Services

Two worlds of medicine

- One clinical lens

Kim's training spans both conventional and functional medicine — and that duality is not an aesthetic choice. It is the clinical advantage that changes outcomes for people who have tried everything else.

The Philosophy

"This isn't a rejection of conventional medicine. It's a completion of it."

Conventional medicine is extraordinarily good at what it was designed to do. What it was not designed to do is optimize — to find the person who is technically healthy but not well. Kim's dual training means she knows when the conventional answer is the right answer, when it isn't, and precisely what the difference looks like.

Conventional Excellence

Kim's training in conventional medicine means she can read a specialist's notes, evaluate a standard workup, and know exactly what has and hasn't been addressed within the standard of care. She respects what conventional medicine does well — and works within it, not against it.

The Clinical Bridge

Kim's unique value is her ability to hold both clinical frameworks simultaneously. She knows which tool is right for which problem — and she will tell you honestly when the answer you need is a referral back to your physician rather than a deeper functional workup.

Functional Depth

Where conventional medicine reaches its limits, Kim goes further. Advanced testing, functional pattern recognition, and whole-system thinking allow her to find what standard care is not designed to look for — and to address it with precision.

Why À la Carte — Not a Program

Every person who walks in the door has different history, different goals, and a different budget. A fixed program implies a fixed path — and Kim's clients have already been put on paths that didn't account for who they actually are. The menu below is designed to give you agency: to choose the services that match your specific picture, with Kim's guidance on where to start and what to prioritize.

Choose What You Need

Select a tier to explore services. Each can be engaged individually — build the path that fits your situation.

Clarity & Orientation

Where every client relationship begins — before a single test is ordered.

Integrative Health Discovery Consultation

The right starting point. Not a funnel - a genuine clinical assessment.

This 90-minute consultation gives Kim the complete clinical picture — your full health history, symptom timeline, what has already been tried and why it did or didn't work, your goals, and your current relationship with the conventional medical system. Kim will tell you honestly: what she can help you with directly, what advanced testing would meaningfully change your picture, and where continued work with your existing providers remains the right answer. This is not a step in a program. It is a genuine clinical assessment of where you stand and what you actually need.

90 minutes
Complete health history and symptom timeline review
Honest assessment of what Kim can address directly vs. what points back to conventional care
Individualized roadmap for next steps based on your specific needs and budget
No obligation to pursue testing — guidance first, decisions second

Medical Records Review: Dual-Lens Clinical Analysis

The information may already be there. It may just need to be read differently.

Kim reviews your medical records through two distinct clinical lenses. The first examines records from a conventional clinical perspective — identifying anything that may have been missed, misattributed, or inadequately followed up within the standard of care. The second applies functional reference ranges and pattern recognition to the same data, identifying findings that are technically within normal limits but clinically significant for someone who wants to feel optimal rather than simply not sick. The deliverable is a written clinical summary with both perspectives clearly distinguished.

Written Report + Consultation
Conventional clinical review: what may have been missed within standard care
Functional re-interpretation using optimal rather than population-average reference ranges
Written summary with both lenses clearly distinguished
Prioritized list of clinically meaningful next steps

Functional Re-Interpretation of Existing Labs

Your results told one story. There may be another one in the same numbers.

For clients with recent labs who want a second opinion without a full records review. Kim re-interprets your existing results using functional reference ranges — the tighter thresholds that reflect optimal health rather than population averages. A result that looks fine on your doctor's report may tell a meaningfully different story when read against what the research associates with genuine wellbeing.

Written Report + Consultation
Re-interpretation using functional vs. population-average reference ranges
Identification of sub-optimal patterns within technically "normal" results
Written findings report with full clinical context
60-minute consultation to discuss findings and recommended next steps

Advanced Testing

Validated clinical tools that go where standard medicine doesn't — not because they're unproven, but because they fall outside standard protocols.

Comprehensive Integrative Blood Panel

An expanded panel that begins where your annual phyical ends.

Standard labs are screened against population norms designed to identify disease. This panel is interpreted against the functional ranges associated with optimal health — and includes markers that most conventional panels omit entirely: full thyroid cascade, advanced cardiovascular markers, a complete iron study, and a broad micronutrient assessment. Kim's review clearly distinguishes which findings warrant follow-up with your primary physician and which she can address directly.

Testing + Full Results Consultation
Full thyroid cascade including conversion markers and antibodies
Advanced cardiovascular risk markers beyond standard cholesterol
Complete iron study, fasting insulin, and HbA1c
Broad micronutrient panel including D, B12, magnesium, zinc, and folate
Dual interpretation: conventional clinical and functional reference ranges

Advanced Hormone & Cortisol Assessment

A 24-hour picture of you hormones - not a snapshot.

