Our clinicians adopt an integrative medicine approach to health and wellness. While we provide primary care services in our office, we do not offer 24-hour on-call physician coverage. Therefore, we recommend maintaining a relationship with your existing primary care provider. For established patients, we offer work-in visits to address various primary care concerns. We also encourage you to utilize our expertise in nutritional and environmental medicine for comprehensive health support.

All providers in our practice understand the importance of taking the time to listen to patients thoroughly to accurately diagnose illnesses and uncover their underlying causes. Therefore, we schedule appointments in 15-90 minute intervals to ensure no one feels rushed. The cost of each visit is calculated on a per-minute basis, ensuring fair billing. Each 15 min is $162.50 or $650/hour.

Although we are not Medicare providers, our fees align with those between Medicare and private insurance reimbursement rates.

Pellet hormone replacement therapy utilizes a small pellet of hormones that is placed under the skin through a tiny incision in the upper region of the buttocks allowing a steady release of hormone into the blood stream for three to six months.

With this type of hormone replacement therapy you get consistent levels throughout the day and the amount of hormone is released in greater amounts when you are exercising to meet the increased demands of your body.

Gels and creams are made by compounding pharmacists as are pellets. The difference however is that they must be applied daily and sometimes twice daily to achieve proper levels.

Many of my patients have complained that they must wait 15 minutes before getting dressed in order for  the gels and creams to be properly absorbed and if they do not wait, the hormone ends up in their clothes rather than their bloodstream. That being said, bioidentical gels and creams are still a viable option for some patients, though the general consensus has been that pellets are better.

The endocrine system is a complex system that regulates multiple body processes.

A thorough review of all thyroid labs are reviewed, but moreover, there is great consideration given to the patients symptoms. Normal TSH levels are not where the investigation of thyroid disorders should end. Our providers examine a full spectrum of areas that may lead to symptoms of hypo and hyperthyroidism.

The human body chemistry works in unison and when there is an imbalance in one area, it will begin a cascade of problems in other areas, therefore, often times other hormone levels need to be assessed as well. Iodine levels may be evaluated also.

Treatment can consist of supplements, compounded therapies and/or pharmaceuticals depending on the individuals medical history, imbalance and preferences.

We screen for growth hormone deficiencies using IGF-1 level. If low, then a Arginine stimulation test will be ordered. If patients fail these two tests they may be candidates for growth hormone replacement therapy, but the criteria are strict and patients are only started on growth hormone if they are felt to be appropriate candidates and their lab work confirms a true deficiency: IGF-1 less than 84 and/or failure to reach a GH level of 8-10 on an arginine stimulation test.

Yes, with both a conventional drug based approach as well as nutritional support. We have found significant improvement in some patients with our nutritional protocol for this illness.

We do treat Attention Deficit Disorder (ADD) using a combination of nutritional and pharmaceutical interventions where necessary.

Many adults and children respond to a specific regimen of amino acid therapy unique to each individual. It is also prudent to assess them for methylation defects and nutritional deficiencies though the deficiencies found do not always correlate with improvements in ADD.

In selected cases we may assess patients for allergies as these may contribute to their focus issues as well.

We perform nutritional assessments in patients with Crohn’s or Ulcerative Colitis. Additionally early research suggests that Crohn’s disease and/or Ulcerative Colitis may respond to hyperbaric oxygen therapy. As such this is a therapy that may be offered on a case by case basis.

Many supplements available in supermarkets, drug stores, and certain health food chains often contain fillers and allergens that may not be suitable for sensitive patients. A recent study revealed that 80% of supplements found in local stores did not contain significant levels of the ingredients claimed on their labels. Third-party testing is crucial to verify the quality and consistency of supplements. Variability in active ingredients or the presence of impure fillers can pose risks to health and impact treatment outcomes. In our practice, we use professional-grade, high-quality supplements that have been third-party tested for impurities. We believe that investing in quality supplements is worth the potential increased cost and convenience.

In order to be a full service functional health clinic we would not be able to comply with the constraints of insurance company guidelines; therefore we are unable to contract with them. CFW is a fee for service clinic, accepting major CC, HSA, FSA cards and checks.