Thyroid, Adrenal & Bioidentical HRT

Restore energy, clarity, and balance with physician-guided hormone care — done the right way.

What We See in Our Patients

Many patients come to us after months or years of being told their labs are “normal” or their symptoms are just a part of aging. Yet they’re struggling with:

Low energy
Unexplained weight gain
Brain fog
Sleep Disruption
Anxiety, irritability, or emotional flatness
Loss of libido or sexualdysfunction
Irregular cycles, PMS, or menopausal symptoms

Often, they’ve been offered a pill, dismissed entirely, or put on a hormone protocol that wasn’t tailored to them.

At The Functional MDs, we understand that hormonal symptoms are not vague or imagined — they’re physiologically real, and often rooted in missed patterns and poor clinical follow-up. That’s what we do differently.

Our Approach to Hormone Optimization

We don’t follow templates. We follow the patient.

Every hormone plan starts with a structured discovery process advanced testing, clinical intake, and a deep understanding of how your body functions across systems. From there, we build a phase-based treatment strategy tailored to your hormonal profile, goals, and physiology.

When indicated, we use bioidentical hormone therapy (BHRT) carefully prescribed, monitored, and adjusted by board-certified physicians. We do not believe in “one-size-fits-all” protocols or aggressive dosing models that ignore individual biochemistry.

Our approach reflects the latest clinical research and expert consensus, including recent insights from the FDA’s hormone therapy roundtable, which reaffirmed the safety and broad health benefits of appropriately timed hormone use — especially in perimenopause, menopause, and andropause.

Personalized bioidentical hormone therapy

Thyroid and adrenal support

Nutritional and nutraceutical strategies

Detox and metabolism support

Coaching to optimize stress, sleep, and lifestyle rhythms

Common Myths About Hormone Therapy

Hormone therapy is one of the most misunderstood tools in medicine  often misrepresented due to outdated studies, inconsistent training, and generalized warnings that don’t reflect current

evidence.Here’s what patients need to know:

Myth 01
Hormones are unsafe

Modern studies — and the recent FDA roundtable — confirm that when used appropriately, hormone therapy improves longevity, bone density, brain health, and cardiovascular resilience.

Myth 02
All hormone therapy is the same

Modern studies — and the recent FDA roundtable — confirm that when used appropriately, hormone therapy improves longevity, bone density, brain health, and cardiovascular resilience.

Myth 03
Vaginal estrogen increases cancer risk

Modern studies — and the recent FDA roundtable — confirm that when used appropriately, hormone therapy improves longevity, bone density, brain health, and cardiovascular resilience.

Myth 04
Testosterone is only for men

Modern studies — and the recent FDA roundtable — confirm that when used appropriately, hormone therapy improves longevity, bone density, brain health, and cardiovascular resilience.

Our Approach to Pellet Therapy

Pellet therapy is a valuable option — when used correctly.
We offer it selectively for men and women who are appropriate candidates, based on symptoms, lab data, and individual physiology. But unlike many practices, we don’t default to pellets for every patient. And we don’t overcorrect hormones into supraphysiologic ranges just to generate short-term results.
What we’ve seen in the industry is concerning:
A one-size-fits-all approach to pellet dosing. Hormone levels pushed too high for too long. Lack of proper follow-up. These aren’t best practices — and they often lead to downstream dysfunction.
At The Functional MDs, pellet therapy is part of the toolbox — not the protocol. We use it when it’s the right fit, in the right dose, with the right clinical oversight.
This is hormone therapy the way it should be: calibrated, measured, and built for long-term balance — not just symptom spikes.

Outcomes We Aim For

Hormone therapy, done correctly, doesn’t just manage symptoms it restores systems.At The Functional MDs, our goal is to help you:

Regain steady energy and focus throughout the day

Improve sleep quality, emotional regulation, and mental clarity

Support metabolic health, weight balance, and insulin sensitivity

Feel confident and in control of your body again

Restore libido, cycle regularity, or a smoother menopausal transition

That’s why we monitor, recalibrate, and adapt your plan with you — every step of the way.

Frequently Asked Questions

Have questions about our services or the functional medicine approach?

What is bioidentical hormone therapy (BHRT)?

Are hormones safe?

What’s the difference between synthetic and bioidentical hormones?

Do you use pellet therapy?

How do I know if my hormones are out of balance?

Do you treat men and women?

Do you treat thyroid and adrenal issues too?

How long does it take to feel better?

Do you use hormone therapy for prevention or just symptom relief?

Can I use insurance for hormone therapy?

Autoimmune Conditions & Chronic Inflammation

Address immune dysregulation at the root — with clinical clarity and precision-driven care.

What We See in Our Patients

Many patients come to us after being diagnosed with autoimmune conditions but offered little beyond symptom suppression. Others struggle with chronic inflammation, joint pain, fatigue, or skin issues — often without a clear diagnosis.

They’re left managing flares with medications, while the deeper question — why is the immune system overreacting? — is rarely explored.

We focus on evaluating and addressing the underlying contributors to immune dysfunction, using a comprehensive, systems-based approach designed for patients with complex or unresolved symptoms.

Systems We Evaluate

Autoimmune activation rarely happens in isolation. Our clinical evaluation looks at the interconnected systems that influence immune balance, inflammation, and symptom flares.

  • Gut health and intestinal permeability
  • Nutrient status and micronutrient deficiencies
  • Detoxification and environmental toxin load
  • Hormonal influence on immune regulation
  • Chronic infections (including stealth pathogens) 
  • Inflammatory markers and metabolic stress 
  • Stress response and cortisol rhythm disruption 
This is about understandiWe don’t focus on lab values in isolation. Instead, we assess how patterns connect — and how the immune system is being signaled across systems.ng the whole system — not chasing isolated lab values.

Our Approach to Autoimmune & Inflammatory Conditions

Autoimmune and inflammatory conditions require more than symptom management — they require insight into what’s driving immune imbalance.

Our approach begins with a structured discovery process, including a detailed clinical intake, advanced testing when appropriate, and timeline analysis. We look at how immune, metabolic, gut, and hormonal systems are interacting — and where regulation has broken down.

From there, we build a personalized, physician-directed care plan designed to support immune balance, reduce systemic stress, and restore functional stability. Care may include:

[1]

Anti-inflammatory nutrition

[2]

Targeted micronutrient and gut support

[3]

Stress modulation strategies

[4]

Detoxification support (when appropriate) 

[5]

Coaching for sustainable habit change

[6]

Coordination with your other medical providers when needed 

We don’t rely on protocol templates. Every plan is designed around your history, presentation, and progression — and guided by medical insight throughout.

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

Outcomes We Aim For

While every case is different, our care is designed to help patients with autoimmune or chronic inflammatory conditions:

  • Stabilize overactive immune responses and reduce flare severity
  • Improve daily energy and post-exertional recovery
  • Reduce joint pain, swelling, and inflammatory skin symptoms
  • Improve gut regularity, nutrient absorption, and immune tolerance
  • Support cognitive clarity, emotional steadiness, and sleep quality
  • Rebuild systemic balance across gut, hormone, and immune function

While every case is different, our care is designed to help patients with autoimmune or chronic inflammatory conditions:

Frequently Asked Questions

Have questions about our services or the functional medicine approach?

