We use a functional medicine approach when it comes to your health, which begins with examining your symptoms to get to the root cause of your illness. Explore the conditions we commonly treat and discover the services we offer at PALM that can help facilitate your healing.

DEFINITION

Attention Deficit Hyperactivity Disorder (ADHD) is a chronic neurological and behavioral condition often manifesting in childhood that includes difficulty paying attention, restlessness, hyperactivity, impulsivity, fidgeting, excitability, and difficulty concentrating. In the twenty-first century, increasing numbers of children are being diagnosed with ADHD.

HOW WE TREAT IT

At PALM Health, we have several approaches to treat ADHD, including neurofeedback sessions, functional medicine evaluations, and neurology consults. The functional medicine and neurology physicians evaluate each individual and create a personalized treatment plan to help with symptoms. A typical treatment plan may include neurofeedback sessions, which help the individual improve self-regulation to move towards lasting change and growth.

RECOMMENDED SERVICES

Neurofeedback, Biofeedback Rebalance, Neurofeedback Starter Package, Neurofeedback Student Package, Neurology Visits, Functional Medicine Visits

PROVIDERS WHO TREAT THIS CONDITION

Ashley WiegandDr. Sita Kedia / Dr. Jeff Kreher / Sarah BirdAmanda Lober / Dr. Henri Roca / Dr. Karrie Hohn

DEFINITION

From a Western medicine perspective, an allergy is an overreaction of the immune system. An individual can be allergic to anything: foods, drinks, drugs, herbs, vitamins, water, clothing, chemicals, people, plastics, pollen, and grasses, among others. Allergy symptoms can range from mild problems to debilitating reactions to life-threatening illnesses. Medical researchers are still trying to understand the exact cause and nature of allergies.

HOW WE TREAT IT

We recommend a functional medicine consultation to help uncover the root of each individual’s allergies. We often recommend supplements, salt room sessions, and dietary changes to restore the body to normal functioning and to help each individual reach optimal health.

RECOMMENDED SERVICES

Functional Medicine Visits, Salt Room Sessions, Nutrition Supplement Consult, Acupuncture and Acupressure

PROVIDERS WHO TREAT THIS CONDITION

Dr. Jeff Kreher / Sarah BirdAmanda Lober / Dr. Henri Roca / Dr. Karrie Hohn

DEFINITION

Anxiety and depression are conditions that are closely tied. Anxiety is a mental disorder that causes a person to feel overwhelming worry, excessive fear, and irrational dread of everyday situations, while depression is a mental disorder in which a person feels hopeless, discouraged, sad, or disinterested in life. There are many causes of anxiety and depression that lead individuals to become psychologically and emotionally stuck. A common scenario we see at PALM is that people are living under increasing amounts of both physical and psychological stress, leading to a state of constant tension and anxiety about life. Eventually, body and mind suffer, leading to fatigue, ill health, and depression.

HOW WE TREAT IT

At PALM Health, our integrative approach recognizes the need to address all aspects of the being: body, mind, and spirit. Our treatment programs include psychological interventions, diet, exercise, meditation, personal goal setting, and much more. Since much of the food available to us today is lacking in nutrients, even a balanced diet may not be sufficient when an individual is struggling with depression, so we may recommend taking nutritional supplements as well.

RECOMMENDED SERVICES

Well-Being Coaching, Counseling – Individual Therapy, Functional Medicine Visits, Functional Nutrition Assessment, Acupuncture and Acupressure, Meditation, Signature Stress Reduction Massage, Neurofeedback, Cardiac Coherence, Biofeedback Rebalance, Cryotherapy, IV Nutrition, TCI Personality Assessment, Know Yourself Workshop, Salt Room Sessions, PEMF Mat Sessions

PROVIDERS WHO TREAT THIS CONDITION

Nigel Lester / Ashley Wiegand / C. Robert Cloninger / Julie Geeting / Sarah Lewis / Lara Pennington / Sarah Bird

DEFINITION

Arthritis is a general term that refers to a condition that causes pain, swelling or inflammation in a single joint or a group of joints in the body. Some common types of arthritis are: osteoarthritis (degenerative joint disease), rheumatoid arthritis (an inflammatory disease in which the body’s immune system attacks healthy tissue), and gout (usually affecting small joints in the hands and feet).

HOW WE TREAT IT

At PALM Health, we take a functional medicine approach to arthritis by examining the core clinical imbalances that underlie these various diseases and conditions. Through a series of tests, we will be able to determine a plan to help each individual heal; we will help eliminate infections, remove heavy metals, replace nutrients, balance hormones, and detoxify the body, and we will teach individuals a lifestyle of proper nutrition and stress management. We also employ additional tools such as cryotherapy and low level laser therapy to heal an inflamed or injured joint. In addition, our chiropractors and personal trainers can help facilitate improved movement and strength in the muscles surrounding the painful joints, thereby improving functional mobility. Often, healing the body in this way can result in either eliminating or decreasing the need for prescription pain medications.

