Frequently Asked Questions
Detox
A functional medicine detox supports the clearance pathways your body already runs: liver biotransformation, bile flow, gut elimination and kidney function. It starts with testing and an exposure history rather than a cleanse, and it looks for what else might explain the same symptoms. At hol+ it is physician-supervised throughout.
It is a clinical framework rather than a formal diagnosis. Detoxification pathways are well-documented physiology. Whether a given person’s symptoms are explained by their clearance capacity is what an evaluation determines, and often the answer turns out to be something else.
The more useful question is what is driving your symptoms. Fatigue, brain fog and digestive symptoms have many possible causes, several of them more common than impaired clearance, and all of them testable. Start with an evaluation rather than a protocol.
No. There is no evidence that they remove toxins from the body. Extended juice fasting can also worsen blood sugar instability, which raises cortisol, so it can leave you feeling worse in a way that is easy to mistake for the protocol working.
A cleanse usually means a restrictive short-term protocol you buy. Detoxification is a continuous physiological process your body runs whether you participate or not. Supporting the second does not require the first, and the two are frequently confused on purpose.
Phase I is biotransformation, run largely by liver cytochrome P450 enzymes, which chemically modifies compounds. Phase II is conjugation, which attaches molecules to make those compounds water-soluble so they can be excreted. Phase II requires amino acids, which is why protein adequacy matters more than fasting.
Yes. Hormones including estrogen are metabolized through the liver and excreted through the gut, so impaired bile flow or constipation can affect hormone clearance. This is one mechanism among several, and it should be evaluated rather than assumed. It is a common reason hormone treatment underperforms.
Mold and mycotoxin exposure is evaluated, not guessed at. Care starts with exposure history and testing, then addresses the source, because no protocol works while exposure continues. Support focuses on elimination, bile flow and nutrient status. Symptoms attributed to mold overlap heavily with other conditions worth ruling out.
No. The program is built on adequate protein and fiber, because phase II detoxification pathways require amino acids. Extended fasting works against the goal. If a protocol’s main feature is what it takes away from you, it is probably not a clinical protocol.
No. This program does not treat substance withdrawal. If you need medically supervised withdrawal from alcohol or drugs, please contact a licensed addiction treatment provider or call 988.
Feeling significantly worse is not an expected part of a well-designed program. It is a reason to contact your physician, not a sign it is working. That expectation is one of the more harmful ideas the wellness industry has attached to this word.
Yes, nationwide. Labs are drawn locally and reviewed with a hol+ physician by video. In-person care is available in Atlanta at Brookhaven and Johns Creek, in New York City at the Financial District, and in Los Angeles at Brentwood.
Peds Care
Holistic pediatrics may support children with ongoing digestive concerns, frequent illness, sleep problems, food reactions, skin flare-ups, or changes in behavior and development. At hol+, pediatric care looks at how nutrition, gut function, inflammation, nervous system regulation, and other factors may be influencing the child’s health.
Families may also seek support for more complex concerns, including ADHD, autism, PANS/PANDAS, anxiety, depression, learning challenges, asthma, and autoimmune conditions. Care recommendations depend on the child’s age and medical needs.
Pediatric functional medicine looks at the systems influencing a child’s health. Conventional pediatric care often focuses on identifying and treating a specific illness. Functional medicine may look more closely at why symptoms keep returning or why multiple symptoms appear connected.
No, labs are not required for every child. hol+ may recommend lab work when it could help clarify patterns related to nutritional status, inflammation, immune function, hormones, or digestive health. Stool testing may be considered for certain gastrointestinal tract issues, but every recommendation is based on the child’s symptoms, age, and care goals.
Nutrition plays a meaningful role in immune resilience, digestive comfort, mood regulation, sleep quality, and child development. At hol+, a nutrition review looks at how a child is eating day to day, where nutritional status may need support, and how food patterns may be affecting symptoms.
For children with constipation, food sensitivities, or chronic gut issues, nutrition support can help families make realistic diet changes while keeping the child’s preferences and overall health in mind.
hol+ supports pediatric patients from newborns to teens, with care adapted to each child’s age and medical needs.
Peptides
Yes. hol+ offers peptide and GLP-1 stacks – for example, pairing a GLP-1 with BPC-157 to ease GI side effects or AOD-9604 to support fat metabolism. These combinations are personalized and physician-supervised.
Peptide therapy is the clinical use of targeted peptide sequences – short chains of amino acids that act as biological signaling molecules – to restore or enhance the body’s natural signaling. Delivered most often through subcutaneous injections, peptides can support tissue repair, modulate inflammation, optimize hormonal output, and support metabolic function.
Peptide therapy is used across multiple systems, including gut health, injury and tissue repair, metabolic health and weight regulation, skin and collagen health, chronic inflammation, hormone signaling, and immune dysregulation. Because peptides work at the level of cellular signaling, their applications span the whole body rather than a single condition.
hol+ prescribes a full peptide formulary including BPC-157, KPV, TB-500, Thymosin Alpha-1, GHK-Cu, NAD+, CJC-1295/Ipamorelin, MOTS-C, AOD-9604, and Tesamorelin. The right peptide or curated stack is selected based on your labs, goals, and biological readiness.
At hol+, peptide therapy is physician-led and begins with a comprehensive diagnostic workup, including IGF-1, inflammatory panels, metabolic markers, and hormone profiles. Dosing is based on your data, and labs are repeated at clinically appropriate intervals to monitor response and adjust the protocol.
Peptides are signals that require a body capable of responding, so hol+ uses a four-layer protocol that first addresses gut health, hormones, inflammation, and micronutrient status. This readiness step – which many providers skip – helps peptides work as intended.
BPC-157 is one of the most studied healing peptides, derived from a protective protein found in gastric juice. It supports repair of the gut lining, tendons, ligaments, and nerve tissue while modulating inflammation, and it is often the starting point for hol+ protocols.
Where conventional treatments often suppress, replace, or block a response, peptide therapy signals and restores – working upstream to support the body’s own regulatory capacity. At hol+, it is used as a precision layer added to conventional care, not a replacement for medications that are clinically indicated.
hol+ provides physician-supervised peptide therapy from its Atlanta practice, at every hol+ location, and virtually, so diagnostics-driven care is accessible wherever you are. Schedule an appointment or book a free 15-minute consultation to find out if peptide therapy is right for you.
Pediatrics
Holistic child wellness includes natural nutrition, emotional support, sleep routines, and non-toxic lifestyle practices.
Lavender, chamomile, and frankincense are often considered safe when properly diluted.
Encourage whole foods, limit processed snacks, prioritize movement, create structured mealtimes, and model healthy habits at home.
The hol+ College Prep program is a holistic family medicine service that prepares teens and young adults for the health challenges of leaving home. It assesses three core areas – nutritional risk, hormonal risk, and toxicity risk (drug and alcohol use). This is based on each student’s unique body chemistry.
College Prep screens for depression and anxiety, eating disorder risk, hormone imbalances and contraception needs, immune health, and substance abuse risk. Screening goes beyond symptoms to include gut health, nutrient deficiencies, genetic factors like MTHFR/COMT, and inflammation.
Starting early, during high school or before the transition to college, gives teens time to understand their personal chemistry, risk factors, and early warning signs. This preparation helps them take ownership of their health and know when to reach out during a crisis.
hol+ screens teens for depression and anxiety through both symptoms and chemistry, factoring in gut health, nutritional imbalances, genetics, inflammation, and hormones. This holistic lens builds a more complete picture of why a teen feels the way they do, so small, targeted changes can make a difference.
Yes. The program helps students understand how their unique biochemistry and genetics affect their risk for substance use, including pharmacogenetic (PGXone) testing and screening for nutritional and gut imbalances tied to mood and addiction. The goal is education and self-awareness, not judgment.
Yes. The transition to college is when teens are most at risk for eating disorders, so hol+ evaluates the stress response, vitamin and nutritional imbalances, hormones, neurotransmitters, and gut health that contribute. Care works best as a collaborative approach alongside therapists and nutritionists.
The hol+ College Prep program is available in person at every hol+ location and virtually, making it easy for families to participate wherever they live. Schedule an appointment or book a free 15-minute consultation to map out your child’s plan.
College Prep
The hol+ College Prep program is a holistic family medicine service that prepares teens and young adults for the health challenges of leaving home. It assesses three core areas – nutritional risk, hormonal risk, and toxicity risk (drug and alcohol use). This is based on each student’s unique body chemistry.
College Prep screens for depression and anxiety, eating disorder risk, hormone imbalances and contraception needs, immune health, and substance abuse risk. Screening goes beyond symptoms to include gut health, nutrient deficiencies, genetic factors like MTHFR/COMT, and inflammation.
Starting early, during high school or before the transition to college, gives teens time to understand their personal chemistry, risk factors, and early warning signs. This preparation helps them take ownership of their health and know when to reach out during a crisis.
hol+ screens teens for depression and anxiety through both symptoms and chemistry, factoring in gut health, nutritional imbalances, genetics, inflammation, and hormones. This holistic lens builds a more complete picture of why a teen feels the way they do, so small, targeted changes can make a difference.
Yes. The program helps students understand how their unique biochemistry and genetics affect their risk for substance use, including pharmacogenetic (PGXone) testing and screening for nutritional and gut imbalances tied to mood and addiction. The goal is education and self-awareness, not judgment.
Yes. The transition to college is when teens are most at risk for eating disorders, so hol+ evaluates the stress response, vitamin and nutritional imbalances, hormones, neurotransmitters, and gut health that contribute. Care works best as a collaborative approach alongside therapists and nutritionists.
The hol+ College Prep program is available in person at every hol+ location and virtually, making it easy for families to participate wherever they live. Schedule an appointment or book a free 15-minute consultation to map out your child’s plan.
IV Therapy
IV vitamin therapy is an effective way to deliver nutrients directly into circulation. This process bypasses slow digestive pathways which can drastically reduce the amount of nutrients available for the body.
IV therapy is also a simple alternative for people who have difficulty swallowing pills, or who need increased availability of nutrients to correct nutrient deficiencies.
As with any medical treatment, you should always ensure your provider has the training, license, and experience to properly administer your IV.
Cardiovascular Health
No. Cholesterol is one part of a broader cardiovascular risk profile. A clinician considers it alongside other health factors to understand overall heart disease risk. A lipid panel provides useful information about LDL, HDL, and triglycerides, while selected patients may benefit from Lp(a), apoB, or other testing (6).
There is no single schedule for everyone. Testing frequency depends on the patient’s overall cardiovascular risk and how closely their care needs to be monitored. Someone starting a new blood-pressure or lipid medication may need closer monitoring than a lower-risk patient with stable results.
Yes. The menopause transition can coincide with changes in cholesterol, body composition, blood pressure, and vascular health. Cardiovascular prevention becomes especially relevant during midlife, but treatment should be based on the individual patient’s overall risk rather than on menopause alone.
Yes. Functional medicine can complement cardiology by supporting metabolic health and other modifiable risk factors. It does not replace specialist care for established heart disease or concerns that require cardiology evaluation. Functional medicine cardiovascular health support works best when each clinician’s role is clear.
Testing depends on personal history and existing results. It may include blood pressure measurement, a lipid panel, glucose, A1C, kidney function, and selected markers such as Lp(a), apoB, or hs-CRP. Some patients may need imaging or cardiology-specific testing through a specialist.
Acute stress can temporarily raise heart rate and blood pressure. Chronic stress may also influence sleep and health behaviors. Stress support can therefore be part of a heart-healthy lifestyle, while persistent high blood pressure still requires appropriate medical evaluation and treatment (8).
Inflammation plays a role in atherosclerosis, and some inflammatory markers are associated with cardiovascular risk. hs-CRP can sometimes add information to an overall risk assessment, but it is not a standalone diagnosis or a substitute for managing established cardiovascular risk factors.
Insulin resistance can contribute to higher glucose, elevated triglycerides, lower HDL cholesterol, and changes in body composition. It is also closely associated with metabolic syndrome. These patterns can increase cardiometabolic risk, which is why glucose and metabolic markers may be considered alongside more familiar heart-health measures (2).
We go beyond standard screenings to uncover inflammation, metabolic imbalances, hormone disruptions, and genetic risks that affect heart health. Our functional medicine approach uses advanced testing, personalized treatment plans, and holistic therapies to optimize cardiovascular function and prevent disease before symptoms appear.
Established risks include high blood pressure, abnormal cholesterol levels, diabetes, smoking, physical inactivity, excess adiposity, older age, and family history. Kidney disease and certain inherited lipid disorders can also increase risk. A clinician can help determine which factors are most relevant for an individual patient (4).
Cardiometabolic health refers to the overlap between metabolic health and cardiovascular risk. Blood sugar regulation, insulin resistance, triglycerides, abdominal adiposity, blood pressure, and lipid patterns can interact. When several abnormalities cluster together, they may meet criteria for metabolic syndrome, which is associated with increased risk of cardiovascular disease and diabetes (2).
Cardiovascular health describes the health of the heart and blood vessels and the factors that influence long-term cardiovascular disease risk. Good cardiovascular health is associated with a lower risk of heart disease and stroke (1).
Yes. We use personalized nutrition plans, stress reduction techniques, targeted supplements, and metabolic support to naturally balance blood pressure and cholesterol. If needed, we integrate conventional medicine with functional and holistic therapies for comprehensive care.
Absolutely. Chronic stress and poor sleep increase cortisol levels, raise blood pressure, and promote inflammation. Managing stress through breathwork, meditation, movement, and better sleep habits supports long-term heart health.
Fatigue, shortness of breath, chest discomfort, swelling, dizziness, or irregular heartbeat can be signs of heart disease. Many people have silent inflammation or metabolic imbalances long before symptoms appear, making preventative testing essential.
Yes, toxins and heavy metals can impact circulation, arterial flexibility, and blood pressure. We offer heavy metal testing, IV chelation therapy, and nutritional detox plans to support heart health and overall well-being.
Acupuncture
Yes, acupuncture is safe when performed by trained professionals. It has minimal side effects, with the most common being slight bruising or soreness at the needle site.
Most patients report minimal discomfort, often describing the sensation as a slight tingling or warmth. The needles used are very fine, much thinner than those used for injections.
Risks are minimal but can include soreness, minor bleeding or bruising at needle sites, and rare infections.
The number of sessions varies depending on the condition being treated. Acute issues may resolve in a few sessions, while chronic conditions might require ongoing treatment. Your practitioner will develop a personalized treatment plan.
During a session, your practitioner will assess your health history and symptoms, then insert needles into specific acupoints. You will typically lie comfortably for 20-30 minutes while the needles are in place, often experiencing deep relaxation.
The cost of acupuncture varies depending on the treatment plan. At hol+, we offer competitive pricing and personalized plans to fit your needs.
The frequency varies per individual, but it is typically 1-2 times a week for acute conditions and less frequently for chronic issues.
Depending on the condition and treatment plan, benefits can last from a few days to several weeks.
Yes, acupuncture is widely recognized for its effectiveness in reducing stress and promoting relaxation. When fine needles are inserted into key points, they trigger the release of endorphins, your body’s natural painkillers, which also play a significant role in mood regulation. This process reduces stress and enhances your overall sense of well-being.
Yes, acupuncture is an effective treatment for managing various types of chronic pain, including back pain and arthritis.
One of the top 10 benefits of acupuncture is its ability to offer significant pain relief. If you’re dealing with general pain, whether it’s chronic back pain, arthritis, or headaches, acupuncture can be a game-changer. Targeting specific points on your body helps ease different types of pain, making your day-to-day activities more manageable.
Moreover, if you’ve recently undergone surgery, acupuncture can be incredibly beneficial in your recovery process. It not only helps reduce the severity of postoperative pain but also may decrease your dependence on pain medication, potentially speeding up your recovery time.
General FAQs
A holistic doctor evaluates the full range of biological systems influencing health. This may include metabolic health, hormone balance, gut health, immune function, stress physiology, and lifestyle factors.
Many of our locations have same-week of availability, depending on location. Choose your location above to see the earliest availability.
We have locations in Brookhaven (Atlanta), Johns Creek, New York City, Los Angeles, and virtual care visits nationwide.
New patient visits start at $299. We review all costs before your visit, so there are no surprises.
Choose your location and pick an available time using the scheduler on any location page or the appointments page. You can also call 1-888-383-8696 or schedule a free 15-minute consultation call and our team will help you schedule.
You can cancel or reschedule a hol+ appointment three ways: by calling 1-888-383-8696, through the patient portal, or by emailing appointments@holplus.co. To avoid a fee, give at least 72 business hours’ notice for new patient appointments and 48 business hours’ notice for all other appointments.
Yes. hol+ charges a late cancellation and no-show fee equal to the full price of the scheduled appointment. This applies when a new patient appointment is canceled or rescheduled with less than 72 business hours’ notice, or when any other appointment (spa, IV, or established-patient follow-up) is canceled or rescheduled with less than 48 business hours’ notice.
hol+ requires 72 hours’ notice to cancel or reschedule all new patient appointments, including holistic deep dives, wellness visits, and virtual visits, and 48 hours’ notice for all other appointments, including spa services, IV therapy, and follow-up visits for established patients.
Notice is counted in business hours before your scheduled appointment time. Cancellations or reschedules made inside these windows, as well as no-shows, are charged a fee equal to the full price of the appointment.
Health optimization is a gradual process. Treatment timelines vary depending on the complexity of health concerns and the biological systems involved.
Testing is not always required, but advanced diagnostic testing often helps physicians better understand metabolic markers, hormone levels, gut health patterns, and nutrient status.
Functional medicine may help evaluate hormone health concerns, weight and metabolic issues, digestive patterns, immune system imbalance, thyroid disorders, autoimmune disorders, and stress-related health concerns.
Yes! We’re happy to collaborate with your rheumatologist or other specialists to ensure you receive comprehensive, coordinated care tailored to your needs.
Conventional medicine often focuses on diagnosing and treating specific diseases. Functional medicine evaluates how multiple systems—such as metabolism, hormones, gut health, and stress physiology—interact to influence overall health.
