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Hippocrates once said “all disease begins in the gut”. We are now seeing how true this statement really is.  There are many foundational systems that depend on good gut health to function well. For instance, 80% of an individual’s immune system is found in the GI tract, and up to 90% of serotonin is produced there as well. Therefore, we often see that poor gut health complicates and worsens other conditions including mental health disorders, immune dysregulation, hormone dysregulation, among others.  We absorb nutrients in our gut; if our gut is inflamed or not functioning properly, key minerals and vitamins will not be absorbed and utilized.  We need these key cofactors for basic biochemical processes in our body.

Because we believe so strongly in the importance of gut health, nearly all Inner Garden Health patients undergo a thorough GI evaluation.  The tests commonly used to workup and treat gut health may include serum, stool analysis and breath testing. Due to the interactions of the GI tract with multiple other systems in the body, most functional evaluations and treatments are foundationally anchored to the health of the gut.  If the gut is not functioning properly, it is more difficult- if not impossible- to achieve wellness within other bodily systems.

• GERD, Inflammatory Bowel Disease
• Irritable Bowel Syndrome
• Food Allergies / Intolerances
• Dysbiosis

Today, 1 in 12 suffer from an autoimmune disease in the United States, disproportionately affecting women in middle age. It represents one of the fastest growing group of chronic disease in modern time.  The immune system is closely linked to mental health, endocrine function, cardiovascular health and growth and repair. Autoimmune diseases are conditions in which a person’s immune system mistakenly attacks their own body.  The body loses the ability to differentiate self from non-self.  Some potential factors that have been shown to increase the body’s susceptibility to autoimmunity include: dysbiosis, heavy metals, chronic infections, environmental toxins, mineral and vitamin deficiencies, neuro endocrine disruptors, among others.  

The approach to any autoimmune disease is individualized due to the multiple causes for immune system dysregulation.  The overall goal is to identify and remove the factor that is causing the immune system to become upregulated.  Oftentimes there are multiple factors, which is why a systems biology based approach is necessary.

• Hashimoto’s Hypothyroidism
• Lupus
• Rheumatoid Arthritis
• Psoriasis
• Sjogren’s Syndrome

Skin is the largest organ in the body.  As physicians we look for clues in the skin when evaluating internal disease.  It is no surprise that oftentimes treating the skin means uncovering and treating root causes of inflammation, imbalance and nutrient deficiencies.

Therefore, evaluating hydration, gut health, hormone health, nutrition, stress and sleep habits are foundational to the treatment plan for skin disorders.

• Eczema
• Psoriasis
• Dermatitis
• Chronic hives
• Allergies

Nearly every woman we see reports some degree of difficulty sleeping, anxiety or depression.  This is not surprising, as about 1 in 5 adults suffer from at least one of these ailments.

Insomnia, depression and anxiety are disruptions in brain health.  This means that an evaluation of factors that affect brain health is at the foundation of the assessment.  This may include evaluations of nutrition, physical exercise, environmental toxins, spiritual health, genetic predispositions, vitamin and mineral deficiencies, gut health and interpersonal relationships.

A functional approach includes an evaluation of gut health, female hormones, adrenal function, thyroid disease and vitamin deficiencies.  Lifestyle and dietary analysis are crucial to reduce inflammation and stabilize the mood and blood sugar. A truly multi-faceted approach is necessary to optimize brain health for the long term.

• Insomnia
• 'Brain fog'
• Anxiety
• Depression
• Inattention Disorders

The key components of cardiovascular risk reduction include inflammation reduction and improving metabolic health.  Key biomarkers are analyzed to stratify risk and assess for lipoprotein status as well as arterial wall inflammation (eg Lp(a)-P, hs CRP, Lp-PLA2, homocysteine and myeloperoxidase).

Treatment and risk reduction is centered around lifestyle changes to incorporate inflammation reducing eating plans, stress reduction, and resolution of root causes of inflammation. This may include evaluation of gut health, toxin exposure and hormone analysis.

• Hypertension
• Hyperlipidemia
• Sleep Apnea
• Metabolic Syndrome
• Heart Disease
• Diabetes