RECOMMENDED SERVICES

Functional Medicine Visits, Chiropractic Care, Cryotherapy, Muscle Rescue Massage with Arnica, Nutrition Supplement Consult, SomaTraining, Low Level Laser Therapy, Personal Training, Corrective Movement, BioMat Sessions

PROVIDERS WHO TREAT THIS CONDITION

Dr. David Trybus / Dr. Jason Biondo / Dr. Emily GuilfoyDr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Dr. Henri Roca

DEFINITION

Asthma is an inflammatory condition in which the airways in the lungs become inflamed and swollen and produce extra mucus. People with asthma experience recurring episodes of coughing, wheezing, chest tightness, and shortness of breath. Exposure to various airborne irritants and substances such as pollen, dust, mold, pet dander, or other particles may trigger an asthma attack.

HOW WE TREAT IT

We recommend a functional medicine consultation to help uncover the root of each individual’s asthma symptoms. We often recommend supplements, salt room sessions, and dietary changes to restore the body to normal functioning and to help greatly reduce or completely eliminate asthma attacks.

RECOMMENDED SERVICES

Functional Medicine Visits, Salt Room Sessions, Nutrition Supplement Consult, Acupuncture and Acupressure, Biofeedback Rebalance, Meditation, Cardiac Coherence

PROVIDERS WHO TREAT THIS CONDITION

Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober / Dr. Henri Roca

DEFINITION

An autoimmune disease is a condition in which the immune system mistakenly attacks healthy cells in the body. The immune system normally protects the body from disease, infection, bacteria, and viruses. Common autoimmune diseases include rheumatoid arthritis, lupus, celiac disease, multiple sclerosis, psoriasis, and type 1 diabetes, among others.

HOW WE TREAT IT

The treatment for autoimmune diseases often involves medications that suppress the immune system in addition to complementary therapies to reduce inflammation and promote healing. At PALM, individuals with known or suspected autoimmune diseases start with a functional medicine visit. In addition, we often recommend cryotherapy, salt room sessions, making diet or lifestyle modifications, or massage treatments to help with mobility and pain control.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Cryotherapy, Salt Room Sessions

PROVIDERS WHO TREAT THIS CONDITION

Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober / Dr. Henri Roca

DEFINITION

Cancer occurs when key systems in the body are out of balance. This can be due to poor nutrition, impaired detoxification, environmental exposure, inflammation, free radical stress, or genetic predisposition. According to the American Cancer Society’s annual report, approximately 1,600 Americans died from cancer each day in 2013. Overall, cancer accounts for nearly 1 in 4 deaths in the United States.

Prevention can be accomplished through maintaining proper nutrition, removing toxins, keeping inflammation in check, balancing hormones, managing sun and UV light exposure, reducing or eliminating tobacco and alcohol use, exercising, maintaining a healthy BMI, learning to simplify daily life, managing stress, and developing a network of people to rely on for friendship and support.

HOW WE TREAT IT

At PALM Health, we support patients who have been diagnosed with cancer by helping them identify key modifiable risk factors and holistically change their lifestyle. We focus on a plant-based, whole food diet with minimal sugar, oil, or salt. Certain supplements may be recommended to minimize healthy cell damage during chemotherapy. We do not offer chemotherapy or radiation at PALM; however, we do offer vitamin C infusion administration in our IV suite to assist the body in the fight against cancer. Some studies have shown that cancer cells take up vitamin C at very high levels, leading to the oxidative damage of tumor cells. This can be a powerful support treatment to chemotherapy or radiation. Guided imagery, visualization, and meditation are additional tools we teach to help patients heal from cancer. We do not currently employ an oncologist. However, patients are encouraged to establish a relationship with an oncologist to maintain a variety of treatment options and to assist in tracking cancer progression and prognosis.

RECOMMENDED SERVICES

Functional Medicine Visits, IV Nutrition, Acupuncture and Acupressure, Flow Classes, Neuroplasticity Classes, Meditation, PALM Signature Stress Reduction Massage, Biofeedback Rebalance, Cardiac Coherence, Lymphatic Restorative Massage with Castor Oil Pack

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah BirdAmanda Lober

DEFINITION

Chronic pain is persistent pain that lasts weeks, months, or years. It can feel like a dull ache or sharp pangs, and it can occur anywhere in the body. It may come and go throughout the day or week, or it may occur steadily. Common types of chronic pain include arthritis pain, lower back pain, headache, pain due to nerve damage, or pain due to psychological factors. With chronic pain, the pain signals in the body keep firing in the nervous system and do not subside for weeks, months, or years.