Functional medicine is a systems-based approach to healthcare that focuses on identifying and addressing the underlying drivers of health concerns rather than treating symptoms in isolation.
Begin with simple steps: whole foods, daily movement, better sleep, hydration, mindfulness, and toxin-free habits.
Yes, we are glad to serve as your primary health care providers. We have a team of family medicine and pediatric-certified physicians and nurse practitioners who see patients for sick visits, child well checks, and annual physical exams. We also offer an after-hours call line for our pediatric patients.
Yes, all of our medical providers are board-certified physicians, family or pediatric nurse practitioners, or physician assistants with a background in both conventional and integrative medicine.
Due to the extensive nature of the functional and holistic healthcare we provide, and our focus on the root causes of your symptoms, our in-office visits are longer than traditional appointments you may have experienced. Our appointments allow for ample time with the provider. We understand your time is valuable and work hard to efficiently address your healthcare needs.
Your provider is happy to review outside labs you bring with you for an additional fee. This excludes annual conventional labs, but applies to long history & any complicated labs. Because this will increase the time developing your personalized treatment plan, there is an additional fee that is contingent on the level of provider you are seeing.
Your first appointment at hol+ is our chance to really get to know you and your healthcare needs. At your first appointment, we will do a holistic deep dive into your health and history. This visit will include the following:
- Complete Medical Exam
- Meridian Testing
- Nutritional Assessment
- Holistic Scan
- Cognitive Assessment
- Metabolic Health Assessment
- Inflammation Imaging
- Toxicity and Environmental Load Determination
- Personalized Lab Assessment
An individualized treatment plan focused on your health goals and condition, using multiple systems of medicine integrating traditional Western and Eastern approaches. The treatment plans are customized and include nutrition recommendations, supplements, medications as needed, mind-body strategies, and exercise suggestions, among others.
Please note this is our Holistic Deep Dive Appointment Type. Please visit the Appointments page for a complete list of appointment offerings.
Our Ayurvedic specialists take the time to understand your health history, symptoms, and lifestyle. We assess your dosha, digestion, stress levels, and imbalances to create a customized wellness plan. Recommendations may include herbal medicine, dietary changes, detoxification, and Ayurvedic therapies to help restore balance and long-term well-being.
Holistic Medicine
Unlike conventional medicine, which typically targets specific physical ailments, holistic medicine focuses on treating the whole person – body, mind, and spirit – rather than just the symptoms.
Yes, some holistic practices like acupuncture and meditation are supported by scientific studies showing benefits for specific conditions, though evidence varies by therapy.
Yes, holistic medicine can often be integrated with conventional treatments. This approach, known as complementary or integrative medicine, is famous for enhancing wellness and managing symptoms.
Consider the evidence supporting the therapy, your current health status, potential interactions with existing treatments, and the practitioner’s qualifications.
Look for certifications from recognized bodies, ask for referrals from healthcare providers or trusted sources, and check reviews and testimonials to assess reputation and expertise.
Common holistic treatments include nutrition, acupuncture, yoga, herbal medicine, massage therapy, meditation, and chiropractic care, all of which emphasize natural healing and preventive care.
Holistic medicine approaches chronic pain by addressing physical symptoms, emotional stress, and psychological well-being through methods like acupuncture, physical therapy, and mindfulness practices.
Holistic medicine aims to balance the mind, body, and spirit to maintain health, while functional medicine focuses on identifying and addressing the root causes of diseases to restore health.
Consuming Ojas-building foods like dates and almonds, practicing yoga, and using deep relaxation techniques are quick ways to boost Ojas.
It uses a topical or transdermal delivery system to support detoxification, skin health, and cellular repair.
Most Auro products are formulated for daily use, but users should check ingredient transparency and third-party testing.
Holistic centers treat the whole person – mind, body, and lifestyle – using natural and integrative therapies.
Wellness tonics provide concentrated herbs and nutrients for immunity, digestion, energy, or hormonal balance.
Lifestyle medicine uses evidence-based habits – nutrition, movement, sleep, and stress control – to prevent and reverse disease.
Lifestyle medicine focuses on daily habits; functional medicine focuses on identifying root causes through testing.
Wellness peptides may support anti-aging, energy, muscle recovery, and metabolic health depending on formulation.
PEMF therapy uses pulsed electromagnetic fields to support healing, reduce pain and improve cellular energy.
Many people report better sleep, less inflammation and quicker recovery with regular PEMF use.
Yes, holistic care strengthens immunity through balanced nutrition, better sleep, gut support and natural lifestyle practices.
Yes, it helps children with better sleep, stronger immunity, emotional balance and healthier eating habits.
Elderberry ginger turmeric honey garlic and echinacea are commonly used natural options for cold and flu relief.
Your consultation includes a detailed health assessment, a discussion of your symptoms, and an evaluation of your energy flow using Acugraph technology. Based on your needs, we create a personalized plan that may include acupuncture, herbal medicine, cupping, or other traditional therapies.
Yes! We take an integrative approach, blending Traditional Chinese Medicine (TCM) with functional medicine, advanced diagnostic testing, and holistic therapies to target root causes and provide a well-rounded path to healing.
Chinese Medicine at hol+ is used to support a wide range of conditions – including chronic pain, migraines, digestive disorders, stress, anxiety, hormonal imbalances, fertility support, and more.
Holistic family health focuses on supporting the physical, emotional and lifestyle needs of every family member using natural and integrative approaches.
Whole family healthcare provides preventive care, nutrition guidance and wellness support for everyone in the household rather than treating individuals separately.
A family health coach helps families build healthier routines through improved nutrition, stress management, daily habits and personalized wellness plans.
Key elements include nutrition, movement, stress reduction, emotional well being, toxin free living and daily routines.
Yes, lifestyle adjustments, communication support and mindful practices help lower stress for the entire household.
Nutrition coaching helps create balanced meals, manage picky eating, improve digestion and encourage healthy food habits.
A health coach brings structure, personalized guidance and accountability that helps families build long term healthy habits.
Yes it supports cycles, hormones, fertility and postpartum recovery naturally.
Transformative wellness focuses on long-term lifestyle changes that improve mindset, metabolism, energy, and overall health.
Cellular wellness focuses on improving health at the cellular level through antioxidants, glutathione, minerals, and hydration.
Yes – better sleep, balanced meals, stress reduction, and consistent exercise help restore hormonal balance.
Energy changes can come from stress, poor sleep, hormones, blood sugar swings or nutrient deficiencies.
Eat balanced meals, hydrate, manage stress and maintain a consistent sleep schedule.
Getting sunlight, taking vitamin D, exercising and eating protein-rich foods can boost dopamine levels.
Screenings often include blood pressure, cholesterol, blood sugar, thyroid panels, vitamin levels, pap tests, and mental health checks, depending on personal history.
Cold water is not harmful for most people but warm water may support digestion and circulation more effectively.
Hormonal shifts during perimenopause can slow metabolism, increase belly fat and reduce muscle mass making weight management more challenging.
Women often benefit from ingredients that support hormones metabolism and digestion such as probiotics fiber magnesium and green tea.
Functional medicine for women looks for the root causes behind symptoms like hot flashes, weight changes, anxiety, low libido, and disrupted sleep, rather than treating each one in isolation. At hol+, physician-led care evaluates how hormones, thyroid, gut health, stress, and metabolism interact across every stage of a woman’s life. Learn more about our Power RX® approach.
hol+ supports women with irregular, heavy, or painful periods, PMS, PMDD, PCOS (PMOS), endometriosis, fertility and preconception needs, and postpartum hormone changes. Care also covers perimenopause and menopause, fatigue, brain fog, mood changes, thyroid issues, and weight-loss resistance.
Yes. hol+ offers individualized hormone support for hot flashes, night sweats, low libido, sleep disruption, and mood changes during perimenopause and menopause. Hormone testing may be requested first, and all treatment plans are monitored over time as your needs and labs may change.
Many women come to hol+ after being told their labs are normal while still not feeling like themselves. Our physician-led team uses advanced testing and longer visits to identify hormonal, thyroid, metabolic, and inflammatory patterns that brief appointments often miss with traditional lab testing.
Yes. hol+ evaluates hormone imbalance and PCOS or PMOS through cycle review, thyroid and adrenal testing, and metabolic markers, since PCOS/PMOS is linked with insulin resistance. Treatment is personalized to your chemistry and lab markers rather than built on a one-size-fits-all protocol.
Wellness visits at hol+ start at $299, with personalized plans based on your evaluation. The easiest way to understand the right path and costs for your situation is with a free 15-minute consultation online with a one of our patient care coordinators.
hol+ women’s health services are available in person at every hol+ location and virtually, so you can work with a physician-led team wherever you are. Schedule an appointment or book a free 15-minute consultation to find out which path is best for you.
Hormone imbalance rarely comes from one factor alone. Poor sleep, thyroid dysfunction, nutrient deficiencies, inflammation, blood sugar changes, and gut health issues can all affect hormonal signaling. Hormonal shifts may also become more noticeable during perimenopause, menopause, and postpartum recovery.
Yes. Chronic stress can disrupt cortisol rhythm and affect the systems that regulate ovulation, cycle timing, sleep, blood sugar, and inflammation. Over time, this can create a cycle where stress and metabolism reinforce each other.
That pattern may leave women feeling tired, wired, anxious, or more prone to cravings. It may also make body composition changes and weight loss resistance harder to address without looking at the root cause.
Testing depends on symptoms, health history, and clinical goals. Your provider may recommend hormone testing, metabolic labs, nutrient testing, cardiovascular risk assessment, or other evaluations.
The purpose of testing is to give your healthcare professional a clearer picture of what may be driving symptoms.
Yes. hol+ offers menopause care and perimenopause support for women experiencing hormonal transitions. Care may include hormone testing, lifestyle medicine, nutrition coaching, hormone support when appropriate, and strategies to support midlife health and long-term resilience.
Gut health can influence how the body processes hormones, absorbs nutrients, regulates inflammation, and supports immune function. When digestion is disrupted, hormone-related symptoms may become harder to manage.
Some women notice that bloating, constipation, food sensitivities, or other gut issues seem to overlap with PMS, fatigue, brain fog, skin changes, or mood changes. At hol+, gut health is evaluated as part of whole-person healthcare.
Menopause is the point when a woman has gone twelve consecutive months without a menstrual period, marking the end of reproductive years. It results from the ovaries winding down estrogen and progesterone production. In the U.S., menopause occurs around age 51 on average, and the years afterward are called postmenopause.
Menopause happens around age 51 on average in the U.S., though anywhere from about 45 to 55 is typical. Menopause before age 40 is called premature menopause, and between 40 and 45 is early menopause. The transition leading up to it, perimenopause, usually begins in the 40s.
Common signs include hot flashes, night sweats, disrupted sleep, mood changes, brain fog, weight gain, joint pain, vaginal dryness, and changes in libido. Because these overlap with thyroid and metabolic conditions, hol+ evaluates the full pattern rather than assuming every symptom is hormonal.
Perimenopause is the transition leading up to menopause, when hormones fluctuate and periods become irregular. Menopause is a single point in time, twelve consecutive months with no period. Most symptoms people call “menopause” actually begin during perimenopause; menopause and post-menopause are defined by consistently lower hormone levels.
Hormone replacement therapy (HRT), also called menopausal hormone therapy, uses estrogen, often with progesterone, to relieve menopausal symptoms like hot flashes, sleep disruption, and vaginal dryness, and to support bone health. Whether it’s right for you depends on your age, time since menopause, symptoms, and personal history, and should be guided by a clinician.
Bioidentical hormones are chemically identical to the hormones the body produces, and FDA-approved bioidentical options are available. “Bioidentical” does not automatically mean safer, and compounded products in particular vary in quality and oversight. Safety depends on the specific product, dose, your health history, and medical supervision, which is why an individualized, physician-guided conversation matters.
It varies widely. Hot flashes and night sweats last an average of about seven years, though some women experience them longer. Other changes, such as vaginal dryness and bone and cardiovascular risk, can persist or develop over the postmenopausal years, which is why long-term, proactive care matters.
Yes. Lower estrogen, shifting metabolism, muscle loss, and inflammation can all contribute to midsection weight gain and new joint aches around and after menopause. A root-cause plan addresses the metabolic, hormonal, and inflammatory drivers rather than assuming it is simply aging or willpower.
Yes. hol+ offers physician-led functional and integrative menopause care that combines root-cause evaluation, comprehensive testing, nutrition and lifestyle medicine, and individualized hormone options, including bioidentical hormone support when appropriate, coordinated with conventional medical care.
Perimenopause is the transition phase before menopause, when the ovaries gradually reduce hormone production and estrogen and progesterone begin to fluctuate. It typically starts in a woman’s 40s, though it can begin in the late 30s. Symptoms often appear years before periods stop and can come and go as hormones shift.
Perimenopause most commonly begins in the early-to-mid 40s, but it can start in the late 30s. On average, it lasts about four to eight years and ends at menopause, defined as twelve consecutive months without a menstrual period, which in the U.S. occurs around age 51.
Perimenopause lasts an average of four to eight years, though the range is wide — some women experience a shorter transition and others closer to ten years. It ends once you have gone twelve consecutive months without a period, which marks menopause.
Early signs often include changes in your menstrual cycle (shorter, longer, heavier, or skipped periods), new sleep disruption, mood changes or irritability, brain fog, and increased PMS-like symptoms. Because these can appear while standard labs still read “normal,” they are frequently dismissed, even though they reflect real hormonal change.
Perimenopause is a natural life stage and cannot be “reversed,” but its symptoms can very often be improved. By addressing root-cause contributors, thyroid function, cortisol, blood sugar, gut health, inflammation, sleep, and nutrient status, many women feel significantly better. A functional medicine plan focuses on supporting your body through the transition rather than fighting a natural process.
Because perimenopause hormones fluctuate, a single blood test drawn on one day may miss the pattern entirely. Symptoms are often a more reliable guide than one lab value. hol+ evaluates hormones alongside thyroid, cortisol, metabolic, and nutrient markers, and looks at patterns over time to understand the full picture.
Yes. Shifting estrogen, progesterone, thyroid, cortisol, and insulin can all affect energy, metabolism, and where the body stores fat, often producing midsection weight gain and persistent fatigue that don’t respond to usual diet-and-exercise changes. A root-cause plan targets the specific drivers rather than assuming it is willpower.
You can wait it out, but you don’t have to feel miserable in the meantime. Functional medicine for perimenopause focuses on identifying and supporting the systems that make the transition harder, so this phase is more manageable and your long-term metabolic, bone, and heart health are protected.
PCOS (polycystic ovary syndrome) is a common hormonal and metabolic condition in women, marked by some combination of irregular or absent ovulation, elevated androgens (causing acne, unwanted hair growth, or hair thinning), and often insulin resistance. Despite the name, many women with PCOS do not have ovarian cysts.
In 2026, PCOS was officially renamed PMOS, Polyendocrine Metabolic Ovarian Syndrome, through a global consensus of more than 50 organizations, including the Endocrine Society, published in The Lancet. The change reflects that PCOS is a whole-body metabolic and endocrine condition, not simply an ovarian one. PCOS and PMOS are the same condition.
The old name focused on ovarian cysts, which are not always present and are not the core of the condition. Research confirmed the real issue is a multi-system hormonal and metabolic imbalance affecting metabolism, mental health, and reproduction. The new name, Polyendocrine Metabolic Ovarian Syndrome, describes the condition more accurately. A three-year transition is underway.
Common signs include irregular or absent periods, difficulty losing weight, acne along the jaw and chin, unwanted hair growth, scalp hair thinning, sugar cravings, and difficulty conceiving. Because these overlap with thyroid and other conditions, an accurate diagnosis matters. hol+ evaluates the full pattern rather than assuming.
Lean PCOS refers to PCOS in women who are not overweight. It can be harder to recognize because it doesn’t fit the stereotype, but insulin resistance and elevated androgens are often still present beneath a normal weight. A functional medicine evaluation looks for these drivers regardless of body size.
PCOS (PMOS) is a chronic condition rather than something that is permanently “cured,” but its symptoms can very often be significantly improved, and cycles, metabolism, and fertility restored, by addressing root causes like insulin resistance, inflammation, and stress. Many women see meaningful change with a targeted, root-cause plan.
There is no single PCOS (PMOS) diet, but most women benefit from a low-glycemic, anti-inflammatory, protein-forward pattern that stabilizes blood sugar and insulin, the central metabolic driver of PCOS (PMOS). The right approach depends on your pattern and labs, which is why hol+ personalizes nutrition rather than prescribing a generic plan.
PCOS (PMOS) is a leading cause of ovulatory infertility because irregular or absent ovulation makes conception harder. However, it is also one of the more treatable causes. Restoring ovulation through root-cause metabolic and hormonal care helps many women conceive, with or without additional fertility support.
Functional medicine for PCOS (PMOS) focuses on identifying and treating the specific drivers behind your symptoms, insulin resistance, inflammation, stress, or a post-pill rebound, rather than suppressing symptoms with the pill alone. This root-cause holistic approach is how hol+ helps women improve cycles, metabolism, skin, and fertility.
Possible symptoms include menstrual changes, hot flashes, low libido, sleep disruption, changes in weight or body composition, fatigue, acne, hair changes, and changes in mood.
Many of these symptoms also have nonhormonal causes. Symptoms alone cannot confirm a hormonal imbalance.
The right clinician depends on the suspected condition, and hormone-related concerns may be managed in primary care or by an appropriate specialist.
At hol+, patients can work with a physician-led team that evaluates hormonal concerns within a whole-body framework.
Functional medicine evaluates symptoms and health history alongside relevant endocrine, metabolic, nutritional, digestive, sleep, and stress-related factors.
The aim is to identify contributing patterns and diagnosed conditions rather than treating one hormone value in isolation.
Testing may include thyroid hormones, testosterone, estrogen-related markers, progesterone, cortisol in appropriate situations, or other endocrine markers.