The test captures what a standard blood draw cannot: the full pattern of hormone production, metabolism, and cortisol rhythm across a 24-hour period. It assesses not just how much estrogen, progesterone, testosterone, and DHEA you are producing, but how your body is metabolizing them — a distinction that is clinically critical and almost never evaluated in conventional settings.

Testing + Full Results Consultation
Complete hormone production and downstream metabolite pathways
Cortisol awakening response and full 24-hour diurnal rhythm
Assessment of hormone metabolism, not just production levels
Relevant for fatigue, sleep, mood, libido, and stress resilience
Coordination with prescribing physicians managing existing hormone therapies

Gut Microbiome & GI Function Assessment

The gut is not just about digestion. It is the root of much that isn't.

A DNA-based stool analysis providing an evidence-based map of your gut microbiome, digestive function, immune activation, and gut barrier integrity. The gut is the site of roughly 70% of the immune system, a major producer of neurotransmitters, and a central regulator of systemic inflammation. Symptoms that appear entirely unrelated to digestion frequently have a gut component that conventional GI workups are not designed to find.

Testing + Full Results Consultation
DNA-based microbiome composition and diversity analysis
Pathogen screening, digestive enzyme function, and gut permeability markers
Immune activation markers specific to GI tissue
Connection of gut findings to systemic and seemingly unrelated symptoms

Metabolic & Mitochondrial Function Assessment

Energy production at the cellular level - where most unexplained symptoms actuall live.

A single urine sample that reveals over 70 metabolic markers reflecting how efficiently your cells generate energy, process nutrients, regulate neurotransmitters, and manage detoxification. This illuminates what is happening at the cellular level, where the real explanation for fatigue, brain fog, mood issues, and poor recovery almost always resides.

Testing + Full Results Consultation
70+ metabolic markers from a single urine sample
Mitochondrial energy production efficiency
Neurotransmitter metabolism and B-vitamin functional status
Fatty acid oxidation and detoxification pathway assessment
Particularly revealing for unexplained fatigue, brain fog, and mood concerns

Environmental Toxin & Heavy Metal Assessment

One of the most commonly overlooked explainations for otherwise unexplained symptoms.

Testing for heavy metal burden — mercury, lead, arsenic, cadmium — and mycotoxin exposure from mold. Both are significantly underdiagnosed contributors to neurological symptoms, hormonal disruption, immune dysfunction, and chronic fatigue. For clients who have been through multiple conventional workups without satisfactory answers, environmental toxic burden is one of the most commonly overlooked clinical explanations.

Testing + Full Results Consultation
Comprehensive heavy metal panel: mercury, lead, arsenic, and cadmium
Mycotoxin screening for mold-related toxic exposure
Clinical context for neurological, hormonal, and immune presentations
Coordination with existing providers for remediation where needed

Food Immune Reactivity Panel

What your body reacts to quietly may be driving what you feel loudly.

IgG and IgA-based assessment of immune responses to specific foods — a distinct and more nuanced picture than standard allergy testing. Immune-mediated food sensitivities are a well-documented driver of systemic inflammation, gut permeability, and conditions ranging from joint pain and skin issues to brain fog and fatigue. Kim uses these findings as one piece of a larger clinical picture, never in isolation.

Testing + Full Results Consultation
IgG and IgA immune reactivity assessment for a broad food panel
Distinct from standard allergy testing — measures delayed immune responses
Integration with gut health, inflammatory, and metabolic findings
Dietary modification guidance grounded in your specific results

Clinical Navigation

Kim's most unique capability — made possible only by her dual training in both worlds of medicine.

Physician Communication & Advisory Preparation

What you needed wasn't always a different doctor. Sometimes is was better preparation.

A service designed for clients who feel dismissed, confused, or unable to advocate effectively in conventional medical settings. Kim reviews your clinical picture, helps you understand what questions to ask and why, prepares a structured clinical summary you can bring to your appointments, and identifies the specific tests or referrals worth requesting.

Clinical summary document prepared in language your physician will engage with
Specific question, test request, and referral recommendations
Coaching on how to present your symptoms most effectively
Preparation for specialist appointments in cardiology, endocrinology, rheumatology, and more

Specialist Referral Strategy & Coordination

The right referral, framed the right way, to the right specialist.

When Kim's assessment indicates that a specialist's involvement is the right next step — a rheumatologist, endocrinologist, cardiologist, functional neurologist — she doesn't simply hand you a name. She provides a clinical summary of her findings in language that speaks directly to that specialist's training, maximizing the probability that the referral is productive.

