Symptoms and Conditions
are diffuse and ever-changing.

Effective solutions are timeless.

Our approach supports individuals with one or more of the following concerns.

Digestive Health

 

SIBO, IBS, constipation, diarrhea, bloating, heartburn, reflux, and pain are just some of the problems which can arise regarding digestive health. The challenge with medical management of these problems is that most are associated with functional declines in the digestive system. Medicine is well suited for treating pathology, but we have become quite adept at understanding the aspects of GI health which must be supported in a variety of problems.

Additionally GI health can be found at the root of many other health problems, so if you have a different primary problems, but also have mild digestive complaints, the health of your gut may be a powerful underlying factor.

Headaches

 

Over 45 million Americans suffer from chronic, recurring headaches. Twenty-eight million suffer from migraines.

You do not have to be one of them.

The problem with the treatment of headache pain isn’t that there is a lack of options. Hundreds of proposed solutions exist. However, finding the right combination of solutions for you can take years of hard work. It all comes down to understanding the appropriate treatment necessary for your unique needs. What you might not know is that very few doctors fully evaluate headache pain. There is a reason for this and we’ll get into it later. It isn’t that they are incompetent or that they don’t like you or because of some conspiracy by big pharma.

If you’re reading this you have likely already been through the proverbial ringer of doctors, neurologists, chiropractors, physical therapists, massage therapists, and even some others that you may not have told your friends about. You may have tried over-the-counter meds, vitamins, perhaps some herbs, and even the prescription drug route. We’ve seen this hundreds of times.

We understand the numerous factors contribute to a headache and you may even be suffering from multiple headaches. This is a major factor of what sets our approach to headaches apart, we assess for all of the causes of headaches, at least 10 in our evaluation and plan development.

Blood Sugar and Weight

 

You don’t have to have diabetes to be concerned about blood sugar.
You don’t have to break the scale to be concerned about your weight.

Carrying extra weight around your middle is not something to see a nutritionist about just for vain reasons. Extra fat means additional health risks. And persistent weight gain or weight loss resistance is likely not a matter of calories. Rather it is a complex situation of sex hormones, stress hormones, thyroid hormones, blood sugar dysregulation, and inflammation. Blood sugar dysregulation alone can cause very real changes in mood such as extreme irritability, depression and feelings of anxiety. Most people do not connect libido to their blood sugar, but they should. You need to know this

  • Your family history isn’t a life sentence
  • Even if you’ve been diagnosed, diabetes is a reversible disease
  • Medications are rarely the thing that reverses the disease

The pancreas, of course, is the organ focused on when it comes to diabetes. However, it is not the only organ involved in the complex orchestra which includes the thyroid gland, the liver, and the system responsible for both hormone and neurologic balance—the hypothalamus-pituitary-adrenal (HPA) axis. We take everything you have read, heard, been told, and believe and will make sense of it all, starting on day 1.

Hormone Harmony

 

If you feel like you are losing control of your hormones and all you want is some predictability to your health, contact us now to see if metabolic treatment is right for you.

You may have changes in mood, weight, or energy and this may be the cause or effect of hormones. Adding in hormones from outside of the body is not always the right answer.

We know what it is like to see your family doctor who sends you to the OB/GYN who in turn sends you to the endocrinologist who sends you to the psychiatrist who sends you back to your family doctor.

After trying “this” and hoping for “that,” and watching this level and correcting that symptom even the most patient and kind woman will lose her nerve. If your mood and metabolism is either being affected by or is the cause of your hormone struggle, we can get to the root of the issue and communicate clearly and efficiently with the other members of your medical team. We eliminate the guesswork and choice between “this and that.”

Getting passed from one doctor to the next can range from irritating to enraging! Perhaps the most common cause of female-factor infertility in developed nations is polycystic ovarian syndrome (PCOS) which has been estimated at up to 10% of the total population. Symptoms include irregular or unpredictable menstrual cycles, unwanted hair growth, acne or scalp hair loss, unexplained weight gain or impaired weight loss. However, not every female hormone problem is PCOS or even has a proper name. And far too often most PCOS support is directed primarily at fertility when that may not be the immediate goal.

Our programs provide support for numerous named and unnamed concerns for women’s hormone challenges. What you need to know is that massive change is totally doable.

Schedule a free consultation if:

  • You are convinced that your headache, skin challenge, or weight problems are due to hormones
  • You are a complicated case because of another condition and your doctor is not taking you seriously
  • You have not had a cycle in quite some time and this is alarming to you
  • You are considering preparing your body for conception
  • Your doctor suggested a hysterectomy but you are not convinced
  • You have had a hysterectomy and need additional support
  • None of these apply to you, but you know you can be healthier

Fertility and/or Amenorrhea

 

Not every case of infertility is treatable by correcting metabolic problems. However, when the underlying conditions of the causes of infertility are corrected, you can improve your odds significantly.

