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Integrative Functional Medicine Consult

What is Integrative Medicine?

Integrative Functional medicine is healing-oriented medicine that takes the whole person into account (including mental, emotional, functional, spiritual, social, and community aspects—and treating the whole person rather than, for example, one organ system), as well as all aspects of lifestyle. It emphasizes the therapeutic relationship and makes use of all appropriate therapies, both conventional and alternative. Integrative health care often brings conventional and complementary approaches together in a coordinated way, including well-coordinated care between different providers and institutions.

The Principles of Integrative Functional Medicine:

A partnership between patient and practitioner in the healing process
Appropriate use of conventional and alternative methods to facilitate the body’s innate healing response
Consideration of all factors that influence health, wellness and disease, including mind, spirit and community as well as body
A philosophy that neither rejects conventional medicine nor accepts alternative therapies uncritically
Recognition that good medicine should be based in good science, be inquiry driven, and be open to new paradigms
Use of natural, effective, less-invasive interventions whenever possible
Use of the broader concepts of promotion of health and the prevention of illness as well as the treatment of disease
Training of practitioners to be models of health and healing, committed to the process of self-exploration and self-development.

The Main Health Goals of the Integrative Functional Medicine program:

Anti-inflammatory, nutrient dense dietary recommendations designed for your individual needs and physiology
Improved digestive function and immune function
Optimal hormone balance for adrenal, thyroid and sex organs
Sugar and insulin balance
Emphasis on detoxification and disease prevention
Sleep Restoration
Stress Reduction techniques
Improved Energy and Metabolism
Recalibrating Mood Imbalance
Bringing mind, body and spirit back to natural balance

During Integrative Functional Medicine Visit the Patient Receives Head to Toe (All Systems) Evaluation.

Physical examination
Nutrition evaluation (diet and supplements)
Micronutrient evaluation (via blood work)
Customized Supplement: personalized vitamin based on your body chemistry. Combination of all required supplements into a single, convenient and easy to take daily capsule.
Hormone evaluation – thyroid, adrenals, pituitary, sex hormones (via blood work)
Bio Identical Hormone Therapy assessment for women and men (if needed)
Organ evaluation (via blood work)
Heavy metal evaluation (via blood work)
Specialized testing for gut health: microbiome evaluation, gut permeability, food sensitivities – if required for Patient (case by case)
Specialized testing for anti-aging (telomere testing, genetic testing)- if required for patient (case by case)
Diet evaluation (fasting, intermittent fasting, lectin free diet, daily program)
Prolon “fasting mimicking diet” introduction and discussion
Weight management evaluation and program
Physical fitness evaluation
Sleep Assessment
Lifestyle evaluation (stressors, triggers, home environment, etc.)
Directly working with wellness practitioners and referral system (nutritionist, ayurveda medicine, acupuncturists, mediation, yoga, pilates, behavioral therapists, reiki, tai chi and chi gong masters, athletic trainers, physical therapy, biomagnetic pair therapy, craniosacral therapy, medical massage, vibroacoustic therapy, infrared sauna, wet/dry sauna, spa therapies)
Directly working with conventional medicine practitioners and referral system (Cardiology, Gastroenterology, Pulmonology, Hematology, Oncology, Endocrinology, Rheumatology, Dermatology, Ophthalmology, General Surgery, Vascular Surgery, Plastic and Reconstructive Surgery, Psychiatry, Gynecology, Neurology, Orthopedic and Sports Medicine)
Creating an ongoing all-encompassing wellness and medical plan that is customized and works well with the patient’s unique lifestyle.
Accessibility to the doctor
Initial consult visit will be 90-120min with doctor

This program is designed to correct the environmental, dietary and lifestyle stressors that are the cause of most chronic conditions and promote healthier personal habits to prevent disease, and allow healing. By using all the above modalities, lifestyle modifications, natural supplementation, and prescription medications when necessary, we support the body’s internal healing process to create health and vitality. The goal is to understand the root cause of disease and then treat the cause in order to remove the symptoms as opposed to alleviating symptoms without addressing the underlying problems.

*Patients who would like to schedule an appointment may call or email:

telephone: 631-283-0015

email: [email protected]

Anti-aging, Peptide Therapy, and Hormone Optimization
Increased cholesterol, a sluggish metabolism, low libido, loss of lean muscle mass and weight gain, sagging skin, slowed mental acuity, fatigue, and chronic disease states, can all be caused by changes in the body associated with aging. Dr. Magdalena Swierczewski can assist you with alleviating some of these undesirable symptoms of aging through hormone optimization and peptide therapy.

Peptide Therapy
Peptide therapy is quickly becoming a “must-have therapy” for men and women of all ages and lifestyles. Peptides are naturally occurring amino acids that help to correct hormone imbalances, increase energy, improve cognition and mental focus, prevent/delay/reverse dementia, enhance sex drive, improve bone density, skin elasticity, muscle tone and stamina, lower body fat and cholesterol levels, decrease wrinkles, reduce inﬂammation, decrease joint and muscle pain, balance blood sugar and insulin, repair tissues, reverse aging, improve anxiety, insomnia, depression, and so much more!

