Functional Medicine Clinical Scope

Functional medicine is a root-cause, systems-based clinical approach that identifies and treats the underlying drivers of chronic disease rather than managing symptoms alone. The Centers for Disease Control and Prevention (CDC) reports that approximately 60% of American adults have at least one chronic condition, and 40% live with two or more. Chronic disease accounts for 90% of the nation's $4.5 trillion in annual healthcare spending, according to CDC data. Those numbers reflect a gap between what conventional medicine does well, which is acute and emergency care, and what millions of patients actually need, which is a clinical framework built to address complex, long-term health problems at their source. This article explains the clinical scope of functional medicine, the conditions it treats, how it differs from conventional care, what the evidence shows, and what you can expect as a patient.

What Is the Clinical Scope of Functional Medicine?

The clinical scope of functional medicine covers the identification and treatment of root causes behind chronic illness using a systems biology framework, advanced diagnostic testing, personalized treatment plans, and therapeutic lifestyle interventions. Functional medicine is not a standalone medical specialty or a separate license. It is a clinical framework that licensed healthcare providers apply within their existing scope of practice.

The Institute for Functional Medicine (IFM) defines functional medicine as a clinical approach that provides practitioners with an evaluative method to identify root causes of symptoms and a systems-based approach to therapeutically address disturbances in function that generate those symptoms. Practitioners use what is called the Functional Medicine Matrix Model, a visual organizing tool that maps a patient's health across seven interconnected biological systems: assimilation (digestion and absorption), defense and repair (immune function), energy production (mitochondrial function), biotransformation and elimination (detoxification), transport (cardiovascular and lymphatic), communication (hormones and neurotransmitters), and structural integrity (musculoskeletal and cellular membranes).

The Matrix Model changes how a practitioner thinks about a patient's symptoms. Instead of treating each symptom as a separate problem with a separate drug, the practitioner maps symptoms across the seven systems to find where the interconnected dysfunction originates. A patient with fatigue, joint pain, brain fog, and digestive issues might see four different specialists in conventional care, each treating their piece in isolation. In functional medicine, those four symptoms may trace back to a single root cause, such as intestinal permeability (leaky gut), chronic low-grade inflammation, or a nutrient deficiency that disrupts energy production, immune regulation, and neurotransmitter synthesis simultaneously.

How Is Functional Medicine Different From Conventional Medicine?

Functional medicine is different from conventional medicine in its clinical focus, visit structure, diagnostic approach, treatment philosophy, and the relationship between practitioner and patient. Conventional medicine excels at acute care, trauma, surgical intervention, and emergency treatment. Functional medicine excels at chronic, complex, and unresolved health conditions that do not respond fully to standard protocols.

The most visible difference is time. Initial functional medicine appointments typically last 60 to 90 minutes, compared to 15 to 20 minutes for a standard primary care visit. That additional time allows the practitioner to conduct a detailed health timeline, review family history, assess lifestyle factors like sleep quality, stress levels, nutrition patterns, environmental exposures, and emotional health, and identify patterns that shorter visits cannot uncover. Follow-up visits in functional medicine occur every four to six weeks and typically last 30 to 45 minutes.

The diagnostic approach also differs. Conventional primary care relies on standard lab panels and imaging studies to identify diagnosed diseases. Naturopathic medicine and functional medicine use those same standard tools plus advanced testing that evaluates function, not just disease. Advanced testing may include comprehensive hormone panels, gut microbiome analysis, organic acid testing, food sensitivity panels, heavy metal assessments, nutrient level evaluations, and genetic markers that reveal how a patient's body processes nutrients, medications, and environmental toxins.

Clinical ElementFunctional MedicineConventional MedicinePrimary GoalIdentify and treat root causes of illnessDiagnose disease and manage symptomsClinical ApproachSystems biology, personalized to individualDisease-centered, protocol-drivenInitial Visit Duration60 - 90 minutes15 - 20 minutesDiagnostic ToolsStandard labs + advanced functional testing (hormones, microbiome, nutrients, toxins, genetics)Standard lab panels and imagingTreatment MethodsNutrition, targeted supplements, lifestyle interventions, detoxification, medications when neededMedications, surgery, specialist referralsFollow-Up FrequencyEvery 4 - 6 weeksEvery 3 - 12 months (condition-dependent)Best Suited ForChronic, complex, unresolved conditionsAcute illness, trauma, emergency carePatient RoleActive partner in therapeutic decisionsRecipient of prescribed treatment

