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      Frequently Asked Questions

As of November 2016 we are no longer accepting new patients 

1). What type of medical care do you provide?

We deliver genetics based integrative medical treatment. While we are not a primary care provider, we do offer some options for many common health conditions as well as complex disorders. We utilize both allopathic and alternative treatment options. However, it is very important to have a full evaluation and medical work-up through your primary care provider prior to initiating genetics based therapies. It is vital to rule out serious medical conditions such as malignancy or underlying immune disorders. 

2). What does this involve?

A detailed medical history along with biochemical and genetic testing in order to provide support for the source of many health issues. Prior to testing, we evaluate each individual’s medical, surgical, social, and developmental history. This allows for a personalized treatment plan in order to support the body chemistry and organ systems. Once testing is complete, we will address fundamental vulnerabilities, which often lead to the symptoms of chronic disease. This involves the following:

  • A comprehensive medical evaluation: including several lengthy questionnaires and a 2 hour visit.

  • Genetic testing: With focus on the methylation pathway, which influences many systems within our body chemistry,often leading to illness and chronic disease.

  • Body chemistry testing such as the metabolic analysis profile/MAP (organic acids & basic methylation parameters), amino acids, stool testing, & Minerals/toxins.

  • And an extended panel evaluation for frequently encountered genetic and SNP defects such as APOE, PON1, ACE, Cytochrome P450, Folate and B-12 transport, and Mitochondrial defects.


If you are hesitant or do not feel prepared for such commitments, it may be best to wait until you are able to devote the necessary time and resources to recovery.  Remember, it takes many years to become unwell and it will also take time to regain health. Pending on your health issues, this is generally a 2-4 year process.

3). What is the genetic test and how do I take this?
The genetics testing is a one time, 30 SNP panel known as the methylation pathway. Like many genetic tests, it is a finger stick that takes approximately 8 weeks for processing. You may order this test directly @ the cost is $495 plus shipping. It is known as the DNA Methylation Pathway. (For some, 23&me testing is ideal, please see below)

For more information, please see the following links: (May need to copy & paste into your URL)

23andMe: Depending on specials, this test typically costs $199 USD (more for those overseas). This is a home saliva test, which provides more data. However, since November 2013, 23andme stopped including many of the key enzymes within the above panel (NOS-3 D298E, MTRR H595Y, MTRR S257T, MTRR 415T, BHMT 1, BHMT 4, AHCY 2, VDR Fok, & SUOX). Therefore it may not be an effective replacement for chronically ill individuals.  However, now that there are easily accessible software programs available to interpret 23andme’s data into meaningful reports, I have found this to be an exceedingly beneficial addition to the test above at DDI.  This test generally takes 8 weeks to process.

This data is easily translated through programs such as MTHFRSupport and

4). How long are my appointments?

Please contact us for more information regarding the "Flat-rate" consultations (see below # 6). Follow-­up appointments are 1 to 2 hours. At the consult we review all of your medical records, health history, and individualized needs. This provides the foundation necessary for developing an individualized regimen.

5). Will I be able to start my treatment right away?

Aside from discussing your options during the visit, you will also receive a 20 to 25 page comprehensive write up that outlines your health problems and reveals how they frequently interconnect. This plan provides highly detailed instruction and streamlines the various supports you may require.

6). What is a "Flat Rate" consultation?

This is a 15 hour comprehensive case review in which we evaluate your main health issues, previous medical records and testing, and genetic vulnerabilities. Upon mutual discussion, we devise a highly detailed individualized plan of care. Oftentimes, this will focus on the most troublesome defects rather than every block or defect. You will also receive a patient nutrigenomic guidebook that outlines the priority mutations, treatments, detoxification, and other pertinent issues. Many use the combined information from their 15-25 page personal treatment plan and the 160-­page guidebook to implement their therapies, following-­up only as needed for in-depth Q & A. Others prefer regular follow-­ups, utilizing email visits and Skype consults to adjust their protocol. 

