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727-446-1097

chronic disease management

Comprehensive, lifestyle-focused care for chronic conditions across every organ system – using advanced testing, personalized treatment plans, and ongoing support to help you feel better, prevent complications, and improve long-term health.

We manage a wide range of chronic and complex conditions including metabolic disorders, cardiovascular disease, lung disease, digestive disorders, thyroid and hormonal concerns, joint pain and osteoarthritis, neurologic symptoms, cognitive decline and dementia support, sleep disorders (including hypersomnia and insomnia), vitamin deficiencies, mental health conditions, autoimmune screening, and more. Our approach blends thoughtful medication use with real lifestyle strategies, precision testing, specialty referrals when needed, and programs like health coaching, Chronic Care Management (CCM), and Remote Patient Monitoring (RPM) to support sustainable change.

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What Makes Our Approach Different

Healthcare professional reviewing health data with a patient on a laptop

Lifestyle-Focused, Root-Cause Care

We do not just treat symptoms. We look for underlying drivers such as nutrition, stress, sleep, inflammation, and metabolic health. Your care plan is practical, realistic, and tailored to your daily life.

Patient at home using a WatchPAT device for sleep apnea testing

Advanced Testing and Early Detection

We use tools like continuous glucose monitoring, WatchPAT home sleep studies, TrioSmart breath testing, InBody body composition, and advanced CardioIQ labs to assess your health far beyond standard screening.

Hand holding a laboratory test results sheet with common blood tests listed

We Are Picky With Your Lab Results

“Normal” is not always optimal. We evaluate thyroid, insulin, lipids, inflammation, micronutrients, and early autoimmune markers using clinical-optimal ranges, helping to catch issues earlier and guide better long-term decisions.

Person holding a medications and supplements list with an orange pill bottle

Medication When Needed, Deprescribing When Possible

We use medication to stabilize symptoms and protect your health when necessary. As your underlying health improves, we work toward reducing or stopping medications when it is safe to do so.

Female clinician and male patient reviewing blood pressure trend graph on a tablet

Support Beyond the Visit

When appropriate, we offer health coaching, Chronic Care Management (CCM), Remote Patient Monitoring (RPM), and educational tools to help you stay on track between visits and feel supported in your day-to-day life.

Two physicians in white coats reviewing patient information together on a tablet

Integrated Care With Specialists

We coordinate with cardiology, gastroenterology, neurology, sleep medicine, endocrinology, and other specialists. Our goal is to make sure your care plan is aligned, comprehensive, and truly centered on you.

Chronic Conditions We Help Manage

We care for a wide range of chronic and complex conditions across multiple organ systems. Our focus is on early detection, root-cause evaluation, and long-term lifestyle support, while coordinating with specialists when needed.

Metabolic & Endocrine

Prediabetes and Type 2 diabetes
Insulin resistance and metabolic syndrome
Metabolic associated fatty liver disease (MAFLD)
Thyroid disorders (hypothyroid, Hashimoto’s, subclinical thyroid)
PCOS and menstrual-related metabolic concerns
Vitamin D, B12, iron/ferritin and other nutrient deficiencies
Hair loss evaluation related to thyroid, iron, hormones and stress
Screening for early autoimmune conditions

Cardiovascular & Kidney

High blood pressure (hypertension)
High cholesterol and advanced lipid disorders
Cardiovascular and vascular disease risk assessment
Use of CardioIQ® and other advanced cardiometabolic labs
Chronic kidney disease monitoring

Lung & Sleep

COPD and chronic lung disease
Obstructive sleep apnea (WatchPAT home testing)
Asthma management in the context of chronic disease*
Hypersomnia and insomnia
Other sleep difficulties affecting daytime function

Digestive & Gut Health

Irritable bowel syndrome (IBS)
SIBO with TrioSmart breath testing when appropriate
Chronic bloating and gas
GERD / reflux
Chronic constipation and irregular bowel habits

Brain, Nerves & Mental Health

Migraines and chronic headaches
Minor concussion follow-up and symptom monitoring
Cognitive changes and dementia support
Anxiety and depression related to chronic illness
Sleep, stress and lifestyle factors impacting mood and cognition

Joints, Skin & Lifestyle Factors

Osteoarthritis and chronic joint pain
Common skin conditions influenced by metabolic health (acne, rosacea, seborrheic dermatitis)
Smoking and nicotine cessation support
Alcohol reduction and harm-reduction strategies
Weight-related concerns and joint stress (with dedicated weight management options)

*Allergy, asthma, eczema and other immunology-focused conditions are also evaluated and treated in our dedicated Allergy & Immunology section of the practice.

Diagnostic Tools and Monitoring

We use modern tools to better understand your metabolic health, sleep, cardiovascular risk, digestion and body composition. These tests help us catch problems earlier, personalize your treatment plan, and track progress over time.

Man scanning Freestyle Libre sensor with a smartphone

Continuous Glucose Monitoring (CGM)

We use continuous glucose monitoring with systems like Freestyle Libre and LibreView to evaluate glucose patterns, insulin resistance, and how your daily choices affect your metabolic health.

Patient using a WatchPAT home sleep apnea testing device

WatchPAT Home Sleep Testing

For suspected sleep apnea, we offer at-home testing with the WatchPAT device, allowing you to sleep comfortably while gathering accurate breathing and oxygen data.

Person using the TrioSmart SIBO breath test device

TrioSmart Breath Testing for SIBO

For chronic bloating, IBS-like symptoms, or suspected SIBO, the TrioSmart breath test measures hydrogen, methane, and hydrogen sulfide gases to guide individualized treatment.

