When are follow up consults?

Follow up consult happen 1-2 weeks after the new patient consult and typically 1x per month there after.

Most course corrections and patient issues happen in the first 1-2 weeks where we can adjust and ensure the diet is being followed, supplements are being calibrated and dosed correctly, lab instructions are followed and to ensure all other clinical questions or patient issues are addressed. If this consult is missed, we find patients need additional time to address these issues at the monthly follow up consult. The longer a patient is off course, there is a loss of momentum with the patients healing.

Typically 4-5 weeks after the new patients consult labs will be reviewed and a supplement program created. Monthly follow ups consults afterwards will allow for adjustments to be made and the graduation to new phases with in the functional medicine program.

What does care look like?

What does it cost to work with you?

New patient consults with Dr. J $399.

Follow-up consultations (For existing patients only) are billed in the block increments below.

  • 45-60 minute follow-up: $299
  • 30-45 minutes follow-up: $225
  • 1-30 minutes follow-up $150

Consultation are typically recommended every 4-5 weeks to ensure optimal compliance and support is given.

New patient consults with the new patient consult coordinator $325 (Not Dr. J).

It depends on how many test kits are recommended (typically 1-4) but we always recommend that if there are any budgetary concerns, clients start with their first test.

Body System 1 Test (Hormone System): Range between $100-$450.

Body System 2 Test (Digestion & Infections): Around $400

Body System 3 Test (Detox, Nutrients & Toxicity): $300-$450

Test recommendations are specifically recommended at the time of new patient consult and follow consults. Our recommendations are based on getting the optimal information depending on what the patient is dealing with health-wise.

All of our recommendations can be adjusted and consolidated to help meet the budget of the patient. Doing something is always better than nothing, creating a program where at least 1 test can be taken is a great starting point.

Supplement recommendations can range between $50 to $400 per month. Supplements are recommended specifically on a case by case basis depending on patients individual body system lab testing for the their hormones, digestion, infections, detox, and nutritional deficiencies. It’s also dependent on what phase of care the patient maybe in, as some phases of care overlap. This may occur like when infections are being addressed while supporting the adrenal and digestion.

The factors that can influence supplement recommendations also include the patient’s current diet, lifestyle, sleep, work and home stress. Other variables can include your age and how long you have been dealing with health challenges for.

Supplementation recommendation can also be adjusted to a patients budget. The biggest issue is making sure expectations are managed. The more health challenges a patient is currently dealing with may require more supplementation to help accelerate their healing.

What is the goal of the new patient consultation?

It’s important to highlight the goal of the new patient consultation is to gather information about the patient that will help guide diet, lifestyle, supplement and lab recommendations that may be made initially. As patients engage in follow up consults, diet and supplement recommendations will be refined as feedback from the patients and labs are received. We will use the new patient paperwork as starting point to dive deeper into the patients specifics health issues. Some patient expect to get more info out of the new patient consult, but the expectation is really that the doctor receive more info about you to help guide our long term treatment plan (which will be reviewed more thoroughly when labs are in).

Dr. J and his staff will address the following during the new patient consult:

  1. What has worked and what hasn’t worked: To get a sense of what has worked in the past and what hasn’t worked in the past regarding previous practitioners and self-work. Our goal is to do more of what has worked and less of what hasn’t worked. This information is also very meaningful in regards to coming up with a plan on how we move forward.
  2. Complete metabolic history: To get a complete view of your metabolic history (Gut health, respiration, neurological etc). This can give us clues in what direction we should head in. This also helps us prioritize diet, lifestyle, supplement and lab recommendations. Also, previous history from parents and relatives also helps provide very important information as well.
  3. Diet and lifestyle history: To get a sense of your previous diet, lifestyle, movement, sleep and lifestyle habits. This gives us a starting point regarding how much support you may need in upcoming consultations. Many people may need additional follow-up support regarding diet and lifestyle until they can show the doctor a level of competence in these areas. Some patients may be doing great and need very little support. Our goal is to create a customized program that meets each patient where they are at.
  4. Old labs: To briefly review old labs (If any) to get a sense of what has been on the radar with previous doctors. Some patients may only have a few labs which can be reviewed at the new patient consult (New labs will require a follow up consultation as they need to be reviewed more in-depth so protocols can be created from them) Some patients may have dozens of pages of lab results and typically need to be reviewed at the follow-up consult. We put more weight on labs within the last year and of course any labs where values have been outside of the conventional lab ranges. Dr. Justin will review your labs from a conventional perspective but also interpret the labs through an optimal health range perspective too.
  5. New labs: Once we have gathered the information from above, we will be able to prioritize and recommend specific new functional medicine lab tests to help us assess the function your body systems (Hormones, gut/infections, and detox). These labs help provide us with more information, so we can get to the root cause of your health challenges. The more labs we can order up front (typically 1-4 labs based on your body systems), the better we will be able to create a comprehensive functional medicine program that works. If you would like to pull back or increase the lab or supplement recommendations out of the gate, please keep an open dialogue with Dr. J and the office so we can calibrate our recommendations to your specific needs.