Our goal is to provide individualized care while utilizing your resources for treatment rather than frequent follow-ups whenever possible.

7). How does this program treat chronic disease?

Our goal is to circumvent genetic vulnerabilities with dietary and nutritional supplements (and some medications) in order to enable the body chemistry to function optimally. Please see the following article in Discover Magazine as an example.

DNA is Not Destiny: The new science of epigenetics rewrites the rules of disease heredity, and identity.‐I

8). Do you fill out disability paperwork?

Only a medical provider who has had an ongoing relationship with a patient, in person, may attest to, and fill out, state medical disability forms. Your primary care provider or specialist will complete such forms. 

9). I’m interested in this evolving field of medicine yet I’m not sure about the cost, or the time involved.

Though genetics based medicine is possible for everyone, only the most committed, highly tenacious individuals should seek out such processes and treatments. Depending on the severity of illness, it is generally a 3 to 4 year process. Most require extensive genetic support and detoxification as well as periodic biochemical tests. While we take great care to streamline the process (focusing on the most essential therapies), many find this extremely time consuming and challenging to implement, particularly when severely ill.


Moreover, even while we provide a detailed, comprehensive, and highly individualized 2+-year plan following the genetics visit, this process requires a great deal of time and motivation. For those who have the resources, you may wish to follow up regularly while others prefer to follow-­up every 6 to 12 months. 

If you are hesitant or do not feel prepared for such commitments, it may be best to wait until you are able to devote the necessary time and resources to recovery. Remember, it takes many years to become unwell and it will also take time to regain health. This is generally a 2-4 year process, longer for those who have been unwell for many years.

10). Do you do any other testing?

We are able to order all of the standard and biochemical tests that you may need. Still, it is best to have the basic testing completed, prior to initiating specialty care. It is important to follow up with your primary care physician or specialist for all test results.

We have lab accounts with Genova, Great Plains, Doctor's Data, SpectraCell, LabCorp, and Quest 

Our goal is to limit testing to absolute necessities. We prefer that you spend resources on treatment and getting well rather than frequent office visits and repeated testing. However, if you have not had any baseline testing or prefer having follow up tests, it may be beneficial to have a methylation panel and other body chemistry testing.



11). What testing should I have done prior to seeking your services?

This is an advanced program. While we can order any of the routine testing, its best to have fundamental health problems evaluated first. Just as you would have had all of the standard lab tests prior to seeing a specialist within your medical group or network, it's best to have these done before starting genetics based treatment. There is a host of medical issues that can be explored via basic testing. For example, low thyroid, diabetes, and anemia can contribute to many signs and symptoms of disease and should be evaluated. 

One’s primary care provider often obtains the following tests:

  • Complete Blood Count (CBC) Comprehensive Metabolic Panel (CMP) Thyroid Hormones (TSH, T4, T3)
  • Lipid Panel (Cholesterol)
  • Prostate Levels (PSA) for men only (generally those over 40)
  • Urinalysis (U/A)
  • Iron levels (TIBC) and ferritin
  • Autoimmune/Immunological panels as required by your specialist: For those with chronic immune issues, tests such as viral & bacterial antibodies, natural killer cells, Immunoglobulin panels (IgA, IgG, IgM, IgE), IgG subclass, lupus/RA, Celiac, and other testing through your specialist or PCP

In addition, many have seen a rheumatologist, neurologist, hematologist or other allopathic specialist in order to rule out more frequently seen conditions.

12). As a patient, how do I contact you?

Our patients receive direct contact information, however, as a small practice we use Internet technology as much as possible since we do not have a full staff to answer the phone lines. For new patients, please email us at:


We also provide detailed instructions regarding new patient requirements and paperwork. We cannot fill out this paperwork for patients. Like the majority of healthcare practices, we have standard requirements for new patients and protocols for asking questions or discussing areas of concern.

13). Do you provide 24-­hour service for questions or concerns?

