Detailed Health Evaluation:

Our evaluation begins with a complete history that is key for comprehensive management options to achieve good wellness outcomes.  It is important to note that our bodies are a interplay of network of systems rather than individual parts or organs.  Traditional medical speciality model can be often fragmented because of its very nature, but as most patients suffer or need prevention from chronic conditions such as heart disease, diabetes, cancer, chronic pain, obesity, hormonal imbalances, chronic fatigue, anxiety, depression, ADD etc a more global approach is undertaken.  It is important to acknowledge biochemical diversity and individuality while addressing genetic, lifestyle and environmental determinants of health.  History of triggers, toxin exposure, allergies, childhood nutritional and food habits, mental health issues, exercise habits and other such key factors can provide insights for future global treatment approach.

Functional Laboratory Testing:

Current conventional diagnostic testings such as MRI or colonoscopy, screen for gross changes and damage that may have already occurred at a significant level and at much later stage than when cellular damage manifestations initiate. For example it may take more that 60% damage in cellular neural sheath for MRI findings to be manifested or years before cellular changes initiate and its manifestation to cancer in a colonoscopy. Although these conventional testing are still used for prevention, symptom and organ specific disease identification and treatment, functional lab testing looks for changes at cellular level and can predict dysfunction much earlier. Cells drive all our human physiology and are where every basic and important function of our body takes place. For our cells to be healthy there has to be healthy mitochondria and energy production.

Cellular dysfunction and physiological imbalances can lead to illness over decades. If this pathology can be measured early on, we can identify many diseases before they cause symptoms. By the time symptoms appear, the disease has already progressed. For example, by the time the symptoms of heart disease appear, the damage at the cellular level has already been going on for years, and sometimes this does not turn up on traditional testing. As a matter of fact, 50% of individuals develop their first heart attack WITHOUT symptoms. Therefore, it is imperative to be proactive, and detect dysfunction at the cellular level early, at a time when preventative intervention can be implemented.

We test energy production, detoxification/oxidation, brain health/methylation, diet/digestion, stress/inflammation and lifestyle/environment and thereby make improvements in global body physiology and biochemistry. This testing is relatively inexpensive with tremendous cost savings, and can result in significant overall improvement in health and vitality. All humans to ensure good health & vitality need good cell function which can lead to good organ health, system health and ultimately optimum state of health. We emphasize that heavily in our methods of testing and practice to see great results in our patients.

Nutrition Evaluation

Our nutrition recommendations are not based on generic symptoms and signs, such as low fat or low calorie diet, but on why there is an imbalance causing these symptoms.  The recommendation will depend on food sensitivities, environmental toxins, nutrient deficiencies and other testing to evaluate factors at the cellular and genetic level.  Food, diet, nutraceuticals and supplements will help along with other integrative medicine disciplines to address nutrition needs.  The gastrointestinal (GI) system and gut health has significant interpersonal relationship between digestion, absorption, intestinal permeability, gastrointestinal flora, immune regulation and inflammation, and enteric nervous system.  The components of treatment we emphasize includes to remove, replace, reinoculate, repair and re-balance the gut.  This is key for health, recovery and vitality

Bioindentical Hormonal Replacement Therapy (MG)

Natural hormones, or otherwise known as bioidentical hormones are hormones that are molecularly identical to the hormones produced in our own bodies.

Our bodies don't see the difference between the natural hormones that are supplemented and the hormones it produces by itself. As a result, bioidentical hormones are properly utilized, and are then able to be naturally metabolized and excreted from the body, giving you the benefits you need, without the side-effects that most people fear from synthetic hormone supplementation.

Obesity & Weight Loss:

Have you ever faced the frustration of seeing your physician for weight loss, and being told to eat less and exercise more? Are you yearning for more energy and vitality, in addition to weight loss?

manhattan medical practice specializes in obesity and weight loss

At Vitality Medicine, we take a very individualized approach to weight loss and management. We address the underlying causes of obesity, which may include hormonal imbalances, stress, issues with intestinal health, or autoimmune disease.We use tools such as body composition analysis, detailed histories and functional laboratory testing to determine the underlying issue, and treat it accordingly. We will also give you specific eating plans that will not only help you lose weight, but regain your health, and treat chronic conditions such as diabetes mellitus, insulin resistance and metabolic syndrome. We address stress management, and sleep disturbances, which is crucial to weight loss.

Diet Is Important In The Treatment of Depression

It’s an important concept in functional medicine that an underlying mechanism for depression is inflammation. The SAD, or Standard American Diet is high in processed foods, and sugar, and contributes to the development of depression. This article from the Wall Street Journal goes further into depth into the importance of an anti-inflammatory diet in the treatment of depression.

How is our approach to weight different from most franchise weight loss centers?

The answer lies in our individualized approach, and treating the underlying cause. Most franchise weight loss centers will either make you buy their pre-packaged meals, and use weight loss drugs, without addressing underlying health issues. With this “band-aid” approach, most patients gain the weight right back when they resume eating regular food. Not only do we recommend whole nutritious foods in our meal plans, you will not experience hunger, you will maintain your weight loss. We judiciously use prescription medications to assist with your weight loss as well, but our multifaceted approach has been proven to be successful, and our team will support you through your weight loss journey.

Stress Reduction

We highly recommend and address as indicated various stress reduction techniques.  Mindfulness-based Stress Reduction is a 8 week program that assists patients who can learn to use their internal resources more skilfully to stress, medical and psychological conditions, and promote better healthy living.  Meditation, yoga instructions, and mindfulness techniques emphasized and with CD to use at home can lead to significant improvement in function

Nutraceuticals & Supplements (SG)


Summary, Follow up & Maintenance program