Important Notes: The most important thing is we at least work on taking small steps in the right direction of healing. Some patients may need to go slower out of the gates for many reasons, and some may want to go faster, both are ok. Some patients may expect a full treatment program right after their new patient consult, this is not possible as new labs haven’t been ordered and more data is needed to be collected before this can happen.

To review new labs in-depth at the new patient consult is not possible due to the time involved, we only briefly review old labs to get a sense of red flag issues that are already on our radar to help better guide new lab recommendations.

A full treatment plan will typically occur at the follow up consult and will be adjusted as we address each individual body system and more data comes in at future consults. If patients’ have realistic expectations entering the new patient consult, it allows us to work better together and improves our chances of helping you achieve your health goals.

How long are the consultations?

1-30 minute consult: This consult is designed for questions regarding diet, lifestyle and the supplement program.

Troubleshoot any issues with your functional medicine program. This appointment type does not provide enough time to review lab work.

30-45 minute consult: This consult is designed for questions regarding diet, lifestyle and the supplement program. 1-2 labs test may be reviewed during this time.

45-60 minute consult: This consult is designed for questions regarding diet, lifestyle and the supplement program. 3-4 labs test may be reviewed during this time. *Patients are charged for the time block used not the time scheduled.

What is the best method to return the new client paperwork?

Paperwork can be filled out and sent via our online form:
New patient paperwork: https://justinhealth.com/new-patient-form

What types of lab tests are required?

Depending on the type of test, the samples required are saliva, urine or stool. All tests are completed by the client through easy test kits that are self-administered in the comfort of your own home. Dr. Justin does not do any blood tests.

What laboratories does Dr. Justin use? And why?

Dr. Justin has learned over many years that the accuracy of your lab findings and the quality of the professionals performing the lab tests is the key to you uncovering what’s going on. Quality is not equal across all lab companies. Many times we see “normal” test results from regular lab companies and our lab tests find many “functional” problems. The lab companies used by Dr. Justin have the highest testing standards and the most consistent lab results year after year. These are not replacements for regular medical tests, these tests are only used to detect “functional” issues rather than medical problems and aren’t meant to diagnose or recommend protocols for diseases. We are attempting to detect problems with the functioning of organ systems prior to the onset of a disease.

Can I purchase supplements other than from Dr. Justin?

Dr. Justin carries his own line of high-quality supplements that have been formulated to achieve the best results in the right specified dosages. These supplements are also stored in a climate-controlled environment and come directly from the manufacturer to ensure potency as well as avoiding contaminants like lead, mold, and mercury.

If you want to do your own research on different supplements, you can do so but we do not recommend it. We do not provide any other recommendations nor advice on other specific blends or brands. If you purchase other supplements from other manufacturers, please research carefully. Not all ingredients are equal. There are many issues regarding supplements from Amazon and other sites being counterfeit.

Just In Health provides the highest quality by:

Storage: Supplements are received directly straight from the manufacturer.

Product freshness: Supplements are not sitting around for a year or so in an area that has light.
Potency: Supplements are stored appropriately in a climate-controlled, air-conditioned environment to keep the products from spoiling. Even items we have in the warehouse are climate controlled.

Can I order my own test kits through the laboratories or can my regular doctor order the lab tests for me?

Our authorized laboratories are only able to sell test kits to licensed practitioners. Dr. Justin uses specific lab tests from small lab companies that exclusively offer functional medicine tests. Larger national labs and local hospital based labs are not helpful for these types of highly specialized tests.

The entire contents of this website are based upon the opinions of Dr. Justin Marchegiani unless otherwise noted. Individual articles are based upon the opinions of the respective author, who retains copyright as marked. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice. It is intended as a sharing of knowledge and information from the research and experience of Dr. Justin and his community. Dr. Justin encourages you to make your own health care decisions based upon your research and in partnership with a qualified healthcare professional. These statements have not been evaluated by the Food and Drug Administration. Dr. Marchegiani’s products are not intended to diagnose, treat, cure or prevent any disease. If you are pregnant, nursing, taking medication, or have a medical condition, consult your physician before using any products.