Practice Areas

Lifestyle disease is disease associated with the way a person lives and includes heart disease, stroke, obesity, type 2 diabetes, certain cancers, and diseases associated with smoking and alcohol and drug abuse.

RESTORE specializes in the prevention and treatment of chronic lifestyle-related health problems. We have developed a lifestyle change program that will guide you step by step through all the critical pieces needed to adopt lasting lifestyle change. Please refer to the description of our Lifestyle Change Program under the Programs page for more details.

Cardiovascular disease (CVD) refers to several conditions that affect the heart and circulatory system and includes heart disease, high blood pressure, stroke, and heart failure. One out of every 2.8 deaths in the United States is due to CVD. Even if you do not suffer from one of these health problems, research shows that poor aerobic fitness alone increases your risk of death. That is why RESTORE created the Fitness Evaluation and Strength and Movement Programs to improve your aerobic fitness. These programs, in combination with the complete Lifestyle Change Program, help to dramatically reduce your risk of CVD.

One out of three adults in the United States has high blood pressure and half of them don’t have it under control. RESTORE is one of the few clinics that offer 24-hour ambulatory blood pressure monitoring (ABPM). ABPM is known to be superior to single in-office readings for diagnosing high blood pressure as well as to see if your current medications are controlling your blood pressure throughout the day. Please refer to the description of our ABPM program under the Programs page for more details.

High cholesterol can increase your risk for many diseases including heart disease and stroke. You will hear different screening recommendations from different medical societies, which can be very confusing. The U.S. Preventive Services Task Force (USPSTF) recommends screening for high cholesterol in all men starting at age 35, in women at age 45, and those at high risk for heart disease starting at age 20. However the National Cholesterol Education Program Adult Treatment Panel (ATPIII) guidelines recommend starting screening for high cholesterol at age 20
for all adults. These differences highlight the importance of discussing what is best for you with your doctor. During your 90-minute Integrative Medicine Consult, you will not feel rushed to get all of your questions answered.

Approximately 1.5 million people are diagnosed with diabetes every year in the United States. RESTORE provides comprehensive preventative medicine screening including screening for diabetes and prediabetes. You may not know that “post parandial hyperglycemia” (long lasting elevation in blood sugar after eating) is one of the first signs of prediabetes. Many practitioners don’t test for this early sign but at RESTORE, we are dedicated to using the most evidence-based screening tools. Lifestyle change such as weight loss, exercise, and managed carbohydrate intake are the cornerstone of type 2 diabetes treatment and are all things we work through with you at RESTORE.

Insulin resistance occurs when your body can’t respond properly to the insulin it makes. Over time, this sends your blood sugar levels up. That can set you up for type 2 diabetes, as well as heart disease, but it doesn’t have to.

Our body gives us many opportunities to intervene and correct what is going wrong. This is true of both insulin resistance and metabolic syndrome. Metabolic syndrome is not a true syndrome but a combination of risk factors that increases your risk of heart disease and type 2 diabetes. These risk factors include: increased waist circumference, high blood pressure, high triglycerides, high fasting blood sugar, and low HDL cholesterol. Exercise and a good diet can help you stay healthy. At RESTORE we work with you to reverse all of these risk factors and prevent diabetes.

More than one-third of U.S. adults are obese and the rates in adults and children continue to rise. Excess weight has been linked to cancer, diabetes, heart disease, stroke, and increased risk of death.

There are many weight loss options now available, but only nourishing food and physical fitness have zero side effects with endless health benefits. That is how we want you to achieve a healthy weight at RESTORE. We will guide you through the steps of our Lifestyle Change Program to maintain a healthy weight that doesn’t rely on surgery or medications.

Neuropathy results when nerve cells, or neurons, are damaged or destroyed. There are many causes of neuropathy. When blood flow to a specific part of your body is reduced, you may experience the symptoms of poor circulation such as numbness, tingling, pain, and muscle cramps. Poor circulation results from other health issues as well, such as diabetes, blood clots, peripheral arterial disease, and obesity. Therefore, it is important to diagnose and treat the underlying causes, rather than just the symptoms.

The sooner the diagnosis of neuropathy is made and treatment is started, the greater the chance that nerve damage can be slowed or repaired. If left untreated, peripheral neuropathy can lead to permanent nerve damage.

At RESTORE, we work to diagnose the exact cause of your neuropathy symptoms and offer treatments such as nutritional counseling, customized exercise plan development, massage, acupuncture, and Infrared Light Therapy.

According to the National Osteoporosis Foundation, about one in two women and up to one in four men over the age of 50 will break a bone due to osteoporosis.

