Functional & Nutritional program

Functional medicine is a modern approach that is patient and lifestyle focused, rather than disease focused. Dr. Mary addresses the underlying causes of disease and addresses the whole person, not just an isolated set of symptoms.
Dr. Mary spends time with you, listening to your history and looking at the interactions among body systems and organs, the environment, your thoughts and feelings, and lifestyle factors that can influence your long-term health and/or complex, chronic disease.
Together we peel back the layers, expose patterns beneath the surface and make it safe to evolve, grow and heal.
Functional medicine supports the unique expression of health and vitality for each individual.
Dr. Mary recommends supplements, diet and exercise to support the healing process. Dr. Mary uses muscle testing to pinpoint what your body specifically needs.

Functional Medicine:
Functional medicine addresses the underlying causes of disease, engaging both patient and practitioner in a therapeutic partnership. By shifting traditional methods, functional medicine addresses the whole person, not just parts. Functional medicine takes your whole history and finds what supports each unique expression of health and vitality for each individual.

Why Do We Need Functional Medicine?
Our society is experiencing a sharp increase in the number of people who suffer from complex, chronic diseases such as diabetes, heart disease, cancer, mental illness, fibromyalgia and autoimmune disorders like rheumatoid arthritis.
Most traditional physicians approach acute-care, by prescribing treatments such as drugs or surgery that aim to treat the immediate problem or symptom.

Unfortunately, the acute-care approach to medicine lacks the proper tools for preventing and treating complex, chronic disease. In most cases it does not take into account the unique genetic makeup of each individual or factors like environmental exposures and the aspects of today’s lifestyle that have a direct influence on the rise in chronic disease in modern Western society.
Most physicians are not adequately trained to assess the underlying causes of complex, chronic disease and to apply strategies such as nutrition, diet, and exercise to both treat and prevent these illnesses in their patients.

Dr. Mary believes Functional Medicine is the missing link to pain-free living.

GASTROINTESTINAL (Stool/Urine/Breath)

1. GI Effect Comprehensive Profile - The most comprehensive stood test for optimal clinical utility. Patients who may be interested in this test may have: IBS, IBD, Metabolic Syndrome, Chronic Fatigue, Autoimmune dysfunction, Type 2 Diabetes, High Blood Pressure, Mood Disorders. Correlations are now evident between many disease processes and patterns of microbiome dysbiosis in both gut dysfunction and extra intestinal disorders. Utilizing cutting edge technologies and premier biomarkers, this ground breaking stool test offers valuable insight into digestive function, gut inflammation, and the gut microbiome - areas affecting not only GI health, but overall health as well. (stool)($379/$171+ $58 = $229 /$400 /$2499)

2. Small Intestinal Bacterial Overgrowth (SIBO testing) - Uncover the cause of unexplained abdominal symptoms with breath testing. SIBO is a common clinical condition and can develop in a variety of patient populations. Genova’s SIBO profiles are non-invasive breath tests which capture exhaled hydrogen (H2) and methane (CH4) gases following patient ingestion of a lactulose solution to evaluate bacterial overgrowth of the small intestine. Clinicians have the option of a 2 or 3 hour SIBO assessment. The 3 hour SIBO profile provides insight into gas levels over a longer period of time, and is recommended for patients with slower gastrointestinal transit or constipation. Symptoms of SIBO are non-specific, encompassing abdominal pain/distention, diarrhea, and flatulence. Conditions commonly associated with SIBO include: IBS, IBD, Celiac Disease, Diabetes, Fibromyalgia, Rosacea, Parkinson’s Disease, Obesity.(breath) ($179/$109 + $6 = $115/$244/$325

IMMUNOLOGY - ALLERGIES (Serum)

Full Combination (Profiles 1000-1006) - Serum - ($399/$200 + $0/$412/$2573)

Single Profile (Choose from 1000 - 1006) - Serum - ($99/$50 + $0/$338/$899)

Each additional profile (Choose from 1000 - 1006) - Serum - ($50/$25 + $0/ - /$279)

1. 1000 - IgE Food Antibodies Allergy Test - This test is an ideal food allergy test for patients who may suffer an immediate reaction (allergy) or non-immune response to specific foods, such as peanuts or shellfish.

2. 1001 - IgG Food Antibodies Allergy Test - This immunological food sensitivity test measures IgG antibody levels to 87 foods, and total IgE. This antibody food sensitivity test is ideal for patients who may suffer from delayed reactions/sensitivities to specific foods. IgG mediated symptoms may include: asthma, arthritis, migraines, ear infections, eczema, sinusitis, urticaria & colitis. Classic skin testing for allergies such as skin-scratch testing only measures IgE-mediated reactions. Assessment of relative IgG antibody levels to a multitude of foods using sensitive Enzyme-Linked-Immunosorbent Assay (ELISA) technology identifies those food against which the patient is producing antibodies. Measuring both relative IgE and IgG antibody levels provides an invaluable starting point for dietary intervention.

