Listen properly first
The initial consult is where you talk and we listen. Most gut cases are solved as much by the history as by the labs.
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Functional MedicineBloating, reflux, unpredictable bowels, food that used to be fine and isn’t any more. This is where functional testing most often changes the picture entirely.
An IBS diagnosis is largely a statement that other things have been ruled out. It names your symptoms; it doesn’t explain them. For a lot of patients there is a identifiable mechanism underneath — bacterial overgrowth in the small intestine, an imbalance in the colonic microbiome, low stomach acid, impaired bile flow, a specific food reactivity, or a stress-driven motility problem.
Those mechanisms call for genuinely different responses. Treating them all as “IBS — try more fibre” is why so many patients cycle through years of trial and error.
SIBO — small intestinal bacterial overgrowth, a common driver of bloating that arrives within an hour of eating.
Gut dysbiosis and pathogens — comprehensive stool analysis looking at the balance of the microbiome, plus H. pylori and other specific organisms.
Intestinal permeability — commonly called leaky gut, assessed through specific markers rather than by assumption.
Food intolerance and sensitivity — including immune reactivity panels through Cyrex Laboratories, which is a different question from a classic allergy test.
GERD and reflux mechanisms — because reflux is frequently not a too-much-acid problem, and treating it as one can entrench it.
Gut function is exquisitely sensitive to stress and sleep. The nervous system and the gut are in constant two-way conversation, which is why symptoms flare in a hard week and settle on holiday. A gut protocol that ignores the stress and sleep factors will underperform, however good the supplements are.
That’s a large part of why this practice is built around five factors rather than testing alone — and why having chiropractic and nervous-system care in the same building isn’t incidental.
We are not a replacement for gastroenterology. Blood in the stool, unexplained weight loss, difficulty swallowing, persistent vomiting, anaemia, or a family history of colorectal cancer all warrant medical evaluation and possibly a scope — and we will refer you rather than test around it.
We also won’t sell you a protocol before we’ve seen your data. That’s the whole point of the sequence.
A short call first, so you can decide whether this approach fits before spending anything.
Or call (408) 778-6770.
The initial consult is where you talk and we listen. Most gut cases are solved as much by the history as by the labs.
Panels through Genova, Cyrex, BioHealth and Doctor’s Data — selected for your presentation, not sold as a bundle.
Dr. Diana’s ADAPT Level One designation from Kresser Institute is specifically about reading this kind of data properly.
Dietary change that fits your actual life, culture and budget. Inclusive and diverse, not a restrictive printout everyone gets.
Stress, sleep and motility, worked on alongside the protocol rather than after it.
Follow-ups every two to six weeks, with re-testing where it will actually change the plan — not for its own sake.
This describes our general clinical approach and is not a promise of a specific outcome. Every case is assessed individually, and results vary between patients.
Generally not. Specialty panels and consult time are usually out of pocket, and some patients can use HSA or FSA funds. We quote everything before you commit. [VERIFY: typical panel price ranges and HSA/FSA eligibility.]
That’s useful information, not a dead end — it means structural disease has largely been excluded, which is exactly the population functional testing is designed for. A normal colonoscopy doesn’t tell you about bacterial overgrowth, microbiome balance or food reactivity, because it isn’t looking for them.
Sometimes a structured trial is the fastest way to an answer, but it’s not automatic and it’s not forever. Where testing can answer the question directly, we’d rather test than have you restrict for months.
It depends entirely on which panels your case warrants, which is why the sequence starts with a consult rather than a test order. You’ll have real numbers before you agree to anything. Start with a free 15-minute discovery call if you want a ballpark first. [VERIFY: publish a typical range here — cost opacity is the single biggest reason functional medicine enquiries don’t convert.]
Please do. This is complementary care, and we’ll happily share findings with your PCP or GI specialist. Anything that belongs with them, we’ll say so.
Most new patients are seen within the same week. Call the office, or send a short request and we'll get back to you.