Metabolic testing may also be useful. The specific tests should depend on the clinical question rather than a universal hormone panel.
Yes. Stress activates normal neuroendocrine pathways that involve cortisol and other signaling systems. Persistent stress can influence sleep and eating patterns while also affecting recovery and metabolic health.
Symptoms commonly blamed on cortisol can have many causes, so ongoing concerns deserve a broader medical evaluation.
The gastrointestinal system is involved in nutrient absorption and metabolic signaling, and research suggests interactions between the gut microbiome and endocrine physiology.
These relationships do not mean that every hormone problem begins in the gut. Digestive symptoms should be evaluated based on the individual patient.
Yes. Insulin is a hormone, and insulin resistance can affect metabolic health. It can also be relevant in conditions such as PCOS.
Sleep and circadian rhythm interact with several endocrine processes, including cortisol and metabolic regulation.
The relationship can work in the other direction as well. Hot flashes, thyroid disorders, and other health concerns may disrupt sleep, so persistent sleep problems may require evaluation from several angles.
Yes. Thyroid disease can cause symptoms that overlap with other hormonal concerns, including fatigue, weight changes, mood changes, menstrual changes, and hair or skin changes.
Thyroid evaluation may therefore be appropriate before attributing these symptoms to reproductive or stress-related hormones.
During perimenopause, ovarian hormone patterns become less predictable and menstrual cycles may change. Hot flashes, sleep disruption, mood changes, and other symptoms can occur during this transition.
Menopause is typically diagnosed retrospectively after 12 consecutive months without a menstrual period when another cause is not responsible. Ovarian estrogen production is lower after menopause, although symptoms and treatment needs vary considerably among women.
Yes. Men can develop endocrine conditions involving testosterone, thyroid function, the pituitary gland, the adrenal glands, insulin, and other hormone systems.
Fatigue or low libido alone does not diagnose testosterone deficiency. Appropriate testing and clinical evaluation are needed.
Possible symptoms include reduced libido, erectile concerns, loss of muscle mass, lower energy, and other changes.
Because these symptoms have multiple possible causes, low testosterone should be confirmed with appropriately timed laboratory testing and interpreted alongside the clinical picture.
Hormone balancing depends on what the evaluation identifies. Care may involve medical treatment, lifestyle support, or hormone therapy when appropriate.
There is no single hormone-balancing protocol that is right for everyone.
Hormone therapy may be considered when there is an appropriate clinical indication and the expected benefits and risks have been reviewed with the patient.
Menopausal hormone therapy may be an option for some women with bothersome symptoms. Testosterone therapy may be considered for appropriately diagnosed hypogonadism in men. Other patients may benefit from treatment directed toward thyroid disease, PCOS, metabolic health, sleep, nutrition, or another contributor instead.
Postpartum recovery looks different for every woman. Physical healing often begins in the first several weeks, but hormonal and metabolic recovery can take longer as the body adjusts after pregnancy. If symptoms continue for months or feel out of proportion to your stage of recovery, a deeper evaluation may be helpful.
Ongoing exhaustion after childbirth is common, but it should not be dismissed. Lack of sleep and the demands of caring for a baby can play a major role, but postpartum fatigue may also be influenced by thyroid dysfunction, nutrient depletion, cortisol imbalance, blood sugar dysregulation, or chronic inflammation. hol+ looks at the full recovery pattern to better understand why energy levels are not improving.
Yes. Pregnancy changes how the body stores energy, responds to insulin, regulates hormones, and supports body weight. After delivery, those systems may take time to recalibrate. Some women notice cravings, energy crashes, or post-pregnancy weight loss resistance.
Yes. Pregnancy changes how the body stores energy, responds to insulin, regulates hormones, and supports body weight. After delivery, those systems may take time to recalibrate. Some women notice cravings, energy crashes, or post-pregnancy weight loss resistance.
Some women may experience insulin resistance during or after pregnancy, especially after gestational diabetes or when other risk factors are present. Postpartum insulin resistance may become noticeable when blood sugar feels harder to regulate and pregnancy weight becomes difficult to lose despite steady nutrition and movement habits. Symptoms alone cannot confirm the pattern, so testing is important.
Postpartum hormone imbalance can look different from person to person. For some women, it shows up as a noticeable shift in mood, sleep, energy, skin health, or body weight after childbirth. Because these changes can overlap with thyroid function, cortisol balance, nutrient status, and metabolic health, hol+ evaluates hormone balance within the larger postpartum recovery picture.
Postpartum symptoms should be evaluated when they last longer than expected or begin affecting daily life. If recovery still feels off despite time and rest, a personalized evaluation can help determine whether a deeper hormonal or metabolic imbalance is involved.
Yes. We use personalized nutrition plans, stress reduction techniques, targeted supplements, and metabolic support to naturally balance blood pressure and cholesterol. If needed, we integrate conventional medicine with functional and holistic therapies for comprehensive care.
Ashwagandha, Shilajit, Safed Musli, and Gokshura are known to support testosterone and vitality.
There is no strong scientific evidence that baking soda improves sexual performance or libido. Some men use it for temporary alkalizing effects, but it should be used cautiously and not considered a sexual health treatment.
Baking soda may help with digestion or exercise recovery, but it should only be used in small amounts and under guidance if taken internally.
Men’s Pure Pack is a professional grade multivitamin system containing nutrients for energy, immunity, cardiovascular health and overall wellness.
Benefits may include improved micronutrient status, better energy production, antioxidant support and targeted men’s health nutrients like zinc and B vitamins.
Men can support hormone balance through resistance training, adequate sleep, stress reduction, healthy fats, weight management and minimizing alcohol intake.
Strains like Lactobacillus gasseri, Bifidobacterium lactis and Lactobacillus rhamnosus may support fat metabolism and gut balance when combined with healthy habits.
Yes, zinc supports testosterone production, immunity, sperm quality and metabolic function, making it a key mineral for men.
Men can support fertility by increasing antioxidant intake, reducing alcohol, improving sleep, maintaining a healthy weight and using nutrients like zinc and CoQ10.
Cloves contain antioxidants and circulation supporting compounds that may help sexual vitality, though evidence is limited and results differ by individual.
Functional medicine for men identifies root causes behind symptoms like fatigue, low libido, brain fog, weight gain, and poor recovery, instead of treating them separately.
At hol+, a men’s health doctor evaluates testosterone within the broader context of metabolism, sleep, stress physiology, and cardiovascular risk.
hol+ supports men experiencing low energy, low libido, brain fog, poor sleep, weight gain, reduced strength or stamina, mood changes, and symptoms of low testosterone. Because these often overlap, care looks at how your whole system connects rather than addressing each symptom alone.
Yes, but only after a thorough evaluation. hol+ considers TRT after repeat testing supports a diagnosis and a physician reviews fertility goals, metabolic health, and cardiovascular risk. Ongoing monitoring is built into each treatment plan.
hol+ evaluates testosterone within a whole-body context, since low-T symptoms can overlap with thyroid issues, poor sleep, nutrient deficiencies, and metabolic dysfunction. Blood work may include total testosterone and related markers, plus LH and FSH when clinically appropriate.
Rather than prescribing the same protocol to everyone, hol+ provides physician-led, systems-based care with comprehensive lab testing and root-cause analysis. Testosterone matters, but it’s treated as one part of a larger picture that includes metabolism, stress, and longevity.
Wellness visits at hol+ start at $299, with personalized plans based on your evaluation. A free 15-minute consultation online is the simplest way to understand what care may fit your goals.
hol+ men’s health care is available in person at every hol+ location and virtually, so you can get a physician-led evaluation wherever you are. Schedule an appointment or book a free 15-minute consultation to discover which path is right for you.
Low energy in men can come from several overlapping issues, but it often starts with poor sleep, chronic stress, metabolic dysfunction, or hormone imbalance. Low testosterone may also play a role.
Stress can change the way the body regulates cortisol, sleep, blood sugar, inflammation, and testosterone levels. When chronic stress continues for months or years, men may notice fatigue, poor sleep, irritability, weight gain, or changes in sexual health.
Testing depends on your symptoms and clinical needs. Blood work may include total testosterone, LH and FSH, thyroid markers, cholesterol and lipids, metabolic markers, inflammation markers, and nutrient status when appropriate.
The goal is not simply to check testosterone levels once and move straight to treatment. Comprehensive lab testing gives your physician a clearer view of health patterns that may be affecting how you feel.
Metabolic optimization focuses on helping the body use energy more efficiently and maintain steadier blood sugar patterns. For men, this can influence how easily weight changes, how much stamina they have during the day, and how well the body supports long-term cardiovascular health.
A men’s health evaluation begins with a detailed review of your symptoms, medical history, lifestyle, sexual health, and goals. From there, your physician may recommend comprehensive lab testing to better understand your health status.
No. Testosterone replacement therapy may be appropriate for some men with clinically confirmed low testosterone, but it is not the only treatment option. Low T symptoms can also be influenced by poor sleep, chronic stress, insulin resistance, inflammation, nutrient deficiencies, medications, or other medical conditions.
Common signs of low testosterone may include fatigue, low energy, low libido, erectile dysfunction, brain fog, mood changes, depression symptoms, low motivation, muscle loss, weight gain, and slower recovery. These symptoms can overlap with other health concerns, so lab testing is important.
Testosterone is tested through blood work. A physician may review total testosterone, which reflects the overall amount of testosterone in the blood, along with free testosterone, which measures the small unbound portion available to tissues. They may also evaluate estrogen balance, metabolic markers, thyroid function, and other labs based on symptoms and health history. Testing may need to be repeated because testosterone levels can fluctuate.
TRT can be safe for appropriate patients when prescribed with medical supervision and ongoing monitoring. It is not right for every man. A physician should review prostate health, cardiovascular risk, blood chemistry, sleep apnea risk, and overall health before starting treatment.
Yes. TRT typically suppresses sperm production and may significantly reduce fertility during treatment. Men who want children in the future should discuss fertility concerns before beginning testosterone replacement therapy. Other treatment options may be considered depending on lab results and goals.
Response time varies. Some men report improvements in energy levels, mood, or libido in a matter of weeks, while strength, body composition, and metabolic changes may take longer. Follow-up care helps refine the plan based on symptoms and lab results.
Lifestyle factors can influence testosterone levels and support men’s hormone health, especially when sleep, strength training, and blood sugar balance improve. Nutrition, weight management, and stress resilience may also shape testosterone levels over time. Some men still need TRT, especially when testosterone deficiency or male hypogonadism is confirmed.
Men's Health
Possible symptoms include menstrual changes, hot flashes, low libido, sleep disruption, changes in weight or body composition, fatigue, acne, hair changes, and changes in mood.
Many of these symptoms also have nonhormonal causes. Symptoms alone cannot confirm a hormonal imbalance.
hol+ men’s health care is available in person at every hol+ location and virtually, so you can get a physician-led evaluation wherever you are. Schedule an appointment or book a free 15-minute consultation to discover which path is right for you.
Low energy in men can come from several overlapping issues, but it often starts with poor sleep, chronic stress, metabolic dysfunction, or hormone imbalance. Low testosterone may also play a role.
Stress can change the way the body regulates cortisol, sleep, blood sugar, inflammation, and testosterone levels. When chronic stress continues for months or years, men may notice fatigue, poor sleep, irritability, weight gain, or changes in sexual health.
Testing depends on your symptoms and clinical needs. Blood work may include total testosterone, LH and FSH, thyroid markers, cholesterol and lipids, metabolic markers, inflammation markers, and nutrient status when appropriate.
The goal is not simply to check testosterone levels once and move straight to treatment. Comprehensive lab testing gives your physician a clearer view of health patterns that may be affecting how you feel.
Metabolic optimization focuses on helping the body use energy more efficiently and maintain steadier blood sugar patterns. For men, this can influence how easily weight changes, how much stamina they have during the day, and how well the body supports long-term cardiovascular health.
A men’s health evaluation begins with a detailed review of your symptoms, medical history, lifestyle, sexual health, and goals. From there, your physician may recommend comprehensive lab testing to better understand your health status.
No. Testosterone replacement therapy may be appropriate for some men with clinically confirmed low testosterone, but it is not the only treatment option. Low T symptoms can also be influenced by poor sleep, chronic stress, insulin resistance, inflammation, nutrient deficiencies, medications, or other medical conditions.
Common signs of low testosterone may include fatigue, low energy, low libido, erectile dysfunction, brain fog, mood changes, depression symptoms, low motivation, muscle loss, weight gain, and slower recovery. These symptoms can overlap with other health concerns, so lab testing is important.
Testosterone is tested through blood work. A physician may review total testosterone, which reflects the overall amount of testosterone in the blood, along with free testosterone, which measures the small unbound portion available to tissues. They may also evaluate estrogen balance, metabolic markers, thyroid function, and other labs based on symptoms and health history. Testing may need to be repeated because testosterone levels can fluctuate.
TRT can be safe for appropriate patients when prescribed with medical supervision and ongoing monitoring. It is not right for every man. A physician should review prostate health, cardiovascular risk, blood chemistry, sleep apnea risk, and overall health before starting treatment.
Yes. TRT typically suppresses sperm production and may significantly reduce fertility during treatment. Men who want children in the future should discuss fertility concerns before beginning testosterone replacement therapy. Other treatment options may be considered depending on lab results and goals.
Response time varies. Some men report improvements in energy levels, mood, or libido in a matter of weeks, while strength, body composition, and metabolic changes may take longer. Follow-up care helps refine the plan based on symptoms and lab results.
Lifestyle factors can influence testosterone levels and support men’s hormone health, especially when sleep, strength training, and blood sugar balance improve. Nutrition, weight management, and stress resilience may also shape testosterone levels over time. Some men still need TRT, especially when testosterone deficiency or male hypogonadism is confirmed.
Wellness visits at hol+ start at $299, with personalized plans based on your evaluation. A free 15-minute consultation online is the simplest way to understand what care may fit your goals.
The right clinician depends on the suspected condition, and hormone-related concerns may be managed in primary care or by an appropriate specialist.
At hol+, patients can work with a physician-led team that evaluates hormonal concerns within a whole-body framework.
Functional medicine evaluates symptoms and health history alongside relevant endocrine, metabolic, nutritional, digestive, sleep, and stress-related factors.
The aim is to identify contributing patterns and diagnosed conditions rather than treating one hormone value in isolation.
Testing may include thyroid hormones, testosterone, estrogen-related markers, progesterone, cortisol in appropriate situations, or other endocrine markers.
Metabolic testing may also be useful. The specific tests should depend on the clinical question rather than a universal hormone panel.
Yes. Stress activates normal neuroendocrine pathways that involve cortisol and other signaling systems. Persistent stress can influence sleep and eating patterns while also affecting recovery and metabolic health.
Symptoms commonly blamed on cortisol can have many causes, so ongoing concerns deserve a broader medical evaluation.
The gastrointestinal system is involved in nutrient absorption and metabolic signaling, and research suggests interactions between the gut microbiome and endocrine physiology.
These relationships do not mean that every hormone problem begins in the gut. Digestive symptoms should be evaluated based on the individual patient.
Yes. Insulin is a hormone, and insulin resistance can affect metabolic health. It can also be relevant in conditions such as PCOS.
Sleep and circadian rhythm interact with several endocrine processes, including cortisol and metabolic regulation.
The relationship can work in the other direction as well. Hot flashes, thyroid disorders, and other health concerns may disrupt sleep, so persistent sleep problems may require evaluation from several angles.
Yes. Thyroid disease can cause symptoms that overlap with other hormonal concerns, including fatigue, weight changes, mood changes, menstrual changes, and hair or skin changes.
Thyroid evaluation may therefore be appropriate before attributing these symptoms to reproductive or stress-related hormones.
During perimenopause, ovarian hormone patterns become less predictable and menstrual cycles may change. Hot flashes, sleep disruption, mood changes, and other symptoms can occur during this transition.
Menopause is typically diagnosed retrospectively after 12 consecutive months without a menstrual period when another cause is not responsible. Ovarian estrogen production is lower after menopause, although symptoms and treatment needs vary considerably among women.
Yes. Men can develop endocrine conditions involving testosterone, thyroid function, the pituitary gland, the adrenal glands, insulin, and other hormone systems.
Fatigue or low libido alone does not diagnose testosterone deficiency. Appropriate testing and clinical evaluation are needed.
Possible symptoms include reduced libido, erectile concerns, loss of muscle mass, lower energy, and other changes.
Because these symptoms have multiple possible causes, low testosterone should be confirmed with appropriately timed laboratory testing and interpreted alongside the clinical picture.
Hormone balancing depends on what the evaluation identifies. Care may involve medical treatment, lifestyle support, or hormone therapy when appropriate.
There is no single hormone-balancing protocol that is right for everyone.
Hormone therapy may be considered when there is an appropriate clinical indication and the expected benefits and risks have been reviewed with the patient.
Menopausal hormone therapy may be an option for some women with bothersome symptoms. Testosterone therapy may be considered for appropriately diagnosed hypogonadism in men. Other patients may benefit from treatment directed toward thyroid disease, PCOS, metabolic health, sleep, nutrition, or another contributor instead.
Baking soda may help with digestion or exercise recovery, but it should only be used in small amounts and under guidance if taken internally.
Unlike conventional medicine, which typically targets specific physical ailments, holistic medicine focuses on treating the whole person – body, mind, and spirit – rather than just the symptoms.
Ashwagandha, Shilajit, Safed Musli, and Gokshura are known to support testosterone and vitality.
Transformative wellness focuses on long-term lifestyle changes that improve mindset, metabolism, energy, and overall health.
It uses a topical or transdermal delivery system to support detoxification, skin health, and cellular repair.
Most Auro products are formulated for daily use, but users should check ingredient transparency and third-party testing.
Cellular wellness focuses on improving health at the cellular level through antioxidants, glutathione, minerals, and hydration.
Yes – better sleep, balanced meals, stress reduction, and consistent exercise help restore hormonal balance.
Energy changes can come from stress, poor sleep, hormones, blood sugar swings or nutrient deficiencies.