At RESTORE, we educate you regarding the risk factors that put you at higher risk for weak bones. To measure your bone health, we offer the duel-energy x-ray absorptiometry (DEXA) screening for osteoporosis available conveniently within the clinic. From there, our Exercise Physiologist will develop a weight-bearing and muscle-strengthening program tailored to your needs. Completing this holistic approach to bone health, RESTORE offers smoking cessation, moderation of alcohol intake, and fall prevention strategies. Please refer to our Bone Health Program for more details.

Rheumatoid arthritis is a disorder of unknown cause where chronic inflammation can lead to joint destruction and disability. Early recognition and aggressive management are critical to control inflammation, reduce damage, and improve outcomes. At RESTORE, our therapies are aimed at eliminating inflammation quickly, reducing pain, maintaining remission, avoiding joint injury and preserving function. We do this through a combination of medications, diet, strength and flexibility training, acupuncture and massage.

Osteoarthritis is the most common musculoskeletal condition affecting 80% of patients aged 55 years and older. Studies show that weight loss, exercise, and education programs help patients make adaptations to their limitations to reduce the disabling effects of OA. At RESTORE, we understand that these interventions are not used enough and can help avoid joint replacement surgery. Let us guide you through these steps and get you moving and feeling better.

Musculoskeletal disorders such as low back pain, neck pain, shoulder pain, elbow pain, hip pain, hand pain, and knee pain can improve without pain medication. Acupuncture,  Chinese Medicine, massage, stretching, and targeted exercise have all been shown to improve musculoskeletal pain. In addition to offering these therapies, RESTORE also offers Infrared Light Therapy shown by several studies to improve pain due to a variety of causes.

At RESTORE, we take time to discuss prostate health, testosterone deficiency and other aspects of men’s health that are important to you. We carefully review with you the latest recommendations as well as the risk and benefits of hormone replacement therapy.

About 1 in 8 U.S. women will develop invasive breast cancer over the course of her lifetime. Screening for early detection is critical. Different medical societies have different recommendations for breast cancer screening. While the U.S. Preventive Services Task Force (USPSTF) recommends screening for average risk women every 2 years starting at the age of 50, the American College of Obstetricians and Gynecologists (ACOG) recommends yearly mammograms starting at age 40. If you find this confusing, you are not alone. At RESTORE, we will discuss the pros and cons of both recommendations to help you make an informed decision regarding which screening option is best for you based on your preference and risk factors.

Along with breast health, we take time to discuss other aspects of women’s health that are important to you.

Perimenopause and menopause can be a very distressing time for women but it does not have to be. We offer evaluation for hormone deficiency and treatment with bio-identical hormone replacement therapy if deficiency is present. Additional therapies offered at RESTORE to address hormone imbalance include nutritional counseling, holistic counseling, customized exercise plan development, acupuncture, and massage.

PCOS is one of the most common endocrine disorders in young women. The main finding in patients with PCOS is menstrual irregularity with either a reduced number of menstrual cycles or lack of menstruation altogether. Patients can suffer from infertility, weight gain, and increased levels of male hormones or “androgens”. Most patients with PCOS have insulin resistance, which can lead to diabetes. Weight loss, exercise, and nutrition are the cornerstones of improving insulin resistance, promoting fertility, and reducing the level of male hormones. At RESTORE, we will focus on these interventions and help avoid the need for medications.

At RESTORE, we are truly dedicated to helping patients dealing with cancer, whether you are undergoing active treatment or are in remission. We understand the intensive support that is required but often times not available to you. Our programs are structured with you in mind and our practitioners pay special attention to your unique needs.

You will first receive a comprehensive Integrative Medicine Consultation. Our registered dietician nutritionist will complete an Integrative Nutrition Consultation and approach your nutritional needs with the understanding of side effects from treatment that may be interfering with your eating. Through our Strength and Movement Program, our exercise physiologist will design a strength and flexibility program tailored to your abilities. The goal will be to continue to improve your level of fitness so that you can get back to doing the things that you love. Through our Holistic Counseling Program, our licensed professional counselor will address the emotional toll that your diagnosis has had and help improve your resiliency while working to reduce your anxiety or depression related to your diagnosis.

Our specially certified massage therapists will provide Oncology Massage and Manual Lymphatic Drainage Massage. Acupuncture services are available to help lessen the side effects of cancer treatment as well as allow the body to continue to heal. We will work with your Oncologist to ensure that they approve of all RESTORE treatments that are recommended.