What autoimmune conditions do you work with?

Can functional medicine reverse autoimmune disease?

What testing do you use for autoimmune and inflammatory conditions?

Do you treat inflammation even without a formal autoimmune diagnosis?

How is your approach different from conventional rheumatology?

Do you recommend stopping medications like steroids or biologics?

How long does it take to see improvement?

Can this approach be used alongside conventional treatment?

What symptoms might improve with this approach?

Is this covered by insurance?

Gut Health & Food Sensitivities

Heal the gut. Calm the system. Uncover what’s been triggering your body — and build a foundation for everything else.

What We See in Our Patients

Most patients who come to us with gut issues have been through the cycle: antacids, probiotics, restrictive diets, and vague “you probably have IBS” diagnoses. Some have been told their symptoms are stress-related. Others have tried food sensitivity panels, SIBO protocols, or gut supplements — and still feel stuck.

They’re dealing with bloating, food reactions, gas, reflux, constipation or loose stools — often paired with fatigue, brain fog, joint pain, skin flare-ups, or hormonal shifts.

Gut dysfunction isn’t always just a digestive issue. It’s often the upstream driver of inflammation, immune dysregulation, and hormone imbalance.

Our Approach to Gut Health & Food Sensitivities

Gut symptoms are rarely isolated. We assess how the gut is influencing immune regulation, hormonal balance, detoxification, and overall systemic stability.

Our care begins with a structured clinical evaluation, advanced testing when appropriate, and identification of key dysfunctions across digestive and inflammatory pathways. From there, we implement a physician-directed protocol aligned with your findings, timeline, and goals.

1

Antioxidant and mitochondrial support

2

Gut-healing protocols based on GI testing

3

Phase-specific detoxification support (methylation, conjugation, bile flow)

4

Hormone and neurotransmitter cofactor repletion

5

Immune modulation and inflammatory balancing compounds

Every product is carefully selected for clinical relevance, therapeutic range, and third-party verification. Dosing is matched to tolerance, labs, and biochemistry.

Outcomes We Aim For

Our goal is to restore gut stability and reduce system-wide stress — so patients can move from reactivity to resilience.Depending on your case, that may include:

Reduced bloating, cramping, and digestive discomfort

Improved bowel regularity and post-meal response

Fewer food reactions and less inflammatory sensitivity

Better nutrient absorption, energy, and immune function

Greater clarity, mood stability, and daily consistency

That’s why we monitor, recalibrate, and adapt your plan with you — every step of the way.

Frequently Asked Questions

Have questions about our services or the functional medicine approach?

What types of gut issues do you work with?

Do I need a confirmed diagnosis like IBS or SIBO to work with you?

What’s the difference between food allergies and food sensitivities?

How do you test for gut dysfunction?

Do you treat leaky gut?

What if I’ve already done an elimination diet?

How long does it take to see improvement?

Will I need to avoid certain foods permanently?

Is your approach just about diet?

Is this covered by insurance?

Mold, Heavy Metals & Environmental Toxins

Identify and address the hidden exposures that silently disrupt immune, neurological, and metabolic health.

What We See in Our Patients

Environmental exposures like mold toxins and heavy metals often go unrecognized in conventional care — yet they’re capable of driving deep system-wide dysfunction.

Many of our patients come to us with a long list of symptoms that seem unrelated: fatigue, brain fog, anxiety, skin issues, sensitivity to smells, joint pain, or unexplained inflammation. They’ve seen multiple providers, ruled out major diseases, and still don’t feel better.

In many of these cases, the missing variable is exposure — and the body’s inability to detox or recover properly.

We specialize in evaluating patients for hidden environmental burdens and building a structured path forward.

Systems We Evaluate

Environmental exposure affects more than detox pathways — it influences energy production, immune response, neurological function, and hormonal regulation. We assess for patterns related to:

  • Mycotoxin exposure from water-damaged buildings
  • Heavy metal burden (mercury, lead, arsenic, etc.)
  • Impaired detoxification or biotransformation capacity
  • Glutathione status and oxidative stress
  • Mitochondrial function and cellular energy output
  • Neuroinflammation and limbic system activation
  • Gut permeability and immune reactivity
  • Sympathetic dominance and stress physiology
Testing is used strategically — not reflexively — and always interpreted in clinical context.

Our Approach to Gut Health & Food Sensitivities

Our approach is designed to help patients exposed to mold, heavy metals, or environmental toxins achieve targeted, system-wide improvements.Depending on the case, that may include:

1

Reduced brain fog, light sensitivity, and chemical reactivity

2

Better post-exertional recovery and energy consistency

3

Less histamine sensitivity, skin irritation, or sinus congestion

4

Improved cognitive stamina, sleep regulation, and stress tolerance

5

Stabilization of immune overactivity and systemic inflammation

Progress unfolds in phases, with every step built around personalized tolerance and functional resilience — not symptom masking.

Frequently Asked Questions

Have questions about our services or the functional medicine approach?

How do I know if I’ve been exposed to mold or environmental toxins?

What is mycotoxin illness?

Do you test for mold or mycotoxins?

How do you test for gut dysfunction?

Do you treat leaky gut?

What if I’ve already done an elimination diet?

How long does it take to see improvement?

Will I need to avoid certain foods permanently?

Is your approach just about diet?

Is this covered by insurance?

Functional Fertility & Reproductive Health

Support natural fertility, regulate cycles, and restore reproductive function — with clinical precision and whole-body insight.

What We See in Our Patients

Many of the women we work with have been trying to conceive, normalize their cycles, or rebalance after years of irregular periods, hormonal birth control, or unexplained infertility.

They’ve been told to “wait and see,” offered hormonal contraceptives as a fix, or referred straight to IVF — often without understanding what’s truly happening in their body.

Some are dealing with PCOS, endometriosis, ovulatory issues, or luteal phase dysfunction. Others have normal labs — but still don’t feel hormonally right.

At The Functional MDs, we slow down the process and go deeper.
Our goal is to understand what’s driving imbalance — and build a care plan that supports real hormonal recovery and fertility function.

Systems We Evaluate

Fertility isn’t isolated to the reproductive organs — it’s the result of whole-body hormonal harmony. We evaluate the systems that influence ovarian function, ovulation, cycle quality, and implantation readiness.Key areas we assess may include

  • Hormone rhythm and ovulation timing
  • Estrogen, progesterone, and testosterone balance
  • Thyroid function and conversion
  • Blood sugar and insulin regulation
  • Adrenal stress response and cortisol rhythm
  • Inflammation, immune activity, and gut-health impact
  • Post-birth control recovery and hormone detoxification
  • Nutrient levels critical for fertility and implantation
Every patient’s fertility picture is different — our evaluation is designed to reveal the “why” behind irregular cycles, infertility, or suboptimal hormone signaling.

Common Myths About Hormone Therapy

Hormone therapy is one of the most misunderstood tools in medicine  often misrepresented due to outdated studies, inconsistent training, and generalized warnings that don’t reflect current

evidence.Here’s what patients need to know:

Myth 01
Nutritional and lifestyle strategies to support ovulation and hormone production

Modern studies — and the recent FDA roundtable — confirm that when used appropriately, hormone therapy improves longevity, bone density, brain health, and cardiovascular resilience.