HOW WE TREAT IT

We assess the possible origin of the pain in order to figure out which steps we can take to resolve it or greatly reduce it. Sometimes an initial incident is the cause, such as a sprained back, an infection, or a pulled muscle. Sometimes chronic pain may be the result of an ongoing condition such as arthritis, cancer, lupus, fibromyalgia, chronic fatigue syndrome, or multiple sclerosis, among others. At PALM, we recommend lifestyle remedies such as incorporating stretching, yoga, massage, or meditation into a daily routine. We may also recommend acupuncture, chiropractic care, or wellness therapies such as cryotherapy or low level laser therapy.

RECOMMENDED SERVICES

Functional Medicine Visits, Chiropractic Care, Acupuncture, Cryotherapy, Functional Nutrition Assessment, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Lymphatic Restorative Massage with Castor Oil Pack, Biofeedback Rebalance, SomaTraining, Low Level Laser Therapy, BioMat Sessions

PROVIDERS WHO TREAT THIS CONDITION

Dr. Sita KediaDr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah BirdAmanda Lober / Dr. David Trybus / Dr. Jason Biondo / Dr. Emily Guilfoy / Liam Springer

DEFINITION

Diabetes mellitus is a chronic, lifelong disease in which the body’s ability to produce or use insulin is impaired. Insulin is a hormone that helps the body’s cells take in glucose, which is the fuel that the body uses for energy. Excess glucose in the bloodstream can damage the kidneys, heart, eyes, and nervous system and can eventually lead to kidney disease, heart disease, blindness, or nerve damage if left untreated. Type 1 diabetes is an autoimmune disease in which the body’s antibodies attack the pancreas so that it cannot produce insulin. In type 2 diabetes, usually found in overweight or obese individuals, the pancreas usually produces a small amount of insulin, but the body’s cells cannot take it in. Type 2 diabetes can be controlled with weight management, nutrition, and exercise.

HOW WE TREAT IT

We treat type 2 diabetes most commonly in our patients by beginning with a functional medicine visit and assessing the patient’s current lifestyle habits. With this type of diabetes, many times blood sugar can be controlled with a healthy diet and exercise. We may recommend our Weight Management Program if the patient would benefit from weight loss or if the patient would like to learn more about maintaining a healthy weight. In addition, we regularly screen for any complications associated with diabetes.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Meditation, Weight Management Program, PALM Signature Stress Reduction Massage, Nutritional Counseling, Personal Training

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Common digestive disorders include irritable bowel syndrome (IBS), heartburn or gastroesophageal reflux disease (GERD), inflammatory bowel disease (IBD), celiac disease, Crohn’s disease, ulcerative colitis, gallstones, diverticulitis, and hemorrhoids, among others. Digestive disorders comprise any health issues that occur in the digestive tract, whether mild or severe. Common symptoms of these conditions include bloating, constipation, diarrhea, gas, heartburn, incontinence, bleeding, nausea, abdominal pain, and abdominal cramps.

HOW WE TREAT IT

Any individual with digestive disorders should start with a functional medicine consultation. Some digestive disorders require lab testing to diagnose. Many can be resolved with lifestyle changes: for example, removing gluten from the diet in patients with celiac disease can significantly improve their symptoms. Other disorders may require patients to increase their fiber intake by eating more fruits and vegetables. Still others require a treatment plan that includes medication.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Meditation, Lymphatic Restorative Massage with Castor Oil Pack, Biofeedback Rebalance, Functional Wellness Consult

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Dizziness is often described as feeling woozy, faint, weak, or unsteady. It is not a disease in itself, but is rather a symptom of other conditions. Dizziness includes feeling a false sense of motion or spinning, lightheadedness, feeling faint, unsteadiness, loss of balance, or feeling woozy. Common causes of dizziness are migraines, medications, alcohol, low blood sugar, anemia, dehydration, motion sickness, ear infection, or other problems with the inner ear.

HOW WE TREAT IT

With dizziness, we start with a thorough evaluation to determine the root cause, which can be accomplished through a functional medicine consultation. Afterwards, the individual may need to see our cardiologist or neurologist, if the functional medicine physician deems it necessary. The treatment will depend entirely on the cause of the dizziness but may include acupuncture, chiropractic care, or biofeedback rebalance sessions.

RECOMMENDED SERVICES

Functional Medicine Visits, Neurology Visits, Chiropractic Care, Biofeedback Rebalance, Acupuncture and Acupressure

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober / Dr. Sita Kedia / Dr. David Trybus / Dr. Jason Biondo / Dr. Emily Guilfoy / Dr. Lily Liu

DEFINITION

Eczema is a skin condition caused by inflammation that results in itchy, red, and dry skin. It commonly appears on the arms and inside the bend of the elbows and knees, but it can appear anywhere on the body. During flare-ups, eczema symptoms can range from mild to severe and can include dry skin, red and inflamed skin, severe itching, scaly patches of skin, oozing or crusting skin, bumpy skin, and areas of swelling. Eczema is not contagious.

