Physician-led care in Mission Hills and La Jolla

Symptoms & goals

Tired, foggy, or not feeling like yourself

A physician-led evaluation looks at the whole picture and separates the possible contributors instead of guessing at one product.


Fatigue is a symptom, not a diagnosis

The value of a clinician evaluation is separating the possible contributors — hormones, thyroid, sleep, metabolism, medications — instead of reaching for a single fix.

Start with the whole picture.

Back to the things you set down without meaning to
Back to the training that used to pay you back.
If testing is appropriate. Testing selected for the question being evaluated.

What can contribute to low energy.

Hormone or thyroid changes, sleep quality, metabolic and nutritional factors, medications, and health conditions can all play a part.

A clinician reviews your symptoms and history, decides whether testing is appropriate, and reads results in context.


The method, in four steps

The order is the method. A clinician reviews candidacy, history, symptoms, relevant results, risks, alternatives, and monitoring before recommending any treatment.

  1. 1

    Intake

    You tell us what feels off, in your own words, before a single test is ordered.

  2. 2

    Lab draw

    If testing is appropriate, the clinician selects the panel and explains where the draw will happen.

  3. 3

    Consultation

    A clinician reviews the clinical picture and explains which options may or may not fit.

  4. 4

    Next steps

    If care is appropriate, the clinician explains the plan, alternatives, risks, and monitoring.

Questions patients ask

Is my fatigue hormonal?
It might be, or it might be something else. A clinician evaluates the likely contributors before pointing to any one cause.
Will I have to stay on treatment forever?
Duration depends on the reason for treatment, your response, risks, preferences, and medical guidance. A clinician explains the monitoring plan and how treatment may be changed or stopped.
Do you have a location near me?
We see patients in person at two San Diego clinics: Mission Hills and La Jolla. You choose the location that is most convenient.
Does insurance cover it?
Coverage and self-pay costs depend on the service and your plan. We will walk through what is included before you commit.