Myth 02
Cycle-based supplementation to regulate estrogen, progesterone, and luteal support

There’s a clinical difference between synthetic hormones and bioidentical therapy. We use bioidentical formulations tailored by dose, route, and need — not generic regimens

Myth 03
Thyroid and adrenal balancing

Low-dose vaginal estrogen has minimal systemic absorption. The FDA panel called current warnings misleading and unsupported — contributing to unnecessary patient harm.

Myth 04
Blood sugar stabilization and metabolic optimization

Testosterone plays a critical role in women’s brain, mood, muscle, and sexual health. Despite no FDA-approved female dose, it’s clinically relevant and responsibly used in practice.

Myth 05
Immune and inflammatory modulation

Low-dose vaginal estrogen has minimal systemic absorption. The FDA panel called current warnings misleading and unsupported — contributing to unnecessary patient harm.

Myth 04
Preconception readiness and post-pill recovery

Testosterone plays a critical role in women’s brain, mood, muscle, and sexual health. Despite no FDA-approved female dose, it’s clinically relevant and responsibly used in practice.

This care is for women trying to conceive, regulate cycles naturally, or transition out of hormonal contraception. Each plan is built around your goals — not around artificial timelines or default interventions.

Outcomes We Aim For

Our goal is to restore hormonal rhythm and support natural fertility — whether you're trying to conceive now, planning for the future, or simply seeking clarity and balance.

Patients working through our fertility and hormone care may experience:
  • More predictable, symptom-free cycles
  • Improved ovulation timing and luteal phase stability
  • Reduced PMS, cramps, or hormonal skin flares
  • Increased cervical fluid, libido, and basal temperature consistency
  • Better energy, sleep, and emotional steadiness across the cycle
  • Wearable integrations (Oura, Apple Health, Garmin, etc.)
  • Improved chances of conception — when the body is ready

But we don’t just collect data — we translate it into clinical decisions. That’s the difference.

Trying to conceive? Regulate your cycle? Or finally get real answers about your hormones?

Frequently Asked Questions

Have questions about our services or the functional medicine approach?

What types of fertility concerns do you work with?

Do I need to be actively trying to conceive to work with you?

How is your approach different from standard fertility care?

Do you work with PCOS and endometriosis?

Do you work with male partners?

What testing is typically done?

Will I be put on medication or birth control?

Can I do this instead of IVF or IUI?

How long does it take to see changes in my cycle or fertility?

Is this covered by insurance?

Chronic Fatigue & Fibromyalgia

Support natural fertilitUncover the root cause of fatigue, pain, and brain fog — through clinical precision and real medical insight.y, regulate cycles, and restore reproductive function — with clinical precision and whole-body insight.

What We See in Our Patients

By the time patients reach us, they’ve often been told everything is “normal” — but they’re still exhausted, in pain, and mentally foggy. They’ve seen specialists, tried medications, and cycled through treatments that never addressed the full picture.

We specialize in working with patients who feel stuck.

Those who know something is wrong — even if the labs don’t explain it. This is where functional medicine, done at the highest level, begins.

Systems We Investigate

Autoimmune activation rarely happens in isolation. Our clinical evaluation looks at the interconnected systems that influence immune balance, inflammation, and symptom flares.

Our Approach to Fatigue & Pain

We begin with a structured discovery phase that includes deep clinical intake, timeline analysis, and functional lab evaluation where appropriate. Our physicians synthesize this data to build a targeted, phase-based treatment strategy — personalized, medically directed, and continuously refined.

Your plan may include physician-guided interventions, advanced nutraceuticals, coaching, sleep optimization, and other modalities — all integrated under one roof.

This isn’t a protocol pulled from a binder. It’s care designed for your system, your story, and your recovery.

Trying to conceive? Regulate your cycle? Or finally get real answers about your hormones?

Outcomes We Aim For

Clearer, steadier daily energy

Restorative sleep and better recovery

Reduced pain and physical discomfort

Improved focus, clarity, and cognitive function

A body you can rely on again — and a care team that doesn’t quit halfway

Ready to start uncovering what’s really going on?

Book your discovery consultation and begin a care process that’s as thorough and committed as you are.

Frequently Asked Questions

Have questions about our services or the functional medicine approach?

What are the root causes of chronic fatigue and fibromyalgia?

How is your treatment approach for chronic fatigue and fibromyalgia different?

Do I need lab testing to treat chronic fatigue or fibromyalgia?

How long does it take to improve chronic fatigue symptoms?

What kind of therapies do you use for fatigue and fibromyalgia?

Is fibromyalgia a real medical condition?

Can I get help even if I haven’t been formally diagnosed with chronic fatigue or fibromyalgia?

Why haven’t other doctors found the cause of my fatigue or pain?

Will I need to follow a specific fatigue diet or lifestyle plan?

Do you prescribe medication for fibromyalgia or fatigue treatment?

Cellular Energy, Mitochondria & Detoxification

Support energy, detox, and vitality at the cellular level.

When mitochondria underperform and detox pathways stall, the result is more than fatigue — it’s a body operating below capacity. At The Functional MDs, we evaluate the systems that keep your energy up and your internal load down: mitochondrial function, antioxidant defenses, and phase-based detoxification.

We don’t guess. We test, target, and guide your system back into balance.

What We See in Our Patients

This is not just about toxins — it's about capacity.
We see patients struggling with:

  • Fatigue that doesn’t improve with rest
  • Post-exertional crashes or poor recovery
  • Brain fog, dizziness, or low stress tolerance
  • Sensitivity to supplements, foods, or chemicals
  • History of mold, chronic infections, or toxin exposure
  • Symptoms flaring with fasting, high-fat meals, or hormone shifts

Many have been told their labs are “normal” — yet still feel depleted, reactive, or inflamed.
Our job is to find out why.

Systems We Evaluate

Mitochondrial dysfunction and poor detox capacity rarely show up on routine labs. That’s why we assess deeper systems tied to cellular energy production, toxin clearance, and antioxidant defenses.

  • Mitochondrial function and ATP production markers
  • Oxidative stress and free radical load
  • Glutathione status and cellular antioxidant capacity
  • Blood sugar and insulin regulation
  • Bile flow and gut-liver axis performance
  • Nutrient cofactors: B vitamins, magnesium, carnitine, CoQ10, amino acids
  • Environmental toxin burden (mold, metals, solvents)
  • Histamine sensitivity and neuroinflammatory signaling
  • Detox-related SNPs (MTHFR, COMT, SOD2, GST, UGT1A1) when clinically relevant
Every patient’s fertility picture is different — our evaluation is designed to reveal the “why” behind irregular cycles, infertility, or suboptimal hormone signaling.

Our Approach to Cellular Optimization

This is not a generic “detox.” It’s a systematic rebuild of cellular capacity.