HOW WE TREAT IT

Eczema can often be treated with skin creams and by establishing a good skin care routine. Keeping the skin healthy and moisturized can often prevent certain types of eczema. To prevent flare-ups, we may also recommend avoiding skin irritants such as specific soaps, fabrics, and lotions, as well as avoiding allergens such as specific foods, pollen, and animals. Dietary changes, NAET® treatment, and salt room sessions may also help with eczema.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Salt Room Sessions, Biofeedback Rebalance

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Fatigue is a common symptom of many conditions and includes feeling tired, lethargic, excessively sleepy, or weak. It can be described as feeling a lack of physical energy or mental motivation. Most often, fatigue is a direct result of lifestyle habits such as lack of exercise, unhealthy eating habits, medications, lack of sleep, or alcohol use. Chronic fatigue may be a sign of a more serious underlying condition, such as depression, stress, sleep apnea, diabetes, anxiety, anemia, heart disease, fibromyalgia, and hyperthyroidism, among others.

HOW WE TREAT IT

As with all conditions we treat, our physicians search for the root cause in patients who experience fatigue. Most often, fatigue can be resolved by adjusting certain lifestyle behaviors, such as regulating circadian rhythms, setting a consistent bedtime, getting enough physical activity, eating a healthy diet, and decreasing alcohol consumption. Other times, treatment may require lab testing to determine if the patient has an underlying condition such as adrenal fatigue or thyroid abnormalities.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Salt Room SessionsBiofeedback Rebalance, Cryotherapy, IV Nutrition, PEMF Mat Sessions, BioMat Sessions

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Fibromyalgia is a condition that affects the musculoskeletal system and causes widespread pain throughout the body, especially in “tender points” on the neck, shoulders, back, hips, arms, and legs that hurt when pressure is applied. General fatigue, trouble sleeping, headaches, depression, and anxiety are also symptoms associated with fibromyalgia.

HOW WE TREAT IT

At PALM, we focus on understanding underlying triggers, reducing pain, and improving quality of life for those with fibromyalgia. We recommend starting with a functional medicine consultation in order for a functional medicine physician to complete a comprehensive evaluation of the individual’s symptoms and develop a treatment plan. We may recommend working with a personal trainer to increase muscle strength, taking restorative yoga classes to improve flexibility, or scheduling regular massage treatments to relax and relieve muscles. In addition, optimizing diet and maintaining a balance of exercise and rest can greatly improve symptoms.

RECOMMENDED SERVICES

Functional Medicine Visits, Chiropractic Care, Cryotherapy, Functional Nutrition Assessment, Muscle Rescue Deep Tissue Massage with Arnica and StretchingBiofeedback Rebalance, Acupuncture, Lymphatic Restorative Massage with Castor Oil Pack

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober / Dr. Sita Kedia / Dr. David Trybus / Dr. Jason Biondo / Dr. Emily Guilfoy / Dr. Lily Liu

DEFINITION

Migraines and tension headaches are some of the most painful types of headaches individuals can experience. They may cause disabling pain and include symptoms of head throbbing, nausea, vomiting, and sensitivity to light and sound. Migraine pain can be severe and can last anywhere from four hours to three days. Individuals with migraines may experience them several times a week or only once or twice a year.

HOW WE TREAT IT

When it comes to headaches and migraines, we emphasize prevention and understanding underlying factors that exacerbate headaches. We focus on managing stress, improving sleep, exercising regularly, and avoiding migraine triggers, which may include specific foods, alcohol, or poor sleep. We recommend that individuals begin with functional medicine and headache visits to evaluate their symptoms and develop a comprehensive treatment plan.

RECOMMENDED SERVICES

Functional Medicine Visits, Neurology Visits, Cryotherapy, Functional Nutrition Assessment, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Biofeedback Rebalance, Chiropractic Care, Acupuncture and Acupressure, Cardiac Coherence, SomaTraining, Neurofeedback, IV Nutrition

PROVIDERS WHO TREAT THIS CONDITION

Dr. Sita Kedia / Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober / Dr. David Trybus / Dr. Jason Biondo / Dr. Emily Guilfoy / Dr. Lily Liu

DEFINITION

Heart disease, also known as cardiovascular disease, refers to conditions in which the blood vessels are narrowed, blocked, or damaged, leading to heart attack or stroke. One of the most common types of heart disease is coronary artery disease (CAD), in which decreased blood flow to the heart can cause a myocardial infarction, or heart attack. Heart disease also includes other conditions such as congestive heart failure, cardiomyopathy, atrial fibrillation, congenital heart defects, peripheral arterial disease, and atherosclerosis, among others.