InBody body composition analyzer displaying results

InBody Body Composition Analysis

InBody analysis helps us track muscle mass, visceral fat, skeletal muscle index and overall body composition — providing far more insight than weight alone.

Detailed cardiometabolic lab report including LDL particle number and ApoB

Advanced Cardiometabolic Labs

We order comprehensive advanced labs such as CardioIQ to evaluate LDL particle number, ApoB, Lp(a), hs-CRP, and insulin resistance markers for a complete metabolic picture.

Clinician reviewing blood pressure trends with a patient on a tablet

Additional Monitoring and Home Data

We may also review home blood pressure logs, wearable data, remote patient monitoring, and lifestyle metrics to help guide treatment and follow-up.

Coverage note: We make every effort to use insurance when possible. Continuous glucose monitors (CGMs) may not be covered for patients without diabetes, and TrioSmart SIBO testing may not be covered by all plans. We will review any potential out-of-pocket costs before ordering.

Our Treatment Philosophy

Chronic disease care works best when medications, lifestyle and monitoring all support each other. We are comfortable starting medication when needed to get things under control, and just as comfortable working to reduce or stop medications when your health allows.

Step 1

Stabilize and Help You Feel Better

We begin with a detailed history, exam and review of prior records. If your blood pressure, blood sugar, sleep or symptoms are unsafe or significantly impacting your life, we start appropriate medications and short-term treatments while we gather more data.

Step 2

Find Root Causes and Build a Plan

Using advanced labs, tools like CGM, sleep testing, TrioSmart and body composition analysis, we look for the “why” behind your condition. Then we design practical changes in nutrition, movement, sleep, stress and habits that fit your real life.

Step 3

Support, Adjust and Deprescribe When We Can

Over time, we adjust medications, monitor progress and, when it is safe, work toward lowering doses or stopping medicines altogether. We stay in touch through follow-up visits and, when appropriate, programs like health coaching, CCM and RPM.

Tools and Programs We May Use

Medication management for diabetes, blood pressure, cholesterol and thyroid conditions
Referrals to in-office health coaching for lifestyle change and accountability
Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) for additional support

Weight management membership and metabolic health programs when appropriate
Coordination with cardiology, GI, neurology, sleep medicine and other specialists
Collaboration with our Allergy, Asthma, Immunology and Hormone services when conditions overlap

Our goal is always the same: help you understand your condition, feel better day-to-day, and lower your long-term risk of complications in a way that is sustainable for you.

What to Expect at Your Visit

Whether you're new to our practice or checking in for ongoing chronic disease care, we want you to feel comfortable, informed, and supported. Here’s what your visit typically includes:

Step 1

Review of Your Concerns and Symptoms

We begin by understanding your day-to-day symptoms, medical and family history, lifestyle, stressors, and what you’ve already tried. You’ll have time to share your concerns without feeling rushed.

Step 2

Thorough Evaluation & Examination

We review blood pressure, weight trends, medications, and any prior labs or imaging. When needed, we order advanced labs, CGM, sleep testing, GI testing, or body composition to get a full picture.

Step 3

A Personalized, Actionable Plan

Together we create a plan that may include medication, lifestyle adjustments, nutrition changes, stress management, supplements, referrals, and follow-up testing.

Step 4

Follow-Up & Long-Term Support

We check in regularly to track progress, adjust your plan, and—when appropriate—reduce or stop medications. CCM, RPM, and in-office health coaching provide extra support between visits when needed.

Chronic Disease Management FAQs

Here are answers to some of the most common questions we hear about chronic disease care, testing, and follow-up at our office.

Do I have to already have a diagnosis to be seen?

No. Many patients come to us with symptoms such as fatigue, weight changes, bloating, headaches, blood pressure concerns, or abnormal labs and are not sure what is going on yet. We can help with both diagnosing and managing chronic conditions.

Are continuous glucose monitors (CGMs) covered by insurance?

Coverage varies by plan. CGMs are more commonly covered for patients with Type 1 or Type 2 diabetes. They may not be covered for patients without a diabetes diagnosis. If a CGM could be helpful for your care, we will review your insurance coverage and discuss any potential out-of-pocket costs before moving forward.

Is the TrioSmart SIBO breath test covered by insurance?

Some insurance plans do not cover TrioSmart testing or may cover only part of the cost. Because coverage is variable, we will talk through pricing and options ahead of time so you can make an informed decision.

Can chronic disease visits be done by telemedicine?

Certain follow-up visits and medication checks may be appropriate for telemedicine, depending on your condition and insurance coverage. Some visits still require in-person evaluation, physical exam, or testing. Our team will help you choose the best format for each visit.

How often will I need follow-up visits?

Follow-up frequency depends on the conditions we are managing and how stable things are. Early on, visits may be more frequent while we are adjusting medications and working on lifestyle changes. Once you are stable, visits are typically spaced out but still frequent enough to prevent things from slipping backward.

Do you work with my other specialists?

Yes. We regularly coordinate with cardiology, gastroenterology, neurology, sleep medicine, endocrinology and other specialists. Our goal is to make sure everyone is on the same page and that you have a clear, connected plan.

Can you help me come off of medications?

In many cases, yes—if it is safe. We cannot promise that every medication can be stopped, but improving sleep, nutrition, movement, stress and metabolic health often allows us to reduce doses or deprescribe certain medications over time. Any changes are made gradually and with close monitoring.