Eat balanced meals, hydrate, manage stress and maintain a consistent sleep schedule.
Getting sunlight, taking vitamin D, exercising and eating protein-rich foods can boost dopamine levels.
Screenings often include blood pressure, cholesterol, blood sugar, thyroid panels, vitamin levels, pap tests, and mental health checks, depending on personal history.
Cold water is not harmful for most people but warm water may support digestion and circulation more effectively.
There is no strong scientific evidence that baking soda improves sexual performance or libido. Some men use it for temporary alkalizing effects, but it should be used cautiously and not considered a sexual health treatment.
Yes. We use personalized nutrition plans, stress reduction techniques, targeted supplements, and metabolic support to naturally balance blood pressure and cholesterol. If needed, we integrate conventional medicine with functional and holistic therapies for comprehensive care.
Men’s Pure Pack is a professional grade multivitamin system containing nutrients for energy, immunity, cardiovascular health and overall wellness.
Benefits may include improved micronutrient status, better energy production, antioxidant support and targeted men’s health nutrients like zinc and B vitamins.
Men can support hormone balance through resistance training, adequate sleep, stress reduction, healthy fats, weight management and minimizing alcohol intake.
Strains like Lactobacillus gasseri, Bifidobacterium lactis and Lactobacillus rhamnosus may support fat metabolism and gut balance when combined with healthy habits.
Yes, zinc supports testosterone production, immunity, sperm quality and metabolic function, making it a key mineral for men.
Men can support fertility by increasing antioxidant intake, reducing alcohol, improving sleep, maintaining a healthy weight and using nutrients like zinc and CoQ10.
Cloves contain antioxidants and circulation supporting compounds that may help sexual vitality, though evidence is limited and results differ by individual.
Functional medicine for men identifies root causes behind symptoms like fatigue, low libido, brain fog, weight gain, and poor recovery, instead of treating them separately.
At hol+, a men’s health doctor evaluates testosterone within the broader context of metabolism, sleep, stress physiology, and cardiovascular risk.
hol+ supports men experiencing low energy, low libido, brain fog, poor sleep, weight gain, reduced strength or stamina, mood changes, and symptoms of low testosterone. Because these often overlap, care looks at how your whole system connects rather than addressing each symptom alone.
Yes, but only after a thorough evaluation. hol+ considers TRT after repeat testing supports a diagnosis and a physician reviews fertility goals, metabolic health, and cardiovascular risk. Ongoing monitoring is built into each treatment plan.
hol+ evaluates testosterone within a whole-body context, since low-T symptoms can overlap with thyroid issues, poor sleep, nutrient deficiencies, and metabolic dysfunction. Blood work may include total testosterone and related markers, plus LH and FSH when clinically appropriate.
Rather than prescribing the same protocol to everyone, hol+ provides physician-led, systems-based care with comprehensive lab testing and root-cause analysis. Testosterone matters, but it’s treated as one part of a larger picture that includes metabolism, stress, and longevity.
Womens Health
The old name focused on ovarian cysts, which are not always present and are not the core of the condition. Research confirmed the real issue is a multi-system hormonal and metabolic imbalance affecting metabolism, mental health, and reproduction. The new name, Polyendocrine Metabolic Ovarian Syndrome, describes the condition more accurately. A three-year transition is underway.
Functional medicine evaluates symptoms and health history alongside relevant endocrine, metabolic, nutritional, digestive, sleep, and stress-related factors.
The aim is to identify contributing patterns and diagnosed conditions rather than treating one hormone value in isolation.
The right clinician depends on the suspected condition, and hormone-related concerns may be managed in primary care or by an appropriate specialist.
At hol+, patients can work with a physician-led team that evaluates hormonal concerns within a whole-body framework.
Possible symptoms include menstrual changes, hot flashes, low libido, sleep disruption, changes in weight or body composition, fatigue, acne, hair changes, and changes in mood.
Many of these symptoms also have nonhormonal causes. Symptoms alone cannot confirm a hormonal imbalance.
Functional medicine for PCOS (PMOS) focuses on identifying and treating the specific drivers behind your symptoms, insulin resistance, inflammation, stress, or a post-pill rebound, rather than suppressing symptoms with the pill alone. This root-cause holistic approach is how hol+ helps women improve cycles, metabolism, skin, and fertility.
PCOS (PMOS) is a leading cause of ovulatory infertility because irregular or absent ovulation makes conception harder. However, it is also one of the more treatable causes. Restoring ovulation through root-cause metabolic and hormonal care helps many women conceive, with or without additional fertility support.
There is no single PCOS (PMOS) diet, but most women benefit from a low-glycemic, anti-inflammatory, protein-forward pattern that stabilizes blood sugar and insulin, the central metabolic driver of PCOS (PMOS). The right approach depends on your pattern and labs, which is why hol+ personalizes nutrition rather than prescribing a generic plan.
PCOS (PMOS) is a chronic condition rather than something that is permanently “cured,” but its symptoms can very often be significantly improved, and cycles, metabolism, and fertility restored, by addressing root causes like insulin resistance, inflammation, and stress. Many women see meaningful change with a targeted, root-cause plan.
Lean PCOS refers to PCOS in women who are not overweight. It can be harder to recognize because it doesn’t fit the stereotype, but insulin resistance and elevated androgens are often still present beneath a normal weight. A functional medicine evaluation looks for these drivers regardless of body size.
Common signs include irregular or absent periods, difficulty losing weight, acne along the jaw and chin, unwanted hair growth, scalp hair thinning, sugar cravings, and difficulty conceiving. Because these overlap with thyroid and other conditions, an accurate diagnosis matters. hol+ evaluates the full pattern rather than assuming.
Testing may include thyroid hormones, testosterone, estrogen-related markers, progesterone, cortisol in appropriate situations, or other endocrine markers.
Metabolic testing may also be useful. The specific tests should depend on the clinical question rather than a universal hormone panel.
In 2026, PCOS was officially renamed PMOS, Polyendocrine Metabolic Ovarian Syndrome, through a global consensus of more than 50 organizations, including the Endocrine Society, published in The Lancet. The change reflects that PCOS is a whole-body metabolic and endocrine condition, not simply an ovarian one. PCOS and PMOS are the same condition.
PCOS (polycystic ovary syndrome) is a common hormonal and metabolic condition in women, marked by some combination of irregular or absent ovulation, elevated androgens (causing acne, unwanted hair growth, or hair thinning), and often insulin resistance. Despite the name, many women with PCOS do not have ovarian cysts.
You can wait it out, but you don’t have to feel miserable in the meantime. Functional medicine for perimenopause focuses on identifying and supporting the systems that make the transition harder, so this phase is more manageable and your long-term metabolic, bone, and heart health are protected.
Yes. Shifting estrogen, progesterone, thyroid, cortisol, and insulin can all affect energy, metabolism, and where the body stores fat, often producing midsection weight gain and persistent fatigue that don’t respond to usual diet-and-exercise changes. A root-cause plan targets the specific drivers rather than assuming it is willpower.
Because perimenopause hormones fluctuate, a single blood test drawn on one day may miss the pattern entirely. Symptoms are often a more reliable guide than one lab value. hol+ evaluates hormones alongside thyroid, cortisol, metabolic, and nutrient markers, and looks at patterns over time to understand the full picture.
Perimenopause is a natural life stage and cannot be “reversed,” but its symptoms can very often be improved. By addressing root-cause contributors, thyroid function, cortisol, blood sugar, gut health, inflammation, sleep, and nutrient status, many women feel significantly better. A functional medicine plan focuses on supporting your body through the transition rather than fighting a natural process.
Early signs often include changes in your menstrual cycle (shorter, longer, heavier, or skipped periods), new sleep disruption, mood changes or irritability, brain fog, and increased PMS-like symptoms. Because these can appear while standard labs still read “normal,” they are frequently dismissed, even though they reflect real hormonal change.
Perimenopause lasts an average of four to eight years, though the range is wide — some women experience a shorter transition and others closer to ten years. It ends once you have gone twelve consecutive months without a period, which marks menopause.
Hormone balancing depends on what the evaluation identifies. Care may involve medical treatment, lifestyle support, or hormone therapy when appropriate.
There is no single hormone-balancing protocol that is right for everyone.
Postpartum symptoms should be evaluated when they last longer than expected or begin affecting daily life. If recovery still feels off despite time and rest, a personalized evaluation can help determine whether a deeper hormonal or metabolic imbalance is involved.
Postpartum hormone imbalance can look different from person to person. For some women, it shows up as a noticeable shift in mood, sleep, energy, skin health, or body weight after childbirth. Because these changes can overlap with thyroid function, cortisol balance, nutrient status, and metabolic health, hol+ evaluates hormone balance within the larger postpartum recovery picture.
Some women may experience insulin resistance during or after pregnancy, especially after gestational diabetes or when other risk factors are present. Postpartum insulin resistance may become noticeable when blood sugar feels harder to regulate and pregnancy weight becomes difficult to lose despite steady nutrition and movement habits. Symptoms alone cannot confirm the pattern, so testing is important.
Yes. Pregnancy changes how the body stores energy, responds to insulin, regulates hormones, and supports body weight. After delivery, those systems may take time to recalibrate. Some women notice cravings, energy crashes, or post-pregnancy weight loss resistance.
Yes. Pregnancy changes how the body stores energy, responds to insulin, regulates hormones, and supports body weight. After delivery, those systems may take time to recalibrate. Some women notice cravings, energy crashes, or post-pregnancy weight loss resistance.
Ongoing exhaustion after childbirth is common, but it should not be dismissed. Lack of sleep and the demands of caring for a baby can play a major role, but postpartum fatigue may also be influenced by thyroid dysfunction, nutrient depletion, cortisol imbalance, blood sugar dysregulation, or chronic inflammation. hol+ looks at the full recovery pattern to better understand why energy levels are not improving.
Postpartum recovery looks different for every woman. Physical healing often begins in the first several weeks, but hormonal and metabolic recovery can take longer as the body adjusts after pregnancy. If symptoms continue for months or feel out of proportion to your stage of recovery, a deeper evaluation may be helpful.
Hormone therapy may be considered when there is an appropriate clinical indication and the expected benefits and risks have been reviewed with the patient.
Menopausal hormone therapy may be an option for some women with bothersome symptoms. Testosterone therapy may be considered for appropriately diagnosed hypogonadism in men. Other patients may benefit from treatment directed toward thyroid disease, PCOS, metabolic health, sleep, nutrition, or another contributor instead.
Perimenopause most commonly begins in the early-to-mid 40s, but it can start in the late 30s. On average, it lasts about four to eight years and ends at menopause, defined as twelve consecutive months without a menstrual period, which in the U.S. occurs around age 51.
Possible symptoms include reduced libido, erectile concerns, loss of muscle mass, lower energy, and other changes.
Because these symptoms have multiple possible causes, low testosterone should be confirmed with appropriately timed laboratory testing and interpreted alongside the clinical picture.
Yes. Men can develop endocrine conditions involving testosterone, thyroid function, the pituitary gland, the adrenal glands, insulin, and other hormone systems.
Fatigue or low libido alone does not diagnose testosterone deficiency. Appropriate testing and clinical evaluation are needed.
During perimenopause, ovarian hormone patterns become less predictable and menstrual cycles may change. Hot flashes, sleep disruption, mood changes, and other symptoms can occur during this transition.
Menopause is typically diagnosed retrospectively after 12 consecutive months without a menstrual period when another cause is not responsible. Ovarian estrogen production is lower after menopause, although symptoms and treatment needs vary considerably among women.
Yes. Thyroid disease can cause symptoms that overlap with other hormonal concerns, including fatigue, weight changes, mood changes, menstrual changes, and hair or skin changes.
Thyroid evaluation may therefore be appropriate before attributing these symptoms to reproductive or stress-related hormones.
Sleep and circadian rhythm interact with several endocrine processes, including cortisol and metabolic regulation.
The relationship can work in the other direction as well. Hot flashes, thyroid disorders, and other health concerns may disrupt sleep, so persistent sleep problems may require evaluation from several angles.
Yes. Insulin is a hormone, and insulin resistance can affect metabolic health. It can also be relevant in conditions such as PCOS.
The gastrointestinal system is involved in nutrient absorption and metabolic signaling, and research suggests interactions between the gut microbiome and endocrine physiology.
These relationships do not mean that every hormone problem begins in the gut. Digestive symptoms should be evaluated based on the individual patient.
Yes. Stress activates normal neuroendocrine pathways that involve cortisol and other signaling systems. Persistent stress can influence sleep and eating patterns while also affecting recovery and metabolic health.
Symptoms commonly blamed on cortisol can have many causes, so ongoing concerns deserve a broader medical evaluation.
Getting sunlight, taking vitamin D, exercising and eating protein-rich foods can boost dopamine levels.
Many women come to hol+ after being told their labs are normal while still not feeling like themselves. Our physician-led team uses advanced testing and longer visits to identify hormonal, thyroid, metabolic, and inflammatory patterns that brief appointments often miss with traditional lab testing.
Yes. hol+ offers individualized hormone support for hot flashes, night sweats, low libido, sleep disruption, and mood changes during perimenopause and menopause. Hormone testing may be requested first, and all treatment plans are monitored over time as your needs and labs may change.
hol+ supports women with irregular, heavy, or painful periods, PMS, PMDD, PCOS (PMOS), endometriosis, fertility and preconception needs, and postpartum hormone changes. Care also covers perimenopause and menopause, fatigue, brain fog, mood changes, thyroid issues, and weight-loss resistance.
Functional medicine for women looks for the root causes behind symptoms like hot flashes, weight changes, anxiety, low libido, and disrupted sleep, rather than treating each one in isolation. At hol+, physician-led care evaluates how hormones, thyroid, gut health, stress, and metabolism interact across every stage of a woman’s life. Learn more about our Power RX® approach.
Women often benefit from ingredients that support hormones metabolism and digestion such as probiotics fiber magnesium and green tea.
Hormonal shifts during perimenopause can slow metabolism, increase belly fat and reduce muscle mass making weight management more challenging.
Cold water is not harmful for most people but warm water may support digestion and circulation more effectively.
Screenings often include blood pressure, cholesterol, blood sugar, thyroid panels, vitamin levels, pap tests, and mental health checks, depending on personal history.
Yes. hol+ evaluates hormone imbalance and PCOS or PMOS through cycle review, thyroid and adrenal testing, and metabolic markers, since PCOS/PMOS is linked with insulin resistance. Treatment is personalized to your chemistry and lab markers rather than built on a one-size-fits-all protocol.
Eat balanced meals, hydrate, manage stress and maintain a consistent sleep schedule.
Energy changes can come from stress, poor sleep, hormones, blood sugar swings or nutrient deficiencies.
Yes – better sleep, balanced meals, stress reduction, and consistent exercise help restore hormonal balance.
Cellular wellness focuses on improving health at the cellular level through antioxidants, glutathione, minerals, and hydration.
Most Auro products are formulated for daily use, but users should check ingredient transparency and third-party testing.
It uses a topical or transdermal delivery system to support detoxification, skin health, and cellular repair.
Transformative wellness focuses on long-term lifestyle changes that improve mindset, metabolism, energy, and overall health.
Yes it supports cycles, hormones, fertility and postpartum recovery naturally.
Menopause happens around age 51 on average in the U.S., though anywhere from about 45 to 55 is typical. Menopause before age 40 is called premature menopause, and between 40 and 45 is early menopause. The transition leading up to it, perimenopause, usually begins in the 40s.
Perimenopause is the transition phase before menopause, when the ovaries gradually reduce hormone production and estrogen and progesterone begin to fluctuate. It typically starts in a woman’s 40s, though it can begin in the late 30s. Symptoms often appear years before periods stop and can come and go as hormones shift.
Yes. hol+ offers physician-led functional and integrative menopause care that combines root-cause evaluation, comprehensive testing, nutrition and lifestyle medicine, and individualized hormone options, including bioidentical hormone support when appropriate, coordinated with conventional medical care.
Yes. Lower estrogen, shifting metabolism, muscle loss, and inflammation can all contribute to midsection weight gain and new joint aches around and after menopause. A root-cause plan addresses the metabolic, hormonal, and inflammatory drivers rather than assuming it is simply aging or willpower.
It varies widely. Hot flashes and night sweats last an average of about seven years, though some women experience them longer. Other changes, such as vaginal dryness and bone and cardiovascular risk, can persist or develop over the postmenopausal years, which is why long-term, proactive care matters.
Bioidentical hormones are chemically identical to the hormones the body produces, and FDA-approved bioidentical options are available. “Bioidentical” does not automatically mean safer, and compounded products in particular vary in quality and oversight. Safety depends on the specific product, dose, your health history, and medical supervision, which is why an individualized, physician-guided conversation matters.
Hormone replacement therapy (HRT), also called menopausal hormone therapy, uses estrogen, often with progesterone, to relieve menopausal symptoms like hot flashes, sleep disruption, and vaginal dryness, and to support bone health. Whether it’s right for you depends on your age, time since menopause, symptoms, and personal history, and should be guided by a clinician.
Perimenopause is the transition leading up to menopause, when hormones fluctuate and periods become irregular. Menopause is a single point in time, twelve consecutive months with no period. Most symptoms people call “menopause” actually begin during perimenopause; menopause and post-menopause are defined by consistently lower hormone levels.
Common signs include hot flashes, night sweats, disrupted sleep, mood changes, brain fog, weight gain, joint pain, vaginal dryness, and changes in libido. Because these overlap with thyroid and metabolic conditions, hol+ evaluates the full pattern rather than assuming every symptom is hormonal.
Unlike conventional medicine, which typically targets specific physical ailments, holistic medicine focuses on treating the whole person – body, mind, and spirit – rather than just the symptoms.
Menopause is the point when a woman has gone twelve consecutive months without a menstrual period, marking the end of reproductive years. It results from the ovaries winding down estrogen and progesterone production. In the U.S., menopause occurs around age 51 on average, and the years afterward are called postmenopause.