HOW WE TREAT IT

Individuals seeking to prevent heart disease or treat existing heart disease should start with a functional medicine consultation. We may recommend specialty lab testing, such as the Boston Heart Diagnostics Panel, to better understand an individual’s cardiovascular status and risk factors. We emphasize making sustainable lifestyle changes, such as incorporating more fruits and vegetables into the diet and limiting meat and full fat dairy, while encouraging patients to adopt a regular exercise regimen under the supervision of a personal trainer. If weight loss is a priority for the patient, we may recommend our Medical Weight Loss Program.

RECOMMENDED SERVICES

Functional Medicine Visits, Cardiology Visits, Chelation for Heart Health, Functional Nutrition Assessment, Nutritional Counseling, Medical Weight Loss Program, Personal Training, Personalized Exercise Plan, PALM Signature Stress Reduction Massage, Health Coaching, Cardiac Coherence

PROVIDERS WHO TREAT THIS CONDITION

Dr. Lauren Munsch Dal Farra / Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

High cholesterol occurs when fat deposits build up in the blood vessels, limiting blood flow and increasing the risk of heart disease. There are no symptoms of high cholesterol, but it may lead to long-term health problems. High cholesterol can often be the result of a poor diet and lack of exercise. Eating high-fat foods and foods that are high in cholesterol, such as red meat and full-fat dairy products, increase the risk of developing high cholesterol.

HOW WE TREAT IT

High cholesterol is often preventable and treatable. Maintaining a healthy weight, eating a low-salt diet with plenty of vegetables, fruits, and whole grains, exercising regularly, and limiting consumption of high-fat foods may help to lower cholesterol levels without the use of medication. We may recommend specialty lab testing such as the Boston Heart Diagnostics Panel to better understand an individual’s cholesterol levels and risk for heart disease.

RECOMMENDED SERVICES

Functional Medicine VisitsFunctional Nutrition Assessment, Medical Weight Loss Program, Personal Training, Health Coaching, Body Composition Analysis

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Hormones naturally fluctuate during different periods of life, such as puberty, menstruation, pregnancy, or menopause. Hormonal imbalances, however, are irregular fluctuations that occur when there is too much or too little of a hormone in the bloodstream. Symptoms include excessive sweating, difficulty sleeping, dry skin, changes in heart rate or blood pressure, excessive thirst, unrelenting fatigue, anxiety, irritability, infertility, irregular periods, bloating, depression, headaches, changes in appetite, and blurred vision, among others.

HOW WE TREAT IT

Depending on the underlying cause of the hormonal imbalance, our treatment recommendations may range from making healthy lifestyle changes to bioidentical hormone replacement therapy. Some hormonal imbalances can be influenced by stress or poor nutrition. Learning ways to manage stress and improve the diet are excellent ways to correct some hormonal imbalances.

RECOMMENDED SERVICES

Functional Medicine Visits, Acupuncture and Acupressure, Biofeedback Rebalance, Functional Nutrition Assessment, PALM Personalized Massage, PEMF Mat Sessions

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

High blood pressure, also known as hypertension, is a condition in which the blood flows through the blood vessels with a force that is higher than normal. There are no symptoms of high blood pressure, but if left untreated, it could cause long-term health problems such as stroke, vision loss, kidney failure, heart attack, or heart failure.

HOW WE TREAT IT

We check for hypertension during medical visits to monitor the patients’ blood pressure and make sure everything is normal. If patients have high blood pressure, we may recommend reducing salt intake, limiting alcohol intake, managing stress, quitting smoking, and establishing a healthy exercise regimen. Prevention is the best way to reduce the risk of developing complications from high blood pressure down the road, and making healthy lifestyle choices is an important place to start.

RECOMMENDED SERVICES

Functional Medicine Visits, Cardiology Visits, Functional Nutrition Assessment, Weight Management Program, Personal Training, Infrared Sauna, PALM Signature Stress Reduction Massage, Lymphatic Restorative Massage with Castor Oil Pack, Cardiac Coherence, Health Coaching

PROVIDERS WHO TREAT THIS CONDITION

Dr. Lauren Munsch Dal Farra / Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

When the body does not produce enough thyroid hormone, its normal rate of function slows, causing mental and physical sluggishness. This underproduction is known as hypothyroidism. Symptoms of hypothyroidism are vast and range from fatigue, headaches, depression, anxiety, weight gain, joint pain, infertility, heart disease, irritability, impaired memory, and poor circulation, among others.