Sources: Institute for Functional Medicine, American Academy of Family Physicians, BalancedHC, AAOPM, Cleveland Clinic Center for Functional Medicine

The treatment philosophy represents the deepest difference. Conventional medicine asks, "What drug matches this diagnosis?" Functional medicine asks, "What disrupted systems are contributing to this problem, and what inputs, including nutrition, sleep, movement, stress reduction, detoxification, and targeted supplementation, can restore normal function?" Medications are part of the functional medicine toolkit, but they are one option among many rather than the default first response.

What Conditions Does Functional Medicine Treat?

Functional medicine treats chronic, complex, and multisystem conditions that involve interconnected root causes rather than isolated disease labels. The clinical scope of functional medicine covers autoimmune disorders, thyroid dysfunction, digestive disorders, hormonal imbalances, chronic fatigue, metabolic syndrome and diabetes, chronic pain and inflammation, mental health conditions, allergies and food sensitivities, and conditions related to environmental toxin exposure.

The CDC estimates that 129 million Americans have at least one chronic disease, and chronic conditions account for 8 of the 10 leading causes of death in the United States. These are the conditions where functional medicine's root-cause approach produces its strongest outcomes, because chronic diseases are rarely caused by a single factor. They develop from the accumulated interaction of genetics, environment, lifestyle, nutrition, stress, sleep, and toxic exposures over years or decades.

Can a Functional Doctor Help With Arthritis?

Yes, a functional doctor can help with arthritis by identifying the underlying inflammatory triggers that drive joint damage and pain. A 2020 study published in PLoS One by Cleveland Clinic researchers found that inflammatory arthritis patients treated with functional medicine showed improvement in all primary outcomes compared to standard care alone. Functional medicine practitioners look beyond the joints themselves to assess gut health (intestinal permeability often drives systemic inflammation), food sensitivities that provoke immune responses, nutrient deficiencies (particularly vitamin D, omega-3 fatty acids, and magnesium), and toxic burden from environmental exposures. Addressing these root triggers can reduce inflammatory markers and slow disease progression. Pain management in this model targets the source of inflammation rather than masking it with long-term medication alone.

Can Functional Medicine Help With Thyroid?

Yes, functional medicine can help with thyroid conditions by evaluating the full thyroid axis rather than relying on a single TSH (thyroid-stimulating hormone) test. Standard primary care typically tests only TSH and sometimes free T4. Thyroid issues are more complex than a single lab value can reveal. Functional medicine practitioners order comprehensive thyroid panels that include TSH, free T3, free T4, reverse T3, and thyroid antibodies (TPO and TG antibodies). This complete picture identifies autoimmune thyroid disease (Hashimoto's thyroiditis), conversion problems where the body cannot efficiently convert T4 to active T3, and subclinical hypothyroidism that falls within "normal" lab ranges but still produces symptoms.

Treatment in functional medicine addresses the factors disrupting thyroid function: gut health (since approximately 20% of T4-to-T3 conversion occurs in the gut), selenium and zinc deficiency, chronic stress (cortisol directly suppresses thyroid function), and environmental toxins like mercury and bromide that interfere with thyroid hormone receptor binding.

Can Functional Medicine Help With Autoimmune Disease?

Yes, functional medicine can help with autoimmune disorders by addressing the three factors that research identifies as necessary for autoimmune disease to develop: genetic predisposition, an environmental trigger, and intestinal permeability. Conventional treatment for autoimmune conditions typically focuses on suppressing the immune system with medications. Functional medicine works to identify and remove the environmental triggers (food sensitivities, infections, toxins) while repairing intestinal barrier function and modulating immune activity through targeted nutrition and lifestyle interventions.

How Does Functional Medicine Treat the Root Cause?

Functional medicine treats the root cause by organizing clinical data through the Functional Medicine Matrix Model and identifying antecedents, triggers, and mediators that drive each patient's unique disease process. Antecedents are the predisposing factors (genetics, family history, early-life exposures). Triggers are the events that initiated the disease process (infection, trauma, toxic exposure, major life stress). Mediators are the ongoing biochemical processes that sustain the condition (inflammation, oxidative stress, hormonal imbalance, gut dysbiosis).