We tailor protocols to your clinical needs and tolerance, not internet trends. That means:

[1]

Personalized nutrition and mitochondria-focused supplementation

[2]

Support for glutathione, methylation, and conjugation pathways

[3]

Gut-liver optimization and bile flow support

[4]

Bioenergetic nutrients to restore ATP production

[5]

Tools to stabilize neuroimmune and histamine-related flares

[6]

Stepwise plans that avoid overactivation or crash responses

[7]

Lifestyle modifications to reduce exposure and improve recovery

Our approach is clinical, not aggressive—designed to restore internal clarity, not flush the system blindly. Whether you're recovering from mold, infection, burnout, or chronic inflammation, we meet your system where it is—and help it do what it was designed to do.

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

Outcomes We Aim For

When your mitochondria are working, your detox pathways are open, and your energy systems are supported—you feel it.Depending on your case, outcomes may include:

Increased energy and physical stamina

Clearer thinking and reduced brain fog

Better tolerance to foods, supplements, and environmental triggers

Improved bowel regularity and toxin clearance

Reduced inflammatory and histamine-related flares

More stable mood, sleep, and recovery capacity

Greater resilience to stress and physiological demand

When your mitochondria are working, your detox pathways are open, and your energy systems are supported—you feel it.Depending on your case, outcomes may include:

Ready to Rebuild From the Inside Out?

If you’re dealing with low energy, brain fog, or unexplained reactivity—your cells may be sending a signal.

We specialize in identifying and correcting bioenergetic dysfunction before it becomes chronic illness.

Frequently Asked Questions

Health Coaching & Lifestyle Medicine

What are signs I may have mitochondrial or detox dysfunction?

How is this different from a general detox or supplement plan?

 Do you use functional lab testing?

Will I feel worse before I feel better?

Can I do this if I’m already very sensitive or inflamed?

Will this conflict with my current treatment or medications?

Is this part of every patient’s program?

 Is this approach safe for long-term conditions like mold, Lyme, or chronic fatigue?

Mast Cell Activation Syndrome (MCAS)

Evaluate complex histamine-driven symptoms with a systems-based, physician-led approach to immune regulation.

What We See in Our Patients

Many of our patients come in after years of vague, fluctuating symptoms that don’t respond to conventional treatment — and don’t seem to fit one diagnosis.

  • Unexplained itching, hives, rashes, or skin sensitivity
  • Histamine-related food reactions
  • Fluctuating blood pressure, heart rate, or temperature intolerance
  • Fatigue, anxiety, or brain fog after eating or stress
  • Shortness of breath, congestion, or sinus symptoms without infection
  • Sensitivity to medications, chemicals, or supplements

Most have been told "it’s just anxiety," "maybe it’s food," or that they’re reacting to nothing. Others have been given antihistamines or steroids with limited relief — and no clarity.

We evaluate these patterns through a structured clinical lens — not guesswork or elimination diets alone.

Systems We Evaluate

Every hormone plan starts with a structured discovery process advanced testing, clinical intake, and a deep understanding of how your body functions across systems. From there, we build a phase-based treatment strategy tailored to your hormonal profile, goals, and physiology.

  • Enzymatic histamine clearance pathways (DAO, HNMT, methylation status)
  • Immune signaling dynamics, cytokine profiles, and pattern dysregulation
  • Gut permeability, microbial metabolites, and enteric mast cell triggering
  • Nutrient and cofactor availability essential for mast cell regulation (e.g., B6, copper, magnesium, vitamin C)
  • Vagal tone and autonomic balance impacting immune-brain communication
  • Hormonal modulators of histamine and mast cell stability (e.g., estrogen, cortisol, thyroid)
  • Detoxification efficiency and reactive metabolite burden
  • Overlapping contributors: biotoxins, mold exposure, viral persistence, or post-infectious immune shifts

Our Approach to MCAS & Histamine Sensitivity

We don’t chase triggers — we stabilize systems.

Mast cell activation is often a symptom of deeper immune disorganization. Our goal is to evaluate how and why the system is dysregulated, and to intervene strategically across multiple points of influence.

Your physician-guided plan may include:
  • Nutritional and nutraceutical strategies to support histamine clearance
  • Immune modulation and stabilization across gut, brain, and detox pathways
  • Hormonal support when imbalance is influencing mast cell behavior
  • Nervous system regulation techniques to shift sympathetic dominance
  • Environmental, dietary, and medication audit to reduce system burden
  • Phased, low-reactivity protocols designed for sensitive patients
  • Strategic testing when clinically appropriate to assess key biomarkers

We approach MCAS not as a diagnosis to manage — but as a system to understand, calm, and re-regulate.

1.

A clear explanation of what each test is evaluating and why it matters

2.

Reduced food, chemical, or supplement sensitivity

3.

More stable energy, mood, and cognitive clarity

Outcomes We Aim For

Our goal is to reduce system overload, restore immune regulation, and help patients with mast cell activation regain clarity, stability, and tolerance.

4.

Use of blood, stool, urine, saliva, or DNA — depending on the panel and clinical need

5.

Improved digestion, sleep, and overall system resilience

6.

A stepwise return to baseline — without fear of flare at every turn

Struggling with unpredictable symptoms or sensitivities that no one has explained clearly — or managed effectively?

Frequently Asked Questions

Hormone Optimization

What is mast cell activation syndrome (MCAS)?

What are common symptoms of MCAS?

How do you evaluate for MCAS?

What makes your approach different?

Do you offer testing for histamine or mast cell markers?

Is this the same as histamine intolerance?

Do you treat patients who are very sensitive?

Do you use antihistamines in your treatment?

How long does it take to improve with MCAS?

Is this covered by insurance?

Cardiometabolic Health & Cholesterol Optimization

Improve metabolic resilience, reduce cardiovascular risk, and support optimal cholesterol balance — with a systems-based approach.

What We See in Our Patients

Many of our patients come to us with metabolic markers trending in the wrong direction — even when their labs are “within range.” Others have been told they’re “pre-diabetic” or have elevated cholesterol, blood pressure, or inflammation — but are unsure how to address it beyond medication.

For example:

A patient may present with “normal” cholesterol, but advanced testing shows elevated LDL particle number, borderline insulin resistance, and rising inflammatory markers — all early signs of cardiometabolic strain that aren’t typically flagged in standard care.

We focus on identifying where that stress is building — and how cardiovascular, insulin, hormone, and inflammatory systems are interacting beneath the surface.

Systems We Evaluate

Cardiometabolic dysfunction rarely starts with a diagnosis — it starts with subtle, compounding stress across metabolic, vascular, hormonal, and inflammatory systems. We evaluate where that dysfunction begins and how it's interacting beneath the surface.Our clinical evaluation may explore:

  • Insulin resistance, glucose trends, and early mitochondrial fatigue
  • Advanced lipid analysis — including LDL subtypes, particle size, ApoB, and LP(a)
  • Inflammatory and oxidative stress patterns (e.g., hs-CRP, homocysteine, oxLDL)
  • Thyroid and adrenal influence on metabolic regulation
  • Nitric oxide signaling and endothelial function related to blood pressure and circulation
  • Methylation and detox pathways contributing to lipid and homocysteine balance
  • Nutrient and cofactor levels essential for metabolic enzymes
  • Intracellular metabolic regulators like AMPK and SIRT gene activity — critical for glucose utilization, fat oxidation, and cellular longevity
When appropriate, we use functional lab testing to assess not just markers — but mechanisms.