HOW WE TREAT IT

We recommend starting with a functional medicine consultation to uncover the root cause of symptoms and determine if the individual has a thyroid disorder. The overall goal of treatment for thyroid disorders is to restore balance to the body’s metabolic function. Assessing the entire picture and taking into consideration both lab values and patient symptoms to customize a treatment plan yields the best results.

RECOMMENDED SERVICES

Functional Medicine Visits, Biofeedback Rebalance, Functional Nutrition Assessment, Lymphatic Restorative Massage with Castor Oil Pack

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Inflammation is the immune system’s response to harmful or irritating stimuli. It indicates that the body is trying to heal itself. When the body sustains a wound or physical injury, such as a deep cut or a sprained ankle, the body presents signs of acute inflammation on the skin, such as swelling around the area, redness and heat, pain, and inability to move muscles or limbs in the affected area. Many people are familiar with this type of short-term inflammation. Chronic inflammation, however, presents different symptoms, which can include fever, rash, joint pain, fatigue, mouth sores, chest pain, or abdominal pain. Long-term inflammation can last several months or even years, and is a component of many conditions including rheumatoid arthritis, Crohn’s disease, sinusitis, asthma, hepatitis, and periodontitis, among others.

HOW WE TREAT IT

A major part of treating inflammation is discovering the root cause of what is causing the inflammation, such as poor diet, leaky gut syndrome, autoimmune disease, or stress, and eliminate it. We may prescribe supplements to help reduce inflammation and take a look at the patient’s diet to eliminate any food substances that may be an issue. Our Elimination Diet helps determine dietary triggers for inflammation and encourages patients to avoid fried foods, refined carbohydrates, sugary drinks, red meat, and animal products. We may also recommend sessions in the cryosauna, salt room, or infrared sauna, or we may suggest scheduling regular massage treatments.

RECOMMENDED SERVICES

Functional Medicine Visits, Acupuncture and Acupressure, Biofeedback Rebalance, Functional Nutrition Assessment, Cryotherapy, Salt Room Sessions, Muscle Rescue Deep Tissue Massage with Arnica and Stretching, Lymphatic Restorative Massage with Castor Oil Pack, BioMat Sessions, Infrared Sauna Sessions

PROVIDERS WHO TREAT THIS CONDITION

Dr. Varsha Rathod / Dr. Scott Jamison / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Sports injuries commonly refer to knee injuries, shin splints, achilles tendon injuries, hip flexor strains, ACL tears, hamstring strains, dislocated shoulders, tennis or golf elbow, and other muscle sprains and strains. Concussions and head injuries are also considered sports injuries. Lack of warming up, insufficient stretching, lack of conditioning, and poor training methods are often causes of these types of injuries.

HOW WE TREAT IT

Most individuals will begin with either our physical medicine and rehabilitation physician or chiropractors to start the process of recovery by diagnosing the injury, reducing pain, and promoting healing as much as possible. Rehabilitation is a long process, but with guidance from a doctor and the use of complementary therapies such as cryotherapy or low level laser therapy, the recovery process can proceed more quickly. The ultimate goal when treating physical injuries is to restore strength to the area and prevent repeat injuries in the future.

RECOMMENDED SERVICES

Chiropractic Care, SomaTraining, Corrective Movement, Kinesio Tape Application, Active Release, Cryotherapy, Functional Nutrition AssessmentLow Level Laser Therapy, BioMat Sessions, IV Nutrition

PROVIDERS WHO TREAT THIS CONDITION

Ashley Kumar / Liam SpringerDr. David Trybus / Dr. Jason Biondo / Dr. Emily Guilfoy / Dr. Jake Schaake

DEFINITION

Insomnia is a persistent inability to fall asleep or stay asleep. Individuals with insomnia often do not feel well-rested. In addition to the quantity of sleep, the quality of sleep may also be deficient. Often, insomnia can be traced to poor sleeping habits, anxiety, lack of exercise, chronic conditions, or depression.

HOW WE TREAT IT

Treatment for severe insomnia starts with a functional medicine consultation. We emphasize eliminating blue light exposure before bedtime, setting a regular bedtime, staying hydrated during the day, avoiding wearing electronic devices on the body, and getting exposure to natural daylight first thing in the morning. We also recommend limiting naps, eliminating caffeine, and waking up at the same time each day. Treating underlying conditions such as depression or anxiety and getting enough exercise during the day are also important in restoring healthy sleep. Complementary services that may help include acupuncture, biofeedback rebalance, cryotherapy, sessions in our salt room and infrared sauna, and stress reduction treatments.

