Optimal — not just “in range”

Real answers for the problems medicine misses.
Find your root cause.

You feel off — but every panel comes back “normal.” Usually it’s a number that’s technically in range but not optimal, or a mechanism no one thought to test for. I find it, explain the why, and build the plan around the root cause.

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Southwest Integrative Medicine  ·  Scottsdale, AZ
Who I help

This is for you if…

✓You’re on TRT but it’s still not right — wired, anxious, flat, or off
✓MTHFR — and methylfolate made you feel worse, not better
✓Gut issues that outlasted every diet — SIBO, post-infectious IBS
✓Symptoms no one can connect — MCAS, histamine, flushing, reactions
How I think about your case

Not magic — mechanisms.

I read your labs against optimal thresholds — not the population “normal” range — and look for the mechanism actually driving your symptoms: the enzyme, the cofactor, the gene variant, the thing no one tested for. Your body usually isn’t broken; it’s compensating for something. My job is to find that something, explain the why in plain English, and build a plan around the root cause — the same way I break things down on YouTube, applied directly to you.

The process

How we work together

1

Initial visit

I hear the whole story — symptoms, timeline, prior labs, and what you’ve already tried.

2

Root-cause investigation

The right testing, read against optimal thresholds — not just what’s “in range.”

3

Personalized plan

The mechanism explained clearly, plus a plan and the follow-through to track it.

Start here

Ready for real answers?

Tell me a bit about what’s going on and I’ll be in touch.

Southwest Integrative Medicine  ·  Dr. Robin Terranella