Case Review, Step One: Initial Consult
During this 30-minute phone/video appointment, a team clinician will interview you to determine which lab tests to order for your Case Review, based on your chief complaints, your history and ultimate wellness goals.
This appointment has two purposes: to make sure that we have all of the information needed to gain a comprehensive understanding of many of the factors affecting your health and to give you a head start on your treatment before you meet with us.
The exact lab testing ordered after the Initial Consult depends on your individual circumstances, but may include:
A comprehensive blood chemistry panel. This is the single most efficient, effective and affordable tool for quickly evaluating your health. It screens for a wide range of conditions, including several types of anemia; gut, viral and bacterial infections; insulin resistance and hypoglycemia; liver and kidney issues; and thyroid and adrenal problems. It offers important clues for how to structure and focus your treatment to get the best results. It also provides a baseline of biomarkers that can be used to objectively track the progress of your treatment over time.
Additional blood tests for specific conditions, such as high cholesterol, hypothyroidism, autoimmune disease and gluten sensitivity.
Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis and a deficiency of beneficial gut bacteria.
Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrates, B-vitamin status, methylation issues, detoxification capacity, oxidative stress and neurotransmitter metabolism.
Urine hormone testing for adrenal and sex hormone status.
A Client Care Coordinator will provide you with the Case Review health history online assessment to complete. It is important that you spend time and energy completing these intake forms, as they are vital in helping us understand your case.
This digital paperwork includes:
– A detailed health and health history questionnaire
– A survey of your chief complaints and most important health goals
– An assessment of your most troubling and frequently experienced symptoms
– A diet survey and questionnaire
– A survey of your current supplements and medications
Finally, the Client Care Coordinator will provide you with dietary guidelines to follow after your Initial Consultation including Detailed instructions on how to perform a 14-day elimination diet. (14-day Reset)
It is critical that you implement the 14-day Reset diet to the best of your ability. When you speak with Carlyle, your experience with the diet will be as important as any lab findings in guiding the next steps in your care plan.
Once we’ve received your lab results and completed Case Review paperwork, you will move on to Step 2: The Case Review Consultation. This typically occurs between 60 and 90 days after the Initial Consultation, because some of the labs we use take up to 8 weeks to deliver the results to us after receiving your sample. While you wait for your labs to come back, you will be implementing the 14-day Reset diet and making forward progress.