The first step - a free, no-obligation discussion
All potential patients are required to schedule a free 20 minute consult with me before scheduling a new patient visit. We will discuss your wants and needs to make sure that we are a good fit to work together. Call 206-395-9870 or set a time on my calendar with the link below.
Working with me
Common therapies used
Detailed diagnostic testing, targeted diet and nutrient therapy, lifestyle counseling, botanical medicine, mind-body therapies, homeopathy, and others as needed.
Working with your other providers
You're in control here. I strictly adhere to HIPAA privacy policies and will share information or happily work directly with your other health providers as appropriate, but only with your written permission. You are always encouraged to share the details of our work together with any or all of your health care providers.
Types of appointments to choose from
New Client Package $425* - Then choose from #2 OR 3 below
Includes a first 90 minute visit and a 30 minute follow up.
The first visit will include an in-depth, collaborative conversation. We'll discusses your goals, personal and family health history, current symptoms, and how we'll get started. Between visits we'll gather information. Commonly this includes old labs and diet/lifestyle logs. You may receive starting recommendations, if appropriate at this time.
Return Appointments - Return appointments are intended for clients who have established care with Dr. Modica, are following up from previous visits, or have an acute illness (e.g. cold/flu). $180/hour, $120/30 min, OR:
Discounted Concierge Packages (described directly below) - with unlimited access to all services. $999/3 months. Family discounts and/or longer packages are available at further discounts.
Maintenance package - for those who've achieved their goals and want maintenance support a yearly 4 appointment package is available for $500.
*This is generally a one time charge, but a break in service of more than 12 months may require an additional first appointment fee.
The Concierge Program is a quarterly health care membership that provides for a deeper level of care and partnership between us. It provides an increased availability of time and the frequency of visits so we can dig in to your concerns, your goals, your unique health challenges, and develop a strong working partnership. It is open to a limited number of patients to ensure adequate time and attention on both our parts to address your needs and achieve your health goals. I love it because it enables you to truly take charge of your health and me to better get to know and serve you.
Additionally, as a bundled program there are significant cost savings for anyone that needs or wants more care than traditional appointment-based services can provide.
Memberships are offered in 3-month packages. Further discounts are available for longer durations and additional family members that share a home - generally spouses/partners and children (18 and above, with some exception).
Unlimited access for appointments, texts, email - for most people appointments are scheduled every two weeks, but may be more in the beginning, or anytime that additional support is needed, and less as we move forward.
Appointments (in person, phone, or video), generally on Fridays or Saturday mornings, with flexibility if needed.
Phone calls/emails between visits as needed.
Supplements discounted at 10%
Significant Cost Savings (based on average use)
A deep partnership between us
More detailed health education to help you make better decisions for yourself once our work is complete.
Contact me for further details.
Functional Lab Testing
What is Functional lab testing?
These Lab Tests Provide Answers. Functional labs take a detailed look at the current state of your metabolism, cholesterol, hormones, immune system, genetics, and more. They can help answer "why" you aren't feeling your best, often providing answers when your regular labs do not. And, more to the point, they help determine "how" to regain your health by pointing out areas that require attention - before they become overt illness.
Why would you do this kind of testing?
Most of the labs run by conventional docs are looking for disease that already exists. These tests are important, but since they are often run during regular check-ups, we confuse them with preventative care rather than what they are - disease detection. Functional lab testing gives information about that gray area between optimal health and disease while you still have the ability to fix it - true preventative care.
Some key examples of tests I use are listed below.
Adrenal Health Testing
Your adrenal glands, while pretty small, have big responsibilities. They contribute to the regulation of blood sugar, blood pressure, metabolism, sleep/wake cycles, energy, and your stress response.
Importantly, your body has only one stress response and modern life is constantly putting it to the test. So, whether you’re actually running from a bear, just running up against tight deadlines at work, experiencing a rocky relationship, are sleep deprived, have anxiety, and/or blood sugar difficulties your adrenal glands are working hard.
Over time these otherwise super resilient glands can become unregulated, resulting in fatigue, difficulties getting to or staying asleep, weight gain, mood disorders (depression/anxiety), and may even contribute to chronic pain.
What's key to understand is that your adrenal response is one of the major links between chronic stress and chronic disease. Over time you'll become susceptible to high blood pressure, heart disease, lowered immunity, metabolic syndrome / diabetes, chronic fatigue, brain fog, dementias, and cancer.
