What to Expect
Our focus is on chronic disease including conditions like Fibromyalgia, Lyme, Autoimmune conditions, Chronic Fatigue Syndrome (CFS), and also early stage MS. Another area we specialize in is treating Mold and Biotoxin Illness (CIRS). Our clinical staff understand the importance of a structured evaluation and treatment protocol, and this overview should give you an idea of what to expect from your course of treatment.
Your First Visit (2 hr to 2.5 hr)
Your first visit includes a very conversational, personable consultation with thorough history, a preliminary physical exam, and different test orders. Come prepared with questions so we can work through those to your satisfaction. Bring blood and other test results from the previous few years, along with any other information you think may help us to evaluate the different components of your condition.
Testing– On your first visit we will be ordering a series of test that will help us understand many of your current symptoms and underlying situation. Our test requests are unique to you depending on your specific needs.
Treatment Recommendations– The primary goals of treatment recommendations you’ll receive during your first visit are to decrease pain, improve sleep, prime detox pathways, and address any other unique high priorities you may have.
Nutritional Support and Supplements– In order for your body’s detox pathways to normalize processing and flow-through of metabolic waste and to prepare your body for treatments after lab review, we will also make specific recommendations for nutritional modifications and supplementation at your first visit.
Other modalities that may be indicated during your first visit:
- IV therapy to help with pain, fatigue, detoxification and immunity. Many patients receive their first IV after their first visit to start the recovery process.
- Injection therapies ranging from B-shots, Minor Autohemotherapy and LDI Injections.
- Therapeutic injections for pain – nerve, muscle and joint pain include prolozone, neuraltherapy and segmental therapy
- Frequency Specific Microcurrent for pain and other harder to treat especially nerve or neurologic conditions.
Your Second Visit (4-6 weeks later, 90 minutes)
Check-In and Planning– Your second visit will include a thorough review of lab testing done during the first visit with discussion of action items. This is where we will put our heads together and tailor a structured treatment plan based on your priorities known thus far. There is time to answer questions.
Testing– Identify obstacles like infections through Quest and Labcorp, Igenex, etc; causes for autoimmunity, targets of autoimmune attack through Cyrex labs, mold toxicity through Real Time Labs or Dr Shoemakers testing system as found on survivingmold.com.
Continued Treatment and Recommendations– We will continue with treatment recommendations from first visit and look to ensure hormone levels are balanced (thyroid, adrenal hormones cortisol and aldosterone, estrogen, progesterone, DHEA, pregnenolone, testosterone and dihydrotestosterone). We will also look into specific nutrient deficiencies like iron, magnesium, zinc as per test results, and control those deficiencies through oral supplementation, injections or IV’s as needed. We will adjust your sleep and pain protocol if needed, start balancing your immune and nervous system, and adjust and prescribe bioidentical hormones [BHRT] if needed. Finally, we will look to address digestive tract infections like candida, SIBO and parasites with appropriate combinations of prescriptions and natural medicines.
Your Third Visit (4-6 weeks later, 45 minutes to 1 hr)
Check-In and Planning– We will discuss in detail your progress and problems, re-evaluate your plan of action, and apply necessary changes. We also review results from second visit testing, infectious titers, mold toxicity, autoimmune conditions etc. This is where anti-microbial treatments are implemented for most patients (both natural and prescription if needed). Together, we will also evaluate the remaining action items and plan for the next visit, usually in 4 weeks time. There is time allowed for discussion and questions.
Testing– We will assess for toxicities, especially toxic metals [provoked urine toxic metals testing], follow up testing for hormones prescribed and further or reflex testing for infections and other problems.
Continued Treatment and Recommendations– If indicated, we will implement antimicrobial therapy after discussion, adjust sleep and pain protocol if needed, balance your immune and nervous system, adjust any bioidentical hormones (BHRT), and start removing toxicities focusing first on mycotoxins and mold toxins. We will ensure hormones stay balanced (thyroid, adrenal hormones cortisol and aldosterone, estrogen, progesterone, DHEA, pregnenolone, testosterone). We will continue to monitor specific nutrient deficiencies, implement glutathione through IV’s or oral route and introduce glutathione building and recycling strategies for toxicity. Finally, we may add phosphatidylcholine and alpha lipoic acid orally and IV as needed.
Your Fourth Visit (4-6 weeks later, 45 minutes to 1 hr)
Check-In and Plan Adjustments– We will evaluate the results from your third visit testing and plan a retesting schedule for all relevant findings and responses to interventions thus far. Once a long-term treatment plan is in place, we strongly encourage you to schedule in advance to ensure visits are available at convenient times and to best serve your recovery. We will do our best to accommodate any commitments you have with work, school, childcare, etc. Our most successful outcomes are in patients that prioritize their recovery and commit to treatment with our team at Restorative Health Clinic.