Personalized Consultations

Not certain if replacing estrogen, testosterone or other hormones is right for you? Are hormone deficiencies causing symptoms such as fatigue, depression, anxiety and sleep disturbance? This consultation will focus on your symptoms, treatment goals and make a formal recommendation about whether hormone replacement therapy is right for you.

Are you looking for a more natural approach to endocrine challenges such as thyroid disease and diabetes? This consultation will focus on the endocrine system including a root cause evaluation and treatment options for autoimmune diseases such as lupus, colitis, rheumatoid arthritis and common health challenges such as diabetes and thyroid disease.

Genes influence your nutrient and vitamin needs, medication metabolism, fat storage, and risk of chronic diseases. Are your genes responsible for your mood, energy level and nutrient deficiencies? Knowing your genetics empowers you to personalize your lifestyle choices and prevent health challenges before they occur. Knowing your genetics allows us to personalize your nutrients, supplements and lifestyle plan.

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.

We are very pleased to now offer a comprehensive program 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.

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.

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.

A comprehensive assessment for patients seeking our cardiologist’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

• 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

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.

Claire D’andrea, RN, CHTP, NC-BC, CCRC

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.

Daniel Vicario, MD

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 mindfulness, stress management tools, breath work, meditation techniques and guided imagery. Conventional medications are an option during this healing process and we seek to discover with you the lowest effective dose for your unique situation.

Our Psychologist:

1. Cassandra Vieten, PhD
2. Ozzie Gontang PhD

Recommended after nutrition/health consultations to maximize patient outcome for their metabolic tracking.

Take control of your metabolism. There are many factors that impact your metabolism and ability to efficiently switch between using carbs or fats as a source of energy (you breathe into Lumen to see the source of your body’s energy: fats or carbs).

Lumen uses a CO2 sensor and flow meter to determine the CO2 concentration in a single breath. This indicates the type of fuel your body is using to produce energy.

Lumen tracks your metabolism (trains your metabolism) to use the food you eat more efficiently. When your metabolism is more flexible, you are better able to burn fat instead of carbs, leading to weight loss. By focusing on metabolism instead of restrictive or unsustainable diets, Lumen helps you lose weight and keep it off for good with daily feedback, sleep, nutrition, and fitness data to provide a Lumen Flex Score, which reflects our success and helps sustain results. Based on this metabolic data, Lumen will provide a daily personalized nutrition plan, as well as other actionable insight on your sleep, workouts, and meal timing.

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)

Neurofeedback is a painless brain balancing biofeedback technique that has been shown to decrease anxiety, pain, PTSD and a host of other health challenges. Pioneered by a military veteran this technique is ideal for children and adults.

Neuvana Xen is an electronic device that delivers gentle micropulses through headphones directly to the vagus nerve located in your left ear. It can be used with or without listening to music. The Sound Therapy (relaxing music) option is generally recommended to aid in the experience as a way to help enhance the treatment.

A wellness treatment service to help calm, relax and aid in reducing your body’s mental and physical stress. You can have a treatment in one of our wellness rooms or while having an IV infusion at our center.

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

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.

You CAN return to your regular workout, tennis schedule, or simply enjoy bounding up the stairs again, pain-free.

PRP joint injections are proving to be ideal treatments for our San Diego and La Jolla patients with pain stemming from:

• osteoarthritis
• old and new injuries
• repetitive movements sustained in sports and work
• natural aging

Learn More! 

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

The classical Chinese explanation for the effectiveness of acupuncture is that channels of energy run through the body and over its surface in regular patterns. These energy channels, called meridians, are like rivers flowing through the body to irrigate and nourish the tissues. An obstruction to movement in the meridians dams up the energy on one side, while cutting off the supply downstream. By applying the needles at the right points along the meridians, the obstructions are unblocked and the proper flow of energy is restored.

The scientific explanation of acupuncture is that needling the acupuncture points stimulates the body to release natural chemicals in the muscles, spinal cord, and brain. These substances either change the experience of pain or trigger the release of other chemicals or hormones that influence the body’s own internal regulating system. The needles also reduce muscle spasm and cause a healing response at the site of insertion. We know from studies using fMRI (functional MRI) scans that acupuncture can positively change the blood flow in the brain. Numerous other well-designed studies show that acupuncture is effective for treating chronic pain and other conditions.

Most importantly, acupuncture stimulates the body’s natural healing and promotes improved energy and better physical and emotional well-being.

Struggling to maintain your ideal body weight? Our weight changes with our hormones, level of stress, sleep, physical activity and food choices. Our clinicians will get to the root cause of your health challenge and improve your basal metabolic rate with a natural approach.

You can also consider our fully online Weight Loss program. With 35 instructional videos, a daily caloric requirement calculator based on your metrics, personalize meal plans with abundant healthy recipes, a Facebook Group, a Lifestyle Change Support Group meeting every Monday, and more, you have EVERYTHING YOU NEED to succeed in achieving your weight loss and fitness goals.

See (Lumen – Metabolic tracking)

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.