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Our functional medicine approach customized to you

Dr. Nields begins with what you want out of your life. Then he measures what your body is doing, narrows it to the few things worth changing, and writes you a plan. You retest, and the plan moves with your results.

AND AGAIN01Set02Measure03Strengthen04Narrow05Build06RetestThe sourceYOUR READING

We look for the source

Most medicine treats what has already gone wrong. Dr. Nields works upstream instead, looking for what is causing it in the first place. That is where the practice gets its name. It is also why the first conversation is about your life, and why the testing goes well past an annual physical.

We seek to find the Headwaters of Health, the source of health.

Step 1

Set the goal

What do you want out of this life?

Before he measures anything, Dr. Nields asks what you want your life to look like. Without that, a plan is only a list of tests.

We believe each individual has a unique talent set and experience that should guide us into the best life. This is where you find your flow and are best able to enjoy success. Once we define that, we can align our life efforts to achieve the most important goals.

It is a strange question for a doctor to open with. It is also the one that makes the rest of it work: two people with the same results rarely want the same decade, and the plan is built toward what you said you wanted.

Step 2

Measure your own biology

What's your terrain?

Advanced testing covers biological aging, cellular and mitochondrial function, metabolic and vascular health, hormones, genetic and epigenetic markers, and the load from everything you have been exposed to.

We are all unique and there is no one-size-fits-all plan for optimal health. The ways to understand what is particular to you include genetics, epigenetics (how your genes are expressed), the microbiome, the exposome, cellular function and advanced biomarkers. We leave no stone unturned.

A standard annual panel looks for disease. It answers whether something is wrong today, and it does that well. What it cannot tell you is which direction you are heading, and that is the question most people arrive with.

The baseline here is wider, and Dr. Nields chooses it for you. It reads how old your body is behaving rather than how old you are, how your cells produce energy, and what your metabolism and blood vessels do under load. Your hormones are read as a pattern over time, not on a single morning. It also accounts for what thirty years of living somewhere has left in you. Where the picture calls for it, that extends to quantitative EEG and brain mapping.

Step 3

Strengthen the foundations

Nutrition, movement, sleep, stress, toxin burden and targeted supplementation account for most of the result. Testing shows which of them is costing you.

Most of what decides the next decade is unglamorous and already known: what you eat, how you move, how you sleep, what weight you are under, what you are exposed to. No protocol outruns those.

Testing first is not a way of skipping past them. It is how Dr. Nields finds which one is costing you, because they are not equally broken in everybody. Being told to sleep more is worth nothing if sleep is not your problem.

Once the foundation is in place, the advanced work has something to act on. That is where IV nutrition, bioregulator peptides, detoxification support and circadian rhythm optimization belong, alongside nutrition and exercise built from your own results. The regenerative side of the practice sits here too: hyperbaric treatment, inhaled hydrogen, PRP and stem cell therapies, NAD and mitochondrial support, hormone and thyroid optimization, and infrared light therapy. Your testing decides which of these you need, and in what order.

Step 4

Narrow it to what moves the needle

How can we optimize these facets of your physiology to achieve all of your goals?

Dr. Nields tells you which two or three things would change your trajectory the most, and which can wait a year.

What works in your life? Together we design creative personalized action plans that will move you to your goals.

A full panel produces more findings than any person can act on. Handing a patient forty numbers and a list of everything that could be optimized is how a plan dies in a drawer.

So what you leave with is short. Two or three things, in order, that would make the most difference from where you are now, and a straight answer about what can wait until the next retest.

Step 5

Build your plan

Dr. Nields writes your plan from your own results and the latest research, and he is plain about what the evidence supports and what it does not.

This field moves quickly, and a good deal of what it sells is ahead of its evidence. Following the research closely is as much about knowing what it does not support yet as what it does.

You get the plan in writing and in plain language: what the testing found, what he thinks is driving it, and the first things to do about it, in order. It is yours to keep, and it is what your next set of results gets read against.

That includes telling you when something you have read about is not worth your money yet.

Step 6

Retest and adjust

Dr. Nields retests your numbers and rebuilds the plan around what actually changed.

This is the part an annual physical does not do. He measures, he builds the plan on what the measurements say, and then he measures again to find out whether it worked.

It is also what makes the earlier steps worth doing properly. A baseline you never go back to is only a snapshot. The point of taking one is to have something to measure against later.

Not sure where to start?

We can talk you through what your care would look like within your first call with us.