Integrative Medical Rehab

Microbiome Repair and Renewal

Modern science is finally uncovering "microbiome signatures" associated with various diseases from throughout all specialties of Medicine.

We actually have more bacteria in our gut than we have cells in our entire body. The gut flora(collection of microbes) is its own ecosystem running through the middle of us: delivering nutrients and minerals, ushering away wastes, and sometimes causing irritation and inflammation.  We correct these disruptive patterns that make it difficult for the body to self-correct.  This is also why people have usually at least 3-4 symptom groups in Chronic Disease states, they cannot self-correct between systems.

Our EIE Programs are far more the pre-and pro-biotics. There is a science and art to it. Microbiomes are individual, change over time, and what helped someone else with a similar symptom may put you further out of balance. We utilize traditional and modern diagnostics, incluing reflex, bloood, urine, saliva, and the most extensive stool testing/culturing availble in the country.

Mind & Body Coherence

Of course they affect each other. People have different circumstances, situations, and the only promise is that change is coming. We provide treatments and strategies to help you keep your priorities clear. By learning to listen to body signals around food, sleep, activity, rest and connecteness....the EIE program helps get you back to a smooth mind and an easy step.

Like with most problems, professional treatment goes a long way, a lot faster. We offer supportive therapies, such as acupuncture, bodywork, meal planning and conservative Bio-Identical Hormone Therapy to remind your body how to work well again....and get there more sooner!

Bridging Western & Eastern Medicine

Classical Ayurvedic treatment relies on more strict dietary, fasting, and herbal programs. Eating clean and simple foods is important during our program, and we can work with you to plan meals, shopping lists and take the stress out of organizing for success.

Where many integrative providers restrict foods, we believe proper healing means you should be able to get back to eating most of the foods you were able to tolerate previously.

Our EIE program uses modern labs to expediently affect the rooting and branching of disease processes. We use a combination of herbals, nutriceuticals, and occasional pharmaceuticals to correct deficiencies, quell inflammations, and help your system work properly while we repair your microbiome.

Seasonal Program Timing

Month 1

We focus on organizing the treatment plan for your condition. After consult about your health issues/complications, there is a complete lab anaylsis that "grows out" the living layer in your GI tract. Other labs assess the impact on immune response, hormones, and organ systems.

Patients needing more immediate relief may benefit from acuputure, bodywork treatments, and meal planning during the 1st month.

Month 2

Once labs are in, we get you on a program to remove major pathogenic influences and resolve inflammation. We give early support to improve digestion, support nutritional deficiencies, and correct major hormonal imbalances. With these in place, the gut biome can start to restore a healthy ecology.

With continued diligence to a Meal Plan a more natural biome can develop, and your system will start to signal properly again. This is when people usually notice a number of significant improvements among their constellation of symptoms.

Month 3

Here we make any adjustments to disuade disease processes and correct dysregulations. If needed we can add acupuncture, reflex, and IV treatments to get organs systems communicating and working strongly again. The month winds up with an assessment of progress and whether to pull back meds of engage another season of care.

More simple conditions are usually better after a season, and older conditions may take additional Seasonal programs. And when rebuilding from complex disorders, sometimes it is smarter to pause for a season, letting the body and mind get used to a different climate.

**** Integrative Medicine Visits Initial visit and follow-up monthly visits are dual visits: conventional Medical AND Integrative  

These visits always engage standard Medical algorithms to assess and respond from that lens.  Additionally, we then use Integrative approach of more in-depth mind-body assessment and clinical exam from classical Ayurveda.    

Most insurances will cover the Medical portion as standard office visits, and your conventional co-pay, co-insurance, and deductibles are payable to PIM&R on the day of service, per terms of insurance.  The additional cash fee is for the Integrative portion, not billable to any insurance, and also due on the day of initial visit.     

Initial Integrative Visit --  $279 + insurance costs

The 1st conventional medicine portion of the combined visit is a standard medical visit, routinely covered by your insurance.  Here we review your symptoms, medical history, recent labs or imaging, and lifestyle questionnaires. We'll then discuss your condition to consider if you should continue to pursue more conventional workups first, and whether you are a good candidate for our program. 