Dr. Patrick Hanaway outlined four essential components of functional medicine practice in a peer-reviewed paper published in The Permanent Journal (2016): listen to the patient describe their illness experience, assess and prioritize modifiable lifestyle factors, organize the patient's clinical imbalances within a systems biology matrix framework, and create a therapeutic partnership between practitioner and patient. This four-component process produces a clinical approach that is inherently personalized because no two patients share the same combination of antecedents, triggers, and mediators.

The root-cause approach also changes how treatment is sequenced. Instead of prescribing a medication and monitoring whether symptoms improve, functional medicine practitioners prioritize interventions in a specific order: first remove triggers (inflammatory foods, toxins, infections), then replace what is missing (digestive enzymes, nutrients, hormones), then reinoculate the gut with beneficial microorganisms, and finally repair damaged tissue (gut lining, cellular membranes, detoxification pathways). This sequencing follows a clinical logic that addresses causes in the order they must be resolved for lasting improvement.

What Are the Five Pillars of Functional Medicine?

The five pillars of functional medicine are sleep, exercise, nutrition, stress management, and relationships (social connection). These five lifestyle factors form the foundation of every functional medicine treatment plan because they directly influence every biological system in the body.

1. Sleep: adequate sleep duration (7-9 hours for adults) and sleep quality directly regulate immune function, hormone production, cellular repair, cognitive performance, and inflammatory balance. Sleep disruption alone can trigger or worsen nearly every chronic condition functional medicine treats.
2. Exercise: regular physical movement modulates inflammation, improves insulin sensitivity, supports cardiovascular function, promotes detoxification through sweat and lymphatic circulation, and produces neurotransmitters that regulate mood and cognitive function.
3. Nutrition: food is the primary input that determines cellular function. Functional medicine uses therapeutic nutrition, including anti-inflammatory diets, elimination protocols, and targeted nutrient repletion, as a first-line intervention for most chronic conditions.
4. Stress management: chronic psychological stress elevates cortisol, suppresses immune function, disrupts gut permeability, impairs thyroid conversion, and accelerates cellular aging. Functional medicine practitioners prescribe specific stress-reduction techniques (breathwork, mindfulness, vagal nerve stimulation) as clinical interventions, not lifestyle suggestions.
5. Relationships and social connection: research consistently links social isolation and poor relationship quality to increased inflammation, cardiovascular risk, immune suppression, and accelerated cognitive decline. Emotional health is treated as a clinical variable, not a secondary concern.

What Are the 4 R's of Functional Medicine?

The 4 R's of functional medicine are Remove, Replace, Reinoculate, and Repair. This protocol was developed specifically for restoring gut health, which functional medicine identifies as a foundational factor in systemic health, immune regulation, and chronic disease prevention.

Remove refers to eliminating the factors that damage the gut: inflammatory foods (gluten, dairy, processed sugars, and patient-specific triggers identified through testing), pathogenic bacteria, yeast overgrowth, and parasites. Replace means restoring the digestive components the body needs to break down and absorb food properly, including hydrochloric acid, digestive enzymes, and bile acids. Reinoculate involves reintroducing beneficial bacteria through targeted probiotics and prebiotic fibers that feed healthy gut microorganisms. Repair focuses on restoring the integrity of the intestinal lining using nutrients like L-glutamine, zinc, omega-3 fatty acids, and vitamin A that support mucosal membrane regeneration. Holistic wellness requires a healthy gut because approximately 70% of the immune system resides in gut-associated lymphoid tissue (GALT), according to immunological research.

What Tests Do Functional Medicine Doctors Order?

Functional medicine doctors order both standard laboratory tests and advanced functional assessments that evaluate how the body's systems are performing, not just whether a diagnosed disease is present. The testing scope is broader and deeper than what most conventional primary care visits include.

