VYBRANT LIFESTYLE MEDICINE

Membership Fees

$99 enrollment fee (one time fee)

  • $89 monthly fee (ages 12-40) 
  • $99 monthly fee (ages 40-60)
  • $149 monthly fee (ages 60 and above or functional medicine services, does not include the Vybrant gut healing protocol or the Detox protocol)

Discounts:

10% discount on all IV infusions and labs.

Annual membership discount of 5%

Family of 3 or more gets a 5% total discount

Membership Benefits 

  • Unlimited visits from the  list of included services (in person or telemedicine in Florida). 
  • Preventive care for healthcare maintenance (integrated approach of conventional and holistic medicine)
  • Holistic approach to your medical care
  • High quality individualized care
  • Dietary/nutritional counseling
  • House calls (for an additional price)**
  • Opportunity to develop a rapport with your medical provider 
  • Easy to reach a medical provider by phone or email from 8 am to 9 pm.
  • Avoidance of emergency room/urgent care wait times for simple acute care visits. 
  • Priority for appointments.
  • No hidden fees, transparent pricing 
  • 1 Annual Physical Exam (does not include labs).
  • Convenience of labs drawn in office.
  • Discounted rates for labs and imaging.
  • Acute care visits.

Acute Care Visits May Include:

  • Upper respiratory infection 
  • Sore throat 
  • Headache 
  • Urinary symptoms and pregnancy test
  • Rash
  • Muscle aches
  • Minor allergic reaction
  • Dehydration
  • Exercise fatigue
  • Heartburn/Acid reflux
  • Ear pain and Ear wax removal
  • Minor laceration repair
  • Suture removal
  • Minor abscess incision and drainage
  • Basic visual testing
  • Tuberculosis or PPD testing

House-Calls available to our members  for acute visits only, but pricing is not included in the membership monthly price: Pricing depends on travel time but usually varies between $350 and $550 (not including supplies used). Please contact the office by phone or email for more information.

Non Members

If you choose “not” to enroll in our membership, below is a breakdown of prices for each visit (additional pricing can be found when booking an appointment on our website): 

Lifestyle medicine/Annual Physical exam visit (in office or telemedicine) $205.00
Follow-up visit (in office or telemedicine) $125.00

Integrative Medicine Initial visit $315

Integrative Medicine follow up visit $225

Nutrition consult- Initial visit $275

Nutrition consult- Follow up visit $195

Meal Planning: $75

Acute care visits without procedure (in office or telemedicine) $125.00

Other Services Offered

Medical Marijuana Consult

Performed by our Medical Doctor.

Comprehensive Stool Analysis

The GI Effects Comprehensive Stool Profile can reveal important information about the root cause of many common gastrointestinal symptoms such as gas, bloating, indigestion, abdominal pain, diarrhea, and constipation. This stool analysis utilizes biomarkers such as fecal calprotectin to differentiate between Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome (IBS).

The biomarkers on the GI Effects Comprehensive Profile reflect the 3 key functions of gut health

Digestion/Absorption:

    • Pancreatic Elastase-1 is a marker of exocrine pancreatic function.
    • Products of Protein Breakdown are markers of undigested protein reaching the colon.
    • Fecal Fat is a marker of fat breakdown and absorption.

Inflammation/Immunology:

      • Calprotectin is a marker of neutrophil-driven inflammation. Produced in abundance at sites of inflammation, this biomarker has been proven clinically useful in differentiating between Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome (IBS).
      • Eosinophil Protein X is a marker of eosinophil-driven inflammation and allergic response.
      • Fecal Secretory IgA is a marker of gut secretory immunity and barrier function.
      • Fecal Occult Blood Test detects hidden blood; fecal immunochemical testing (FIT) has been recommended by the American College of Gastroenterology as the preferred noninvasive test for colorectal cancer screening/detection.

      Gut Microbiome:

      • Metabolic indicators, including short-chain fatty acids and beta-glucuronidase, demonstrate specific and vital metabolic functions performed by the microbiota.
      • Commensal Bacteria demonstrate the composition and relative abundance of gut organisms.
      1. More than 95% of commensal gut organisms are anaerobic and are difficult to recover by traditional (aerobic) culture techniques.
      2. GI Effects assesses a set of 24 genera/species that map to 7 major phyla.
      • Bacterial and mycology cultures demonstrate the presence of specific beneficial and pathological organisms.
      • Bacterial and mycology sensitivities are provided for pathogenic or potentially pathogenic organisms that have been cultured. The report includes effective prescriptive and natural agents.
      • Parasitology includes comprehensive testing for all parasites on every parasitology exam ordered.

      1. GI Effects provides microscopic fecal specimen examination for ova and parasites (O&P), the gold standard of diagnosis for many parasites.

      2. 6 Polymerase chain reaction (PCR) targets detect common protozoan parasites including Blastocystis spp., Cryptosporidium parvum/hominis, Cyclospora cayetanensis, Dientamoeba fragilis, Entamoeba histolytica, and Giardia. PCR for organisms is emerging as a highly sensitive method for infectious organism detection.

      3. Selection of a one-day or three-day sample collection is based on the clinician’s clinical index of suspicion for parasitic infection. If there is no/low suspicion, a one-day sample will likely be adequate. For high suspicion, a three-day sample collection is optimal.