You may have been prescribed oral contraceptives to balance your hormones. In order to bridge from the pill to pregnant, a massive change is necessary. But remember, massive change is totally doable. Your partner may also be treated for optimal results and our program is compatible with Clomid and most assisted-reproductive technologies (ART). Women just like you have reported to us that their doctor has told them it is okay not to have your menstrual cycle.

We believe a predictable menstrual cycle without the help of medication is a sign of natural balance. That is our goal for you.

Thyroid Health

 

I had been feeling fairly run down and unmotivated to do anything. I had just moved to Europe courtesy of the US Army on my husband’s orders, so I figured it was stress that was making me feel so tired. That, and I hadn’t been exercising regularly. I felt better after exercise, but I couldn’t make myself get into a habit. I started calling myself lazy. I know enough about thyroid disease that all of my symptoms fit – dry skin, weight gain, fatigue – but I figured that they weren’t severe enough to warrant disease! Lo and behold, my TSH came back slightly elevated. Still within the clinic’s “normal” range, but not functionally normal. The doctor said we would retest in 6 months. I pushed back and requested an expanded thyroid panel. TSH, free T3 and antibodies against thyroid peroxidase and thyroglobulin were tested as well. (still not a “full” thyroid panel, but it was something.) My thyroid peroxidase antibodies were elevated. Not extremely, but enough. It was enough to get a physical thyroid exam (which was enlarged) and a referral to a specialist. It was Hashimoto’s Thyroiditis. In the meantime, I am thinking about how much I do not want to go on drugs! Dr. Schuler’s immediate advice and recommendations including supplements and dietary changes were such a relief! Within 2 weeks I was feeling way more energetic, less bloated, and more motivated in all aspects of my life from my job to exercising. He also suggested a much more probable diagnosis for patches of red, dry skin I had developed over the past year on my feet and legs. Since following his advice, the patches have started to heal. I can’t recommend Dr. Schuler enough. In a world of thyroid misinformation and doctors who are well meaning but haven’t changed their treatment protocol for the thyroid in 30+ years, having someone understand that you must treat the immune system in an autoimmune disease, not just the organ the disease is targeting, is a blessing. Thank you Corey!

– Jennifer Mitchel DC, Vilseck, Germany

We generally find health-seekers in Dr. Mitchel’s situation taking a myriad of supplements, many of which are “designed to support thyroid function.” Usually the first thing we do is discontinue these supplements and begin to unravel reasons that the thyroid may be malfunctioning.

 

Atypical PCOS

 

It is now common for the diagnosis of PCOS to be passed over or your case be taken less seriously when your viewable body features and signs do not match what doctors learned about PCOS from their textbooks in school.

Sometimes your imaging comes back negative and you do not have cystic ovaries but you have all of the other symptoms of PCOS. In fact, the National Institutes of Health has recommended renaming PCOS to something like metabolic reproductive syndrome for this very reason. Women who are skinny with PCOS seem to have the hardest time getting adequate treatment. We have discovered the 2-3 most often overlooked areas for women just like you and can see positive changes in length of cycle, skin health, and ovulation in just a few short months.

Our program is compatible with the common prescriptions such as spironolactone, metformin, anti-depressants, and thyroid hormones.

Fatigue

 

Fatigue is a very common report we hear from many patients. We don’t view fatigue as a primary problem through. Many times it is secondary to some sort of metabolic process. For us to full address the symptom of fatigue we need to ascertain that root cause, which is many times associated with other conditions we regularly address.

Chronic Pain and Illness

 

Chronic pain and illness is widespread in the United States with over 50% of its adult population suffering in some way. Unfortunately the cost burden on those with chronic illness is massive accounting for 86% of all health care spending.

Unfortunately the current state of the health care system is not well equipped to deal with the time necessary to unravel the complexities of each unique presentation. Chronic disease and pain have clear solutions when addressed by experts who have time to understand root causes and the most appropriate synergistic use of all treatment options available. Uncontrolled inflammation is many times found at the roots of long-term health decline. The problem lies in the fact that treatment which has long-term success cannot be based directly decreasing inflammation alone. One must have the experience, insight, and intuition to realize and prioritize the many potential contributors to the continued inflammatory process.

Athletic Performance

 

While many people request our expertise in supporting their fight against a variety of health problems, we treat everyone as if they are an athlete. They just happen to be training with different goals in mind. This mindset has naturally resulted in athletes of all calibers seeking us out to gain their competitive edge. Whether you are a middle of the pack age group are, highly competitive in the national amateur standings, or striving for success as a professional our approach to health is one that will definitely reflect in your performance. A challenge for many athletes arises with the balance between training and recovery. We have grown to understand the nuanced presentation of when a training regimen loses balance and can guide you along the proper path to re-attain past levels of performance and break into personal best performances.

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