Personalized Consultations


For those interested in one area of their health, or seeking a second opinion to complement existing healthcare…Contact us to for an appointment to discuss your customized wellness care: 858-459-6919.

Click the “+” symbol to open the details on each topic below.

Cardiology Consultation

A comprehensive assessment for patients seeking Dr. Guarneri’s expertise in Preventive and Integrative Cardiology.  Includes full review of outside medical records and personalized recommendations for additional testing, medication, nutrition, natural medicine and mind-body techniques.  Includes EKG, body composition analysis and non-invasive testing of arterial function

Cardiovascular Second Opinion

  • In-depth Cardiovascular Second Opinion Assessment with Dr. Guarneri
  • Medical Practice’ proprietary health assessment questionnaires
  • Complete analysis of all blood work
  • Complete review and analysis of all cardiovascular testing
  • Physical examination including body composition analysis, basal metabolic rate, and endothelial function

Osteopathic Consultation

The Osteopathic Doctor specializing in osteopathic manipulative medicine (OMM) serves as an agent of change to alleviate acute and chronic pain, physical limitations and diseases by utilizing their hands to change anatomy and physiology to improve your health. These osteopaths honor the patient’s innate ability to heal themselves by acknowledging the body’s structure and function are interrelated. Changing structure in any system of the body has the ability to positively affect disease outcomes.  This is a lower risk, less invasive approach than prescription medications and surgeries. A Doctor of Osteopathy (D.O.) is a fully-licensed physician whose education parallels the Medical Doctor (M.D.) model but also includes training in osteopathic manipulative medicine. Patients suffering from chronic pain from musculoskeletal conditions such as back or neck pain often experience benefits and resolution when treated by a D.O.  Other health concerns in the gastro-intestinal, respiratory, cardiac or any other system, caused by somatic dysfunction/structural issues can also be improved. For a treatment, it is highly recommended that everyone to wear athletic/active wear or sweat pants and comfortable t-shirt or knit top.

Naturopathic Health Consultation

For people seeking natural and holistic alternatives, we offer comprehensive natural health consultations. We specialize in “conundrums” and undiagnosed symptoms, second opinions, and alternatives to drugs and surgeries. Our approach focuses on your health and life goals; we work with you to find answers, help your understand your health, and make informed choices about treatment options (both natural and conventional).  Our comprehensive assessments include:

  • Medical Practice’ proprietary health assessment questionnaires
  • Complete analysis of all blood work, additional testing, food diary and mind-body questionnaires
  • Physical examination including body composition, ankle-brachial index, endothelial function and muscular skeletal analysis
  • Personalized health assessment and diagnosis
  • Full discussion on conventional and natural treatments to prevent and treat disease
  • Suggestions on integrative preventative care and wellness planning options including botanical and mind-body medicine.
  • Comprehensive treatment plans tailored to your health goals
  • Specific recommendations regarding vitamins and supplements tailored to personalized needs
  • Mind-Body techniques and recommendations to decrease stress and enhance resiliency
  • Health education materials

Our naturopathic doctors will communicate with your other healthcare providers all results and recommendations (if desired)

Comprehensive Holistic Mental Health Assessment

Moira Fitzpatrick, ND, PhD – We offer a humanistic, comprehensive treatment approach to emotional and physical health and well-being. Holistic Mental Health supports the self-healing process through the power of relationship and the ability to change your beliefs and emotional state. A comprehensive assessment includes identifying the development of the mental/emotional/spiritual challenge, neurotransmitter deficiencies, brain nutrition and lifestyle choices (such as exercise, sleep, nutrition, addictions, and environmental exposure). Our approach includes lifestyle prescriptions and support, recommendations for nutrition, nutraceuticals, and mind-body techniques such as transpersonal and neuro-hypnotherapy, mindfulness, stress management tools, breath work, meditation techniques, guided imagery and emotional transformation therapy. Emotional Transformation Therapy (Lightbox) is a form of energy medicine using light, color and peripheral eye stimulation to change old stuck emotions, thoughts, behaviors or states of pain to a healthier, desirable, more empowered experience. Our Naturopathic Psychologist is an expert in both supplement and herbal support to treat depression, fatigue, insomnia and anxiety while journeying to find balance.  Conventional medications are an option during this healing process and we seek to discover with you the lowest effective dose for your unique situation.