Your digestive system can be a powerful source of problems that affect your entire body. Whether it be acid reflux, peptic ulcer disease, inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), malabsorption, “leaky gut”, or Celiac disease, RESTORE focuses on these interconnections in order to develop the best treatment plan for you.

For example, in patients with Celiac disease and IBD, osteopenia and osteoporosis are common. Patients should receive calcium and vitamin D supplementation, as well as a baseline DEXA bone density scan. RESTORE also provides nutritional counseling to guide you through a gluten–free and anti-inflammatory diet, as well as psychological support for those dealing with the emotional toll of these conditions for a truly holistic approach.

We are excited to soon be offering RESTORE’s IV Nutrition Program to provide nutritional support for patients whose disease condition interferes with the absorption of key nutrients.

Colorectal cancer (CRC) is the third most common cancer and the second leading cause of cancer death in the United States. Rates of this cancer are increasing among younger adults for reasons that are not known. Researchers predict that by 2030, new cases of colon cancer will increase by 90% for people aged 20 to 34 years. The major risk factors are a family history of the disease and older age, but several other factors have been associated with increased risk, including excessive alcohol use, obesity, being physically inactive, cigarette smoking, and diet.

Despite this, only 59% of people aged 50 or older, for whom screening is recommended, reported having had a colonoscopy. At RESTORE, we will take the time to discuss the latest methods of screening available and which one is best for you in light of your risk factors and family history.
For example, you may be a candidate for screening with Cologuard®, the only stool DNA test approved by the FDA to date.

With the number of people having weight loss surgery increasing, it is important to know that up to one third of patients undergoing this surgery will have micronutrient deficiencies both before and after their procedure. Disease conditions that prevent absorption of key nutrients such as Celiac disease and IBD, also lead to nutrient deficiencies.

Growing the same crops repeatedly on the same land (called monoculture), using genetically modified foods, as well as growing foods with the use of fertilizers and pesticides, can have an effect on our food quality. This decreases the amount of nutrients that reach you through the food you eat.

At RESTORE, our nutritionist will complete an Integrative Nutrition Consult, as well as review laboratory test results, to evaluate for such deficiencies and determine the best method of replacement. We are excited to offer two different micronutrient testing. Micronutrient testing can provide an in-depth view of vitamin deficiencies, antioxidant function, malabsorption and dysbiosis markers, energy and neurotransmitter metabolism, toxin exposure, and oxidative stress.

Food sensitivity, or intolerance, is different from food allergy. You are commonly sensitive to the things you eat all the time. Things like stress, toxins and medications can cause your small intestines to become permeable or “leaky”, letting your food cross the intestinal barrier and cause an immune response.

Undiagnosed food sensitivities can cause digestion problems, moodiness, brain fog, headaches, fatigue, heartburn, joint pain, gas/bloating, and constipation. Many of these symptoms are caused by inflammation that we do not realize is occurring. At RESTORE, our physician and nutritionist will review the presence of potential food sensitivities with you and ways to improve your food related symptoms. We offer food allergy testing to allow for a targeted dietary intervention.

More than 80 different autoimmune diseases have been identified. Autoimmune diseases result from a dysfunction of the immune system in which the body attacks its own organs, tissues, and cells. Autoimmune diseases are among the 10 leading causes of death for women in every age group up to 64 years of age.

Autoimmune diseases develop in genetically susceptible individuals and can be triggered by environmental exposures including exposure to infectious agents. Lifestyle factors contribute to the development and progression of autoimmune disease. For example, nutritional factors such as antioxidants can affect immune function. Smoking has been associated with an increased risk of rheumatoid arthritis in several studies. Exposure to mercury has been shown to cause
autoimmune disease in both humans and animals.

At RESTORE, our goal is to help reduce the risk of developing autoimmune disease in susceptible people as well as provide nutritional counseling, smoking cessation counseling, massage, acupuncture, and emotional support to improve symptoms in people already dealing with an autoimmune disease.

Fatigue is a common symptom in our hectic lives, however, chronic fatigue syndrome (CFS) is fatigue that lasts for 6 months or more along with four of the following symptoms: 1) memory impairment 2) sore throat 3) tender lymph nodes 4) muscle or joint pain 5) unrefreshing sleep 6) post-exertional malaise lasting longer than 24 hours.

At RESTORE, we will work to diagnose your fatigue correctly and apply treatments that can help any category of fatigue. Additional therapies offered at RESTORE to address fatigue include customized “graded” exercise plan development, improvement of sleep quality, nutritional counseling, emotional support counseling, massage and acupuncture.