RECOMMENDED SERVICES

Functional Medicine Visits, Functional Nutrition Assessment, Salt Room SessionsBiofeedback Rebalance, Cryotherapy, IV Nutrition, PEMF Mat Sessions, BioMat Sessions, Infrared Sauna Sessions, Acupuncture and Acupressure, PALM Signature Stress Reduction Massage, Meditation, Well-Being Coaching

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober / Dr. David Trybus / Dr. Lily Liu

DEFINITION

The most common tick-borne diseases (TBDs) in the United States are Anaplasmosis, Babesiosis, Bartonella infections, Ehrlichiosis, Rickettsiosis, Rocky Mountain spotted fever (RMSF), and Lyme disease. Lyme disease accounts for the majority (82%) of all tick-borne disease cases. Because many symptoms of tick-borne diseases are generic or mimic other conditions, these diseases often go undiagnosed for months, increasing the suffering and disease progression of the individual.

HOW WE TREAT IT

Treatment for tick-borne disease starts with a functional medicine consultation. Depending on your history and symptoms, we may recommend that you complete a comprehensive tick-borne lab panel that tests both PCR and protein microarray of different bacterial species related to tick-borne illness. From there, your medical provider will recommend a personalized treatment plan to help resolve or reduce your symptoms.

RECOMMENDED SERVICES

Functional Medicine Visits, Restore Membership

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca

DEFINITION

Memory loss and memory issues refer to unusual forgetfulness that affects an individual’s ability to remember past events. Memory issues may include an inability to recall events that happened recently, events that happened a long time ago, or a combination of both. Memory loss is not always indicative of dementia or Alzheimer’s disease; normal aging can cause minor forgetfulness or difficulty recalling memories quickly. Dramatic memory loss can be a sign of a more serious condition.

HOW WE TREAT IT

Our neurologist completes a full neurological evaluation to assess the symptoms the patient is experiencing. Getting a proper diagnosis is key to treating the memory issues and improving them. As with many conditions, prevention goes a long way in helping to improve a patient’s outlook. We may recommend neuroplasticity classes to aid overall brain health, which help activate and stimulate the brain’s natural ability to form new connections. Practicing new hobbies, doing brain exercises, learning a new language, and socializing are all great ways to keep the mind active for aging adults and to prevent decline.

RECOMMENDED SERVICES

Bredesen Program, Neurology Visits, Functional Medicine Visits, Neurofeedback, Cardiac Coherence, Biofeedback Rebalance, Functional Nutrition Assessment, Nutrition Supplement Consult, Neuroplasticity Classes, PALM Signature Stress Reduction Massage, Lymphatic Restorative Massage with Castor Oil Pack

PROVIDERS WHO TREAT THIS CONDITION

Dr. Sita KediaDr. Ashley Wiegand

DEFINITION

Menopause is a natural part of aging in women and occurs when a woman has not menstruated in twelve months. It usually occurs between the ages of 45 and 55 and signals the end of the woman’s natural ability to become pregnant. Female sex hormone levels decrease with age, the ovaries stop releasing eggs, and the woman is no longer able to get pregnant. Symptoms of menopause include hot flashes, night sweats, trouble sleeping, moodiness, weight gain, sweating, irritability, and reduced sex drive, among others.

HOW WE TREAT IT

Individuals who would like to explore a functional medicine approach to menopause should start with a functional medicine consultation. We may discuss hormone replacement with bioidentical hormones or with the Wiley Protocol. Since menopause is a natural process in women, we focus on alleviating symptoms and reducing discomfort. We may recommend yoga or meditation classes to reduce anxiety and moodiness, or we may suggest scheduling regular massage treatments for relaxation and detoxification. Making sure the patient continues to exercise regularly and eat nutritious foods may also help ease some symptoms of menopause.

RECOMMENDED SERVICES

Functional Medicine Visits, Acupuncture and Acupressure, Biofeedback Rebalance, Functional Nutrition Assessment, Meditation, Cryotherapy

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Neurological disorders are diseases of the central nervous system, which comprises the brain and spinal cord. Some examples of neurological disorders include Parkinson’s disease, stroke, epilepsy, brain tumors, dementia, Alzheimer’s disease, multiple sclerosis, migraines, peripheral neuropathy, and amyotrophic lateral sclerosis (ALS).

HOW WE TREAT IT

Our treatment depends on the type of neurological disorder that the patient has. We will begin with an initial neurology visit to diagnose and evaluate symptoms, and we will personalize the patient’s treatment based on the type and severity of the condition. Medication may be prescribed, in addition to complementary therapies and sustainable lifestyle changes that may help alleviate symptoms and reduce pain.