Our Approach to Cardiometabolic Health

We approach metabolic dysfunction with precision — not just prescription.

Our process starts with a full clinical intake, timeline mapping, and advanced testing when indicated. We evaluate how metabolic, hormonal, and inflammatory systems are interacting — and where early stress patterns are already at play.

Your physician-directed care plan may include:

01
Nutrition and supplementation strategies for insulin sensitivity and lipid metabolism

Modern studies — and the recent FDA roundtable — confirm that when used appropriately, hormone therapy improves longevity, bone density, brain health, and cardiovascular resilience.

02
Support for vascular health, nitric oxide pathways, and inflammation resolution

There’s a clinical difference between synthetic hormones and bioidentical therapy. We use bioidentical formulations tailored by dose, route, and need — not generic regimens

Myth 03
Blood sugar stabilization through adrenal and mitochondrial support

Low-dose vaginal estrogen has minimal systemic absorption. The FDA panel called current warnings misleading and unsupported — contributing to unnecessary patient harm.

Myth 04
Hormone optimization when relevant (e.g., thyroid, estrogen, testosterone)

Testosterone plays a critical role in women’s brain, mood, muscle, and sexual health. Despite no FDA-approved female dose, it’s clinically relevant and responsibly used in practice.

Myth 05
Cardiometabolic coaching and lifestyle interventions grounded in your data

Low-dose vaginal estrogen has minimal systemic absorption. The FDA panel called current warnings misleading and unsupported — contributing to unnecessary patient harm.

Myth 06
Regular follow-up and plan adjustment based on clinical response

Testosterone plays a critical role in women’s brain, mood, muscle, and sexual health. Despite no FDA-approved female dose, it’s clinically relevant and responsibly used in practice.

We don’t wait for disease. We intervene early — with strategy, structure, and oversight.

Outcomes We Aim For

Our goal is to help patients move beyond “watch and wait” — and toward measurable cardiometabolic improvement.Depending on your case, outcomes may include:

1

More stable blood sugar and fewer post-meal crashes

2

Improved lipid profiles, inflammation markers, and cardiovascular risk metrics

3

Increased energy, mental clarity, and stamina

4

Weight regulation and improved body composition

5

Better recovery, circulation, and metabolic flexibility

6

A clear path to long-term metabolic resilience — guided by data, not guesswork

Seeing your numbers shift? Been told to “watch it” — but never told what’s actually driving it?

Frequently Asked Questions

Hormone Optimization

What is cardiometabolic health?

Do you treat high cholesterol or high blood pressure?

What testing do you use for metabolic health?

Can I work with you if I’m already on a statin or blood pressure medication?

I’ve been told my labs are “normal” — but I don’t feel well. Can you help?

What role does insulin resistance play in cardiovascular risk?

Will I have to follow a strict diet?

Do you work with people who don’t have a diagnosis yet?

How long does it take to see changes?

Is this covered by insurance?

Longevity & Healthy Aging

Slow biological aging, preserve performance, and build long-term resilience — through data-driven, physician-directed care.

What We See in Our Patients

Many of our patients aren’t waiting for a diagnosis — they’re watching for early signals that their health is shifting. They’re noticing subtle changes in energy, cognition, recovery, metabolism, or inflammation that weren’t there before.

Some are optimizing for fertility, career performance, or post-menopausal balance. Others are looking ahead — aiming to protect brain health, muscle mass, metabolic flexibility, and cardiovascular function as they age.

They want more than basic labs and vague advice.
They want to measure what matters — and intervene strategically.

Systems We Evaluate

Longevity isn’t built by treating aging as a diagnosis — it’s built by identifying early system shifts before they become decline.

We assess how the following systems are influencing your biological aging rate and long-term resilience:
  • Mitochondrial efficiency and energy output
  • Inflammatory and oxidative stress load
  • Hormonal balance across thyroid, adrenal, sex hormones, and insulin
  • Blood sugar regulation and metabolic flexibility
  • Cardiovascular risk and endothelial function
  • Cognitive resilience and neurotransmitter support
  • Cognitive resilience and neurotransmitter support
  • Genetic and epigenetic markers tied to aging (e.g., SIRT1, AMPK, mTOR modulation)

We use clinically relevant testing — not just what insurance covers — and focus on functional patterns that impact how you feel and age, not just what fits inside a lab reference range.

Our Approach to Longevity & Aging Optimization

Our goal isn’t to reverse aging — it’s to change how you experience it.

We focus on early detection of physiological stress patterns, system wear-down, and metabolic drift that often precede visible decline. Our care model is structured, data-driven, and physician-led — with strategies aligned to extend healthspan, not just lifespan.

Your plan may include:

01
Optimization of hormone signalling and inflammatory control

Modern studies — and the recent FDA roundtable — confirm that when used appropriately, hormone therapy improves longevity, bone density, brain health, and cardiovascular resilience.

02
Mitochondrial support and cellular energy enhancement

There’s a clinical difference between synthetic hormones and bioidentical therapy. We use bioidentical formulations tailored by dose, route, and need — not generic regimens

Myth 03
Nutritional and lifestyle precision tailored to your biomarkers

Low-dose vaginal estrogen has minimal systemic absorption. The FDA panel called current warnings misleading and unsupported — contributing to unnecessary patient harm.

Myth 04
Cognitive and cardiovascular performance strategies

Testosterone plays a critical role in women’s brain, mood, muscle, and sexual health. Despite no FDA-approved female dose, it’s clinically relevant and responsibly used in practice.

Myth 05
Recovery of metabolic flexibility and detoxification capacity

Low-dose vaginal estrogen has minimal systemic absorption. The FDA panel called current warnings misleading and unsupported — contributing to unnecessary patient harm.

Myth 06
Guidance on advanced tools like peptide protocols or targeted supplementation when clinically appropriate

Testosterone plays a critical role in women’s brain, mood, muscle, and sexual health. Despite no FDA-approved female dose, it’s clinically relevant and responsibly used in practice.

We don’t wait for disease. We intervene early — with strategy, structure, and oversight.We use structured, functional medicine protocols grounded in research, individualized to your goals, and guided over time by clinical oversight.

Outcomes We Aim For

Our goal is to help patients build physiological resilience, extend their health span, and stay fully engaged in the life they want to live — with strategy, structure, and ongoing support.Depending on your case and goals, outcomes may include:

Increased energy, focus, and cognitive stamina

Improved muscle preservation, body composition, and recovery

Better sleep, mood stability, and stress adaptation

Reduced inflammatory burden and metabolic drift

Slower biological aging markers and improved functional metrics

A stronger foundation for healthy fertility, menopause transition, or performance longevity

These outcomes aren’t driven by guesswork — they’re built through personalized care that evolves as your physiology does.

Want to age on your own terms — with clarity, strategy, and clinical oversight?

Frequently Asked Questions

Hormone Optimization

What does “longevity medicine” mean in your practice?

How do you measure biological aging?

Do you use peptide therapy or advanced longevity tools?

Is this just for older patients?

Do you treat perimenopause, andropause, or hormone shifts?

How is this different from “anti-aging” medicine?

Will I need advanced testing?

Can this help with brain fog or cognitive decline?