Conventional medicine only recognizes overt disease of the adrenal glands Addison’s and Cushing’s diseases. This very black and white view is thankfully not held by Naturopathic and Functional medicine docs. We understand that life happens in the gray areas and this test looks at dysfunction - because small changes to such an important system can have a big impact on your quality of life.
You don't have to guess. We can test if you're feeding your body what it needs or if you're getting the good nutrition from your food. Knowing your overall nutritional status will help us personalize a diet and health plan for you. Whether you're just curious, want to stay well, reverse disease, or even optimize your recovery from illness this test will help!
Nutritional analysis will help personalize your supplementation needs for antioxidants, B-vitamins, minerals, essential fatty acids, amino acids, and give us insight into your digestive and metabolic health. Not enough? We can add some genetic markers to help assess conditions such as depression, anxiety, heart disease, metabolic syndromes (sugar related illnesses), inflammatory conditions, and even chronic pain syndromes.
Assessing and optimizing gut function is a pillar of all naturopathic health programs. These tests identify gut inflammation, digestive issues, imbalances of gut bacteria, and even infections making it an essential test for those with any digestive pains or discomfort, IBS, inflammatory bowel disease, cardiovascular disease, diabetes, autoimmune issues, and even weight problems. These are powerful tests that guide and target therapeutics.
Hormones are the internal conductors that orchestrate your life, love, energy, sleep, mood, fertility, thirst, hunger, bodily functions, and resilience. Finely tuned their masterpiece is the symphony of your health and wellness. Disharmony can leave you fatigued, gaining weight, depressed, anxious, having difficulty with your mood and relationships, infertile, and feeling generally unwell.
Hormone testing is for both women and men throughout all stages of life, these tests will help to evaluate your balance of hormone levels, adrenal health, as well as key nutrition markers to help direct the appropriate use of supportive supplements, bio-identical hormone therapy, and lifestyle recommendations.
Comprehensive Cholesterol & Heart Health
Did you know that when you get your basic cholesterol levels checked your risk for Heart Disease is determined incorrectly about 50% of the time? In other words, your doctor may tell you that your risk is low, yet there's a 50% chance that you will still have a heart attack, stroke, or other cardiovascular events.
This is because the key predictors of heart disease measured in basic lab tests (LDL, HDL, and Triglycerides) are NOT enough to say whether you are headed towards a heart attack or stroke. In fact, they aren't even close.
Functional cardio-metabolic testing looks at your advanced cholesterol markers, inflammation, blood sugar disorders, insulin resistance, genetic contributors, and more.
Prevention requires early risk detection. Testing will provide you personalized treatments to help keep you healthy and prevent heart attacks, strokes, other cardiovascular events, Alzheimer's and other Dementias, and all of the pain and reduction in quality of life these diseases bring. I consider these tests indispensable.
Mitochondria and Metabolic Health
Metabolism is the sum of your body's chemical reactions. These reactions build new molecules and break down old ones, eliminate waste, and produce energy.
Specialized testing allows us to look at many of the specific details of these reactions, such as those involved in energy production, detoxification, neurotransmitter breakdown, oxidative stress, and gut microbe (yeast and bacteria) activity. In addition, we can see your vitamin, mineral, anti-oxidant, and amino acid levels that are associated with theses processes as well.
When any of these pathways are slowed or blocked a personalized nutrition plan can be created specifically for you.
If you or your loved one suffers from fatigue, sleep disorders, depression, or altered immune function this may be the right test.
Food Sensitivity Testing
Food sensitivities cause a wide range of symptoms and if not corrected can lead or contribute to acute distress and chronic illnesses. Some examples include:
Gastrointestinal disorders, such as Irritable Bowel Syndrome (IBS), indigestion, heartburn, GERD, constipation, nausea, diarrhea, bloating, ulcerative colitis, and Crohn's Disease
Metabolic disorders, such as obesity, NAFLD (non-alcoholic fatty liver disease), Type II diabetes, and difficulties to lose weight
Inflammatory conditions, such as eczema, psoriasis, arthritis, asthma, or autoimmune disorders
And more, like fatigue, headache, migraine, cognitive impairment
That said, the best way to figure out what foods you’re sensitive to is to do an Elimination-Challenge diet experiment. If you’ve tried this already and weren’t able to relieve your symptoms or if you have personal or medical concerns about trying it a food sensitivity test may be right for you.
Specific tests can be included with most of the above tests to really personalize your testing!