Gut health can influence how the body processes hormones, absorbs nutrients, regulates inflammation, and supports immune function. When digestion is disrupted, hormone-related symptoms may become harder to manage.
Some women notice that bloating, constipation, food sensitivities, or other gut issues seem to overlap with PMS, fatigue, brain fog, skin changes, or mood changes. At hol+, gut health is evaluated as part of whole-person healthcare.
Yes. hol+ offers menopause care and perimenopause support for women experiencing hormonal transitions. Care may include hormone testing, lifestyle medicine, nutrition coaching, hormone support when appropriate, and strategies to support midlife health and long-term resilience.
Testing depends on symptoms, health history, and clinical goals. Your provider may recommend hormone testing, metabolic labs, nutrient testing, cardiovascular risk assessment, or other evaluations.
The purpose of testing is to give your healthcare professional a clearer picture of what may be driving symptoms.
Yes. Chronic stress can disrupt cortisol rhythm and affect the systems that regulate ovulation, cycle timing, sleep, blood sugar, and inflammation. Over time, this can create a cycle where stress and metabolism reinforce each other.
That pattern may leave women feeling tired, wired, anxious, or more prone to cravings. It may also make body composition changes and weight loss resistance harder to address without looking at the root cause.
Hormone imbalance rarely comes from one factor alone. Poor sleep, thyroid dysfunction, nutrient deficiencies, inflammation, blood sugar changes, and gut health issues can all affect hormonal signaling. Hormonal shifts may also become more noticeable during perimenopause, menopause, and postpartum recovery.
hol+ women’s health services are available in person at every hol+ location and virtually, so you can work with a physician-led team wherever you are. Schedule an appointment or book a free 15-minute consultation to find out which path is best for you.
Wellness visits at hol+ start at $299, with personalized plans based on your evaluation. The easiest way to understand the right path and costs for your situation is with a free 15-minute consultation online with a one of our patient care coordinators.
Family Health
Holistic family health focuses on supporting the physical, emotional and lifestyle needs of every family member using natural and integrative approaches.
Whole family healthcare provides preventive care, nutrition guidance and wellness support for everyone in the household rather than treating individuals separately.
A family health coach helps families build healthier routines through improved nutrition, stress management, daily habits and personalized wellness plans.
Key elements include nutrition, movement, stress reduction, emotional well being, toxin free living and daily routines.
Yes, lifestyle adjustments, communication support and mindful practices help lower stress for the entire household.
Nutrition coaching helps create balanced meals, manage picky eating, improve digestion and encourage healthy food habits.
A health coach brings structure, personalized guidance and accountability that helps families build long term healthy habits.
Chinese Medicine
Your consultation includes a detailed health assessment, a discussion of your symptoms, and an evaluation of your energy flow using Acugraph technology. Based on your needs, we create a personalized plan that may include acupuncture, herbal medicine, cupping, or other traditional therapies.
Yes! We take an integrative approach, blending Traditional Chinese Medicine (TCM) with functional medicine, advanced diagnostic testing, and holistic therapies to target root causes and provide a well-rounded path to healing.
Chinese Medicine at hol+ is used to support a wide range of conditions – including chronic pain, migraines, digestive disorders, stress, anxiety, hormonal imbalances, fertility support, and more.
Autoimmune/Inflammatory Conditions
The digestive tract and immune system interact closely, and researchers continue to study relationships among gut microbes, immune activity, and immune-mediated disease. Some conditions, including celiac disease and inflammatory bowel disease, directly involve the gastrointestinal tract. Gut health should not, however, be treated as the single explanation for every autoimmune disease.
Inflammation is a biological response that occurs in many situations, including infection and injury. Autoimmune disease involves inappropriate immune activity against the body’s own tissues.
Many autoimmune diseases involve inflammation, but inflammation alone does not mean a person has an autoimmune disorder.
Yes. Functional medicine can complement rheumatology and other specialty care. A rheumatologist may manage rheumatoid arthritis or lupus, while other specialists direct care for conditions affecting the digestive tract, thyroid, skin, or nervous system.
hol+ can address broader health factors while those specialists manage disease-specific treatment.
There is no universal autoimmune diet. Food choices should reflect the diagnosis, nutritional status, digestive health, medications, and individual needs.
Celiac disease is an important exception because treatment requires a gluten-free diet (7). Broad food restriction is not automatically necessary for other autoimmune conditions.
No. Functional medicine does not automatically replace medications used in treating autoimmune disease.
Some treatments are necessary to control disease activity and protect affected tissues or organs. Medication changes should be made with the clinician responsible for that treatment.
No. Functional medicine should not be considered a cure for autoimmune disease.
A systems-based approach may help identify nutritional deficiencies, digestive concerns, sleep and stress patterns, or other factors affecting symptoms and overall health. This support should remain connected to appropriate diagnosis, monitoring, and conventional treatment.
Testing depends on the suspected condition and may include routine laboratory work plus targeted imaging or tissue-based studies. No single panel can diagnose every autoimmune disease, and autoimmune markers must be interpreted alongside symptoms and other clinical findings.
Inflammation contributes to many autoimmune diseases, but inflammation and autoimmunity are not the same. Infection, injury, metabolic conditions, and other processes can also cause inflammation. Clinical context helps determine what an inflammatory symptom or marker may mean.
Hormones interact with immune signaling and other physiological systems, but the effects vary by condition. Hormonal changes may overlap with autoimmune symptoms or thyroid concerns without being the cause of the disease.
Some patients notice symptom changes during stressful periods. Stress can also influence symptom severity and day-to-day recovery. This does not mean stress caused the underlying disease, but stress-management strategies may still support overall well-being.
Common signs include fatigue, joint pain, digestive issues, brain fog, and swelling. If you’ve experienced persistent symptoms without clear answers, it may be worth exploring further testing with a provider experienced in autoimmune care.
Autoimmune symptoms depend on the condition and affected tissues, and can include fatigue, pain, digestive changes, brain fog, or recurring flares. These symptoms can also have other causes, so they should not be used for self-diagnosis.
Common autoimmune and immune-mediated conditions include Hashimoto’s thyroiditis, rheumatoid arthritis, lupus, psoriasis and psoriatic arthritis, celiac disease, type 1 diabetes, inflammatory bowel disease, and multiple sclerosis. Each has its own diagnostic criteria and treatment needs.
There is no single cause that explains every autoimmune disorder. Depending on the condition, autoimmune disease may reflect a combination of genetic susceptibility and other biological or environmental influences. For many autoimmune conditions, researchers still do not fully understand why disease develops in one person and not another.
An autoimmune disease develops when the immune system mistakenly directs activity against the body’s own healthy tissues. Different conditions affect different tissues and organs, so symptoms and health effects can vary widely.
A viral infection may temporarily flare autoimmune symptoms due to increased immune activity.
Focus on rest hydration warm foods gentle herbal support and monitoring symptoms with guidance from a healthcare provider.
Herbs like ashwagandha turmeric boswellia and medicinal mushrooms may support immune balance in autoimmune conditions.
Chronic conditions like autoimmune diseases, digestive disorders, and chronic pain can benefit from both holistic and functional medicine approaches due to their focus on underlying causes and overall wellness.
While most autoimmune diseases aren’t “curable,” many can be effectively managed by addressing root causes, reducing inflammation, and supporting the immune system through personalized care.
Ayurveda
Warm, freshly cooked meals with spices – plus avoiding leftovers, overeating, and incompatible food combinations.
Ashwagandha, turmeric, tulsi, shatavari and triphala support stamina and vitality.
It boosts digestion, detox, sleep, hormones and energy through food, herbs and lifestyle.
Ayurveda is an ancient healing system that balances mind, body and energy for long term health.
Drinking CCF tea, taking Triphala at night, eating warm meals, and using spices like cumin and fennel help maintain strong digestion.
Ashwagandha, Shilajit, Safed Musli, and Gokshura are known to support testosterone and vitality.
Ashoka, Shatavari, Manjistha, and Dashmool are commonly used for regulating cycles and supporting hormone balance.
Yes Ayurvedic foods like healthy fats, warm cooked meals, herbs like Shatavari and Ashwagandha support hormonal balance.
Herbal teas like ginger, CCF, fennel, and peppermint increase digestive fire, reduce gas, and support smoother motility.
Eat warm meals, use ginger before eating, avoid late-night food, and limit snacking between meals.
Amla, turmeric, licorice, coriander, and herbal probiotic blends support a healthier gut microbiome.
Hingvastak, jeera water, pippali, Amla, and Guduchi help soothe acidity, indigestion, and slow digestion.
It uses daily routines, herbs and diet to remove toxins and reset digestion.
A dosha quiz identifies whether Vata, Pitta, or Kapha imbalance is causing digestive issues and guides personalized diet choices.
Triphala, castor oil (under guidance), and CCF tea help improve motility and reduce gas.
Yes Ayurvedic herbs like licorice, Amla, neem, turmeric, and Triphala help heal the gut lining and reduce inflammation.
Eat slowly, avoid ice-cold drinks, add spices to meals, stop eating before full, and maintain regular mealtimes.
Ayurveda reduces Vata imbalance using warm foods, digestive spices, teas, abdominal massage, and herbs like ajwain and fennel.
Triphala, Kutaj, Bilva, Amla, and herbal digestive tonics like Hingvastak Churna support gut repair and balance.
Ginger, cumin, coriander, fennel, black pepper, and Triphala are the best Ayurvedic herbs for strong digestion.
Ginger, CCF tea (cumin coriander fennel), and ajwain tea are the top Ayurvedic teas for bloating and gas relief.
When practiced under guidance, Ayurvedic herbs, foods, and routines are considered safe and holistic.
Ayurveda uses warming spices, digestive teas, abdominal massage, and avoiding cold or raw foods to reduce gas.
Agni or digestive fire determines how well your body processes food, absorbs nutrients and eliminates toxins.
Cumin, coriander, fennel, turmeric, black pepper, and cardamom improve agni and prevent gas.
Ayurvedic herbs such as ginger, peppermint, and licorice enhance motility and support a balanced gut rhythm.
Fennel tea relaxes intestinal muscles and can relieve bloating within minutes.
Yes, warming teas like ginger and tulsi calm Vata and soothe the nervous system, reducing stress-related bloating.
Yes, herbs like fennel, cumin, and ginger reduce fermentation and soothe the gut when fiber causes bloating.
Yes, ginger warms the digestive fire, improves motility, and reduces both bloating and nausea.
Ajwain with warm water or ginger tea is a classic Ayurvedic remedy for post-meal gas.
Triphala improves bowel regularity, reduces gas, detoxifies the gut, and strengthens digestive fire.
CCF tea combines cumin coriander and fennel to ignite agni, ease bloating, and improve gut motility.
A strong digestive fire supports better nutrient absorption, which helps maintain hormonal equilibrium.
Ayurveda offers personalized healing, natural remedies, and lifestyle practices that improve long-term health without side effects.
Ayurveda nutrition focuses on matching food choices with your dosha type to support digestion and balance.
Begin with simple routines, mindful eating and basic herbs suited to your dosha.
Aging is slowed by strong digestion, low inflammation and daily rejuvenation practices.
It boosts oxygen flow, reduces stress and supports energy balance.
Yes by improving metabolism, reducing cravings and matching diet to your dosha.
By balancing gut health, reducing toxins and supporting a calm, focused mind.
Yes it supports cycles, hormones, fertility and postpartum recovery naturally.
Yes, strong digestion, balanced doshas and herbs like amla and tulsi enhance immune strength.
Anti inflammatory herbs and spices like turmeric, ginger and cumin help reduce inflammation.
Practices like tongue scraping, warm water, self massage and early meals support energy.
While complete elimination can be challenging, consistent dietary and lifestyle changes can significantly reduce AMA levels in the body.
Signs of strong Ojas include a glowing complexion, vitality, strong immunity, mental clarity, and emotional stability.
In Ayurveda, Ojas is the essence of vitality, Prana is the life force or vital energy, and Tejas is the inner radiance or fire.
Yes, lifestyle choices such as regular meditation, adequate sleep, a balanced diet, and stress management positively affect Ojas.
Ghee, almonds, dates, saffron, honey, and whole grains are beneficial for increasing Ojas, as they are nourishing and easy to digest.
Assessing one’s Dosha involves examining physical traits, behavioral patterns, and emotional tendencies. Many Ayurvedic practitioners use pulse diagnosis or detailed questionnaires to determine one’s predominant Dosha.
Yes, while most people have one or two dominant Doshas, some individuals might exhibit characteristics of all three, known as Tridosha.
Kapha provides structure and lubrication. An imbalance might manifest as weight gain, feelings of sluggishness, and excessive sleep.
Pitta is associated with heat and metabolism and is expressed as sharp, hot, and penetrating. An imbalance in Pitta can lead to skin irritations, overheating, and fiery emotions such as anger or frustration.
Vata governs movement and is characterized by cold, light, dry, irregular, and mobile qualities. Individuals with a Vata predominance might experience dry skin, discomfort in cold climates, and variability in appetite and energy levels.
Ayurveda recommends detoxifying with seasonal changes, roughly every three to four months, to manage AMA effectively.
A diet rich in warm, cooked, and easily digestible foods and avoiding processed and cold foods helps reduce AMA.
Consuming Ojas-building foods like dates and almonds, practicing yoga, and using deep relaxation techniques are quick ways to boost Ojas.
AMA can lead to mental cloudiness, lack of focus, and feelings of emotional instability or depression.
Early signs of AMA include lethargy, heaviness, indigestion, white coating on the tongue, and a foul smell from the mouth or body.
Yes, a Pitta imbalance can lead to stress, anger, irritation, and over-critical behavior, impacting mental well-being.
Cooling poses like moon salutations, forward bends, and gentle flow sequences can help balance Pitta.
Common symptoms include irritability, inflammation, skin issues, and digestive disorders such as acid reflux or ulcers.
Signs include skin rashes, burning sensations, excessive body heat, and digestion problems like heartburn.
Avoid hot, spicy, oily, fried, and acidic foods. To balance Pitta, limit your intake of caffeine, alcohol, and red meat.
Yes! Ayurveda recognizes the mind-body connection and offers powerful tools for stress and sleep imbalances. Herbal remedies like Ashwagandha and Brahmi, evening rituals, and guided breathwork help calm the nervous system, improve rest, and reduce anxiety.
Yes, Ayurveda is a complementary system of medicine that can be safely integrated with conventional treatments. Our practitioners ensure that Ayurvedic recommendations align with your current health plan and medications to support healing without interference.
No prior knowledge of Ayurveda is needed! Our practitioners will guide you through dosha assessment and personalized recommendations based on your specific imbalances. Whether you are new to Ayurveda or have prior experience, we create a plan tailored to your needs.
Ayurveda improves digestion through mindful eating, spices like ginger, and strengthening Agni (digestive fire).
Coffee with ghee may reduce acidity and balance Vata, but it should be consumed mindfully depending on your dosha.
Eat only when hungry, avoid distractions, choose seasonal foods, and avoid mixing incompatible food combinations.
Ayurveda heals the gut by removing Ama, strengthening Agni, calming the nervous system, and using herbal support.
Digestive Ayurvedic supplements like Triphala, Hingvastak, and herbal teas can support gut function when used correctly.
Bloating is reduced with ginger tea, cumin-coriander-fennel (CCF) tea, warm water, and avoiding heavy or cold meals.
Ayurveda encourages warm soups, steamed veggies, spices, ghee, and easily digestible grains like rice or quinoa.
Yes, Ayurveda offers herbs, warm foods, and lifestyle routines to reduce hot flashes, mood changes, and sleep issues.
Shatavari, Ashwagandha, Maca, and Bala are commonly used for balancing hormones and supporting women’s health.
Ayurveda balances hormones with lifestyle routines, stress reduction, herbal support, and dosha-specific diet plans.
Ayurveda supports leaky gut healing with ghee, Triphala, licorice, gut-healing herbs, and anti-inflammatory diets.
Our Ayurvedic specialists take the time to understand your health history, symptoms, and lifestyle. We assess your dosha, digestion, stress levels, and imbalances to create a customized wellness plan. Recommendations may include herbal medicine, dietary changes, detoxification, and Ayurvedic therapies to help restore balance and long-term well-being.
Triphala, Hingvastak churna, and Ayurvedic enzymes like Pippali and Jeera are widely used for digestive issues.
Triphala, ginger, cumin, fennel, licorice, and aloe vera are commonly recommended for gut support.
A gut-friendly Ayurvedic diet includes warm meals, digestive spices, fermented foods, and avoiding cold or processed foods.
Ayurveda recommends eating warm, freshly cooked meals, avoiding overeating, and eating according to your dosha.
An Ayurveda type test identifies your dominant dosha based on lifestyle, digestion, personality, and physical features.
The three doshas – Vata, Pitta, and Kapha – are the fundamental energies that define your body type and health patterns.
Ayurveda reduces Ama with digestive herbs, warm water, light meals, detox teas, and Panchakarma therapies.
Ama refers to toxic buildup caused by poor digestion and sluggish metabolism in the body.
You can boost Ojas through warm foods, proper sleep, meditation, ghee, and herbs like Ashwagandha and Shatavari.
Ojas is the vital energy that supports immunity, strength, and overall well-being according to Ayurveda.
Cancer Support
Yes! Our integrative cancer care is for patients in all stages of cancer care, including those looking for preventative support, post-treatment recovery, or natural ways to strengthen the body. We focus on immune resilience, detoxification, and cellular health to optimize long-term well-being.
Yes! Proper nutrition is essential for healing. Our registered dietitians and functional medicine providers develop personalized anti-inflammatory meal plans that support immune function, energy levels, and gut health. We also offer nutritional supplements, gut-healing protocols, and food sensitivity testing to ensure optimal nourishment.
Fatigue is common during treatment, but proper nutrition, hydration, stress reduction, and IV therapy can help restore energy. Supporting adrenal health, balancing hormones, and ensuring proper mitochondrial function are also key factors in regaining strength.
Deep breathing improves oxygenation, reduces stress and creates a healthier internal environment that supports cellular health.