Integrative Psychiatry

Julio Ballestas, MD


Ozzie Gontang, PhD – Individual psychotherapy; Executive and Management Coaching; Crisis Intervention; Conflict Resolution; Communications; Stress Reduction; Health & Fitness (Mental and Physical); Performance Enhancement; Mindfulness; Mindful Walking & Running Coach.

Women’s Health and Hormone Consultation

Hormone changes occur throughout a woman’s life cycle which require support to maintain balance.  Our women’s health experts provide regular pap smears, clinical breast exams, hormone testing, plus expertise in gynecological and urinary tract issues.  Our goal is to empower and educate you about multiple options including lifestyle change, nutrition, botanicals, bioidentical hormones and treatment options for bone health. We provide a safe environment for education, counseling, nutrition and addressing the unique concerns of all women from adolescence to post menopause.

Epigenetics Consultation: Understanding Your Genes - ND or MD consultation

Our genes are not our destiny!  Have your genetics tested, or send us your existing, raw data file, and we will help you understand how you can change your gene expression by changing your nutrition and personalizing your supplements.  Optimize prevention and find explanations for long-standing fatigue, anxiety, allergies, depression, & other chronic conditions.

Integrative Oncology Consultation

If you have been diagnosed with cancer, an Integrative Oncology consultation can help you approach your condition and treatment from an integrative, holistic point of view. An integrative consultation is intended for patients who are currently under the care of an allopathic cancer treatment team and want the added support of a medical doctor who is a medical oncologist and expert in Integrative Oncology.

Dr. Daniel Vicario supports patients as well as their family members and caregivers. During your consultation, he will review with you, from an integrative oncology perspective, your diagnosis and current treatment plan. He will answer any questions you have and work with you to develop an integrative healing approach that fits your individual needs.

Dr. Vicario will also share evidence-based complementary approaches and healing modalities that can benefit you by improving your ability to heal and enhancing your quality of life. These healing modalities include optimal nutrition, meditation, yoga, acupuncture, massage, physical activity, support groups, biofield therapies, music, arts, visualization, and many others. He will discuss, in detail, how these integrative healing modalities can significantly help you on your healing journey. Dr. Vicario strongly encourages the cancer patients to also consider working with health care practitioners experienced in other modalities.

Comprehensive Integrative Ayurveda Consultation

Ayurveda  (Eye-yur-VAY-duh) is cutting edge mind-body knowledge from the tradition of Yoga. It is more than 5000 years old and is the natural health practice from ancient India. A growing number of its healing principles and recommendations have been validated by modern research. Ayurveda seeks to align our mind, body and behavior with the intelligence of nature within to promote health and healing.

“Integrative Ayurveda” combines ancient Ayurvedic healing modalities with a broad range of evidence-based diagnostics and therapies from Western medicine, functional medicine, and worldwide healing traditions that work with the body’s inner intelligence to restore balance. Research in the past decade has validated numerous benefits of integrative and Ayurvedic modalities including herbs and spices; diet; timing of meals, sleep and exercise; seasonal influences; stress reduction approaches, yoga and many more.

Your personalized program begins with an initial comprehensive wellness session including a review of your history and medical records. You will get an assessment of your Ayurveda Mind-Body type; identification of any imbalances according to Ayurveda; an Ayurveda pulse assessment; instruction in self-pulse taking for self-help and balance; and a personalized program of Ayurvedic wellness recommendations.

We offer a Comprehensive Ayurveda Wellness Transformation Program: 3-Visit Integrative Health Package with Nancy Lonsdorf, MD. This is ideal for chronic conditions. Your program of personalized attention, care and support begins with a comprehensive consultation, with 2 follow-up visits over a 4-6 month period, plus 4 Ayurveda Wellness Coaching Sessions.

Your Initial session will include:

  • An assessment of your Ayurvedic Mind-Body type and the presence of any imbalances
  • A thorough review of your medical history, including relevant past and recent laboratory tests and reports from conventional and integrative evaluations.
  • Identification of the root cause of any imbalance or health issues, from the perspective of Ayurveda
  • A review of factors such as diet and lifestyle, emotional stress, work, mental stress, relationships and other “whole person” issues that may be impacting your health, and strategies to turn them around to promote healing.