Is this model safe for people already on medication or with chronic conditions?

Is longevity care covered by insurance?

Mood & Cognitive Health

Improve focus, clarity, and emotional steadiness — with physician-led insight into what your brain and body actually need.

What We See in Our Patients

Many of our patients come in feeling mentally foggy, easily overwhelmed, or emotionally flat — despite being told their labs are fine or that it's “just stress.”

They may struggle with anxiety, low motivation, irritability, or focus issues. Others have tried multiple medications without lasting results, or have been told to exercise and manage their stress — with no deeper investigation.

We look beyond surface symptoms.

Mood, cognition, and mental stamina are often reflections of broader imbalances across hormones, neurotransmitters, inflammation, and nervous system regulation.

Systems We Evaluate

Mood and cognitive symptoms often reflect a deeper interaction between brain chemistry, hormone signaling, metabolic stress, and immune activity.

We assess:
  • Neurotransmitter imbalances affecting mood, focus, and motivation
  • HPA axis dysfunction and cortisol rhythm disruption
  • Thyroid, estrogen, progesterone, and testosterone influence on brain chemistry
  • Inflammation, gut-brain axis, and immune activation
  • Mitochondrial and cellular energy production in the brain
  • Blood sugar stability and nutrient co-factors for neurotransmitter synthesis
  • Sleep architecture and circadian rhythm function
  • Nervous system tone (sympathetic vs. parasympathetic dominance)

We use targeted testing when clinically relevant — always within the context of your full neurologic and systemic picture.

Our Approach to Mood & Cognitive Health

We look at mood and cognitive symptoms as functional outputs — shaped by hormones, neurotransmitters, inflammation, and cellular health.

Our care begins with a full clinical intake, timeline analysis, and targeted testing when appropriate. We assess how stress physiology, immune activity, hormone signaling, and metabolic cofactors influence brain chemistry and nervous system regulation.

For example

 Serotonin, a key neurotransmitter for mood, focus, and emotional steadiness, is synthesized from tryptophan. That pathway depends on adequate levels of B6, magnesium, methylation cofactors like SAMe, and proper gut function — since over 90% of serotonin is made in the gut.
 Disruption in any of those steps — due to poor absorption, genetic SNPs (e.g. MTHFR, COMT), inflammation, or stress — can impair production, regardless of what’s happening in the brain.

This level of insight informs how we build care plans.

Nutrient repletion and neurotransmitter

HPA axis and circadian rhythm recalibration

Hormonal optimization for mood-related shifts (e.g., thyroid, estrogen, testosterone)

Gut-brain and neuroinflammatory regulation

Methylation and detox support when appropriate

Real-time plan refinement based on labs and clinical response

1.

Improved focus, memory, and processing speed

2.

Reduced anxiety, irritability, or emotional flatness

3.

Better sleep quality and stress recovery

Outcomes We Aim For

Our goal is to help patients improve mental clarity, emotional steadiness, and daily resilience — by supporting the systems that regulate mood and cognition.

4.

Fewer mood swings across the hormonal cycle

5.

Less brain fog and cognitive fatigue throughout the day

6.

More consistent energy, engagement, and clarity

Feel like your mood, focus, or stress response just isn’t where it should be — but you haven’t found a clear explanation or strategy?

Frequently Asked Questions

Hormone Optimization

What kinds of symptoms do you help with?

Do I need to have a mental health diagnosis to work with you?

How is your approach different from conventional mental health care?

What kind of testing do you use?

Do you use functional or neurotransmitter testing?

Do you work with patients who have depression or anxiety?

Will I need to stop my medications?

Can this approach help with brain fog or low motivation?

What role does gut health play in mood and focus?

Is this covered by insurance?

CIRS & MARCoNS

Evaluate chronic inflammatory illness at the source — with physician-led insight into immune disruption, neuroinflammation, and mold-related illness.

What We See in Our Patients

Many of our CIRS and mold-related illness patients have seen multiple providers, ruled out major diseases, and are still left with symptoms no one can explain.

  • Brain fog or memory issues
  • Fatigue or post-exertional crashes
  • Mood swings, anxiety, or irritability
  • Light sensitivity, sound sensitivity, or temperature intolerance
  • Hormonal instability
  • Chronic sinus issues or recurring infections
  • Chemical sensitivity or difficulty tolerating medications and supplements

Some have been partially diagnosed or treated for mold illness — but without progress. Others have no formal diagnosis but present with the full clinical picture of CIRS or MARCoNScolonization.

These cases are complex. They require deep clinical context, pattern recognition, and strategic intervention — not protocol-based detox kits.

Systems We Evaluate

CIRS and MARCoNS are multi-system conditions — they don’t follow one pathway or one organ system. That’s why we evaluate each case through a layered, systems-based lens.
Key areas we may assess include:

  • Neuroinflammation and cognitive disruption
  • HPA axis dysregulation and abnormal cortisol rhythms
  • Cytokine signaling and chronic immune activation
  • HLA-DR genetic markers that influence biotoxin clearance
  • MARCoNS colonization in the nasal microbiome and its effect on inflammatory loops
  • Leptin, VEGF, MMP-9, TGF-beta-1, and other inflammatory markers
  • Mitochondrial function and cellular energy output
  • Gut-liver axis and detoxification inefficiency
  • Nervous system hyperreactivity and chemical sensitivity
Testing is ordered selectively and always interpreted in the context of your full clinical history, tolerance, and timeline — never as a protocol-driven checklist.

Our Approach to Cellular Optimization

These conditions require clinical precision, restraint, and long-range thinking. We don’t chase lab markers or follow online detox protocols. We evaluate patterns, identify system collapse points, and create a stepwise strategy based on your capacity, labs, and response.

Our approach begins with a detailed intake, exposure history, and testing when clinically appropriate. From there, we build a structured, physician-guided care plan designed to support immune regulation, inflammation resolution, and neuroendocrine recovery.

Your plan may include:

[1]

Immune-modulating nutrition and therapeutic supplementation

[2]

Mitochondrial and adrenal support for recovery capacity

[3]

Targeted antimicrobial strategies for nasal microbiome restoration (when indicated)

[4]

Gentle detox and drainage strategies personalized to your phase

[5]

Environmental and exposure reduction guidance

[6]

Nervous system regulation techniques to reduce hypersensitivity

We treat CIRS and MARCoNS as real, complex, and physiologically layered conditions.And we guide every step with medical oversight — not guesswork.

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

Outcomes We Aim For

Our goal isn’t a quick detox. It’s long-term stabilization of the systems impacted by chronic inflammatory response.Depending on your case, outcomes may include:

1

Improved energy, clarity, and cognitive stamina

2

Fewer flares, crashes, and environmental sensitivities

3

Reduced sinus congestion, skin issues, or histamine symptoms

4

Improved sleep, stress tolerance, and daily resilience

5

Support for hormonal, metabolic, and immune rebalancing

6

A return to functional baseline — guided by a structured care process

These improvements don’t happen overnight. But with the right systems supported, and the right strategy in place, regulation becomes possible.

Suspect mold illness, CIRS, or persistent symptoms no one’s been able to explain?

Frequently Asked Questions

Hormone Optimization

What is CIRS?