Digestive Health
IBS usually does not have one single cause. Symptoms may be influenced by the microbiome changes, motility issues, stress physiology, infection history, or SIBO. hol+ evaluates these patterns together so care can be built around the patient, not just the diagnosis.
Yes. Many patients come to hol+ after receiving an IBS diagnosis but still want to understand what may be driving their symptoms. The diagnosis can be a starting point, but root-cause care looks deeper at gut imbalance, food triggers, and other factors that may shape your digestive health.
Many patients with IBS also report fatigue, brain fog, sleep disruption, mood changes, or feeling run down after digestive flares. hol+ evaluates digestive symptoms within the larger whole-body context.
Not every patient needs stool testing. In some cases, comprehensive stool analysis can help evaluate microbiome health, inflammation markers, digestive function, or other gut patterns. Your hol+ clinician can determine which testing approach is appropriate.
Functional medicine for IBS may include a detailed intake, digestive health assessment, nutrition planning, breath testing for SIBO, stool testing, supplement protocols, nervous system support, and lifestyle medicine. The plan depends on the patient’s symptoms and underlying patterns.
Some patients improve with nutrition changes, stress support, sleep, movement, hydration, and gut-healing care. Others need more targeted treatment based on testing and clinical evaluation. A natural plan should still be medically guided, especially when symptoms are persistent or severe.
IBS and SIBO can share similar symptoms, including bloating, gas, abdominal discomfort, constipation, diarrhea, and food reactions. SIBO stands for small intestinal bacterial overgrowth, which means bacteria are present in higher-than-expected amounts in the small intestine. Breath testing may be considered when symptoms and history suggest this pattern.
The gut-brain connection is the communication network between the digestive tract, brain, immune system, microbiome, and nervous system. When this communication becomes disrupted, the gut may become more sensitive or reactive, leading to stronger digestive flares during stress or after certain meals.
IBS can be related to food sensitivities or triggers, but the relationship is not always simple. A food may trigger symptoms because of gut dysbiosis, SIBO, inflammation, enzyme issues, or intestinal permeability. When appropriate, hol+ may use an elimination diet followed by guided reintroduction to better understand food reactions without relying on long-term restriction.
Yes. Stress can affect the nervous system, gut motility, sensitivity, stomach acid patterns, and inflammation. Some people notice constipation during stressful periods, while others experience diarrhea, urgency, nausea, reflux, or cramping. Stress is not the only cause of IBS, but it can be an important part of the symptom picture.
Chronic conditions like autoimmune diseases, digestive disorders, and chronic pain can benefit from both holistic and functional medicine approaches due to their focus on underlying causes and overall wellness.
Drinking CCF tea, taking Triphala at night, eating warm meals, and using spices like cumin and fennel help maintain strong digestion.
Hingvastak, jeera water, pippali, Amla, and Guduchi help soothe acidity, indigestion, and slow digestion.
Eat slowly, avoid ice-cold drinks, add spices to meals, stop eating before full, and maintain regular mealtimes.
Ginger, cumin, coriander, fennel, black pepper, and Triphala are the best Ayurvedic herbs for strong digestion.
Ginger, CCF tea (cumin coriander fennel), and ajwain tea are the top Ayurvedic teas for bloating and gas relief.
Digestive Ayurvedic supplements like Triphala, Hingvastak, and herbal teas can support gut function when used correctly.
Ayurveda encourages warm soups, steamed veggies, spices, ghee, and easily digestible grains like rice or quinoa.
Triphala, Hingvastak churna, and Ayurvedic enzymes like Pippali and Jeera are widely used for digestive issues.
Gut Health
Some peptide therapies are marketed or used for metabolic purposes, but evidence, regulatory status, and clinical indications vary substantially by product. hol+ may discuss peptide therapy when medically appropriate and available rather than treating peptides as a standard part of metabolic care.
Testing may include fasting glucose, A1C, lipids, and other markers selected according to medical history and risk. Insulin, thyroid markers, nutrient testing, or additional cardiovascular evaluation may also be appropriate for some patients.
No. Digestive evaluation depends on the symptoms and suspected condition. In some cases, standard medical testing may be more useful than stool or microbiome analysis. Routine commercial microbiome testing also has important clinical limitations (6).
Nutrition can affect both digestive function and metabolic health, but the right approach depends on the patient’s condition and overall needs. A single “metabolic diet” is not appropriate for everyone.
Obesity is a chronic disease associated with biological, environmental, behavioral, and other factors. It can raise the risk of type 2 diabetes and cardiovascular disease. Metabolic health, however, cannot be determined from weight alone.
Weight loss refers specifically to reducing body weight. Weight management takes a longer-term view, with the goal of reaching or maintaining a clinically appropriate weight while supporting metabolic health.
GLP-1 receptor agonists and related medications can be appropriate for some patients with obesity, overweight plus certain health risks, or type 2 diabetes, depending on the medication. Treatment requires individualized medical evaluation and ongoing monitoring.
Pregnancy and postpartum recovery can affect metabolism as hormonal shifts and changes in sleep influence energy and glucose regulation. Previous gestational diabetes or postpartum thyroid changes may also shape metabolic health during this stage.
InBody uses bioelectrical impedance analysis to estimate aspects of body composition, including body fat and lean mass. It can provide information beyond scale weight, although results should be interpreted alongside the broader clinical picture.
Functional medicine looks at metabolic concerns in the context of the broader health picture, including factors that may affect digestion and metabolic regulation. At hol+, that systems-based evaluation is physician-led and used alongside conventional medical assessment.
Yes, as part of appropriate medical diabetes care. Lifestyle changes can support diabetes management, but they do not replace appropriate glucose monitoring or medical treatment.
Hormonal signals can affect how the body uses energy and regulates glucose, with downstream effects on appetite and body composition. Conditions such as PMOS may also involve insulin resistance. Hormone testing should be selected according to symptoms and medical history.
IBS usually does not have one single cause. Symptoms may be influenced by the microbiome changes, motility issues, stress physiology, infection history, or SIBO. hol+ evaluates these patterns together so care can be built around the patient, not just the diagnosis.
Yes. Stress can affect the nervous system, gut motility, sensitivity, stomach acid patterns, and inflammation. Some people notice constipation during stressful periods, while others experience diarrhea, urgency, nausea, reflux, or cramping. Stress is not the only cause of IBS, but it can be an important part of the symptom picture.
IBS can be related to food sensitivities or triggers, but the relationship is not always simple. A food may trigger symptoms because of gut dysbiosis, SIBO, inflammation, enzyme issues, or intestinal permeability. When appropriate, hol+ may use an elimination diet followed by guided reintroduction to better understand food reactions without relying on long-term restriction.
The gut-brain connection is the communication network between the digestive tract, brain, immune system, microbiome, and nervous system. When this communication becomes disrupted, the gut may become more sensitive or reactive, leading to stronger digestive flares during stress or after certain meals.
IBS and SIBO can share similar symptoms, including bloating, gas, abdominal discomfort, constipation, diarrhea, and food reactions. SIBO stands for small intestinal bacterial overgrowth, which means bacteria are present in higher-than-expected amounts in the small intestine. Breath testing may be considered when symptoms and history suggest this pattern.
Some patients improve with nutrition changes, stress support, sleep, movement, hydration, and gut-healing care. Others need more targeted treatment based on testing and clinical evaluation. A natural plan should still be medically guided, especially when symptoms are persistent or severe.
Functional medicine for IBS may include a detailed intake, digestive health assessment, nutrition planning, breath testing for SIBO, stool testing, supplement protocols, nervous system support, and lifestyle medicine. The plan depends on the patient’s symptoms and underlying patterns.
Not every patient needs stool testing. In some cases, comprehensive stool analysis can help evaluate microbiome health, inflammation markers, digestive function, or other gut patterns. Your hol+ clinician can determine which testing approach is appropriate.
Many patients with IBS also report fatigue, brain fog, sleep disruption, mood changes, or feeling run down after digestive flares. hol+ evaluates digestive symptoms within the larger whole-body context.
Yes. Many patients come to hol+ after receiving an IBS diagnosis but still want to understand what may be driving their symptoms. The diagnosis can be a starting point, but root-cause care looks deeper at gut imbalance, food triggers, and other factors that may shape your digestive health.
Insulin resistance means that cells do not respond to insulin as effectively as they should. The pancreas may compensate by producing more insulin. Over time, blood glucose can rise and progress to prediabetes or type 2 diabetes in some people (2).
Triphala, ginger, cumin, fennel, licorice, and aloe vera are commonly recommended for gut support.
Ayurveda heals the gut by removing Ama, strengthening Agni, calming the nervous system, and using herbal support.
Amla, turmeric, licorice, coriander, and herbal probiotic blends support a healthier gut microbiome.
CCF tea combines cumin coriander and fennel to ignite agni, ease bloating, and improve gut motility.
Ayurvedic herbs such as ginger, peppermint, and licorice enhance motility and support a balanced gut rhythm.
Gut drops support digestion, bloating relief, microbiome balance, and overall gut repair.
Most people take 10–20 grams per day.
Metabolic health refers to the body’s ability to regulate processes involving glucose, insulin, lipids, energy use, and related cardiovascular risk. Body composition can be relevant, but metabolic health cannot be determined from weight alone.
Metabolic problems do not always cause noticeable symptoms. Some people experience changes in energy or appetite, while others first learn about a concern through routine blood work or other clinical findings.
Yes. Metabolic concerns such as insulin resistance can occur across a wide range of body weights. Evaluation looks beyond the scale to the broader clinical picture, including relevant testing and other risk factors.
A gut-friendly Ayurvedic diet includes warm meals, digestive spices, fermented foods, and avoiding cold or processed foods.
Researchers do not attribute insulin resistance to one universal cause. Genetics, physical inactivity, excess adiposity, some medications, sleep patterns, and certain medical conditions can all contribute to risk (2).
Insulin resistance can improve substantially in many people. Improving sleep, movement, and nutrition may support better insulin sensitivity, with weight reduction or medical treatment added when appropriate. Some patients also require medication.
“Reversed” should not be interpreted as a guaranteed permanent cure, and ongoing monitoring may still be appropriate.
Research suggests that gut microbes and the compounds they produce may interact with glucose metabolism, intestinal-barrier function, and inflammatory pathways. Scientists are actively studying these relationships, but microbiome changes do not explain every case of insulin resistance (1).
The gut microbiome is the community of microorganisms and their genetic material within the gastrointestinal tract. These organisms interact with food, the intestinal environment, and immune pathways. Researchers continue to study their roles in digestive and metabolic health.
SIBO stands for small intestinal bacterial overgrowth. It can be associated with bloating, abdominal discomfort, diarrhea, or constipation. Because these symptoms have many possible causes, SIBO should not be diagnosed on symptoms alone.
“Leaky gut” is a common term for increased intestinal permeability. Changes in intestinal-barrier function occur in recognized medical conditions, but “leaky gut syndrome” is not an established explanation for every digestive or systemic symptom.
IBS involves recurring abdominal symptoms and bowel changes without the visible intestinal damage seen in inflammatory bowel disease. Crohn’s disease and ulcerative colitis are inflammatory bowel diseases that can cause intestinal inflammation and may require ongoing specialist treatment (5).
Stress can influence gastrointestinal motility, appetite, eating patterns, and sleep. Stress hormones also participate in glucose regulation. Persistent symptoms or abnormal glucose findings should still be medically evaluated rather than attributed to stress alone.
Sleep patterns can influence metabolic regulation, particularly when sleep is consistently inadequate or disrupted. Controlled studies have found that sleep disruption can reduce measures of insulin sensitivity, which is one reason sleep may be considered during metabolic evaluation (3).
Health Coaching
Our approach is holistic, integrative, and personalized. We combine functional medicine, nutrition counseling, stress management, and lifestyle coaching to create a customized plan that fits your unique health needs. You’ll also have access to a team of experts, including doctors, dietitians, and holistic practitioners, for a truly comprehensive experience.
Not at all. Health coaching is for anyone looking to improve their well-being, create better habits, or optimize their health. Whether you need support with digestion, energy levels, hormone balance, weight management, or overall wellness, coaching provides personalized strategies to help you achieve your goals.
The length of your coaching journey depends on your goals, needs, and progress. Some people benefit from a few sessions to establish new habits, while others prefer ongoing support to create lasting lifestyle changes. Your coach will help determine the best timeline for your personal wellness plan.
Health coaching focuses on sustainable, science-backed strategies rather than quick fixes. Instead of restrictive dieting, coaching helps you understand your metabolism, nutritional needs, and lifestyle factors that affect weight. By making gradual, personalized adjustments, you can create lasting changes that support long-term weight balance.
Yes! Chronic stress and poor sleep disrupt hormones, digestion, and energy levels. Health coaching includes practical techniques like breathwork, mindfulness, and sleep hygiene adjustments to help you create a more restful, balanced lifestyle that supports overall well-being.
Nutrition counseling focuses specifically on diet, meal planning, and addressing nutrient deficiencies, while health coaching takes a broader approach by incorporating habit-building, mindset shifts, movement, stress management, and behavior change strategies to create sustainable health improvements.
Ghrelin increases hunger and leptin helps you feel full. Balancing them supports healthy weight and appetite control.
Eat protein, sleep well, reduce stress, avoid sugar spikes and include healthy fats at each meal.
Healthy fats support brain health, hormones, energy and heart health. Examples include olive oil, avocado and nuts.
Most people use 500–1,000 mg of curcumin daily, depending on health goals.
Yes, pre workout carbs help fuel energy, improve performance, and support recovery during intense exercise.
The ketogenic (keto) diet is a low carb, high fat eating plan that shifts the body into burning fat for fuel.
A family health coach helps families build healthier routines through improved nutrition, stress management, daily habits and personalized wellness plans.
A coach provides support for energy management, stress reduction, meal planning and creating consistent family routines.
A health coach brings structure, personalized guidance and accountability that helps families build long term healthy habits.
Inflammation
Yes, turmeric and its active compound curcumin help lower inflammation and support joint, gut and brain health.
Chronic inflammation can contribute to heart disease, diabetes, autoimmune conditions, hormonal imbalance, and premature aging.
Fried foods, sugary treats, processed snacks and excess alcohol can raise inflammation and contribute to weight gain.
Watermelon, cucumbers, berries, leafy greens and herbs like mint support hydration and lower inflammation.
Functional medicine often investigates the drivers of chronic inflammation, including metabolic imbalance, gut dysfunction, stress physiology, and environmental exposures.
Acute inflammation is a short-term protective response that helps the body respond to injury or infection. Persistent inflammatory activity continues beyond that immediate response and may occur in connection with an ongoing health condition.
The contributors vary from person to person. A clinician may look for an underlying medical condition while also considering metabolic health, daily habits, and other factors that could be influencing inflammatory activity.
Fatigue, discomfort, digestive changes, and other ongoing concerns can occur with inflammatory conditions, but these symptoms are not specific to inflammation. Similar symptoms can have unrelated causes, which makes medical evaluation important.
Tests such as CRP or ESR can provide information about inflammatory activity in certain clinical situations. An abnormal result does not explain why inflammation is occurring, so the finding needs to be interpreted as part of the broader medical picture.
Yes. The digestive tract and immune system are closely connected, and some gastrointestinal diseases involve well-established inflammatory processes. Changes in the intestinal microbiome may also affect immune signaling, although a microbiome result alone cannot diagnose systemic disease.
Psychological stress can influence immune signaling, but its effects vary among individuals. Stress should therefore be considered as one possible influence rather than assumed to explain persistent symptoms or abnormal laboratory findings.
Sleep disturbance has been associated with changes in some measures of inflammatory activity. Because sleep also affects recovery and metabolic health, persistent sleep problems may deserve attention as part of a broader evaluation.
Inflammatory signaling and impaired metabolic function can influence one another. Addressing metabolic problems such as poor glucose regulation may therefore support broader health without assuming that inflammation is the sole cause.
Mediterranean-style eating patterns have some of the strongest evidence for supporting cardiometabolic health and healthier inflammatory profiles. Individual recommendations should still reflect a person’s medical and digestive needs.
A systems-based evaluation can help determine how different aspects of a patient’s health may be interacting. At hol+, this approach complements appropriate conventional diagnosis and treatment rather than replacing it.
Persistent or unexplained symptoms deserve medical evaluation, especially when they are worsening or interfering with daily life. Sudden or severe symptoms should be assessed promptly rather than attributed to inflammation without further investigation.
Immune Health
Turmeric helps calm inflammation and may support immune response, making it a useful supportive remedy during flu.
Yes, holistic remedies support the body with herbal blends, warm fluids, rest and immune boosting foods.
A viral infection may temporarily flare autoimmune symptoms due to increased immune activity.
Ginger turmeric cinnamon elderberry and lemongrass teas are commonly used herbal drinks for symptom support.
Warm herbal tea broth honey lemon water and ginger infusions help soothe the throat and reduce congestion.
Strong sleep habits, good hand hygiene, a nutrient rich diet, regular exercise, and immune supporting supplements help reduce cold risk.
Warm fluids (water, herbal tea), rest, honey with lemon, steam inhalation, and light soups can ease cold symptoms and support recovery.
Herbal teas (with ginger, turmeric, licorice), vitamin-rich soups, hydration, adequate rest, and immune-supportive nutrients may help reduce severity and duration.
Yes. Ginger has anti-inflammatory and warming properties that can soothe sore throat, reduce congestion, and relieve nausea.
A combination of vitamin C, elderberry and ginger tea at the first sign of symptoms may help slow the progression.
Absolutely – keeping hydrated helps thin mucus, supports detox, reduces throat irritation, and helps the body fight infection.
Some herbs like astragalus, elderberry, echinacea, and garlic are used traditionally for their immune-supportive and mild antiviral properties.
Vitamin C supports immune function and may reduce the severity of symptoms, especially when taken early in the illness.
Gargling with warm salt water, drinking warm teas, honey-lemon drinks, and staying hydrated help reduce throat irritation.