You will receive:

  • A highly individualized program to correct underlying imbalances and help you restore ideal health.
  • Personalized Ayurvedic recommendations regarding diet, herbs, spices, personalized recipes, exercise, daily routine, gentle detox, seasonal cleanse, stress reduction, as indicated by your Integrative Ayurvedic evaluation.
  • Recommendations for further testing or therapies from Functional or Conventional medicine as needed.
  • An opportunity to discuss Western diagnoses or treatment recommendations and how to integrate that approach with your Integrative Ayurveda program.
  • For follow-up phone Wellness Consultations and in-person visits by request: Instruction in a simple “self-pulse” technique that contributes to your Ayurvedic evaluation (You also learn a valuable self-healing technique with this experience.
  • Four Ayurveda Wellness Coaching Sessions also included

Healthy Brain ReCode Memory Success Program

Healthy Brain ReCode Memory Success Program

We are very pleased to now offer a comprehensive program with Nancy Lonsdorf, MD to support individuals and families implementing the ReCode Protocol as formulated by Dale Bredesen, MD. Dr. Bredesen’s ReCode Protocol is the first ever to demonstrate reversal of cognitive decline. We use a multi-modality lifestyle, diet and supplement program to restore health to the brain and mind at the same time that it helps restore a state of overall health and wellness to the body.   Dr. Lonsdorf personally studied with Dr. Bredesen at the Institute of Functional Medicine’s Reversing Cognitive Decline, Advanced Clinical Training for physicians. She is a Johns Hopkins and Stanford-trained Integrative Medicine Physician; Diplomat American Board of Integrative and Holistic Medicine.

Our Healthy Brain ReCode Success Program supports you and your loved ones in implementing this program in your daily lives to reverse cognitive decline and maximize memory and intellectual ability. Our aim is to help you live and enjoy your life to the fullest.

Prospects for Success

Results vary per person, but have been experienced in a high proportion of individuals, include many dramatic improvements, and are usually sustained as long as the protocol is followed; including:

1) Proper diagnosis at the start,
2) Thorough evaluative testing- the “cognoscopy” – to identify the most likely causes of memory loss and most importantly,
3) Living the protocol, including all the remedies recommended for your individual test findings, on an ongoing basis to create and maintain cognitive recovery. Dr. Bredesen states “Living the Protocol for 3-6 months” is what brings results.

Our Healthy Brain ReCode Memory Success Program supports your implementation of the ReCode Protocol and tailors it to your specific, individualized needs.

The program is offered as two Phases:


The Healthy Brain ReCode Comprehensive Initial Cognitive Wellness Evaluation

  • A visit with Dr. Lonsdorf to establish baseline clinical status, identify personalized areas for therapeutic focus, and provide a comprehensive set of orders for relevant ReCode testing—the “cognoscopy.” Testing will include standard blood tests, as well as specialty testing as indicated:  nutritional, gut health, inflammatory/allergic, toxin levels, hormone levels, etc. (Tests covered by your insurance or Medicare will be used as much as possible.  Specialty tests not usually covered by insurance or Medicare involve additional extra fees.)
  • As an expert in Clinical and Integrative Ayurveda, Dr. Lonsdorf will also provide evaluation of imbalances according to Ayurveda. She will provide gentle, nurturing and effective tips for creating balance from the Ayurvedic health perspective as well.
  • Interim Time – You will have several weeks to complete the testing and will return for the second visit of Phase I once the test results are complete.
  • A follow-up visit with Dr. Lonsdorf to review all test results, learn subtype(s), receive orders for any further in-depth testing, co-develop and leave with a prioritized, doable program of step-wise implementation of the ReCode Protocol, personalized to your or your loved one’s individual needs and capabilities.


The Healthy Brain ReCode Memory Success Support program – 6 visits

  • Monthly physician visits (6 total) to review your progress, optimize your personalized Healthy Brain ReCode program, integrate any new test results and recommendations for supplements, diet, etc. as indicated.
  • One Healthy Brain ReCode Support coaching session monthly for 6 months over the phone to help you stay on track.