What are common symptoms of CIRS?

What is MARCoNS, and how is it related to CIRS?

Do you test for mold or mycotoxins?

Can CIRS be treated with supplements or detox kits?

What kind of testing might be involved?

I’ve seen doctors but still don’t feel better. Can this help?

Is this approach safe for sensitive patients?

How long does it take to feel better?

Is this covered by insurance?

Post-Viral & Long COVID Recovery

Rebuild energy, clarity, and immune resilience—one system at a time.

Some patients recover quickly after a viral illness. Others don’t.

If you're still facing fatigue, brain fog, shortness of breath, gut issues, or new sensitivities weeks or months after an infection, it may be a sign of persistent immune dysregulation and mitochondrial dysfunction.

At The Functional MDs, we don’t treat symptoms in isolation. We assess how viral aftermath affects your immune system, inflammation patterns, hormone balance, mitochondrial function, and neurological signaling—and build a plan to restore balance system by system.

What We See in Our Patients

Many patients we see in this category come in with:

[1]

Ongoing fatigue or post-exertional crashes

[2]

Brain fog, memory lapses, or poor concentration

[3]

Sleep disruption or non-restorative sleep

[4]

New food sensitivities or chemical intolerance

[5]

Shortness of breath or heart rate variability

[6]

Anxiety or mood shifts that feel physiologically driven

[7]

Hormonal irregularities post-infection

[8]

Joint pain, neuropathy, or burning sensations

We treat CIRS and MARCoNS as real, complex, and physiologically layered conditions.And we guide every step with medical oversight — not guesswork.

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

Systems We Evaluate

Post-viral illness isn’t caused by one broken system—it’s the result of disrupted communication between multiple systems struggling to recalibrate. That’s why we look beyond symptoms to evaluate the root mechanisms that may be stuck in dysfunction or overload.

We assess:
  • Mitochondrial function and cellular energy production
  • Neuroinflammation and nervous system regulation
  • Immune system balance and chronic inflammatory patterns
  • Hormone shifts and adrenal-cortisol signaling
  • Gut integrity, microbiome balance, and post-infectious dysbiosis
  • Histamine sensitivity and mast cell reactivity
  • Nutrient depletion affecting recovery and repair
  • Circulatory and oxygenation markers impacting fatigue or breathlessness

No two post-viral cases are the same—which is why individualized testing, timelines, and tolerance-based protocols are essential.

Our Clinical Approach to Post-Viral & Long COVID Recovery

Our process begins by understanding what systems are still in recovery mode—and what may be stuck.
We take a phased, data-informed approach that prioritizes:

Covid Plan

upporting immune modulation without overactivation

  • Rebuilding mitochondrial function and energy pathways
  • Rebuilding mitochondrial function and energy pathways
  • Restoring circadian rhythm, sleep, and HPA axis balance
  • Supporting immune modulation without overactivation
  • Addressing gut permeability and post-infectious imbalances
  • Reinforcing detox and antioxidant systems for cellular repair
  • Using peptides or hormone support when clinically indicated

We meet your system where it is—whether you’re just emerging from illness or months into lingering symptoms—and guide you forward at a pace your body can tolerate.

Outcomes We Aim For

Our goal isn’t just to make symptoms fade. It’s to help your body regain its capacity to heal, adapt, and sustain energy—even under stress.
Depending on your individual case, outcomes may include:

Improved energy and post-activity stamina

Sharper memory, concentration, and cognitive function

Reduced food, chemical, or environmental reactivity

Stabilized mood, nervous system tone, and circadian rhythm

Better tolerance to stress, exertion, or heat

Relief from joint pain, nerve discomfort, or brain fog

Rebalanced immune function and inflammatory markers

Progress is paced and personalized. We track improvements over time and adjust protocols as your system regains resilience.

Still feeling the effects of a past infection?

Let’s map out what your system needs to fully recover—so you can move forward with clarity, energy, and strength.

Frequently Asked Questions

Hormone Optimization

How do I know if I’m experiencing post-viral symptoms?

Do you treat long COVID?

Will I need lab testing?

How long does recovery take?

Are peptides or hormones used in recovery?

Disclaimer

The conditions listed on this page reflect areas we commonly evaluate and support using a functional and integrative medical approach. All diagnoses and treatment plans are based on a full clinical evaluation and are tailored to the individual.Some therapies referenced may involve compounded or off-label use, and are prescribed only when medically appropriate and legally permissible. We do not guarantee outcomes. All care is delivered under the supervision of a licensed physician and in accordance with applicable state and federal regulations.

Body Recomposition & Muscle Health

Improve strength, restore lean mass, and support metabolic performance — through precision-based, physician-directed care.

What We See in Our Patients

Many of our patients aren’t just trying to lose weight — they’re trying to rebuild strength, reduce inflammation, and improve their metabolic set point. They’ve tried calorie cutting or intense fitness regimens, but still feel inflamed, under-recovered, or stalled.

Some are recovering from illness or hormone shifts. Others are entering a new phase of life — post-birth control, post-menopause, post-stress — and noticing changes in muscle tone, insulin sensitivity, or energy output that weren’t there before.

They want more than scale-based care. They want structure, medical insight, and a plan to rebuild from the inside out.

Systems We Evaluate

Body composition is influenced by more than calories or exercise. We assess the deeper systems that regulate muscle growth, fat storage, inflammation, and recovery.

Key areas we may evaluate include:
  • Hormonal balance (thyroid, testosterone, estrogen, DHEA, growth hormone)
  • Insulin sensitivity and glucose regulation
  • Mitochondrial function and energy production
  • Cortisol rhythm and stress physiology
  • Inflammatory markers and metabolic stress load
  • Nutrient status related to muscle protein synthesis and fat oxidation
  • Gut function and absorption
  • Body composition data (DEXA, bioimpedance, or clinical markers)

We don’t guess — we look at how your systems are regulating output, recovery, and resilience.

Our Approach to Body Recomposition & Muscle Health

We take a structured, medically supervised approach to weight loss, muscle support, and metabolic optimization — not crash diets or one-size plans.

[2]

For patients focused on fat loss, we offer:

  • GLP-1 based medications (e.g. semaglutide, tirzepatide) when clinically appropriate
  • Personalized nutrition plans and targeted supplement support
  • Lifestyle coaching and metabolic reset strategies
  • Monitoring for hormonal and metabolic shifts that can impact results
[2]

For patients focused on lean mass, strength, or recovery, we also offer:

  • Hormone optimization (thyroid, testosterone, estrogen, DHEA, etc.)
  • Personalized nutrition plans and targeted supplement support
  • Nutritional guidance for protein intake, nutrient timing, and repletion
  • Stress and sleep support to improve muscle preservation and energy output

Outcomes We Aim For

Our goal is to help patients improve body composition in a way that’s medically safe, metabolically sound, and built to last.Depending on your case and goals, outcomes may include:

Reduction in visceral fat and metabolic inflammation

Improved lean muscle mass and physical strength

Better insulin sensitivity and blood sugar control

Enhanced energy, stamina, and recovery

Healthier hormonal balance to support fat-burning and muscle-preserving states

A sustainable plan for long-term weight and muscle maintenance

This isn’t just about looking leaner. It’s about restoring how your body performs — under real clinical guidance.