Yes. Warm soups with vegetables, lean proteins, spices like ginger or turmeric support hydration, nutrition, and ease digestion during illness.
Very important. Frequent hand washing, sanitizing surfaces, and avoiding close contact with sick people greatly reduces infection risk.
Yes. Chronic stress weakens immune function; managing stress through sleep, mindfulness, relaxation and balanced lifestyle supports long-term immunity.
Yes – eat a nutrient rich diet, get enough sleep, manage stress, stay active, support gut health with probiotics / fiber, and get regular moderate sun exposure for vitamin D.
Yes. Sleep helps the immune system regenerate, reduces inflammation, and supports faster recovery.
Functional medicine supports immunity through gut healing protocols, nutrient testing, stress management, anti inflammatory nutrition, and targeted supplements.
Lactoferrin supports immunity by binding harmful microbes, reducing inflammation and promoting a balanced gut microbiome.
Stool tests food sensitivity panels microbiome mapping and inflammation markers help identify gut problems affecting immunity.
Saline rinses, warm herbal teas, humidifier use, and honey lemon mixtures are helpful natural options.
Cold pressed black seed oil may support immune function due to its antioxidant and anti inflammatory compounds.
Yes. A diet rich in vitamin C, zinc, antioxidants, lean protein, and plenty of fluids supports immune function and recovery.
Yes. Breathing warm, moist air helps loosen mucus, ease nasal congestion, and soothe irritated airways.
Yes. It’s often best to avoid processed foods, excessive sugar, heavy fried meals, and alcohol, as they can stress digestion and immunity.
Yes, strong digestion, balanced doshas and herbs like amla and tulsi enhance immune strength.
Learn how to soothe a sore throat naturally – herbal teas, honey, saltwater gargles, and other remedies that reduce irritation, ease pain, and support healing.
Yes. Probiotics help maintain healthy gut flora which supports immunity and may reduce digestive side effects during illness or antibiotic use.
Rest is important, and gentle movement (like stretching, walking) can help circulation – but avoid intense workouts until fully recovered.
Focus on rest hydration warm foods gentle herbal support and monitoring symptoms with guidance from a healthcare provider.
Act quickly with hydration zinc vitamin C herbal teas steam inhalation and extra sleep to shorten cold duration.
Elderberry ginger turmeric honey garlic and echinacea are commonly used natural options for cold and flu relief.
Warm teas herbal steams honey lemon blends ginger shots and zinc rich foods can help soothe symptoms.
Cold & Flu Prevention
Herbal teas (with ginger, turmeric, licorice), vitamin-rich soups, hydration, adequate rest, and immune-supportive nutrients may help reduce severity and duration.
Yes – eat a nutrient rich diet, get enough sleep, manage stress, stay active, support gut health with probiotics / fiber, and get regular moderate sun exposure for vitamin D.
Yes. Chronic stress weakens immune function; managing stress through sleep, mindfulness, relaxation and balanced lifestyle supports long-term immunity.
Very important. Frequent hand washing, sanitizing surfaces, and avoiding close contact with sick people greatly reduces infection risk.
Yes. Warm soups with vegetables, lean proteins, spices like ginger or turmeric support hydration, nutrition, and ease digestion during illness.
Gargling with warm salt water, drinking warm teas, honey-lemon drinks, and staying hydrated help reduce throat irritation.
Vitamin C supports immune function and may reduce the severity of symptoms, especially when taken early in the illness.
Some herbs like astragalus, elderberry, echinacea, and garlic are used traditionally for their immune-supportive and mild antiviral properties.
Absolutely – keeping hydrated helps thin mucus, supports detox, reduces throat irritation, and helps the body fight infection.
Yes. Breathing warm, moist air helps loosen mucus, ease nasal congestion, and soothe irritated airways.
Turmeric helps calm inflammation and may support immune response, making it a useful supportive remedy during flu.
Yes. Ginger has anti-inflammatory and warming properties that can soothe sore throat, reduce congestion, and relieve nausea.
Focus on rest hydration warm foods gentle herbal support and monitoring symptoms with guidance from a healthcare provider.
Warm fluids (water, herbal tea), rest, honey with lemon, steam inhalation, and light soups can ease cold symptoms and support recovery.
Strong sleep habits, good hand hygiene, a nutrient rich diet, regular exercise, and immune supporting supplements help reduce cold risk.
Warm herbal tea broth honey lemon water and ginger infusions help soothe the throat and reduce congestion.
Ginger turmeric cinnamon elderberry and lemongrass teas are commonly used herbal drinks for symptom support.
A viral infection may temporarily flare autoimmune symptoms due to increased immune activity.
Saline rinses, warm herbal teas, humidifier use, and honey lemon mixtures are helpful natural options.
Yes, holistic remedies support the body with herbal blends, warm fluids, rest and immune boosting foods.
A combination of vitamin C, elderberry and ginger tea at the first sign of symptoms may help slow the progression.
Warm teas herbal steams honey lemon blends ginger shots and zinc rich foods can help soothe symptoms.
Elderberry ginger turmeric honey garlic and echinacea are commonly used natural options for cold and flu relief.
Act quickly with hydration zinc vitamin C herbal teas steam inhalation and extra sleep to shorten cold duration.
Leaky Gut
Ayurveda supports leaky gut healing with ghee, Triphala, licorice, gut-healing herbs, and anti-inflammatory diets.
Yes Ayurvedic herbs like licorice, Amla, neem, turmeric, and Triphala help heal the gut lining and reduce inflammation.
Yes, collagen contains amino acids like glycine and glutamine that help repair the gut lining.
Yes, collagen contains amino acids like glycine and glutamine that help repair the gut lining.
Liver Health
Common signs include fatigue, bloating, sluggish digestion, headaches, hormonal imbalance, and brain fog.
Hydration, liver friendly juices, castor oil packs, and antioxidant rich foods can give your liver a quick reset.
Longevity and Anti-Aging
We take a functional, science-backed approach that goes beyond surface-level aging concerns. By assessing cellular health, hormone balance, and metabolic function, we develop personalized plans incorporating advanced diagnostics, regenerative therapies, IV drips, and holistic wellness strategies to optimize vitality and long-term health.
Start using anti-aging products in your mid-20s to early 30s, as this is when collagen production begins to decrease.
For best results, use light chemical peels every 4-6 weeks; however, stronger peels may require longer intervals and professional guidance.
Yes, combining treatments like moisturizers, serums, and SPF is standard, but consult a dermatologist when mixing aggressive treatments like peels and retinoids.
To help reduce skin aging, protect skin from the sun, avoid smoking, eat a balanced diet, stay hydrated, and maintain consistent sleep patterns.
Look for products containing retinol, hyaluronic acid, peptides, and antioxidants such as Vitamin C.
Gentle exfoliation 1-2 times per week is beneficial, depending on your skin type. Over-exfoliating can damage the skin, especially as it becomes more sensitive with age.
Yes, proper hydration can help maintain skin’s elasticity and combat dryness, enhancing overall skin health.
Mineral sunscreens with SPF 30 or higher are ideal, especially tinted formulations to address hyperpigmentation.
Yes, using a light moisturizer with SPF in the morning and a more decadent, restorative cream at night can address different skin needs throughout the day and night.
Aging is slowed by strong digestion, low inflammation and daily rejuvenation practices.
Yes, wellness shots with vitamin C, glutathione, turmeric, and probiotics may help brighten skin and reduce inflammation.
It depends on your skin tone, location, time outside and SPF use. Many people still need supplements.
Around 10–20 minutes on arms and legs midday, depending on skin type, is often enough.
Mental Health
Cortisol regulation and burnout recovery vary by person. Some patients respond well to sleep supplements, changes in nutrition, and stress recovery habits. Others need more time, especially when chronic stress is connected to inflammation, hormone imbalance, poor sleep, or long-term burnout.
Integrative sleep medicine combines medical evaluation with whole-person support for sleep health. At hol+, that may include functional medicine, nutrition, lifestyle medicine, acupuncture, mind-body care, and testing-informed treatment planning. The goal is to improve sleep naturally while supporting the whole-body patterns that shape recovery.
Natural sleep aids may help some people, but they are not always enough for chronic insomnia. If sleep problems keep returning, the body may be responding to a deeper physiological pattern rather than a bedtime issue alone. hol+ helps patients move beyond trial-and-error by building sleep support around clinical evaluation.
Testing depends on the patient’s symptoms, history, and clinical needs. A provider may recommend labs related to hormones, thyroid function, metabolism, inflammation, nutrient status, cortisol rhythm, or gut health. The purpose of testing is to help guide a more personalized treatment plan rather than rely on symptoms alone.
Sleep gives the body time to repair, regulate hormones, support immune function, and restore cognitive energy. When sleep is consistently poor, patients may notice fatigue, brain fog, irritability, cravings, lower stress tolerance, or changes in weight management. Improving sleep health can support broader wellness, especially when the underlying contributors are properly evaluated.
Yes. Stress can keep the body in a high-alert state even when a person feels tired. This may make it harder to fall asleep, stay asleep, or wake feeling restored. hol+ looks at stress and sleep together because nervous system regulation and cortisol rhythm can strongly influence sleep quality.
Yes. Hormones influence the body’s sleep rhythm and its ability to recover overnight. When that signaling shifts, sleep may feel lighter, more restless, or less restorative. At hol+, hormone health is evaluated within the broader sleep picture so clinicians can understand how endocrine patterns may be interacting with thyroid function, stress response, and metabolic health.
Chronic insomnia often develops when the body has trouble shifting into a stable sleep rhythm. At hol+, clinicians look for the deeper physiological patterns that may be keeping the nervous system alert at night or preventing sleep from feeling restorative.
Sleep, regular exercise, balanced meals, stress reduction, and a steadier daily routine may help some people manage mood swings. When symptoms keep returning, a deeper evaluation can help identify what is making mood regulation harder.
hol+ helps patients move beyond generic advice by building care around their health history, symptoms, and underlying physiology.
Functional medicine may help when mood changes seem connected to whole-body patterns rather than one isolated emotional concern. hol+ evaluates mood regulation in the context of the patient’s health history, symptoms, and lab findings when testing is appropriate.
This care does not replace emergency support, therapy, or psychiatric treatment when those are needed. It can help patients better understand the physiological factors that may be affecting emotional wellness.
Chronic stress can keep the body in a high-alert state. Over time, this may affect cortisol rhythm, sleep quality, cravings, inflammation, and emotional regulation.
hol+ supports stress resilience through personalized care that may include lifestyle medicine, mind-body support, acupuncture, nutrition, and recovery planning.
Yes. Poor sleep can make mood changes feel stronger and harder to recover from. It may also affect cortisol rhythm, appetite, and hormone signaling.
Sleep support at hol+ begins by looking at why rest is disrupted, not just how many hours a patient spends in bed.
Gut health can affect emotional wellness through the gut-brain connection. When digestion, nutrient absorption, or inflammation patterns are disrupted, some patients notice more brain fog, fatigue, or mood instability.
hol+ may evaluate gut health as part of a broader mood-disorder assessment.
Yes. Hormonal changes can influence emotional regulation, sleep, energy, and stress tolerance. Some patients notice mood changes before their period, after childbirth, or during perimenopause and menopause.
Hormone testing may help clarify whether endocrine patterns are contributing to mood instability.
Mood swings can have everyday triggers, but they may also reflect changes in how the body is regulating stress, hormones, sleep, or energy. When the pattern keeps returning or feels harder to recover from, a deeper evaluation can help clarify what may be driving the change.
At hol+, clinicians look for underlying contributors rather than assuming every mood change has the same cause.
We take a functional, science-backed approach that goes beyond surface-level aging concerns. By assessing cellular health, hormone balance, and metabolic function, we develop personalized plans incorporating advanced diagnostics, regenerative therapies, IV drips, and holistic wellness strategies to optimize vitality and long-term health.
Cortisol testing may include multi-point salivary cortisol, which can show how cortisol levels change throughout the day. hol+ may also recommend broader functional medicine testing when symptoms suggest deeper root-cause patterns. This helps your clinician understand cortisol in context instead of treating one lab result in isolation.
Yes. Chronic stress can disrupt the HPA axis, which helps regulate the body’s stress response. When stress remains elevated, it may affect cortisol regulation and contribute to changes in energy, mood, sleep, and reproductive hormone patterns.
High cortisol symptoms may include having trouble sleeping, feeling anxious, or craving sugar more often. Some people also experience brain fog, irritability, or stress-related weight changes. Symptoms can point to a possible pattern, but testing is needed to better understand cortisol levels and daily cortisol rhythm.
High cortisol may contribute to weight gain by affecting appetite, cravings, and blood sugar balance. Many people notice more belly fat during long periods of chronic stress, especially when poor sleep is also involved. Still, weight changes can have many causes, so cortisol should be evaluated as part of a broader medical picture.
Learn how improving sleep can boost metabolism – quality rest supports hormone balance, insulin sensitivity, energy regulation, and healthier weight management.
Yes – remedies like magnesium, tart cherry, chamomile, and L-theanine can support deeper, more restful sleep.
Adaptogens are herbs like ashwagandha, rhodiola and holy basil that help the body handle stress.
Yes, they may reduce anxiety, improve mood and support brain function.
Yes, even 2–5 minutes of calm activities can quickly lower stress hormones.
Mini-moments are short breaks that help reset the nervous system through breathwork, stretching or mindfulness.
By balancing gut health, reducing toxins and supporting a calm, focused mind.
AMA can lead to mental cloudiness, lack of focus, and feelings of emotional instability or depression.
Yes, a Pitta imbalance can lead to stress, anger, irritation, and over-critical behavior, impacting mental well-being.
Holistic medicine considers mental health as interconnected with physical and spiritual health, often incorporating techniques like meditation, counseling, and holistic therapies.
Nutrition
Yes, low vitamin D can impact dopamine production and lead to low motivation, fatigue and mood issues.
Magnesium glycinate, L-theanine, ashwagandha, melatonin, and glycine support calm, sleep, and metabolic balance.
It’s a formulation designed to help manage metabolism, appetite, blood sugar, and hormonal triggers behind weight gain.
Yes – ingredients like magnesium, ashwagandha, inositol, and probiotics can regulate cortisol, insulin, and estrogen levels.
Yes – lists typically include metabolism boosters (green tea), thermogenics, appetite regulators (fiber), adaptogens, probiotics, and hormone-supporting nutrients.
Weight management supplements support metabolism, appetite control, blood sugar balance, fat burning, and hormonal regulation.
Full spectrum has all plant compounds, broad spectrum has no THC and isolate is pure CBD.
Look for third-party testing, organic hemp, clean extraction and the right type – full spectrum, broad spectrum or isolate.
Kiwi, tart cherry, almonds, turkey, chamomile tea, and magnesium-rich foods promote relaxation and stable blood sugar.
Yes – greens, spirulina, chlorella, adaptogens, and fiber-rich blends help reduce cravings and improve metabolism naturally.
Yes. A diet rich in vitamin C, zinc, antioxidants, lean protein, and plenty of fluids supports immune function and recovery.
Cold brew typically contains more caffeine because it is steeped longer and is more concentrated.
Cold brew is less acidic and often easier on the stomach but both provide similar caffeine and antioxidant benefits.
Fried foods, sugary treats, processed snacks and excess alcohol can raise inflammation and contribute to weight gain.
The ketogenic (keto) diet is a low carb, high fat eating plan that shifts the body into burning fat for fuel.
Yes, pre workout carbs help fuel energy, improve performance, and support recovery during intense exercise.
Nutrition counseling focuses specifically on diet, meal planning, and addressing nutrient deficiencies, while health coaching takes a broader approach by incorporating habit-building, mindset shifts, movement, stress management, and behavior change strategies to create sustainable health improvements.
Olive oil, avocado oil, coconut oil and flaxseed oil offer good fats that support heart and brain health.
No. Grain-free eliminates all grains, while gluten-free only removes gluten-containing grains.
Going grain-free may reduce inflammation, improve digestion, support weight loss and balance blood sugar.
Eat protein, sleep well, reduce stress, avoid sugar spikes and include healthy fats at each meal.
Ghrelin increases hunger and leptin helps you feel full. Balancing them supports healthy weight and appetite control.
Spinach, kale, arugula, Swiss chard and collard greens are top choices for daily nutrition.
Greens provide vitamins, minerals, fiber and antioxidants that support digestion, immunity, energy and detoxification.
It is a way of eating that focuses on whole foods, healthy fats, fiber and antioxidants to reduce chronic inflammation.
Berries, leafy greens, turmeric, ginger and fatty fish help calm inflammation naturally.
It helps balance blood sugar, supports weight loss, boosts cellular repair and improves hormonal balance.
Intermittent fasting is an eating pattern that cycles between eating and fasting windows to improve metabolism, energy and fat loss.
Mixing pink salt with warm water is believed to support hydration, digestion, and mineral balance.
Leafy greens, citrus fruits, warm herbal teas, and antioxidant-rich foods support spring detox wellness.
Ayurveda nutrition focuses on matching food choices with your dosha type to support digestion and balance.
Eat only when hungry, avoid distractions, choose seasonal foods, and avoid mixing incompatible food combinations.
Supplements
Look for third-party testing, organic hemp, clean extraction and the right type – full spectrum, broad spectrum or isolate.
Full spectrum has all plant compounds, broad spectrum has no THC and isolate is pure CBD.
Weight management supplements support metabolism, appetite control, blood sugar balance, fat burning, and hormonal regulation.
Yes – lists typically include metabolism boosters (green tea), thermogenics, appetite regulators (fiber), adaptogens, probiotics, and hormone-supporting nutrients.
Yes – ingredients like magnesium, ashwagandha, inositol, and probiotics can regulate cortisol, insulin, and estrogen levels.
It’s a formulation designed to help manage metabolism, appetite, blood sugar, and hormonal triggers behind weight gain.
Magnesium glycinate, L-theanine, ashwagandha, melatonin, and glycine support calm, sleep, and metabolic balance.
