support.
But I cannot do the work for you.
If your plan involves changing your nutrition, I need you to be willing to make changes.
If we identify sleep or stress as important areas to address, you need to be willing to work on them.
If supplements are part of your plan, you need to be willing to take them consistently.
If we recommend lifestyle changes, you need to participate.
You do not have to be perfect.
You do have to be willing.
Functional medicine works best as a collaborative relationship between the clinician and the patient.
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My goal is not to keep you coming back forever.
If we successfully address the concerns that brought you to functional medicine, we can transition into a wellness and prevention approach.
For many patients, that eventually means an annual or semiannual visit to review their health, update goals, review appropriate testing and make adjustments as needed.
The ultimate goal is for you to understand your body better and feel confident participating in your own healthcare.
billing and investment FAQs
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No.
Functional medicine services at FLOW are cash-pay and are not billed to health insurance.
Functional medicine often involves wellness, prevention, health optimization and investigative testing that is not covered by traditional insurance plans.
I also do not want to design your care around what an insurance company will or will not reimburse.
You can use an HSA or FSA for many functional medicine expenses, including eligible appointments, testing and supplements, depending on your individual plan. Please confirm eligibility with your HSA or FSA administrator.
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Your initial functional medicine consultation is $150 for one hour.
Follow-up visits range from $200 - $300, particularly when we are reviewing testing and creating or updating your plan.
A shorter check-in appointment is $75-100 for approximately 30 minutes and can be completed by phone or virtually when appropriate.
Testing and supplements are separate from the cost of your appointments.
Testing costs vary significantly depending on what we are investigating. More comprehensive testing may cost $300 or more, while follow-up laboratory testing may be considerably less.
We will discuss recommended testing before you purchase it.
Before you book
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✓ You want to take an active role in your health
✓ You are interested in nutrition, lifestyle and prevention
✓ You want to understand potential contributing factors to your symptoms
✓ You are willing to make changes outside of the appointment
✓ You understand that meaningful health changes take time
✓ You want a collaborative relationship with your clinician
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✗ You need acute medical care
✗ You are looking for medication management
✗ You need 24/7 access to a healthcare provider
✗ You are looking for an overnight or guaranteed solution
✗ You are not willing to make changes outside of your appointments
✗ You are looking for someone else to do the work for you
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The best place to start is an initial functional medicine consultation.
The first appointment is one hour and is $150. We will review your health history, discuss your goals and determine whether my approach is appropriate for what you are looking for.
There is no obligation to continue beyond that visit.
The goal of the first appointment is simple:
Let's figure out whether we are a good fit and, if so, what your next best step should be.
Ready to schedule?
I can’t wait to collaborate with you.