3. 1002 - IgG Vegetarian

4. 1003 - IgE Inhalants Allergy Test - This is an ideal allergy test for patients with suspected environmental and/or seasonal allergies. Specifically, this allergy test evaluates 14 common environmental inhalants specific to 18 North American geographic regions and Total IgE.

5. 1004 - IgE Molds -

6. 1005. IgG Spices Allergy Test - Using ELISA technology to evaluate the serum levels, this allergy test is ideal for patients with suspected allergic reactions to spices and herbs.

7. 1006 - Celiac & Gluten Sensitivity Allergy Test - Celiac disease, also known as celiac sprue or gluten sensitivity enteropathy, is a chronic autoimmune disease. Celiac is a lifelong condition with no cure, however, it is manageable once diagnosed. Celiac disease is a digestive condition triggered by consumption of the protein gluten, which is found in bread, pasta, cookies, pizza crust and many other foods containing wheat, barley, or rye.

8. Add-on Zonulin Allergy Test - Zonulin is a protein modulator of intestinal tight junctions that is used to assess intestinal permeability (IP). Patients who may benefit from Zonulin assessment include those with: Leaky Gut Symptoms (bloating, gas, cramps, food sensitivities, joint pains, skin rashes and autoimmunity); Celiac Disease; GI Disorders (gluten sensitivities, IBS) & Cardiometabolic Disease (type 1 diabetes, type 2 diabetes, insulin resistance, obesity, non-alcoholic fatty liver disease. (Stool & Serum) ($30/-/-/-)

NUTRITIONAL (Serum/Urine)

1. NutrEval FMV (first morning void) -A Comprehensive test for identifying nutritional deficiencies. This test evaluates overall nutritional status to determine personalized supplementation needs for antioxidants, B-vitamins, minerals, essential fatty acids, amino acids, digestive support, and other select nutrients. NutrEval FMV is an advanced diagnostic tool to guide nutritional therapies, often augmenting and speeding recovery of chronic conditions. This test is effective for patient concerns such as: a) mood disorder (Depression/Anxiety) b) Fatigue c) Digestive complaints d) Chronic Pain/Inflammatory conditions (Musculoskeletal/Migraine) e) Cardiovascualr risk f) Weight issues/Dietary Guidance g) General Health and Sports Fitness Optimization (Serum & Urine) ($379/$179 + $46 = $225/$380/$2027)

ENDOCRINOLOGY (Serum/Saliva/Urine)

1. Adrenocortex Stress Profile - provides an assessment of the Hypothalamic-Pituitary-Adrenal (HPA) axis using carefully timed salivary samples of the hormones cortisol and DHEA. The report offers an easy-to-interpret graphic which plots the results of the cortisol awakening response (CAR) and the natural diurnal rhythm. Clinicians have the following cortisol testing options:

a) Adrenal Stress Profile (ASP): Four salivary samples measured throughout the day to give insight into the natural circadian diurnal cortisol rhythm, and help clinicians address specific daily stressors. ($129/$75 + $20 = $95/$273/$363)

b) Cortisol Awakening Response (CAR): Three awakening samples to evaluate CAR with one evening cortisol sample. CAR is a transient, immediate rise in cortisol upon awakening and is distinct from diurnal rhythm. CAR reflects a person’s ability to cope with anticipated challenges and their perception of control around chronic stress, providing insight into the HPS axis resiliency. The isolated evening cortisol has distinct clinical implications. Elevated evening cortisol is linked to insomnia and associated with various diseases such as diabetes, cardiovascular disease, hormonally driven cancers, and osteoporosis.($129/$75 + $20 = $95/$273/$363)

c) Adrenocortex Stress Profile with Cortisol Awakening Response (ASP with CAR): Six samples that offers the most comprehensive look at cortisol and the HPA axis. Daily hassles, chronic pain, blood sugar dysregulation, work stressors, and poor relationship quality can alter the HPA axis. Imbalances in adrenal hormones can have a wide range of negative consequences that can adversely impact a patient’s overall quality of life. The symptoms of HPA axis dysfunction can be vague and are highly variable but may include: fatigue, insomnia, weight gain, depression, GI complaints, and chronic pain. Testing can reveal these HPA axis imbalances and provide direction for clinical intervention with targeted therapeutic treatments such as nutrient support and/or adaptogens, stress management, behavioral modification and lifestyle interventions. (Saliva) ($159/$75/$295/$393)

2. Menopause Plus - Menopause profile analyses plus cortisol, DHEA, and melatonin (8 samples; 6 days). Is our most comprehensive salivary hormone test for evaluating key hormone levels in both women and men. (Saliva) ($349/$150 + $49 = $199/$363/$1448)

3. Rhythm Plus - is a comprehensive assessment of estradiol, progesterone, and testosterone spanning a full 28 days. This hormone testing profile includes the Adrenocortex Stress Profile and the Comprehensive Melatonin Profile to reveal how the sex hormones are influenced by cortisol, DHEA, and melatonin. Hormone imbalances revealed in this hormone test can help illuminate root causes of disorders such as PMS, infertility, and menstrual irregularities. Menstrual cycle, Mood swings, sleep patterns, appetite level, sex drive. Chronic hormonal imbalances are implicated in disorders such as: PMS, Anovulation, Infertility, Amenorrhea, Endometriosis, Polycystic Ovary Disease, Osteoporosis. Is a hormonal test indicated for both premenopausal and perimenopausal women not currently supplementing with hormones. (Saliva)($399/$200 + $9 = $209/$399/$2076)