Clinical summary written in the language of the relevant specialty
Integration of functional findings with conventional clinical framing
Identification of the right specialist type for your specific presentation
Follow-up integration of specialist findings with Kim's protocols

Integative Treatment Planning with Your Physician

The right referral, framed the right way, to the right specialist.

Protocol designed to fill the specific gaps in your existing conventional care
Clear delineation of what Kim manages and what your physician manages
Written protocol summary shareable with your medical team
Regular updates as either side of the care plan evolves

Specialty Assessments

Deep, system-specific clinical evaluations that bring Kim's full dual-lens expertise to the area of health that matters most to you.

Thyroid: The Complete Clinical Picture

TSH is a pituitary hormone, not a thyroid hormone. The map is not the territory.

Kim's thyroid assessment is built around a foundational clinical truth that most conventional thyroid management overlooks: TSH is a pituitary hormone, and treating to a TSH target while ignoring downstream conversion, receptor sensitivity, and autoimmune activity is treating the map instead of the territory. This assessment integrates a complete thyroid lab panel with detailed clinical history and nutritional factors — with clear evaluation of whether any existing treatment is working at the cellular level.

Assessment + Protcol Consultation
Complete thyroid cascade: TSH, free T3, free T4, reverse T3, TPO and thyroglobulin antibodies
Assessment of T4 to T3 conversion and cellular receptor sensitivity
Nutritional and inflammatory factors affecting thyroid function
Evaluation of existing thyroid medications if applicable
Active coordination with your endocrinologist or PCP (if they are receptive)

Cardiovascular Risk: Beyond the Standard Lipid Panel

Standard cholesterol numbers tell a fraction of the cardiovascular risk story

Kim's cardiovascular assessment incorporates advanced lipid particle analysis, inflammatory markers, metabolic risk factors, and vascular health indicators to build a complete risk profile — and then a targeted integrative strategy for reducing it. Designed for clients who have been told their cholesterol is borderline, who have a significant family history, or who want to take a genuinely proactive stance toward cardiovascular health.

Assessment + Protocol Consultation
Advanced lipid particle analysis: LDL particle number, size, and density
Inflammatory cardiovascular markers: hs-CRP, homocysteine, Lp(a), ApoB
Metabolic cardiovascular risk factors: insulin, glucose metabolism, inflammatory load
Integrative risk reduction strategy alongside conventional management

Adrenal & Stress Physiology Assessment

Not a test for adrenal disease. A test for adrenal optimization.

This assessment is not looking for Addison's disease or Cushing's syndrome. It is looking at something far more common: the slow dysregulation of the cortisol rhythm that occurs when sustained demand outpaces recovery. Using DUTCH cortisol data integrated with clinical history and lifestyle factors, Kim builds a precise picture of whether your stress response system is supporting performance and recovery — or quietly working against it.

Assessment + Protocol Consultation
Cortisol mapping: awakening response and full 24-hour rhythm
Distinction between adrenal disease and adrenal dysregulation
Clinical correlation with fatigue patterns, sleep quality, and recovery capacity
Evidence-based interventions targeting the specific phase of dysregulation

Metabolic Health & Insulin Sensitivity Assessment

Insulin resistance exists on a spectrum. Standard fasting glucose misses most of it.

Insulin resistance is the most underdiagnosed condition in the high-functioning adult population, partly because it exists on a spectrum that standard fasting glucose testing misses for years. Kim's metabolic assessment integrates fasting insulin, HbA1c, advanced glucose metabolism markers, and inflammatory load to identify where on that spectrum you actually sit — and what a targeted intervention looks like.

Assessment + Protocol Consultation
Fasting insulin and HbA1c interpreted against optimal — not just disease — thresholds
Advanced glucose metabolism markers including HOMA-IR
Inflammatory mediators of metabolic dysfunction
Clear delineation of what Kim manages vs. conventional medical management

Performance & Recovery Optimization Assessment

If you outside performance exceeds how you feel inside, there is a reason.

For active clients and amateur athletes whose external performance appears to exceed what they feel inside — or whose recovery, sleep, and energy are not keeping pace with their training. This assessment evaluates the internal physiological variables most directly associated with performance ceiling and recovery capacity: iron and ferritin stores, inflammatory load, hormone balance, mitochondrial efficiency, and key nutrient status.

Assessment + Protocol Consultation
Iron and ferritin status with clinical correlation to performance and recovery
Inflammatory load and its direct impact on recovery and training adaptation
Hormone balance and its relationship to training response
Mitochondrial efficiency markers from organic acids testing

Cognitive Health & Brain Function Assessment

Cognitive symptoms are almost always downstream of something systemic.