Fibromyalgia is a central pain sensitivity syndrome marked by widespread pain and tenderness where the body senses an exaggerated response to stimuli. It affects nearly 2% of the population. Physical and emotional stressors are often associated with the onset and worsening of symptoms. First-degree relatives of patients with fibromyalgia are more likely to have fibromyalgia, mood disorders, and migraines. Therapies including regular aerobic exercise, cognitive behavioral therapy, and acupuncture have been shown to be effective treatment options in place of medications and are available at RESTORE.

Approximately 90% of the population will experience headache at some time in their life. Often, recurrent headache is due to migraine and approximately 13% of adults in the United States are affected by this disabling condition. Though migraine causes aren’t completely understood, genetics and environmental factors appear to play a role.

At RESTORE, we offer therapies such as guided meditation, cognitive behavioral therapy (CBT),massage, acupuncture, and herbal medications to help alleviate symptoms. Most studies on CBT indicate that it reduces the frequency and duration of headaches. In general, the effects of CBT appear to be comparable to many drugs used for chronic headaches, and can be recommended as early treatment for recurrent migraines.

Your emotional health is one of the most important and yet most neglected pieces to your overall health and wellness. When we are dealing with a health issue, being emotionally well becomes even more important as we try to deal with the added stress of our health problem.

At RESTORE, ourlicensed professional counselor plays a critical role in the holistic approach to health and healing. She will help you adopt healthful lifestyle change, reduce physical pain and suffering, address marital and relationship concerns, improve resiliency, strengthen problem solving skills, regulate emotions and impulses, improve assertiveness, self-confidence, help you create a more meaningful and purposeful life and so much more. Please refer to our Holistic Counseling Program for more details.

Stress can lead to physical symptoms such as headaches, high blood pressure, heart problems, diabetes, skin conditions, asthma, arthritis, depression, anxiety, chest pain, and problems sleeping. Stress also becomes harmful when people use alcohol, tobacco, or drugs to try to relieve their stress. Unfortunately, instead of relieving the stress and returning the body to a relaxed state, these substances tend to keep the body in a stressed state and cause more problems.

At RESTORE, we have multiple therapies to help combat stress including exercise, massage, acupuncture, and holistic counseling. Our licensed professional counseloris trained in methods such as mindfulness based stress reduction, cognitive behavioral therapy (CBT), hypnosis,and meditation and can teach you ways to reduce your stress throughout your day.

Feeling down now and then is normal and everyone feels anxious from time to time. However severe or ongoing feelings of anxiety and depression can be a sign of a more serious problem and make it difficult to carry on with normal, everyday functioning. Major depressive disorder (MDD) is the leading cause of disability in the U.S. for ages 15 to 44. It is not uncommon for someone with depression to also suffer from anxiety disorder or vice versa. The good news is that these disorders are both treatable, separately and together.

At RESTORE, our licensed professional counselor is able to talk to you about feelings of helplessness, nervousness, irritability, problems sleeping, and concentrating. She can apply therapies such as cognitive behavioral therapy (CBT) and mindfulnessto help you feel better without the use of medications.

Poor sleep can affect every aspect of your health and feeling of wellness. It has been linked to heart disease, heart attack, heart failure, irregular heartbeat, high blood pressure, stroke, diabetes and weight gain. At RESTORE, you work with your integrated team to first understand the cause of your insomnia and then to improve your quality of sleep without medications. Through our Lifestyle Change Program, we help you to increase your level of exercise, improve nutrition, reduces stress and anxiety, and incorporate massage and acupuncture to improve sleep quality and duration.

Cigarette smoking is the leading cause of preventable death and disease in the United States, accounting for more than 480,000 deaths every year, or 1 of every 5 deaths. At RESTORE, we are committed to helping you quit smoking and work with you along your journey to successfully reach that goal. The process of readiness takes time and requires support that we are able to provide. Our Holistic Counseling Program includes cognitive behavioral therapy (CBT), mindfulness meditation, clinical hypnosis, and many other mind-body therapies. These evidence-based practices, along with acupuncture, are just some of the therapies that help you to reach your goal to stop smoking.

These resources can help those interested to learn more about smoking cessation:

Stop Smoking: AHA (American Heart Association) Tools and Resources

Smokefree.gov

Nearly 88,000 people die from alcohol-related causes annually, making alcohol the fourth leading preventable cause of death in the United States. Alcohol consumption is a risk factor for many chronic diseases and conditions including liver disease, cancer, diabetes, heart disease and stroke. At RESTORE, we will provide a supportive and nurturing environment in which to help you stop drinking through our Lifestyle Change Program.