4. One Day Hormone Check - E1, E2, E3, progesterone, P/E2, and testosterone plus cortisol, DHEA and melatonin. This is a convenient 24-hr snapshot of key hormones. (5 samples; 24 hours) (Saliva) ($299/$150 + $19 = $169/$350/$1003)

Blood Work Panels

Apex Panel 1

No: Vit D, TIBC, Ferritin, Transferrin, Serum iron
Lipids: Total Cholesterol, HDL (good) Cholesterol, LDL (bad) Cholesterol
Risk Ratio (good to total), Triglycerides
Complete Blood Count (CBC): Checks for anemia, infections etc.
Fluids & Electrolytes: Chloride, Potassium, Sodium, Carbon Dioxide
Liver: Albumin, Alkaline Phosphatase, ALT, AST, Total Bilirubin, Total Protein, LDH,
Total Globulin, Albumin/Globulin Ratio GGT
Kidney: BUN, Creatinine, BUN/Creatinine Ratio, eGFR, Urin Acid
Thyroid: TSH
Mineral & Bone: Total Iron, Calcium, Phosphorus
Glucose (Diabetes)
Magnesium: This mineral is particularly important to nerves and muscles. Low
magnesium = malnutrition, alcoholism, diabetes, hyperparathyroidism, and more. High
magnesium = kidney failure

$135

Apex Panel 2

No: Vit D, Ferritin, Transferrin
Same as Apex Panel 1
+
Iron w/ TIBC, Serum Iron
Best for ALMOST “everything”
Conservative Price
Add-on Vitamin D

$179

Apex Panel 3

No: Vit D
Same as Apex Panel 1
+
Iron w/ TIBC, Ferritin, Transferrin, Serum iron
Best for “everything” general
Add-on Vitamin D

$279

Apex Panel 4

No: TIBC, Ferritin, Transferin, Serum iron
Same as Apex Panel 1
+
Vit D, 25-Hydroxy - measures D2 & D3 together & reports a total; 25- hydroxyl
Second best “everything” general
Add-on Iron panel

$184

Apex Panel 5

No: Tansferrin
Same as Apex Panel 1
+
Vit D, 25 Hydroxy, Iron w/ TIBC, Ferritin, Serum iron; T3-Total, T3-Free, TPO, TAA;
HgbA1C; C-Ractive Protein; Homocysteine; Fibrinogen
Most comprehensive

$349

Apex Panel 6

No: Tansferrin
Same as Apex Panel 5
Without: TPO & TAA
Body Composition: Body Composition Analysis, Body Composition Analysis w/ Body
Measurements, Body Composition Analysis w/ Review of Findings, Body Composition
Analysis & Body Measurements w/ Review of Findings, Personalized Program Set-Up &
Review - Diet & Exercise Plasn, Metabolic & Neurotransmitter Assessment

$319

Apex Mini Thyroid

T3 Uptake, Total T4, Total T3, T7 & TSH

$84

Thyroid Panel Complete

T3 Uptake, Total T4, Total T3, T7, TSH, Reverse T3, Free T3, Free T4

$189

Iron Panel
TIBC, Ferritin, Serum Iron level

$64

Anemia Package
CBC, Hemoglobin, Ferritin, Transferrin, CMP-14, Iron w/ TIBC, Tic B12, Folic Acid

$249
Vitamin D, 25 Hydroxy$59
Hemoglobin A1C (HgbA1C) with eAG$39
Insulin$34
Vit B12, Folic Acid (Folate$98

How is Functional Medicine Different?

Functional medicine involves understanding the origins, prevention, and treatment of complex, chronic disease.

Hallmarks of a functional medicine approach include:

Patient-centered care: The focus of functional medicine is on patient-centered care, promoting health as a positive vitality, beyond just the absence of disease. By listening to the patient and learning his or her story, the practitioner brings the patient into the discovery process and tailors treatments that address the individual’s unique needs.

An integrative, science-based healthcare approach: Functional medicine practitioners look “upstream” to consider the complex web of interactions in the patient’s history, physiology, and lifestyle that can lead to illness. The unique genetic makeup of each patient is considered, along with both internal (mind, body, and spirit) and external (physical and social environment) factors that affect total functioning.

Integrating best medical practices: Functional medicine integrates traditional Western medical practices with what is sometimes considered “alternative” or “integrative” medicine, creating a focus on prevention through nutrition, diet, and exercise; use of the latest laboratory testing and other diagnostic techniques; and prescribed combinations of drugs and/or botanical medicines, supplements, therapeutic diets, detoxification programs, or stress-management techniques.

Dr. Mary has been an ongoing student and practitioner of functional medicine working with many chronically ill patient disorders who finally find relief from their symptoms with less or no medicine

as well as helping them discover how to live a healthier life!