Ten places to look, in the right order.
Most families arrive having been checked for one thing at a time. A test for this, a specialist for that, each looking down their own corridor. What gets missed is the way the corridors connect.
We start somewhere else. Before anything is treated, we map ten root causes — the ten places a chronic problem tends to come from. Then we treat the heaviest one first, and watch what moves.
The ten root causes
Every family gets the whole map. Almost nobody has all ten. The ring is sized by how often each tends to be part of the picture in our practice — a map to start from, not a diagnosis.
Infection
Lyme and the infections that travel with it, Epstein-Barr, strep, mycoplasma, parasites, viruses that never fully cleared, and PANS and PANDAS, which can follow an infection. This is the largest single piece of the picture in our practice.
Nutrition
Real, measurable shortfalls: vitamin D, B12, iron, magnesium, zinc. Not a supplement philosophy. A blood test, a number that is too low, and a plan to bring it up.
Gut
The lining, the microbiome, bacterial overgrowth, reflux, digestion that stopped working.
Environmental
Mold, water damage and other exposures at home or school. Where they may be part of the picture, we look.
Medication
What long-term prescriptions deplete, and what they leave behind. Often nobody has looked at the whole list in one place — including the things stopped years ago.
Lifestyle
Sleep, movement, food, stress, screens. Ordinary things, and the levers a family can actually pull between visits.
Mind & Mood
Anxiety, depression, obsessive thoughts, the weight of being unwell for a long time. Sometimes this is a cause. Sometimes it’s a consequence. Usually it’s both, and it still needs treating.
Genetics
What runs in the family and, where it would change the plan, genetic testing.
Hormones
Thyroid, cortisol, puberty. Slow to move and easy to overlook.
Substance
Alcohol, cannabis, vaping. Asked plainly, without judgment, because it changes what we prescribe.
Heaviest first.
Once the map is drawn, we don’t work down it alphabetically. We work in the order the testing supports, and revisit it every cycle.
That order is different for every family. For one child it’s the mold in a bedroom. For another it’s an infection that has been quietly running for three years. Your practitioner decides the sequence.
About six weeks at a time.
Before the first visit, we read everything you’ve already been through, so the visit isn’t spent repeating it.
Map
Your map, re-read against what has changed.
Test
We order what’s needed to turn suspicion into a number.
Treat the heaviest thing
One or two root causes per cycle — not ten at once, which is how families end up on twenty supplements and no clearer.
Re-test and adjust
What moved, what didn’t, what’s next.
Then again. This is the part that takes time.
Real progress, not a quick fix.
We don’t promise to make a diagnosis disappear. We measure something more useful: whether your child is living a fuller life than they were.
At the first visit we agree on the three things that would change your family’s life most — in your words, not ours. Sleeping through the night. Getting through a school week. Eating without pain. Those three become the measure everyone here works to.
A marker on a test can lag behind how a child is doing. We watch the three things you told us matter most as closely as the number.
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