Integrative Nurse Coaching Service

At Pacific Pearl La Jolla, our one-on-one Integrative Nurse Coaching Service is a key component to the successful implementation of lifestyle changes for health. Our service is especially helpful for new patients following their Comprehensive Wellness Assessment when they begin their prescribed journey for healing and optimal wellness. Integrative Nurse Coaches handle questions, assist in establishing goals, provide support and encouragement, and build on patients’ strengths.  Goals often seem more attainable. Patients rave about the empowerment that Integrative Nurse Coaches provide for them to work through issues and identify opportunities — that it is an additional level of support in their healing journey that they appreciate and rely upon to manifest significant changes.

Integrative Nurse Coaching is for patients/clients with chronic conditions or those that would like to prevent illness and promote wellness.  Explore mutual strategies and active engagement for reaching goals and maintaining focus.

Integrative Nurse Coaching is a skilled, purposeful, results-oriented and structured client interaction that is provided by Registered Nurses (RN) to promote achievement of client goals. It is the skillful use of evidence-based conversations, clinical interventions and strategies to safely and actively engage clients. Integrative Nurse Coaches work with the whole person using principles and modalities that integrate body, mind, emotion, spirit and environment to promote health, wellness and well-being.  Integrative Nurse Coaches are supportive and encouraging, building on the client’s strengths in a collaborative and co-creative process.  Integrative Nurse Coaches provide guidance and resources to the client who is the expert on their own needs and choices.

Integrative Nurse Coaching may be purchased as a package or as individual consultation/sessions at $120. per hour session by phone.  A minimum of three sessions has been found to be most beneficial. Three counseling sessions are $360, and a four-session package is $450. We recommend speaking to your doctor for their recommendation based on your conditions and needs, but a referral is not required.

Nutrition & Nutraceutical Review

A comprehensive review of your health, current lifestyle and supplement program.  We will make individualized recommendations for nutrition, nutrient repletion and supplements.

Digestion and Leaky Gut

Your gut is the foundation of health.  Our team will evaluate your digestion and identify the cause of heartburn, problems in elimination, gas and bloating plus support you in restoring your gut flora and microbiome.  Identify food sensitivities.  Eliminate toxins. Discover medicinal foods, supplemental and herbal support to heal your gut.

Identify and Remove Environmental Toxins

Environmental toxins including heavy metals, mold, pesticides, plastics, household cleaners, and food contaminants invade our daily lives.  We provide testing to identify the toxins affecting you.  Learn to minimize your exposure and receive a personalized plan to remove toxins and support immune and central nervous system recovery.

Brain Health

Worried about maintaining or improving cognitive function? Our doctors can identify inflammation, toxicity, genetic and behavioral factors in brain health.  Programs are designed for individuals recovering from stroke and traumatic brain injury, chronic headaches, dementia, and memory loss.

Pain Resolution Program

A multi-modality, integrative consult to evaluate and to understand the root cause of acute and chronic pain.  Tailor a comprehensive plan that may include acupuncture, laser, physical therapy, exercise, nutrition, hypnosis, healing touch and psychological support.


Prepare and heal from procedures and surgery quickly with a personalized combination of nutrients, immune support, IV infusions, homeopathy, hypnosis, healing touch and guided imagery.

Complementary Cancer Care

Feel supported in fully understanding your diagnosis and preparing for conventional treatments through emotional support, hope & the use of visualization.  Effective natural approaches i.e., nutrition, supplements, IV infusion therapy and homeopathy help to enhance treatment and reduce side effects. Rebuild your immune system, reduce inflammation, and create a healthy lifestyle.

Thyroid Health

The thyroid gland drives metabolism and so much more.  Accurate assessment and diagnosis are at the heart of our approach. Treatment options are individualized and range from nutrition to pharmaceutical interventions.

  • Comprehensive evaluation (beyond TSH)
  • Auto-immune thyroiditis (Hashimoto’s, Grave’s)
  • Perinatal thyroiditis
  • Sub-acute thyroiditis
  • Evaluation & management of nodules, including thyroid cancer
  • Biopsies including AFIRMA testing and genetic markerS
  • Second opinions on thyroid ablations, “normal” labs, and surgery


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