If so, we'll proceed onto our Integrative East/West Medicine exam where we'll get to know more unique details about the symptoms, as well as about how your daily life situation may affect your illness or the treatment program.  We do a classical Eastern clinical exam that includes pulse, tongue, and humoral diagnostics, concluding with orders for conventional and specialty Microbiome labs.   This portion is the cash fee, which has no submission code and not coverable by any insurance benefits, though you can submit it through HSA potentially.

Depending on your situation, we will come up with plan to begin some care right away or have you start organizing at home for a good Meal Program while pre-treatment labs are processing.  We consider your symptoms and life situations, aiming to help you develop a plan for success at whatever level you need.

3 month Program (Single Season) Program--  $129/mth for 3 mths + insurance costs

for Integrative portion + insurance Medical visit cost

Generally we will recommend this for more minor conditions with 1-2 systems, those that have been around less than a year, and motivated patients who already eat mostly fresh foods.  Monthly in-person or virtual visit.

6 month Program (2 Seasons)--   $109/mth + insurance costs

Generally we will recommend this for conditions with a range of symptoms, those that have been around a few years, and patients who have been attentive to eating and some activity.  Monthly in-person or virtual visit.

Year Program (4 Seasons)--  $129/mth for 12 mths + insurance costs

Generally we will recommend this for more complex conditions and diseases, those that have been around for more than a few years, and patients are motivated to eat clean, fresh foods.    Monthly in-person or virtual visit.

*** Monthly Seasonal Program costs -- The 1st month cash fee is also due on the day of Initial visit, for those choosing to enroll in a Seasonal Program. This is a retainer for our services, and we initiate decisions and procurement of required Integrative investigations. 

Subsequent months are due exactly each month after the Initial Integrative Medicine visit.  As people sometimes take some time to get testing done, we will extend the membership for 3 months from the day we issue the 1st plan of care we create after getting testing back.  You may cancel anytime and receive a 50% refund for any future(unpaid) months.

Those without insurance can get a combined Internal Medicine & Integrative consultation rate of $395

Note: PIM&R does not provide primary care service.  Patients are advised to maintain a primary care provider and review any proposed treatment or program with a trusted primary care provider.

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***Additional, Associated Costs:

Supplements / Nutraceuticals / Pharmaceuticals / Bio-Identical Hormones

We prescribe herbs, nutraceuticals, and supplements through natural medicine apothecaries, where you can order online, and they extended a 20-25% discount for our practice, and well as free shipping on all but the smallest orders.  We have to procure a few items elsewhere, which can give to you in the office or have sent to you, again usually with practitioner discounts not available online elsewhere.

Our patients usually spend $600-1000 the 1st season, and then $100-200/month after.  Most purchases qualify for HSA reimbursement.  Any pharmaceuticals are usually covered by insurance.  Bio-Identical hormones are around $120-200 monthly. Peptides and specialty meds vary, and are usually prescribed for more difficult conditions or for faster recovery.  We also offer in-office IVs to help with more complex conditions.

Specialty labs

that we require will are in-network with BCBS and Medicare, usually resulting under $250-400 in patient amounts due.  Others cover at various levels and our specialty lab can help you inquire with your insurer.  Patient amounts due to the lab generally range from $225-$850.  **Non-insurance covered lab charges $1100.

Meal Planning Support

We get to know your eating preferences and requirements, healthy meals you already like, and your skills and limitations with cooking skill, time, and cost.  We develop plans and shopping list that many patients say actually de-stress their daily life by not having to think about and plan, shop for meals through the week.  And many say the program ends up saving them money by not eating out nearly as much....all while helping you get healthy again!!!  

$325 for 1st season          $129 additional seasons

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Rheumatoid & Psoriasis

Hypothyroid/Hashimoto

Chronic Infections

Non-responding Cancers

Dysmennorhea, Amennorrhea & Fertility

Resistant Sinus & Skin conditions

Coronary & Pulmonary conditions

Scleroderma & Sarcoidosis

Resistant Sinus & Urinary Infections

Auto-Immune Conditions

BPH, Incontinence & Erectile Dysfunction

Fibromyalgia, Pain, Insomnia, & Fatigue

Nature works...with great power to correct & heal.

Get to the root and start to feel better!