Start your health journey here:
AS A NEW PATIENT, YOUR TREATMENT IS BROKEN INTO THREE PHASES:
→The Initial Consult
→The Case Review
This is described in more detail below.
The initial consult is the first step for all new patients.
During this 30-minute appointment, Dr. Krystal will interview you to determine which lab tests to order for your Case Review, based on your chief complaints and your history.
This appointment has two purposes: to make sure that we have all of the information needed to gain a comprehensive understanding of many of the factors affecting your health and to give you a head start on your treatment.
The exact lab testing ordered after the Initial Consult depends on your individual circumstances, but may include:
→A comprehensive blood chemistry panel. This is the single most efficient, effective and affordable tool for quickly evaluating your health. It screens for a wide range of conditions, including several types of anemia; gut, viral and bacterial infections; insulin resistance and blood sugar dysregulation; liver and kidney issues; and thyroid and adrenal problems. It offers important clues for how to structure and focus your treatment to get the best results. It also provides a baseline of biomarkers that can be used to objectively track the progress of your treatment over time.
There are additional blood tests for specific conditions, such as high cholesterol, hypothyroidism, autoimmune disease and gluten sensitivity.
→Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis and a deficiency of beneficial gut bacteria.
→Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrates, B-vitamin status, methylation issues, detoxification capacity, oxidative stress and neurotransmitter metabolism.
→Urine hormone testing for adrenal and sex hormone status.
Prior to your Initial Consult, Dr. Krystal will provide you with health history paperwork to complete. It is important that you spend time and energy completing these intake forms, as they are vital in helping us understand your case. This paperwork includes:
•A detailed health and medical history questionnaire.
•A survey of your chief complaints and most important health goals.
•An assessment of your most troubling and frequently experienced symptoms.
•A diet survey and questionnaire.
•A survey of your current supplements and medications.
Once we’ve received your lab results, you will move on to Step 2: the Case Review Consultation. This typically occurs between 30 and 60 days after the Initial Consultation, because some of the labs we use take up to 4 to 8 weeks to deliver the results to us after receiving your sample. While you wait for your lab results to come back, you will be getting organized with diet and getting things in order for your reset. Dr. Krystal will walk you through this because it is different for everyone.
The Case Review Consultation is a 60-minute appointment.
Prior to the Case Review, Dr. Krystal will review the results from the labs that were ordered along with your Case Review paperwork, medical history, diet and supplement survey, assessment forms and relevant prior lab work. Then she will create a Report of Findings, which is broken into three parts:
A summary of the underlying patterns that are contributing to your symptoms.
An outline of the suggested treatment plan, including dietary, supplement and lifestyle recommendations.
Recommendations for further testing (this will typically be minimal, if necessary at all, because of the completeness of the Case Review process)
During your Case Report, Dr. Krystal will present the Report of Findings as well as your treatment plan. She will also review all of your test results with you, and answer any questions you have about the findings or the treatment plan.