Yes — and this is an area of deep personal and clinical focus for me. I have navigated MCAS myself, which means I understand the complexity, the frustration of being dismissed, and the very specific way these conditions intersect with hormones, gut health, mineral status, and nervous system dysregulation.

I work with women who have MCAS, POTS, dysautonomia, and related conditions using precision functional testing to identify the underlying terrain driving their symptoms — mineral depletion, mitochondrial dysfunction, gut permeability, immune dysregulation, and more. These conditions don't exist in isolation, and they respond beautifully to the right layered approach.

Yes. Biotoxin illness — including mycotoxin exposure from water-damaged buildings, chronic Lyme, and chronic viral reactivations like EBV and long COVID — is a significant and frequently missed driver of multi-system symptoms in women.

I use advanced testing including mycotoxin panels, immune response testing, and comprehensive Lyme evaluation to identify biotoxin burden and build a targeted protocol for detoxification, immune recalibration, and restoration. This is an area where the right testing and sequencing of treatment makes an enormous difference in how well someone recovers.

A few things set this apart. First, I am a physician — a triple board-certified osteopathic doctor with additional training in functional medicine, not a health coach or practitioner working under a protocol. That means I can order any lab, prescribe any medication including bioidentical hormones and peptides, and interpret your case with full clinical depth and accountability.

Second, this is concierge care — meaning I work directly with you the whole time. You have access to me when you need it. I accept a limited number of patients at a time so I can actually know your case, your history, and your progress. No

Third, I specialize in making complexity simple. If your symptoms are multi-system, have been dismissed, or don't fit neatly into a single diagnosis, that is specifically who I trained to serve. Most functional medicine practices follow a standard protocol. Instead I build every plan from your actual physiology so that it fits both your life and your goals.

Once you book your Cascade Clarity Call, you'll receive a brief intake form so I can review the basics of your situation before we speak — your main symptoms, how long you've been experiencing them, and what you've already tried.

On the call itself, we'll spend 15 minutes getting clear on what's happening in your body, whether this is the right fit, and what working together would look like. There's no pressure and no pitch — just an honest conversation about where you are and where you want to go.

If it's a good match, I'll walk you through your options for next steps in working together and what that looks like.

In your 60-minute consult, we will:

✔ Map your overall postpartum/perimenopause timeline and current physiology patterns

✔ Identify the most likely root drivers (nutrients, microbiome, stress physiology, metabolic shifts, hormone changes, and more)

✔ Review available labs and interpret them with a functional longevity lens, specific to your health and performance in motherhood

✔ Design a personalized testing strategy to optimize your health

✔ Create a first-phase restoration roadmap to get the foundations of your health built.

You’ll leave with clarity on what your body needs and what to do next.

Not at all. Many women in their 30s and 40s experience the postpartum-to-perimenopause overlap—where symptoms can be hormonal, nervous system, depletion-related, or all three.

This consultation helps us clarify what’s actually happening, so you can move forward with precision. Should you want to consult with me for a different reason, please start a chat with your goals and our team will reach out to you directly.

When clinically appropriate, yes.

However, hormones are rarely the first step toward rebuilding health.

In maternal longevity medicine, we usually begin by restoring the foundation: nutrient status, gut and microbiome health, metabolic resilience, and stress physiology, so your body can respond optimally before introducing hormones.

Hormone imbalance is often not the root cause of symptoms. It’s a downstream signal.

That said, hormone replacement therapy is one of the most powerful longevity tools we have, and I absolutely want women on it when they are truly in perimenopause or beyond.

Many women are told they’re “in perimenopause” when, in reality, they’re still experiencing hormonal disruption from pregnancy and postpartum changes, even if those changes began five or more years ago. In those cases, adding hormones too early can mask symptoms rather than resolve the underlying physiology.

My approach is to restore the foundations first, then optimize hormones strategically, not prescribe BHRT as symptom cover.

That way when hormones are introduced, they work better, feel better, and support long-term healthspan instead of just providing short-term relief.

Yes, comprehensive precision functional medicine testing is a core part of my approach.

Beyond hair testing, I use advanced testing, including genomics and nutrigenomics, to explore:

- SNP and Genetic Variation: I am an IntellxxDNA provider and address the genetic factors that can impact brain, heart, blood, bone and metabolic health.

- Advanced Hormone Panels: Comprehensive sex hormones, cortisol rhythm, thyroid function (beyond TSH) such as DUTCH and HuMAP.

- Gut Health: Microbiome analysis, SIBO, candida, parasites, digestive function

- Nutrient status: Vitamin and mineral deficiencies, methylation capacity

- Inflammation markers: Food sensitivities, immune reactivity, cytokines

- Detox capacity: Heavy metal burden, biotoxin exposure, nutrigenomic factors, and genetic factors (such as COMT and MTHFR)

- Metabolic function: Blood sugar regulation, insulin resistance, metabolic health

- Mold & Biotoxin Illness: Mycotoxin testing, immune response testing, advanced Lyme Testing and chronic viral reactivations syndromes (long COVID, EBV, CMV).

All testing is custom-selected based on your specific symptoms, health history, and goals. Every test includes expert interpretation and clear action steps so you'll never be left wondering what your results mean.

That’s completely fine. We can start with your symptoms, timeline, and goals, and decide together what testing would be most helpful.

Yes — and this is one of the most under-recognized patterns I see in my practice. Many women in their late 30s and 40s are living with unresolved postpartum depletion that has never been properly identified or treated. The symptoms — fatigue, brain fog, mood instability, sleep disruption, hormonal irregularity, low libido — look almost identical to early perimenopause.

The critical difference is that they respond to a completely different protocol. Adding hormones to a body that is mineral-depleted, gut-compromised, and running on a dysregulated stress response often masks symptoms rather than resolves them.

If you've been told you're perimenopausal and the treatments aren't working, there's a good chance the postpartum cascade is part of the picture — and that's exactly what I'm trained to identify and address. I break it down inside the free masterclass here

Yes! Maternal longevity strategies can absolutely be (and in all honesty should be in my opinion) tailored to lactation. After all, longer lifetime breastfeeding duration is linked to greater maternal longevity, reduced risk of cardiovascular disease, reduced risk of breast and ovarian cancer, diabetes, and metabolic issues.

We will focus on safe, supportive foundations nutrient repletion, microbiome support, nervous system regulation, and gentle metabolic restoration, without compromising milk supply or safety. We also use breastfeeding safe herbals as part of the plan when appropriate.

I do not bill insurance directly. I can accept HSA and FSA funding for consultations.

However, many clients successfully use HSA (Health Savings Account) or FSA (Flexible Spending Account) funds toward:

- Functional medicine lab testing

- Supplements and protocols

- Consultation services