Health exists on a spectrum. You don't need to be diagnosed with a disease to benefit from working with a physician. Many people believe they're healthy and don't need medical guidance simply because they haven't received a diagnosis—but this represents outdated thinking about healthcare.

Ideally, people should seek medical support not just to treat illness, but to optimize their wellness and maintain vibrant health. Many patients discover they haven't actually been feeling their best and are surprised by how much better they can feel with the right approach

We use a variety of tools with each patient:

• Eczema
• Advanced cardiac lab monitoring and testing
• Sleep optimization strategies
• Stress management techniques
• Physical performance and muscle building optimization
• Personalized nutrition planning
• Targeted detoxification protocols
• Hormone replacement therapy, when appropriate

The skin is the body's largest organ and often serves as a window into your internal health. As physicians, we recognize that skin symptoms frequently reflect underlying imbalances rather than isolated surface issues. Treating skin conditions effectively means uncovering and addressing the root causes of inflammation, hormonal imbalances, and nutrient deficiencies.

Our comprehensive approach includes evaluating gut health, hormone balance, vitamin and mineral status, lipid profiles, food sensitivities, and dietary patterns, while also implementing stress management strategies as foundational elements of your treatment plan.

Conditions we commonly treat:

• Eczema
• Psoriasis
• Dermatitis
• Allergic skin reactions

The body's hormone-producing organs—including the pancreas, thyroid, ovaries, testes, and adrenals—secrete hormones that coordinate the function of multiple systems throughout the body. These hormones regulate energy production, metabolism, reproductive health, and life transitions such as peri-menopause and menopause.

The endocrine system functions as an interconnected network, requiring systematic assessment and treatment to optimize the function of all hormone-producing organs. Our comprehensive approach addresses the complex relationships between these systems to restore hormonal balance and improve overall well-being.

Hormone and endocrine conditions we treat:

• Polycystic Ovarian Syndrome (PCOS)
• Endometriosis
• Irregular or changing menstrual cycles
• Hypothyroidism and thyroid disorders
• Peri-menopause and menopause hormone therapy
• HPA axis dysfunction (adrenal dysfunction)
• Metabolic disorders including obesity and diabetes

Nearly every patient we see reports some degree of difficulty with sleep, anxiety, or depression. This isn't surprising, as one in five adults suffers from at least one of these conditions.

Insomnia, depression, and anxiety often signal disruptions in brain health and neurochemical balance. Our assessment investigates the multiple factors that affect brain function, including gut health, nutrition, genetic predispositions, vitamin and mineral deficiencies, environmental toxin exposure, spiritual wellness, physical activity, and interpersonal relationships.

Given the complex nature of mental health, many people are prescribed medications to manage symptoms. While some individuals greatly benefit from these medications and clearly thrive on them—especially those with severe depression—research suggests that 60-70% of people don't achieve full remission with antidepressant therapy alone.

Our functional medicine approach to mental health includes comprehensive evaluation of gut health, adrenal function, thyroid function, and nutritional deficiencies. We emphasize lifestyle and dietary interventions to reduce inflammation, stabilize mood, and balance blood sugar—all foundational elements for optimal brain health.

Mental health conditions we address:

• Insomnia and sleep disorders
• Anxiety disorders
• Depression
• ADHD and attention difficulties

Hippocrates once said, "All disease begins in the gut," and we've found that most patients with chronic illness do indeed have underlying gut imbalances.

Many foundational body systems depend on optimal gut health to function properly. For instance, 80% of the immune system resides in the GI tract, and up to 90% of serotonin—our primary mood-regulating neurotransmitter—is produced there. As a result, poor gut health often complicates and worsens other conditions, including mental health disorders, immune dysfunction, and hormonal imbalances.

The gut is also where we absorb essential nutrients. When the digestive system is inflamed or functioning improperly, critical vitamins and minerals cannot be adequately absorbed and utilized. These nutrients serve as vital co-factors for virtually all biochemical processes throughout the body.

Given the gut's extensive interactions with multiple body systems, most functional medicine evaluations and treatments are anchored in restoring digestive health. For this reason, Pacific Northwest Functional Medicine patients typically undergo comprehensive GI assessment using specialized testing such as detailed stool analysis, SIBO breath testing, and screening for celiac disease or non-celiac gluten sensitivity.

Gastrointestinal conditions we treat:

• Small Intestinal Bacterial Overgrowth (SIBO)
• GERD and acid reflux
• Inflammatory Bowel Disease (IBD)
• Irritable Bowel Syndrome (IBS)
• Intestinal permeability (leaky gut)
• Chronic infections and microbiome imbalances

The key components of cardiovascular risk reduction include inflammation reduction and optimizing metabolic health. Beyond standard lipid panels and A1c testing, we monitor advanced biomarkers—including ApoB, Lp(a), hsCRP, homocysteine, and fasting insulin—to better stratify risk and guide personalized treatment strategies.

Our treatment and risk reduction approach centers on lifestyle modifications that incorporate anti-inflammatory nutrition plans, stress reduction techniques, and identification of root causes of systemic inflammation. Additional laboratory evaluations may include comprehensive gut health analysis, environmental toxin exposure assessment, and detailed hormone evaluation.

Treatment may incorporate advanced tools such as continuous glucose monitors to optimize blood sugar regulation and provide real-time feedback on dietary and lifestyle interventions.

Cardiovascular and metabolic conditions we treat:

• Hypertension (high blood pressure)
• Hyperlipidemia (elevated cholesterol)
• Sleep apnea
• Insulin resistance
• Pre-diabetes and Type 2 diabetes