As an Internet based clinical practice, we utilize the best technology available yet do not have a large staff to answer phones. Typically, emails are addressed within 48 to 72 hours while critical issues are managed more urgently.

14). What is an “e-­visit”?

The email visit is designed for more expedient responses to questions or test results. You will receive a visit summary attachment via email prior to the scheduled “e-­visit” appointment date. This allows you to update your supplement/medication list as well as ask questions. You will receive thorough responses as well as comments and suggestions, particularly for all test results. Many times, you will also receive a “cheat sheet” that explains what each test result means. Depending on complexity, 8-10 questions requires 60+ minutes. 

15). Will I require supplements or medications forever?

Yes and no. Many individuals require some basic supports, particularly when significant defects and/or serious illnesses are present such as Autism, Parkinson’s, CFS/ME, etc. Nevertheless, the overwhelming majority does not require an abundance of lifelong supports, particularly once you have regained your health and lead a more healthful lifestyle. For some, this may mean taking 10 supplements while others will require 15-30 targeted nutrients.

16). Do you treat infectious sources?

Yes and no. Most patients with chronic disease have positive tests or evidence of yeast, Epstein Bar, lyme, strep, herpes, or other viruses and bacteria. The important question is, “Why do these pathogens thrive in some and not in others?” 

We now recognize that poor methylation leads to poor immunity, hence, repeated viral, yeast, bacterial, and parasitic infections. While, it may be prudent to check for positive titers in those with chronic illness, it may be even wiser to focus on the body chemistry and underlying cause. In clinical practice, we have found that those who merely target the positive titers miss out on addressing the root cause. Regrettably, this rarely leads to significant or life-­changing improvements. Even so, when infectious disease remains an issue, we use a variety of therapies to support your immune system and body chemistry rather than prescription anti-virals or antibiotics.

17). Do I have to change my lifestyle?

There are very few short-cuts for regaining your health, and this includes utilizing genetics based medicine. A clean diet and healthful lifestyle practices are absolutely essential for health and longevity, yet particularly in recovery. When chronically ill individuals are smoking, drinking alcohol, or eating fast foods and processed foods (boxed & frozen pre-made foods) they continue to add to their toxic burden. This process requires a commitment to new lifestyle choices. 

18). May I schedule for my spouse, partner, or older child?

Yes, you may schedule for a loved one, yet they must confirm from their own email address or call the office to leave a message confirming their interest in pursuing this care. This program requires a high level of motivation, perseverance, and accountability. You cannot force your loved one to follow a clean diet, take supplements, or avoid alcohol, tobacco, or drugs. Ultimately, this program is well-suited for those who are determined to regain health and are willing to put in the effort to do so. Yet many require a loved one's help to navigate the process.

19). I have severe chemical sensitivities and cannot take supplements, herbs, or medications. Will I be able to follow the program?

For those with mild chemical sensitivity, there are many options, yet this protocol is not a good fit for those with severe chemical sensitivities. Aside from following a healthful diet, you must be able to use some form of nutritional support.

20). I have simpler health issues or do not have many medical records so do not require the flat rate consultation. Do you offer a simpler option for those seeking methylation support?

Yes, please see the Make an appointment page for the methylation interpretation and treatment option at Auburn Naturopathic Medicine.

21). How can I learn more about Nutrigenomics and Methylation?

You may need to copy and paste the links into your URL

Feel Good Nutrigenomics: Your roadmap to health by Amy Yasko PhD, ND

I highly recommend this book, particularly for those new to this field of study.

Free book download: Pathways to Recovery

Heartfixer: Dr. Roberts MD, an interventional cardiologist

Richard Van Konynenburg PhD$%7Bweburl%7D

Human Genome Project Information: SNPs

Connecting the Human variome Project

Epigenetics: Agouti mice. This is an extremely important article

Dr. James’ Mind Institute Lectures are available online: See Research Priorities Panel Discussion Lecture #20 down the list & Implications of a Redox Imbalance and Oxidative Stress in Autism #23 down the list for Dr. James’ discussion. November 2006.