• Comprehensive metabolic panels and complete blood counts (standard labs that provide baseline organ function and blood health markers)
• Full thyroid panels including TSH, free T3, free T4, reverse T3, and thyroid antibodies (TPO and thyroglobulin antibodies)
• Comprehensive hormone panels covering cortisol rhythm, DHEA-S, estrogen metabolites, progesterone, testosterone, and insulin levels
• Gut microbiome analysis through stool testing that maps bacterial composition, identifies pathogenic organisms, and evaluates digestive enzyme function and inflammatory markers
• Food sensitivity panels that test IgG and IgA immune reactions to 90-200+ foods, identifying triggers that standard allergy testing (IgE) does not detect
• Organic acid testing (OAT) that evaluates metabolic byproducts in urine to reveal mitochondrial dysfunction, neurotransmitter imbalances, yeast or bacterial overgrowth, and nutrient deficiencies
• Heavy metal and environmental toxin assessments that measure body burden of mercury, lead, arsenic, cadmium, and other compounds through blood or urine collection
• Nutrient level evaluations including intracellular magnesium, vitamin D, B12, folate, iron studies, zinc, and omega-3 index
• Genetic testing for single nucleotide polymorphisms (SNPs) that affect methylation, detoxification, and drug metabolism pathways

Advanced testing transforms functional medicine from a philosophy into a measurable clinical practice. Test results provide objective data that guides treatment decisions, tracks progress over time, and confirms whether interventions are producing the intended biochemical changes. Without testing, treatment is guesswork. With testing, treatment becomes precision medicine.

What Training Do Functional Medicine Doctors Have?

Functional medicine doctors have completed a primary medical degree or clinical licensure (MD, DO, ND, NP, or PA) followed by additional specialized training in functional medicine through accredited programs. Functional medicine is not a separate medical degree. It is an advanced clinical framework that licensed providers learn on top of their existing medical education.

The Institute for Functional Medicine (IFM) offers the most widely recognized credentialing pathway. The IFM Certified Practitioner (IFMCP) designation requires completion of a structured curriculum that covers systems biology, clinical nutrition, environmental medicine, mind-body medicine, and advanced case review. The certification process includes core educational modules, supervised case presentations, and a comprehensive examination. The American Academy of Procedural Medicine (AAOPM) and the American Academy of Anti-Aging Medicine (A4M) also offer certification programs that overlap with functional medicine training.

Naturopathic doctors (NDs) bring a unique advantage to functional medicine practice because ND training already covers many of the disciplines that other providers must learn as post-graduate additions. Four-year naturopathic medical programs include extensive coursework in clinical nutrition, botanical medicine, homeopathy, physical medicine, pharmacology, and mind-body medicine alongside the standard biomedical sciences (anatomy, physiology, biochemistry, pathology, microbiology). This foundational training means NDs enter functional medicine with an existing framework for root-cause, whole-person care that aligns closely with the functional medicine model. Environmental medicine, for example, is a core component of both ND training and functional medicine practice.

Is Functional Medicine Evidence-Based?

Yes, functional medicine is evidence-based, and the evidence base is growing. The most significant study to date is a retrospective cohort study of 7,252 patients published in JAMA Network Open in 2019 by researchers at the Cleveland Clinic's Center for Functional Medicine. The study found that 31% of functional medicine patients improved their PROMIS Global Physical Health scores by 5 or more points, a clinically meaningful degree of change that patients notice in daily life, compared to 22% of patients receiving standard primary care.

PROMIS (Patient-Reported Outcomes Measurement Information System) is a validated assessment tool developed by the National Institutes of Health (NIH) that measures physical function, fatigue, pain, gastrointestinal health, emotional well-being, and overall quality of life. The Cleveland Clinic study used this rigorous measurement tool to compare outcomes between 1,595 functional medicine patients and 5,657 standard primary care patients over 12 months.

A follow-up study published in BMJ Open in 2021 by the same Cleveland Clinic research team examined functional medicine delivered through shared medical appointments and found positive patient outcomes at lower cost compared to individual functional medicine visits. A 2020 study published in PLoS One demonstrated that inflammatory arthritis patients treated with functional medicine at Cleveland Clinic showed improvement in all primary outcomes compared to standard care alone. These three peer-reviewed studies from a major academic medical center provide the strongest evidence to date that functional medicine produces measurable clinical improvements for patients with chronic conditions.

The evidence base for individual functional medicine interventions, including therapeutic diets, targeted supplementation, gut repair protocols, stress reduction, and sleep optimization, is supported by thousands of additional studies published in peer-reviewed journals across multiple disciplines. Nutrition guidance grounded in clinical research is a core functional medicine treatment tool, not a generic recommendation.

What Is the Controversy With Functional Medicine?