      Additional Biomarkers Available:

        • Campylobacter
        • Clostridium difficile
        • Escherichia coli
        • Fecal Lactoferrin
        • Helicobacter pylori
        • Macro Exam for Worms
        • Zonulin Family Peptide
        • KOH Preparation for Yeast

      Digestion/Absorption:

        • Pancreatic Elastase-1 is a marker of exocrine pancreatic function.
        • Products of Protein Breakdown are markers of undigested protein reaching the colon.
        • Fecal Fat is a marker of fat breakdown and absorption.

                   Inflammation/Immunology:

          • Calprotectin is a marker of neutrophil-driven inflammation. Produced in abundance at sites of inflammation, this biomarker has been proven clinically useful in differentiating between Inflammatory Bowel Disease (IBD) and Irritable Bowel Syndrome (IBS).
          • Eosinophil Protein X is a marker of eosinophil-driven inflammation and allergic response.
          • Fecal Secretory IgA is a marker of gut secretory immunity and barrier function.
          • Fecal Occult Blood Test detects hidden blood; fecal immunochemical testing (FIT) has been recommended by the American College of Gastroenterology as the preferred noninvasive test for colorectal cancer screening/detection.

            Gut Microbiome:

            • Metabolic indicators, including short-chain fatty acids and beta-glucuronidase, demonstrate specific and vital metabolic functions performed by the microbiota.
            • Commensal Bacteria demonstrate the composition and relative abundance of gut organisms.
            1. More than 95% of commensal gut organisms are anaerobic and are difficult to recover by traditional (aerobic) culture techniques.
            2. GI Effects assesses a set of 24 genera/species that map to 7 major phyla.
            • Bacterial and mycology cultures demonstrate the presence of specific beneficial and pathological organisms.
            • Bacterial and mycology sensitivities are provided for pathogenic or potentially pathogenic organisms that have been cultured. The report includes effective prescriptive and natural agents.
            • Parasitology includes comprehensive testing for all parasites on every parasitology exam ordered.

            1. GI Effects provides microscopic fecal specimen examination for ova and parasites (O&P), the gold standard of diagnosis for many parasites.

            2. 6 Polymerase chain reaction (PCR) targets detect common protozoan parasites including Blastocystis spp., Cryptosporidium parvum/hominis, Cyclospora cayetanensis, Dientamoeba fragilis, Entamoeba histolytica, and Giardia. PCR for organisms is emerging as a highly sensitive method for infectious organism detection.

            3. Selection of a one-day or three-day sample collection is based on the clinician’s clinical index of suspicion for parasitic infection. If there is no/low suspicion, a one-day sample will likely be adequate. For high suspicion, a three-day sample collection is optimal.

            Additional Biomarkers Available:

              • Campylobacter
              • Clostridium difficile
              • Escherichia coli
              • Fecal Lactoferrin
              • Helicobacter pylori
              • Macro Exam for Worms
              • Zonulin Family Peptide
              • KOH Preparation for Yeast

      Allergy and Sensitivity Testing (blood test)

      IgG (Sensitivity) testing: Can test for foods, spices and herbs

      IgE (Allergy) testing: Can test for foods, molds, inhalants.

      Celiac profile testing also available

      Important things to know and consider 

       

      • If testing for food antibodies, it is suggested that the patient eat a variety of foods for 2-3 weeks prior to food antibody testing (except for foods that are known to cause severe reactions). Doing so will help to ensure the presence of antibodies to allergenic foods. 
      • The following medications may impact the antibody test: Glucocorticosteroids (e.g., oral prednisone and/or steroid metered-dose inhaler), chemotherapy, immunosuppressive agents (e.g., Humira, Rituxan) and NSAIDS (e.g., Ibuprofen, Naproxen, Tylenol, Aspirin). 
      • Non-interfering factors to the antibody test: antibiotics, antihistamines, and antidepressants. 
      • Test may be inaccurate if the patient has liver damage or HIV infection.

      Urine Heavy Metal Testing (by Genova labs)

        The Toxic Element Clearance Profile (TECP) is a toxic exposure profile that measures urinary excretion of 20 potentially harmful toxic metals. In addition to measuring classic elemental toxins such as mercury and lead, this profile includes elements used in medical, aerospace, nuclear, and high-tech electronic industries. Identifying exposure to these metals, then minimizing continued exposure is crucial for clinical improvement.

        When should testing for toxic elements be considered?

        Occupational and industrial exposure, or exposure through various hobbies may put patients at higher risk for toxicity. Those most at risk include workers in industries such as metal refining, alloying, parts manufacturing in aerospace and machine tools, electronics and computer manufacturing, welding, plumbing, construction, oil refining, mining, waste disposal, pesticide manufacturing and application, pigment and coating manufacturing, petrochemical production, dentistry, firearms and ammunition, and work with glass, dyes, ceramics, or paints.

        In addition to occupational exposures, everyday activities may put patients at risk of increased exposure to toxic metals: proximity to the above-mentioned industries where groundwater and air contamination can distribute metals, smoking, living in homes with older wells, pipes, and building materials, consumption of foods known to be contaminated with metals (seafood, rice), taking supplements from manufacturers lacking good manufacturing practice (GMP), use of personal care products and cosmetics, taking certain medications, exposure to emissions and exhaust fumes, and exposure to paints, dental amalgams, and fireworks.