Want to lose fat, build strength, or reset your metabolism — without another one-size-fits-all plan?

Frequently Asked Questions

Hormone Optimization

What is body recomposition?

Do you offer GLP-1 medications like semaglutide or tirzepatide?

Can I work on muscle gain without focusing on weight loss?

Do you use peptides to support muscle and metabolic health?

Will I be given a nutrition plan?

Do you assess hormones before recommending treatment?

Can I still follow your program if I have a thyroid condition or PCOS?

Will I need to exercise to see results?

How long before I notice changes in body composition?

Is this covered by insurance?

Disclaimer

The conditions listed on this page reflect areas we commonly evaluate and support using a functional and integrative medical approach. All diagnoses and treatment plans are based on a full clinical evaluation and are tailored to the individual.Some therapies referenced may involve compounded or off-label use, and are prescribed only when medically appropriate and legally permissible. We do not guarantee outcomes. All care is delivered under the supervision of a licensed physician and in accordance with applicable state and federal regulations.

Lyme Disease & Tick-Borne Illness

Evaluate persistent symptoms and complex immune responses linked to tick-borne infections — through structured, physician-guided care.

What We See in Our Patients

Many of our patients have a history of tick exposure — or symptoms consistent with persistent infection — but haven’t gotten clear answers or sustained improvement.

Some were treated for Lyme disease with short courses of antibiotics, yet symptoms returned or evolved. Others have unexplained fatigue, joint pain, neurological symptoms, or immune dysfunction — and suspect an underlying tick-borne illness that hasn’t been fully investigated.

They may have been told "there’s nothing left to treat," or “your labs are negative.”


We approach these cases differently — by evaluating the full timeline, immune terrain, and possible co-infections with the depth they deserve.

Systems We Evaluate

Tick-borne illnesses don’t always follow a clear path. In some patients, symptoms may persist or evolve after initial treatment — often due to ongoing immune dysregulation, inflammatory signaling, or previously unrecognized co-infections.

We evaluate:
  • Immune regulation and systemic inflammation
  • History of Borrelia (Lyme) exposure and treatment timeline
  • Possible co-infections (Babesia, Bartonella, Ehrlichia, Anaplasma, etc.)
  • Mitochondrial function and energy metabolism
  • Neuroinflammation and cognitive disruption
  • Gut permeability and microbial terrain
  • Hormonal shifts related to chronic immune stress
  • Nervous system dysregulation and sensitivity patterns

We also assess overlapping factors such as environmental load, toxin burden, and chronic physiologic stress — which may amplify immune reactivity.

What We See in Our Patients

Many patients we see in this category come in with:

[1]

Nutritional and mitochondrial support to improve baseline capacity

[2]

Immune modulation strategies to stabilize reactivity

[3]

Gut and detox system restoration for metabolic resilience

[4]

Antimicrobial therapy (when appropriate) using physician-guided combinations

[5]

Hormonal and adrenal support when chronic inflammation disrupts regulation

[6]

Nervous system regulation and pacing to reduce post-exertional crashes

[7]

Regular reassessment to adjust based on response and tolerance

We treat CIRS and MARCoNS as real, complex, and physiologically layered conditions.And we guide every step with medical oversight — not guesswork.

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

[1]
Anti-inflammatory nutrition

Suspect Lyme, co-infections, or symptoms that never fully resolved — even after treatment?

Frequently Asked Questions

Hormone Optimization

What is Lyme disease, and how is it transmitted?

What are co-infections, and why do they matter?

I was treated for Lyme, but I still don’t feel right — why?

What testing do you offer for Lyme or tick-borne illness?

Do you treat “chronic Lyme disease”?

Can I still work with you if I’ve already done multiple treatments?

Do you prescribe antibiotics?

Do you offer a “Lyme protocol”?

How long does it take to improve when working on post-infectious or tick-borne symptoms?

Is this covered by insurance?

Disclaimer

The conditions listed on this page reflect areas we commonly evaluate and support using a functional and integrative medical approach. All diagnoses and treatment plans are based on a full clinical evaluation and are tailored to the individual.Some therapies referenced may involve compounded or off-label use, and are prescribed only when medically appropriate and legally permissible. We do not guarantee outcomes. All care is delivered under the supervision of a licensed physician and in accordance with applicable state and federal regulations.

Peptide Therapy & Cellular Regeneration

Support cellular repair, recovery, and resilience—under medical guidance.

Peptides are short chains of amino acids that occur naturally in the body and help regulate essential biological functions. Certain peptides—when used responsibly under clinical supervision—may support pathways related to tissue repair, immune modulation,cognitive clarity, fat metabolism, and cellular signaling.
At The Functional MDs, we offer medically directed peptide protocols as part of a broader functional and regenerative care model. Our approach emphasizes safety, patient tolerance, and scientific nuance—not trends or hype.

What We See in Our Patients

Peptides are not a one-size-fits-all solution. We consider them for patients who have already optimized foundational health—but still face slow recovery, poor resilience, or limited response to traditional care.

  • Reduced muscle mass or slow tissue healing
  • Fatigue that persists despite sleep and nutrition
  • Brain fog or decreased cognitive sharpness
  • Weight plateaus despite metabolic work
  • Decline in skin tone, collagen, or repair capacity
  • Post-infection recovery (e.g., immune dysfunction, stamina loss)
  • Early signs of biological aging or mitochondrial strain

Peptides are considered only when clinically appropriate, and always in the context of full-body care—not in isolation.

BPC-157
BPC-157
BPC-157
BPC-157
BPC-157

Systems We Evaluate

Peptides are not used to replace foundational care—they are considered when a patient’s system is ready for deeper support. When integrated appropriately,

We assess:
  • Improved recovery after exercise, injury, or stress
  • Enhanced focus, mental clarity, and emotional resilience
  • Support for lean muscle preservation and fat metabolism
  • Smoother skin tone, collagen support, and repair capacity
  • Increased energy, motivation, and physiologic  resilience
  • Immune and inflammatory balance when clinically indicated
  • Assistance in post-infection or post-surgical recovery programs

Outcomes vary depending on your baseline health, the peptide used, and how it's integrated into your overall protocol. We never chase quick fixes—only sustainable, measurable change.

Curious whether peptide therapy is right for your next phase of recovery or performance?

We’re here to evaluate, guide, and personalize your care at every step.

Frequently Asked Questions

Hormone Optimization

How do peptides fit into your functional medicine model?

Are peptides safe to use long-term?

Can peptide therapy support energy, body composition, or performance?

Do you offer popular peptides like BPC-157, Semaglutide, or CJC-1295?

How do you decide if peptides are right for someone?

Will I feel the effects right away?

Is this covered by insurance?

Disclaimer

The conditions listed on this page reflect areas we commonly evaluate and support using a functional and integrative medical approach. All diagnoses and treatment plans are based on a full clinical evaluation and are tailored to the individual.Some therapies referenced may involve compounded or off-label use, and are prescribed only when medically appropriate and legally permissible. We do not guarantee outcomes. All care is delivered under the supervision of a licensed physician and in accordance with applicable state and federal regulations.

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