RECOMMENDED SERVICES

Bredesen Program, Neurology Visits, Functional Medicine Visits, Cardiac Coherence, Biofeedback Rebalance, Functional Nutrition Assessment, SomaTraining, Nutrition Supplement Consult, Neuroplasticity Classes, Muscle Rescue Deep Tissue Massage with Arnica and Stretching

PROVIDERS WHO TREAT THIS CONDITION

Dr. Sita KediaDr. Ashley Wiegand

DEFINITION

Osteoporosis is a bone disease in which the bones become weak and brittle. It occurs when the body loses too much bone or makes too little bone, making the bones thin and susceptible to breaking. Bone breaks down faster than it builds during the natural aging process, but if it breaks down excessively, osteoporosis results. Fractures related to osteoporosis commonly occur in the hip, wrist, or spine, and can occur with only a minor fall or bump.

HOW WE TREAT IT

At PALM, we focus on slowing the development of osteoporosis and maintaining healthy bone density. We may prescribe supplements and encourage weight-bearing exercises such as power-walking, climbing stairs, hiking, jogging, or jumping rope, which help slow bone loss and improve overall bone health. We also focus on preventing fractures and practicing safe habits to prevent falls.

RECOMMENDED SERVICES

Functional Medicine VisitsFunctional Nutrition Assessment, Flow, Personal Training, Personalized Exercise Plan, Cardio and Strength Interval Training Classes

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Heart palpitations are the feeling of the heart skipping a beat, fluttering, pounding, or beating quickly. Stress, caffeine, dehydration, anxiety, low blood sugar, medications, and exercise are common triggers for palpitations, which are usually self-limited. In rare cases palpitations can signal a more serious heart condition if they occur alongside shortness of breath, dizziness, chest pain, or fainting. Persistent palpitations could be a symptom of a more serious arrhythmia, or irregular heartbeat.

HOW WE TREAT IT

Our physicians will give you a thorough physical examination to determine if there is an underlying cause of the palpitations. Lifestyle changes may be recommended, such as practicing relaxation exercises, taking meditation classes, or reducing alcohol and caffeine intake. If the palpitations indicate an arrhythmia, we may recommend a different course of treatment that focuses on correcting the irregular heartbeat.

RECOMMENDED SERVICES

Functional Medicine Visits, Cardiology Visits, Biofeedback Rebalance, Cardiac Coherence, Salt Room Sessions, Meditation

PROVIDERS WHO TREAT THIS CONDITION

Dr. Lauren Munsch Dal Farra / Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Many patients are anxious before or after surgery and have questions about next steps. Some patients are most concerned about avoiding pain before or after the surgery. The possibility of infection or a long recovery time can also be worrisome. Taking proper steps to prepare the body for surgery and to help it recover afterwards is our main focus with surgery patients.

HOW WE TREAT IT

Making sure that the body is prepared for surgery and that the immune system is functioning at its best is our focus when treating pre-surgery patients. We recommend preparing the body with a healthy diet and dietary supplements, such as our pre-surgical IV nutrition therapy protocol. To optimize wound healing after surgery, we recommend our wound healing IV nutrition therapy protocol and our post-surgical protocol. We may suggest complementary therapies such as low level laser therapy or cryotherapy to be used in combination with other treatments in order to promote healing.

RECOMMENDED SERVICES

Functional Medicine VisitsPre-Surgical IV Nutrition, Wound Healing and Post-Surgical IV Nutrition, Acupuncture and Acupressure, Cardiac Coherence, Nutritional Counseling and Meal Planning, Low Level Laser Therapy, Cryotherapy, Biofeedback Rebalance

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

DEFINITION

Weight issues mainly refer to the state of being overweight or obese, which is defined as having excessive body fat. Excess weight results from consuming more calories than the body burns through exercise or daily activities. Individuals are characterized as being obese if they have a body mass index (BMI) greater than or equal to 30. Being overweight can cause a variety of health problems, such as diabetes, high blood pressure, heart disease, gallstones, stroke, and other illnesses.

HOW WE TREAT IT

We have found that taking a balanced approach to weight issues, one that includes diet, exercise, hydration, and stress management, works best. We use advanced technology such as the body composition analyzer to determine a patient’s BMI, and we recommend nutritional counseling as well as dietary supplements to support nutrition. Our approach focuses on customizing a weight loss plan based on an individual patient’s needs and health goals. Our Weight Management Program has been successful for many patients in helping them safely boost their metabolism, lose fat, build lean muscle, and maintain a healthy weight for the long-term.

RECOMMENDED SERVICES

Medical Weight Loss Program, Functional Medicine Visits, Functional Fitness Assessment, Biofeedback Rebalance, Cryotherapy, Personal Training, Cardio and Strength Interval Training Classes, Metabolic Boost Classes, Well-Being Coaching, Health Coaching, Personalized Exercise Plan, Nutritional Counseling and Meal Planning, Body Composition Analysis

PROVIDERS WHO TREAT THIS CONDITION

Dr. Henri Roca / Dr. Jeff Kreher / Dr. Karrie Hohn / Sarah Bird / Amanda Lober

personalized medicine + wellness