For clients experiencing brain fog, memory concerns, difficulty concentrating, or a decline in mental sharpness that standard evaluations have not explained. Cognitive symptoms are almost always downstream of something systemic — metabolic dysfunction, inflammatory burden, thyroid irregularity, hormonal imbalance, toxic exposure, or nutrient depletion. Kim maps those upstream physiological drivers and addresses them directly.

Assessment + Protocol Consultation
Upstream physiological drivers: thyroid, metabolic, inflammatory, hormonal
Micronutrient and mitochondrial contributors to cognitive function
Toxic burden assessment for neurological symptom presentations
Integration with existing neurological care — not a replacement for it

Ongoing Support Protocol & Strategy

Translating findings into action - and ensuring that action continues to work over time.

Personalized Integative Health Protocol

Not a program. A clinical document bult entirely around your findings.

Following any combination of assessments, Kim develops a comprehensive written protocol built entirely around what your testing revealed. This document is clinically precise and practically actionable — covering targeted supplementation with specific dosing rationale, dietary modifications connected to your markers, and lifestyle interventions sequenced in the order your physiology actually needs them.

Targeted supplementation with dosing rationale based on your specific findings
Dietary modifications tied to your metabolic and inflammatory markers
Lifestyle interventions sequenced in the order your body needs them
Reassessment timeline with specific markers to track
Shareable clinical summary for your other providers

Supplement & Nutraceutical Audit

Doing the right things at the right doses matters more than doing many things.

For clients already managing a supplement protocol — often an expensive collection accumulated from various practitioners, online research, or well-meaning advice. Kim conducts a clinical review of what they are taking, what it is actually doing, where there are gaps, redundancies, and potential interactions with medications or with each other. This service saves most clients money.

Clinical review of your current supplement regimen
Identification of gaps, redundancies, and drug-nutrient interactions
Dosing optimization based on your specific test findings
Most clients spend less and get more from their protocol after this service

Follow-Up Consultation

Available at any point in your journey - protocols are living documents.

Available at any point in the client journey to review progress, respond to new developments, adjust protocols, or interpret new lab results from any provider. Kim's protocols are living clinical documents, and these sessions are how they evolve to match where you actually are.

Protocol adjustment, lab interpretation, or progress review
30-minute option for focused single-topic consultations
60-minute option for comprehensive progress and protocol review
Interpretation of results from any provider, not just those Kim ordered

Progress Lab Review & Protocol Adjustment

Measurement is how you know what's working - and what to address next.

Retesting of relevant markers at clinically appropriate intervals to measure the impact of the protocol, confirm that interventions are working, and identify what to address in the next phase. Includes a full results consultation with updated protocol recommendations.

Targeted retesting of markers most relevant to your protocol
Objective measurement of protocol impact
Full results consultation with updated recommendations
Identification of the next clinical priority based on progress

Ongoing Integrative Health Partnership

A clinical relationship with someone who knowns your history.

For clients who want Kim's clinical oversight on a continuing basis — a standing relationship that includes periodic check-ins, lab reviews, protocol adjustments, and access to her guidance as their health picture evolves. This is a clinical relationship with someone who knows your full history and can make genuinely informed, longitudinal decisions about your health.

Periodic check-ins and protocol adjustments
Lab review and interpretation as results come in from any provider
Longitudinal clinical perspective that deepens over time
Monthly (active protocol management) or quarterly (maintenance and monitoring)

Not Sure Where to Begin?

Ready to see your complete picture?

Start with the Discovery Consultation

If you're unsure which services are right for your situation, the Integrative Health Discovery Consultation is the natural first step. Kim will review your complete picture and tell you honestly — and specifically — what makes clinical sense for you.

The Services List gives you agency. The Discovery Consultation gives Kim the information to help you use it well.

Kim's value is not that she has rejected conventional medicine. It is that she has mastered it — and then gone further. Schedule a consultation and find out what that means for you specifically. It just may be the best 90 minute investment you have ever made in yourself.

Your complete health history reviewed
Honest assessment of next best steps
No obligation to purchase additional services
A genuine clinical opinion, not a sales funnel

All services are offered à la carte. No program enrollment required. No minimum commitment.

The Best of Both Worlds - For the Best Version of You.

Disclaimer: Kim Fanguy, NP, FMCP-M acts as an integrative health advisor. Services provided by Integrated Brain Wellness, LLC are for educational and advisory purposes only and do not replace the medical advice, diagnosis, or treatment of your primary care physician or specialists. Always consult your medical team before making changes to your healthcare protocol. The contents of this website is for educational purposes only. It is not intended to diagnose, treat, cure, or prevent disease. *Individual results may vary. This information has not been evaluated by the FDA. Consult your healthcare provider before making any health decisions.