The controversy with functional medicine centers on three areas: the relative lack of large-scale randomized controlled trials (RCTs) compared to pharmaceutical interventions, insurance coverage barriers, and skepticism from segments of the conventional medical establishment that question whether the approach is sufficiently validated.

The RCT concern has legitimate basis. Pharmaceutical companies fund large-scale drug trials because successful trials produce patentable, profitable products. Lifestyle interventions, dietary changes, and supplement protocols cannot be patented, which means the economic incentive to fund large RCTs for functional medicine interventions is far smaller. The Cleveland Clinic JAMA study was a retrospective cohort study, not a randomized controlled trial. While it produced statistically significant results across 7,252 patients, critics note that observational studies cannot establish causation with the same rigor as RCTs.

Insurance barriers create a separate controversy. Functional medicine visits are longer, involve more testing, and use treatment modalities that fall outside standard insurance billing codes. Many patients pay out of pocket, which raises legitimate questions about accessibility and equity. Some practices use Direct Primary Care (DPC) models with monthly membership fees to make care more predictable and accessible.

Despite these criticisms, the clinical trajectory is clear. The complementary and alternative medicine market reached $52.78 billion in the United States in 2025 and is projected to grow to $375.51 billion by 2033, according to industry analysis cited by the American Academy of Procedural Medicine. Major academic medical centers, including Cleveland Clinic, have integrated functional medicine into their clinical offerings. The evidence base, while not yet matching the depth of pharmaceutical research, is growing steadily.

Will Insurance Pay for Functional Medicine?

Insurance will generally not pay for functional medicine visits directly because the extended visit times, advanced testing, and lifestyle-based treatment plans fall outside standard insurance billing structures. Most health insurance plans are designed around short visits, diagnosis codes, and pharmaceutical prescriptions, which do not align with the functional medicine care model.

There are partial coverage pathways available. Specific laboratory tests ordered by a licensed functional medicine provider (blood panels, thyroid panels, vitamin D levels, metabolic panels) may be covered by insurance because the tests themselves have standard billing codes regardless of who orders them. The clinical visit itself, however, is typically billed outside of insurance.

Some patients use Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) for functional medicine expenses when the care is provided by a licensed practitioner for a diagnosed medical condition. Documentation from the provider connecting the treatment to a specific diagnosis strengthens HSA/FSA eligibility. Patients should verify coverage details with their specific account administrator before scheduling.

What Does a Functional Medicine Appointment Look Like?

A functional medicine appointment follows a structured clinical process that is more thorough than a standard medical visit. Here is what a typical first visit includes:

1. Pre-visit intake: before the appointment, you complete a detailed health questionnaire covering your full medical history, medication and supplement list, family health history, symptom timeline, dietary patterns, sleep quality, stress levels, exercise habits, environmental exposures, and emotional well-being. This information gives the practitioner a comprehensive baseline before you walk through the door.
2. Extended consultation (60-90 minutes): the practitioner reviews your intake forms, asks follow-up questions, and builds a detailed health timeline. The timeline maps when symptoms began, what was happening in your life at that time, how symptoms have changed over the years, and what treatments you have already tried. The practitioner listens to your health story in a way that short conventional visits do not allow.
3. Systems review: using the Functional Medicine Matrix Model, the practitioner maps your symptoms across the seven biological systems to identify patterns and interconnections that point toward root causes.
4. Testing plan: based on the consultation, the practitioner orders targeted laboratory tests to confirm or rule out suspected imbalances. Testing may include blood draws performed the same day or sent to specialized labs.
5. Initial guidance: you receive preliminary dietary and lifestyle recommendations while waiting for lab results. Follow-up visits are scheduled at four-to-six-week intervals to review results and build the full treatment plan.
6. Ongoing care: subsequent visits track progress, review follow-up labs, adjust treatment protocols, and refine the plan as your body responds. The practitioner-patient relationship in functional medicine is a long-term therapeutic partnership, not a series of disconnected office visits.

Patients in our Bingham Farms, Michigan practice often describe the first functional medicine visit as the most thorough medical conversation they have ever had. The depth of the intake process is what allows us to identify root causes that years of shorter conventional visits may have missed. IV therapy and other targeted interventions are then layered into the treatment plan based on what the test results reveal, not based on generic protocols.

