What’s New at Functional Medicine SF June 2018 Newsletter

Diagnostic Discovery and Research
In addition to patient care, Dr. Daniel is now offering diagnostic discovery and research review appointments for those with complex medical cases. Check our website for more information and rates.

Bundle Pricing Continues
We are continuing to offer two different three visit follow-up bundles with Dr. Daniel. Prices are:
45 minute 3-Visit Bundle: $900
60 minute 3-Visit Bundle: $1080

What is included? Three follow-up visits with Dr. Daniel to be used within a six-month period. If you don’t complete the three visits within six months the unused credit will be applied toward any regular single appointment rate. You won’t be charged for the bundle until you have your first of the three included appointments. At that time we will charge the bundle rate and start the six-month period.

Changes in Health Coaching and Nutrition Appointments
We are ending our health coaching promotion where we offered complimentary health coaching appointments with every visit you have with Dr. Daniel. New patients will now receive complimentary health coaching visits with Dr. Daniel after your initial appointment and first follow-up visit.

We highly encourage patients to book regular health coaching and nutrition support appointment as they need them. We find that patients are more successful when they seek out the support they need instead of waiting until after their next appointment with Dr. Daniel. Rates and appointments are available on our website.

Want To See Results In Less Time? Take Full Advantage Of Our Clinical Care Team
Functional medicine is rooted in individualized and personalized care, but it is not something that is meant implement on your own. Your meetings with Dr. Daniel provide the information that sets the course for your care. Your protocol becomes a roadmap for your treatment. It is a thorough and involved plan and includes a unique mix of diet, lifestyle, supplement, medication, and testing recommendations created for you, based on your specific health goals and needs. Recommendations may cover several weeks or several months. Everyone’s response and clinical outcome to each of the recommended interventions will vary and it is impossible to predict how they will affect you.

Your care plan is detailed and multi-faceted. Think of it not as your own owner’s manual, but as a playbook for your team. It is designed for a team approach. At Functional MedicineSF our clinical care team is a collaborative team. Led by Dr. Daniel, our clinical team includes Barbara Sobel, CNS, LDN, our clinical nutritionist, and Lisa Deptula, PA-C, our physician assistant. Both have Barbara and Lisa have extensive training in functional medicine. They work closely with Dr. Daniel and each other.

Barbara and Lisa are here to provide support throughout the healing process. They can help demystify your plan, break it into manageable pieces that fit into your everyday life, evaluate progress, make changes when necessary, inspire, and provide accountability.

We find that our patients who regularly meet with Barbara and Lisa between appointments with Dr. Daniel see better clinical outcomes in less time. Whether you are a new patient or someone who has been working with us for some time, you have invested a lot of time and money into improving your health. You can make that investment go further by doing a few simple things:

A. Set regular appointments with both Barbara and Lisa

1. Schedule your first appointment with Barbara as soon as you meet with Dr. Daniel for your first appointment. She can answer questions about your protocol and help you create a strategy to implement the diet, lifestyle, and supplement recommendations that Dr. Daniel outlined.
2. After your first follow-up appointment with Dr. Daniel, book your second appointment with Barbara. She will partner with you to address challenges that are getting in the way of you reaching your goals and provide support and resources to help you meet those goals. Whether this is figuring out when to take certain supplements, how to titrate the dose or help with some new recipes because you feel like you eat the same five foods every day.
3. Book your first check-in appointment with Lisa two weeks after seeing Barbara and four weeks after seeing Dr. Daniel, to check in on how the protocol is going and make adjustments as needed. This is a key component to keeping you moving forward toward your health goals. Everyone reacts differently to recommendations and experiences unexpected setbacks. Lisa can quickly identify and address these issues, and make changes that can significantly speed-up the time it takes for you to feel better.
4. Plan on booking appointments with both Barbara and Lisa every few weeks after that to review progress, problem solve and make adjustments as necessary. You can book appointments with both Barbara and Lisa through the portal.

B. Track Your Progress
One of the keys to results you want is to help us monitor your response is to diligently track your symptoms each day. You can do this on the MySymptoms Tracker app or create your own chart or document to track your symptoms in relation to your diet, supplements, medications, stress, mood, digestion, sleep, physical activity, hormones and/or any other symptoms or interventions you experience or would like to track. Uploading and sharing this information before appointments with Dr. Daniel and Lisa will help them see a clearer clinical picture of your current health. They will use the information you collected along with testing and other clinical data to make better informed, more targeted recommendations and adjust your protocol as needed.

C. Use the Team Approach
Our patients often think they either can or have to go it alone, but know that you have a team ready to help you reach your health goals. We notice that the patients who make regular appointments with the clinical team make progress toward their goals much faster than those who do not. Regular appointments help them gain valuable insight and feel empowered to make positive changes on their path to long-term optimal wellness.

Summer Recipe: Beet and Pistachio Slaw
Wondering what to take to a summer picnic or dinner party and still follow your anti-inflammatory diet? Here is one of my new favorites based on a recipe from Joshua McFadden’s Six Seasons: A New Way of Cooking. The book highlights vegetables from each of the seasons. This particular recipe is from early summer.

Beet Slaw with Pistachio Nutbutter and Raisins
2 cloves garlic, smashed and peeled
½ cup golden raisins
2 tablespoons apple cider vinegar
11/4 pounds beets peeled, choose an assortment of colors
2 tablespoons fresh lemon juice
½ cup chopped Italian parsley leaves
¼ cup chopped mint leaves
½ cup dried chili flakes
1 cup raw unsalted shelled pistachio nuts
⅓ cup water
1 tablespoon apple cider vinegar
3 tablespoons extra virgin olive oil
Salt and pepper to taste

Directions

1. Combine the raisins, garlic, and vinegar in a large bowl and let sit for 1 hour.
2. To make the pistachio butter toast the pistachio nuts on a baking pan at 350 degrees for 6-8 minutes until you smell the nuttiness and the color starts to deepen. Let cool.
3. Add pistachios to a food processor and run until the nuts are as fine as possible.
4. Slowly add the water, vinegar, olive oil, and a pinch of salt. Scrape the sides of the bowl as necessary.
5. Grate the beets on the large holes of a box grater or cut into julienne strips. Start with the lightest color beets first as your hands will turn colors. You may want to wear gloves.
6. After 1 hour, remove the garlic from the bowl of raisins and discard. Add the beets, lemon juice, most of the parsley and mint, and chili flakes. Season with salt and pepper.  Let stand for 5 minutes. Adjust the seasoning and toss with ¼ cup of olive oil.
7. To serve, spread a layer of the pistachio butter on the bottom of serving bowl, add the slaw and top with the remaining herbs and a drizzle of olive oil. Serves 4.