Find what's wrong.
When specialists ran out of ideas, the picture was still incomplete. We pull it together — gut, hormones, joints, sleep, metabolic, autoimmune — and find the through-line others missed. One physician. One integrative workup. One personalized plan.
When the answers haven't added up.
If you've been bounced between specialists with partial diagnoses and prescriptions that don't move the needle, you're our patient. We take the time to see what they couldn't.
Chronic fatigue with no clear cause.
Labs come back “normal” but you're not. We look across endocrine, metabolic, sleep, and inflammatory markers together — not in isolation.
Joint pain that doesn't fit one diagnosis.
Polyarthralgia, morning stiffness, possible autoimmune patterns. We screen broadly and pair findings with osteopathic exam.
GI symptoms specialists can't pin down.
Bloating, irregularity, food sensitivities, gut-brain symptoms. Microbiome testing, comprehensive screening, structural evaluation.
Complex cases needing a second look.
Multiple conditions, layered medications, family history concerns. Bring everything — we'll read the whole picture.
One physician. A plan that evolves.
After a 90-minute to two-hour root-cause consult, Dr. St. Marie orders a comprehensive integrative workup — and synthesizes everything into a single personalized plan.
Skip the specialist string.
Labs, imaging, hormone panels, metabolic, microbiome, autoimmune screening, osteopathic exam — ordered and read by the same physician who took your history. Findings flow into one cohesive treatment plan.
No more shuttling between specialists for partial answers. The whole picture, one doctor. Most plans run 3 to 12 months, depending on what we're solving, then settle into ongoing maintenance.
Six systems. One picture.
A root-cause workup looks at the body as one connected system — not a stack of specialist silos. Here's what we evaluate, and why each piece matters.
Endocrine & Hormones
Estradiol, testosterone, progesterone, DHEA, thyroid, cortisol, SHBG. Hormone balance touches sleep, energy, mood, weight, and recovery.
Metabolic Health
Glucose, A1c, lipids, insulin, fasting markers. The earliest signs of metabolic syndrome and pre-diabetes appear long before standard panels catch them.
GI & Microbiome
Comprehensive stool analysis, food sensitivity patterns, structural GI evaluation. Gut health drives systemic inflammation, mood, and immune response.
Autoimmune & Inflammation
ANA, RF, anti-CCP, inflammatory markers, ESR/CRP. Catching seronegative and early autoimmune patterns before they're entrenched.
Musculoskeletal & Osteopathic
Hands-on osteopathic exam: somatic dysfunction, restricted ribs, vertebral and pelvic alignment. The body reveals patterns labs don't.
Cardio & Imaging
Cardiac calcification screening, BP and lipid trending, targeted CT/MRI when warranted. The structural picture, scoped to the question.
Diagnostic & complex cases.
A non-exhaustive list of what shows up most often in our diagnostic pathway. If your situation isn't here, bring it — the workup is the same.
Unexplained & chronic
- Chronic fatigue, low energy, poor recovery
- Unexplained chronic pain or polyarthralgia
- Sleep disturbance with no clear cause
- Brain fog, mood changes, executive function loss
- Recurrent infections or slow healing
Systems & structural
- Suspected autoimmune or inflammatory arthropathy
- GI / gut microbiome dysfunction & GERD
- Hormone imbalance (men & women)
- Pre-diabetes & metabolic syndrome workup
- Chronic respiratory issues
- Complex medical cases requiring a second look
He spent four hours with me on the first visit and found what three specialists had missed.
Two other pathways.
Each one flows into the same integrative workup — calibrated to where you are and what you're after.
I'm medically or physically broken.
Post-injury, post-surgical, post-stroke, chronic pain. Osteopathic manipulation and regenerative therapies as a non-surgical path back to function.
Explore Regenerative Recovery ›I'm healthy — optimize me.
Bioidentical hormones, sleep medicine, metabolic and weight optimization, peptide therapy — for healthy people building for the next thirty years.
Explore Longevity Medicine ›Bring the records. Bring the questions.
A first consult is 90 minutes to two hours. Come prepared with prior labs, imaging, and the history no one had time to read — we'll find the through-line and build the plan from there.
Orlando, FL 32814