How Our Naturopathic Approach Integrates Functional Medicine

Our practice integrates functional medicine within a naturopathic framework that was built for root-cause, whole-person care from the beginning. Dr. Doug Cutler, ND, developed the Integrative Health Model™ over more than 20 years of clinical practice, combining naturopathic medical training with functional medicine principles, environmental medicine, advanced diagnostic testing, and personalized therapeutic protocols.

We use Biointelligent Testing to evaluate each patient's unique biochemical landscape before designing a treatment plan. This testing goes beyond standard panels to assess nutrient levels, hormonal balance, toxic burden, metabolic function, and genetic markers that influence how the body processes nutrients, clears toxins, and maintains immune equilibrium. The test results determine which of our 80+ ClubIV™ nutrient formulas, botanical protocols, lifestyle interventions, and supplementation strategies are right for each individual.

The integration of naturopathic medicine and functional medicine care creates a clinical scope that spans the full range of chronic health conditions: chronic fatigue, autoimmune disorders, thyroid dysfunction, hormonal imbalance, digestive issues, allergies, diabetes, pain management, and mental health conditions. Every treatment plan is personalized because every patient's combination of root causes is different. That is the fundamental promise of functional medicine, and it is one we take seriously.

Frequently Asked Questions

Does Functional Medicine Work for Chronic Fatigue?

Yes, functional medicine works for chronic fatigue by identifying the specific root causes of energy depletion in each patient. Common root causes include mitochondrial dysfunction, subclinical hypothyroidism, adrenal dysregulation, nutrient deficiencies (iron, B12, magnesium, vitamin D), gut dysbiosis, chronic infections, and accumulated toxic burden. A 2019 JAMA Network Open study from Cleveland Clinic showed that functional medicine patients experienced clinically meaningful improvements in physical health outcomes, including fatigue, compared to standard primary care patients.

How Long Does It Take to See Results With Functional Medicine?

How long it takes to see results with functional medicine depends on the complexity of the condition, the number of root causes involved, and how closely the patient follows the treatment plan. Many patients notice initial improvements in energy, sleep, or digestive function within four to six weeks of starting treatment. Deeper systemic changes, such as reduced autoimmune markers, normalized hormone levels, or resolution of chronic pain, typically develop over three to six months. Some complex cases require 12 months or longer to achieve full stabilization.

Is Functional Medicine Safe?

Yes, functional medicine is safe when practiced by licensed healthcare providers with appropriate training. Functional medicine practitioners hold primary medical licenses (MD, DO, ND, NP, or PA) and are bound by the same legal and ethical standards as any other licensed clinician. Treatments include dietary modifications, lifestyle changes, clinical-grade supplements, and medications when appropriate, all selected based on diagnostic testing and matched to the individual patient's health profile.

Can Functional Medicine Replace Conventional Medicine?

Functional medicine does not replace conventional medicine. It complements it. Conventional medicine is essential for acute conditions, surgical interventions, emergency care, and the management of conditions that require pharmaceutical intervention. Functional medicine is most effective for chronic conditions that have not responded fully to conventional approaches, or for patients who want to address root causes rather than relying on long-term symptom management alone. Many patients use both models simultaneously.

What Is the Difference Between Functional Medicine and Naturopathic Medicine?

The difference between functional medicine and naturopathic medicine is that functional medicine is a clinical framework (a way of thinking about and organizing clinical care) while naturopathic medicine is a distinct medical profession with its own four-year doctoral degree, licensing requirements, and scope of practice. There is significant overlap: both emphasize root-cause treatment, personalized care, nutrition, lifestyle modification, and the therapeutic relationship. Many naturopathic doctors incorporate functional medicine principles into their practice, and many functional medicine practitioners adopt naturopathic treatment modalities.

What It All Comes Down To

Functional medicine's clinical scope covers the full range of chronic health conditions through a root-cause, systems-based approach that treats the patient as a whole person rather than a collection of isolated symptoms. The evidence from Cleveland Clinic's JAMA-published research confirms that this model produces measurable improvements in patient outcomes. The approach is not a rejection of conventional medicine. It is an expansion of the clinical toolkit to address the chronic disease burden that conventional care alone has not been able to solve.

If you are dealing with a chronic condition that has not responded to standard treatment, or if you want a clinical partner who will take the time to understand your full health picture, Cutler Integrative Medicine can help. Call us at (248) 663-0165 to schedule a consultation.