What to Expect

Your initial visit with Dr. Macari begins with a clean sheet of paper and an in-depth investigation of your past and present health status.  She will gather information such as vaccination history and schedules, environmental exposures, birth trauma, mood, cognition, energy level, pain patterns, etc.  Dr. Macari will also ask you to fully explain where you feel you are on the health spectrum and where you want to be.

Developing a true understanding of a patient's health and their goals related to their health is not a quick and easy process.  It takes time and effort to dig deeply into your biochemistry and tease through how your bodily systems are functioning and coordinating those functions.  This process helps yield the pertinent information needed to reveal what needs to be done to bring your health and functioning to your fullest genetic potential.  

The process is as follows.

1. Health history interview.
2. Physical examination.
3. Blood, urine, and stool laboratory measurements are ordered.

1. Detailed explanation of laboratory measurements and how these finding help guide the process and chart progress.
2. Prognosis is established and treatment plan is outlined.
3. Specific nutrients and dosages are prescribed and dispensed.
4. Detailed instructions for dietary modifications and medical foods, if part of your treatment plan.

1. Physical examination.
2. Repeat laboratory measurements are ordered.
3. Nutrient prescriptions are reviewed and modified as needed.
4. Dietary modifications are reviewed and modified as needed.

1. Analysis and explanation of updated laboratory measurements to assess progress so far.
2. Nutrient prescriptions are reviewed and modified as needed.
3. Dietary modifications are reviewed and modified as needed.