Peptides Increase Natural Human Growth Hormone
Peptide therapy is also used to optimize the production and secretion of growth hormone levels, which rapidly decline as we age. After the age of 30, there is a progressive decline of growth hormone secretion of about 15% every decade of adult life. Growth hormone receptors have been identified on most tissues in the body including muscles, adipose tissue, the liver, the heart, the kidneys, the brain, and the pancreas. The widespread nature of these receptors points to the importance of growth hormone for protein building, promotion of lipolysis, and resistance to insulin induced glucose metabolism of the liver and peripheral tissues. Growth hormone promotes protein synthesis, improves metabolism, increases mitochondrial function, increases bone density, and many more anti-aging functions. Clearly, growth hormone is important; it maintains cellular survival, improves cellular efficiency, utilization of glucose, cellular repair, prevention of insulin resistance, and promotes healthy brain function . So why not simply give growth hormone to counteract the loss as we age? Historically exogenous human growth hormone (HGH) had been administered but had negative side effects such as shutting down natural human growth hormone production, negatively impacting pituitary function, risk of tachyphylaxis, and had been associated with a range of side effects including cancer. Exogenous human growth hormone (HGH) is clearly not the answer, but peptides are; specifically, a group of peptides that act on the release of growth hormone, hence their names: growth-hormone releasing hormone (GHRH) and growth-hormone releasing peptides (GHRPs). These peptides offer the same benefits as human growth hormone without the risks. These peptides promote natural release and production of human growth hormone, support pituitary function and health, and have no risk of tachyphylaxis, or any other side effects. As compared to HGH, these peptides (GHRH/GHRP) also continue natural growth hormone production for a period of time even after the therapy is stopped.

Why Peptides?
Peptides or molecules that are a combination of two or more amino acids joined together by a peptide bond. Peptides reside in every cell of the body: they are signaling molecules, hormones, enzymes, parts of receptors, and basically any messaging part of a cell. We have over 300,00 naturally occurring peptides in our bodies. Peptides have been utilized in medicine since the beginning of the 1920s. The first commercially available peptide in the United States was insulin. Presently 7000 peptides have been identified, over 140 peptides are involved in therapeutic treatments and are being explored in clinical trials, and more than 500 therapeutic peptides are being used in pre-clinical development. There are over 60 FDA approved peptide medicines on the market today and the number continues to grow. When naturally occurring peptides are re-created for medical therapeutics their specificity translates into excellent profiles for safety, tolerability, and efficacy in humans. Peptides are being shown to be successful in regulation of blood glucose, controlling insulin levels, treating inflammatory diseases, brain diseases, cardiac disease, metabolic syndrome, weight issues, immune deficiencies, cancers, bone and joint problems, sleep disorders, anxiety, depression and fatigue.

Most humans begin to seize making sufficient signaling peptides by around age 30. As we age, the cells of our brain and body slow down, they stop replicating, growing, proliferating—why? Because the peptides that signal this proliferation cycle begin to ebb. As a result, cells begin to either lose their efficiency or they begin making signaling mistakes, impacting all cell functioning and triggering the creation of senescence cells which, cause inflammation, immune dysfunction, DNA damage, stem cell dysfunction, and reactive oxidative species (ROS). This leads to aging, a disease of brain-body functioning marked by loss of cellular efficiency. This is when we develop disease states (diabetes, chronic inflammatory states, cancers, obesity, loss of lean muscle mass, loss of physical endurance, immune compromise, endocrine disorders, hormonal imbalance, loss of collagen, orthopedic disorders, neuromuscular disorders, cognitive impairment, dementia, Alzheimer’s, Parkinson’s, anxiety, depression, insomnia, etc.). The good news is, that peptides can intervene and make cells efficient again.

PEPTIDES HELP:
– Improve inflammatory response/balance and reduce systemic inflammation
– Improve immune function
– Improve cognitive function and memory
– Improve insulin sensitivity
– Increase GH, IGF-1
– Increase Lipolisis (fat burning)
– Increase catabolic state, increase lean muscle mass
– Increase BMR (basal metabolic rate)
– Improve/balance hormones (adrenal function/cortisol, thyroid function, increase sex drive, improve erectile dysfunction, improve sexual function/orgasm)
– Assist in cellular atophogy, mytophagy, and apoptosis
– Optimize mitochondrial function
– Reestablish and protect cellular efficiency
– Reestablish and maintain cell metabolic flexibility
– Maintain nucleotide cofactor ratios of NAD+/NADH, NADP+/NADPH, acetyl CoA/,CoA and ADP/ATP to maintain ultimate cellular redox
– Optimize P53, SIRT, and FOXO genes
– Monitor/influence Timing of cellular senescence
– Reverse inhibit epigenetic influences of the genome
– Prevent DNA mutations
– Increase mesenchymal stem cell function
– Increase amount of circulating stem cells