Weight and Metabolic Health
Research suggests that gut microbes and the compounds they produce may interact with glucose metabolism, intestinal-barrier function, and inflammatory pathways. Scientists are actively studying these relationships, but microbiome changes do not explain every case of insulin resistance (1).
Obesity is a chronic disease associated with biological, environmental, behavioral, and other factors. It can raise the risk of type 2 diabetes and cardiovascular disease. Metabolic health, however, cannot be determined from weight alone.
Nutrition can affect both digestive function and metabolic health, but the right approach depends on the patient’s condition and overall needs. A single “metabolic diet” is not appropriate for everyone.
No. Digestive evaluation depends on the symptoms and suspected condition. In some cases, standard medical testing may be more useful than stool or microbiome analysis. Routine commercial microbiome testing also has important clinical limitations (6).
Testing may include fasting glucose, A1C, lipids, and other markers selected according to medical history and risk. Insulin, thyroid markers, nutrient testing, or additional cardiovascular evaluation may also be appropriate for some patients.
Hormonal signals can affect how the body uses energy and regulates glucose, with downstream effects on appetite and body composition. Conditions such as PMOS may also involve insulin resistance. Hormone testing should be selected according to symptoms and medical history.
Sleep patterns can influence metabolic regulation, particularly when sleep is consistently inadequate or disrupted. Controlled studies have found that sleep disruption can reduce measures of insulin sensitivity, which is one reason sleep may be considered during metabolic evaluation (3).
Stress can influence gastrointestinal motility, appetite, eating patterns, and sleep. Stress hormones also participate in glucose regulation. Persistent symptoms or abnormal glucose findings should still be medically evaluated rather than attributed to stress alone.
IBS involves recurring abdominal symptoms and bowel changes without the visible intestinal damage seen in inflammatory bowel disease. Crohn’s disease and ulcerative colitis are inflammatory bowel diseases that can cause intestinal inflammation and may require ongoing specialist treatment (5).
“Leaky gut” is a common term for increased intestinal permeability. Changes in intestinal-barrier function occur in recognized medical conditions, but “leaky gut syndrome” is not an established explanation for every digestive or systemic symptom.
SIBO stands for small intestinal bacterial overgrowth. It can be associated with bloating, abdominal discomfort, diarrhea, or constipation. Because these symptoms have many possible causes, SIBO should not be diagnosed on symptoms alone.
The gut microbiome is the community of microorganisms and their genetic material within the gastrointestinal tract. These organisms interact with food, the intestinal environment, and immune pathways. Researchers continue to study their roles in digestive and metabolic health.
Weight loss refers specifically to reducing body weight. Weight management takes a longer-term view, with the goal of reaching or maintaining a clinically appropriate weight while supporting metabolic health.
Insulin resistance can improve substantially in many people. Improving sleep, movement, and nutrition may support better insulin sensitivity, with weight reduction or medical treatment added when appropriate. Some patients also require medication.
“Reversed” should not be interpreted as a guaranteed permanent cure, and ongoing monitoring may still be appropriate.
Researchers do not attribute insulin resistance to one universal cause. Genetics, physical inactivity, excess adiposity, some medications, sleep patterns, and certain medical conditions can all contribute to risk (2).
Insulin resistance means that cells do not respond to insulin as effectively as they should. The pancreas may compensate by producing more insulin. Over time, blood glucose can rise and progress to prediabetes or type 2 diabetes in some people (2).
Yes. Metabolic concerns such as insulin resistance can occur across a wide range of body weights. Evaluation looks beyond the scale to the broader clinical picture, including relevant testing and other risk factors.
Metabolic problems do not always cause noticeable symptoms. Some people experience changes in energy or appetite, while others first learn about a concern through routine blood work or other clinical findings.
Metabolic health refers to the body’s ability to regulate processes involving glucose, insulin, lipids, energy use, and related cardiovascular risk. Body composition can be relevant, but metabolic health cannot be determined from weight alone.
Functional medicine for PCOS (PMOS) focuses on identifying and treating the specific drivers behind your symptoms, insulin resistance, inflammation, stress, or a post-pill rebound, rather than suppressing symptoms with the pill alone. This root-cause holistic approach is how hol+ helps women improve cycles, metabolism, skin, and fertility.
PCOS (PMOS) is a leading cause of ovulatory infertility because irregular or absent ovulation makes conception harder. However, it is also one of the more treatable causes. Restoring ovulation through root-cause metabolic and hormonal care helps many women conceive, with or without additional fertility support.
There is no single PCOS (PMOS) diet, but most women benefit from a low-glycemic, anti-inflammatory, protein-forward pattern that stabilizes blood sugar and insulin, the central metabolic driver of PCOS (PMOS). The right approach depends on your pattern and labs, which is why hol+ personalizes nutrition rather than prescribing a generic plan.
PCOS (PMOS) is a chronic condition rather than something that is permanently “cured,” but its symptoms can very often be significantly improved, and cycles, metabolism, and fertility restored, by addressing root causes like insulin resistance, inflammation, and stress. Many women see meaningful change with a targeted, root-cause plan.
A full thyroid panel may include TSH, free T4, free T3, reverse T3, thyroid antibodies, and related markers when clinically appropriate. Your clinician determines which tests fit your diagnosis.
hol+ offers physician-supervised GLP-1 care from its Atlanta practice, at every hol+ location, and virtually, so root-cause metabolic care is accessible wherever you are. Schedule an appointment or book a free 15-minute consultation to see if GLP-1 therapy fits your goals.
Yes. hol+ offers peptide and GLP-1 stacks – for example, pairing a GLP-1 with BPC-157 to ease GI side effects or AOD-9604 to support fat metabolism. These combinations are personalized and physician-supervised.
Yes. Every GLP-1 protocol is physician-led and includes lab testing, precise dose titration, lean-mass preservation, and ongoing monitoring. This lowers the risk of side effects, plateaus, and rebound that can come from accessing these medications without proper testing or follow-up.
GLP-1 is naturally produced in the gut, which means gut health is metabolic health – a disrupted microbiome can blunt your response to the medication. hol+ establishes a baseline through advanced lab testing of blood sugar, inflammation, hormones, and nutrient status to uncover what’s really driving your symptoms.
Not necessarily. Some patients use GLP-1 therapy as a temporary metabolic reset, while others benefit from longer-term support for insulin resistance or chronic metabolic dysfunction. hol+ builds a clear plan that includes a structured exit or maintenance strategy to help preserve your results.
hol+ prescribes semaglutide (Ozempic/Wegovy) and tirzepatide (Mounjaro/Zepbound), plus compounded semaglutide through licensed 503B pharmacies when appropriate. A natural, microbiome-based GLP-1 support protocol is also available for patients who prefer a non-pharmaceutical path or want to prepare their body first.
hol+ never starts with the prescription. A four-layer root-cause protocol first addresses gut health, hormones, and inflammation, so the medication works more effectively, with fewer side effects and more sustainable results. Read more about our Power RX® methodology.
GLP-1 medications like Ozempic and Wegovy (semaglutide) and Mounjaro and Zepbound (tirzepatide) mimic a natural gut hormone that regulates blood sugar, appetite, and digestion. Under medical supervision, they can improve insulin sensitivity, reduce appetite and food noise, support fat loss, and lower cardiometabolic risk.
No. Some patients need thyroid medication or conventional medical treatment. hol+ may support patients through root-cause evaluation and integrative care while coordinating with medication needs when appropriate.
Yes. Thyroid hormones help regulate metabolism and energy use. Hypothyroidism may contribute to weight gain or weight resistance, while hyperthyroidism may contribute to unexplained weight loss. Weight changes may also involve blood sugar, stress, sleep, and other hormones.
TSH is an important marker, but it does not always show the broader systems that may contribute to symptoms. Comprehensive thyroid testing may provide more context when symptoms persist or prior labs do not explain the full picture.
Lean PCOS refers to PCOS in women who are not overweight. It can be harder to recognize because it doesn’t fit the stereotype, but insulin resistance and elevated androgens are often still present beneath a normal weight. A functional medicine evaluation looks for these drivers regardless of body size.
Stress can influence thyroid health through cortisol rhythm, sleep, blood sugar balance, inflammation, gut health, and immune activity. Long-term stress may also affect thyroid conversion and metabolic resilience.
Graves’ disease is an autoimmune thyroid disease commonly associated with hyperthyroidism. It may lead to symptoms such as anxiety, palpitations, heat intolerance, tremors, sleep disruption, and unexplained weight changes. It requires medical evaluation and monitoring.
Hashimoto’s disease, also called Hashimoto’s thyroiditis, is an autoimmune thyroid disease that can gradually reduce thyroid function. It is the most common cause of hypothyroidism in the U.S. Testing may show elevated thyroid antibodies, including TPO antibodies. Symptoms include fatigue, weight gain, hair thinning, cold intolerance, mood changes, and brain fog.
Thyroid problems often develop from more than one source. For some patients, the pattern is driven by autoimmunity or inflammation. For others, thyroid function may be shaped by nutritional, hormonal, digestive, or hereditary factors.
Some peptide therapies are marketed or used for metabolic purposes, but evidence, regulatory status, and clinical indications vary substantially by product. hol+ may discuss peptide therapy when medically appropriate and available rather than treating peptides as a standard part of metabolic care.
Yes, as part of appropriate medical diabetes care. Lifestyle changes can support diabetes management, but they do not replace appropriate glucose monitoring or medical treatment.
Functional medicine looks at metabolic concerns in the context of the broader health picture, including factors that may affect digestion and metabolic regulation. At hol+, that systems-based evaluation is physician-led and used alongside conventional medical assessment.
InBody uses bioelectrical impedance analysis to estimate aspects of body composition, including body fat and lean mass. It can provide information beyond scale weight, although results should be interpreted alongside the broader clinical picture.
Pregnancy and postpartum recovery can affect metabolism as hormonal shifts and changes in sleep influence energy and glucose regulation. Previous gestational diabetes or postpartum thyroid changes may also shape metabolic health during this stage.
GLP-1 receptor agonists and related medications can be appropriate for some patients with obesity, overweight plus certain health risks, or type 2 diabetes, depending on the medication. Treatment requires individualized medical evaluation and ongoing monitoring.
Yes. Natural extracts like berberine, green tea, cinnamon, and ashwagandha help regulate insulin, appetite, cortisol, and inflammation.
Common vitamins include B-vitamins, vitamin D, magnesium, and chromium—nutrients that support metabolism and hormonal health.
Typically a blend of protein, fiber, greens, adaptogens, or metabolic herbs to support satiety and steady energy.
Possible effects include digestive discomfort, headaches, or sleep changes depending on sensitivity to its herbal ingredients.
Some women report mild benefits for metabolism and mood; results vary, and it may have side effects like bloating or headaches.
Certain peptides can support fat loss, appetite control, and energy levels when used under medical supervision.
Yes, many functional medicine programs use herbs, adaptogens, Ayurvedic blends, and whole-food extracts.
It’s a formulation designed to help manage metabolism, appetite, blood sugar, and hormonal triggers behind weight gain.
Berberine, green tea, ginger, cinnamon, CLA, probiotics, and MCT oil are among the most researched.
Yes – ingredients like magnesium, ashwagandha, inositol, and probiotics can regulate cortisol, insulin, and estrogen levels.
Look for berberine, green tea extract, chromium, L-carnitine, probiotics, fiber, magnesium, and adaptogens like ashwagandha.
It’s coffee infused with herbs or extracts like green tea, garcinia, or MCT oil that help boost metabolism and reduce cravings.
Magnesium, inositol, omega-3s, ashwagandha, turmeric, DIM, and probiotics help support estrogen, cortisol, and insulin balance.
Most packs include a fat burner, metabolic booster, protein or fiber supplement, probiotic, and a hormone-balancing nutrient like magnesium or ashwagandha.
Yes – lists typically include metabolism boosters (green tea), thermogenics, appetite regulators (fiber), adaptogens, probiotics, and hormone-supporting nutrients.
Top options include green tea extract, chromium, berberine, fiber blends, probiotics, protein, magnesium, ashwagandha, and CLA.
Weight management supplements support metabolism, appetite control, blood sugar balance, fat burning, and hormonal regulation.
Strains like Lactobacillus gasseri, Bifidobacterium lactis and Lactobacillus rhamnosus may support fat metabolism and gut balance when combined with healthy habits.
Cold black coffee can support metabolism due to caffeine but results depend on overall lifestyle.
Encourage whole foods, limit processed snacks, prioritize movement, create structured mealtimes, and model healthy habits at home.
They may include metabolism boosters, gut health supplements, detox blends, and hormone-friendly support formulas.
A weight-loss wellness shot typically includes apple cider vinegar, ginger, green tea extract, and metabolism-boosting nutrients.
Yes by improving metabolism, reducing cravings and matching diet to your dosha.
Magnesium glycinate, L-theanine, ashwagandha, melatonin, and glycine support calm, sleep, and metabolic balance.
Common signs include irregular or absent periods, difficulty losing weight, acne along the jaw and chin, unwanted hair growth, scalp hair thinning, sugar cravings, and difficulty conceiving. Because these overlap with thyroid and other conditions, an accurate diagnosis matters. hol+ evaluates the full pattern rather than assuming.
The old name focused on ovarian cysts, which are not always present and are not the core of the condition. Research confirmed the real issue is a multi-system hormonal and metabolic imbalance affecting metabolism, mental health, and reproduction. The new name, Polyendocrine Metabolic Ovarian Syndrome, describes the condition more accurately. A three-year transition is underway.
In 2026, PCOS was officially renamed PMOS, Polyendocrine Metabolic Ovarian Syndrome, through a global consensus of more than 50 organizations, including the Endocrine Society, published in The Lancet. The change reflects that PCOS is a whole-body metabolic and endocrine condition, not simply an ovarian one. PCOS and PMOS are the same condition.
PCOS (polycystic ovary syndrome) is a common hormonal and metabolic condition in women, marked by some combination of irregular or absent ovulation, elevated androgens (causing acne, unwanted hair growth, or hair thinning), and often insulin resistance. Despite the name, many women with PCOS do not have ovarian cysts.
A consistent sleep schedule, evening screen limits, protein-rich dinners, dim lighting, meditation, and no caffeine after 2 PM help improve sleep for better weight management.
Chronic stress raises cortisol, which disrupts sleep and increases fat storage – especially around the belly.
Frequent nighttime waking interferes with deep sleep cycles, slowing metabolism and increasing appetite the next day.
Kiwi, tart cherry, almonds, turkey, chamomile tea, and magnesium-rich foods promote relaxation and stable blood sugar.
Yes – better sleep lowers cortisol and reduces stress-related abdominal fat storage.
Most adults need 7–9 hours nightly to regulate hunger, hormones, and metabolism.
Health coaching focuses on sustainable, science-backed strategies rather than quick fixes. Instead of restrictive dieting, coaching helps you understand your metabolism, nutritional needs, and lifestyle factors that affect weight. By making gradual, personalized adjustments, you can create lasting changes that support long-term weight balance.
Yes – chronically poor sleep increases appetite, belly fat, insulin resistance, and inflammation.
Learn how improving sleep can boost metabolism – quality rest supports hormone balance, insulin sensitivity, energy regulation, and healthier weight management.
Quality sleep supports thyroid health, blood sugar regulation, and calorie-burning efficiency.
Poor sleep disrupts hunger hormones like ghrelin and leptin, increasing cravings and slowing metabolism.
Elevated cortisol from chronic stress can increase belly fat, slow metabolism and trigger cravings making weight loss more difficult.
Women often benefit from ingredients that support hormones metabolism and digestion such as probiotics fiber magnesium and green tea.
Certain probiotic strains may influence fat storage appetite hormones and gut balance which can support healthy weight.
Integrative weight management combines nutrition lifestyle medicine functional testing and targeted supplements to support long term results.
Holistic weight management focuses on sleep stress digestion hormones nutrition and movement instead of relying on calorie restriction alone.
Yes – greens, spirulina, chlorella, adaptogens, and fiber-rich blends help reduce cravings and improve metabolism naturally.
GLP-1
GLP-1 medications like Ozempic and Wegovy (semaglutide) and Mounjaro and Zepbound (tirzepatide) mimic a natural gut hormone that regulates blood sugar, appetite, and digestion. Under medical supervision, they can improve insulin sensitivity, reduce appetite and food noise, support fat loss, and lower cardiometabolic risk.
hol+ never starts with the prescription. A four-layer root-cause protocol first addresses gut health, hormones, and inflammation, so the medication works more effectively, with fewer side effects and more sustainable results. Read more about our Power RX® methodology.
hol+ prescribes semaglutide (Ozempic/Wegovy) and tirzepatide (Mounjaro/Zepbound), plus compounded semaglutide through licensed 503B pharmacies when appropriate. A natural, microbiome-based GLP-1 support protocol is also available for patients who prefer a non-pharmaceutical path or want to prepare their body first.
Not necessarily. Some patients use GLP-1 therapy as a temporary metabolic reset, while others benefit from longer-term support for insulin resistance or chronic metabolic dysfunction. hol+ builds a clear plan that includes a structured exit or maintenance strategy to help preserve your results.
GLP-1 is naturally produced in the gut, which means gut health is metabolic health – a disrupted microbiome can blunt your response to the medication. hol+ establishes a baseline through advanced lab testing of blood sugar, inflammation, hormones, and nutrient status to uncover what’s really driving your symptoms.
Yes. Every GLP-1 protocol is physician-led and includes lab testing, precise dose titration, lean-mass preservation, and ongoing monitoring. This lowers the risk of side effects, plateaus, and rebound that can come from accessing these medications without proper testing or follow-up.
Yes. hol+ offers peptide and GLP-1 stacks – for example, pairing a GLP-1 with BPC-157 to ease GI side effects or AOD-9604 to support fat metabolism. These combinations are personalized and physician-supervised.
hol+ offers physician-supervised GLP-1 care from its Atlanta practice, at every hol+ location, and virtually, so root-cause metabolic care is accessible wherever you are. Schedule an appointment or book a free 15-minute consultation to see if GLP-1 therapy fits your goals.