Who Can Benefit From Peptide Therapy and How Do I Get Started?
Everyone is a candidate for Peptide Therapy and can beneﬁt in multiple ways. Peptides come from US-based, FDA-regulated compounding pharmacies, so a prescription from a medical provider is required. There are several different types of peptide therapy beneﬁts. In our practice there are different categories of peptides to choose from based on their benefits (Anti-aging, Weight Management/Metabolic Enhancement, Immunity, Improved Cognition / Neuroplastisity /Brain Function, Cellular Repair, Gut Repair, Sleep/Circadian Repair). During your consultation, Dr. Swierczewski will discuss the different peptide options and make a recommendation based on your medical history/symptoms and goals. Your prescription peptide will ship to your home address from the compounding pharmacy that works directly with Dr. Swierczewski.

How Long Will I Use Peptide Therapy?
Peptide therapies usually have a “loading” period of 3-6 months before full effects and maximum beneﬁt are noticed. In fact, unlike synthetic growth hormone that has negative side effects of long term use, peptides are natural and can be used indeﬁnitely for maximum health beneﬁts with little to no side-effects.

How Are Peptides Administered?
Most peptides come in an injectable, oral, or cream form. The pharmacy will ship all supplies you will need with instructions and each protocol will have specified dosing and duration. Dr. Swierczewski will discuss options during your consultation and help you select the best peptide for your needs.

These are Some of the Peptides Available (list not all inclusive) with Dr. Swierczewski:
• BPC 157
• Epithalon
• Mod GRF[1-29]
• Ipamorelin
• GHK-Cu
• TAI
• TB4
• AOD 9604
• DSIP
• Dihexa
• Cerebrolysin
MOTS-c

*To schedule an appointment, please call or email:

telepho.ne: 631-283-0015

email: [email protected]

Bioidentical Hormone Therapy Program

As we age, hormone levels (estrogen, progesterone, testosterone, DHEA, pregnenolone, melatonin) fall and lead to symptoms of perimenopause/menopause in women, and symptoms of Andropause in men. Utilizing bioidentical hormones improves low hormone levels and puts our bodies back into balance optimizing our health. Unlike their synthetic counterparts, bioidentical hormones are compounded hormones derived from naturally-occurring sources, such as soy or yams. Bioidentical hormones are designed to be structurally indistinguishable from the natural hormone made by the human body. This exact-match replication reduces side effects and risks, as well as enhances effectiveness of the treatment.

Bioidentical hormones are compounded at a compounding pharmacy. Compounding pharmacies operate under guidelines established by the FDA. Compounded hormones are specifically made by a compounding pharmacist in the exact strength and dosage as prescribed by the attending practitioner. Bioidentical hormones, in most cases, cannot be patented and made into mass prescription forms by large pharmaceutical companies. Instead, doses are carefully determined after an experienced and highly-trained hormone therapy practitioner meets with the patient to review and discuss their medical history, symptoms, lifestyle and lab results. This information ensures that patients get a treatment plan and prescriptions that meet the specific needs of their body.

Hormonal balance is not achieved by meeting some ubiquitous standard of normal—balance is reached when optimal function is restored for the individual person. Bio-identical hormones are available in the form of a pill, cream, patch, gel, and injectable.

The following are typical symptoms of hormone imbalance in women (perimenopause/menopause):

Hot flashes and night sweats
Fatigue
Anxiety, depression, and irritability, mood swings
Low libido
Memory lapses and trouble concentrating
Weight gain
Headaches
Insomnia
Lack of muscle tone
Vaginal dryness/tears
Vaginal pain during sexual intercourse
Loss of elasticity and collagen (skin, mucous membranes)
Loss of bone density

The following are typical symptoms of hormone imbalance in men (andropause):

Erectile dysfunction
Low libido
Muscle mass loss
Fatigue
Anxiety, depression, and irritability, low vigor, low vitality
Memory lapses and trouble concentrating
Weight gain
Headaches
Insomnia
Loss of elasticity and collagen (skin, mucous membranes)
Loss of bone density

Program includes:

Comprehensive personal history, as well as a family history
Physical exam
Blood work analysis of sex hormones, thyroid function, adrenal function, kidney/liver function, cell counts, electrolytes, and vitamins (micronutrient evaluation)
Review of pelvic ultrasound (required prior to starting therapy)
Review of mammogram and/or breast ultrasound (required prior to starting therapy)
Working closely with a specialized, compounding and conventional pharmacist to create the unique dose for each patient
Working closely with the patient to achieve optimal dose of specified bioidentical hormone
Initial visit will be 90-120min with the doctor

*Patients who would like to sign up for the program may call or email:

telephone: 631-283-0015

email: [email protected]