Medicine That Digs Deeper
Tired of 15-minute visits that only cover symptoms? Julep starts with board-certified internal medicine, then adds an integrative, root-cause lens when the standard answer isn't enough. Accessible, affordable, whole-person care.
The Julep Blend: Conventional + Functional
Get the best of both worlds. We use advanced functional diagnostics to find the root cause, all guided by a board-certified M.D. who can still manage your prescriptions and conventional needs.
Excellence in Daily Living
Our goal isn't just to manage disease, but to optimize your life. We focus on gut health, nutrition, and sustainable habits to help you thrive.
Your Functional Medicine Journey
Clarity first. We keep the process simple and the explanations clearer.
1) We Listen (Really Listen)
Your first visit is an in-depth conversation. We take our time to understand your full health history, your lifestyle, and your goals. No rushing.
2) Advanced Diagnostics
We go beyond routine labs, looking at gut health, hormones, nutrition, and inflammation to find the *why* behind your symptoms.
3) A Personalized Plan
You get a clear, actionable plan that blends the best of conventional and functional care—from nutrition and supplements to medication, all from one trusted M.D.
The Julep Difference
You shouldn't have to choose between a doctor who understands conventional medicine and one who listens. At Julep, you get both.
Board-Certified Expertise. Root-Cause Solutions.
We are an accessible, affordable practice dedicated to whole-person health.
- One M.D. for All Your Needs: Manage prescriptions, get referrals, and explore functional care in one place.
- We Take Our Time: Our appointments are designed to be longer, so we can build a real, personal plan.
- Accessible & Affordable: Transparent, cash-pay pricing. No insurance hassles, no surprise bills.
- Second Opinions Welcome: Bring your complex issues. We're here to help find clarity.
What We Check: A Deeper Look
Our advanced diagnostics go beyond the basics. This is the foundation of our Whole Body Assessment and can be part of your personalized functional medicine plan.
Toxins, Mold & Environment
When "normal labs" don't explain how you feel, exposure testing can.
- Mold & Mycotoxin Exposure For persistent fatigue, brain fog, sinus and respiratory symptoms after water-damaged buildings. Always interpreted alongside a full clinical evaluation—never in isolation.
- Heavy Metals Lead, mercury, arsenic, and cadmium testing when diet, occupation, or environment raise the question.
- Environmental Toxins Broader exposure panels when history points to chemicals at home or at work.
- Detox Pathway Support Liver and kidney function markers to confirm your body's own clearance systems are working—the evidence-based core of any real "detox."
Longevity & Aging
Your “wear and tear” age, not just birthday count.
- Biological Age Uses signals like inflammation, blood sugar control, kidney function, and blood health to estimate how fast (or slow) you’re aging.
Red Blood Cell Health
Do you have enough healthy red cells circulating?
- RBC (Red Blood Cells) Counts the cells that carry oxygen. Low can mean anemia; high can mean thicker blood or dehydration.
- Hemoglobin The oxygen-carrying protein in red cells. Core screen for anemia and fatigue causes.
- Hematocrit % of blood made of red cells. Moves with hemoglobin and hydration.
- MCV / MCH / MCHC Size and hemoglobin content of each red cell. Helps sort iron vs B12 / folate problems.
- RDW Variation in red cell size. A wide spread can mean early or mixed anemia.
- Platelets Cells that help you clot. Too low = bleed risk; too high can track with inflammation.
Iron & Oxygen Delivery
Do you have enough iron on board to move oxygen efficiently?
- Total Iron How much iron is circulating in your blood right now.
- Iron Binding Capacity (TIBC) How much “open seat” your blood still has to carry more iron.
- Ferritin Stored iron. Low ferritin can mean low reserve even if other labs look “okay.”
Immune Health
Infection signals, allergy patterns, and immune reserve.
- WBC (White Blood Cells) Defense cells. High can mean infection or stress on the body; very low can mean low reserve.
- Neutrophils Often rise with bacterial stress or sudden inflammation.
- Lymphocytes Important for viral defense and long-term immune memory.
- Monocytes “Clean-up crew.” Can climb with longer-running or chronic inflammation.
- Eosinophils Can point toward allergy-type inflammation or certain sensitivities.
- Basophils Allergy / immune signaling cells, usually present in very small numbers.
Inflammation Load
Quiet, ongoing inflammation that can stress the heart and vessels.
- High-Sensitivity CRP (hs-CRP) Low-grade inflammation signal. Higher levels can line up with higher vessel / heart risk.
- ESR (Sed Rate) How fast red cells settle. A broad “are you inflamed?” screen.
Kidney Function
How well you’re clearing waste and filtering blood.
- BUN Protein waste in the blood. Can rise with dehydration or kidney strain.
- Creatinine Byproduct of muscle use. Along with eGFR, screens kidney filtration strength.
- eGFR Estimated kidney filter rate. Lower numbers mean reduced kidney performance.
Electrolytes & Acid–Base
Hydration, heart rhythm support, and pH balance.
- Sodium (Na) Core salt for fluid balance, nerves, and blood pressure support.
- Potassium (K) Critical for heart rhythm and muscle contraction.
- Chloride (Cl) Works with sodium to keep fluids and acid–base steady.
- CO₂ / Bicarbonate pH / acid–base status. Low can mean the body is running more acidic than normal.
- Anion Gap Math check on acid–base balance in the blood.
- Calcium Bone strength, muscle firing, and nerve signaling.
Liver Health
Liver cell stress and bile movement.
- AST Enzyme released when liver (and sometimes muscle) cells are irritated.
- ALT More liver-specific enzyme. High can mean liver irritation or injury.
- Alkaline Phosphatase Can reflect bile duct flow or bone turnover.
- Total Bilirubin How you clear red-cell breakdown through bile. Can flag bile flow problems.
Proteins & Nutrition Status
Are you making and carrying enough of the core proteins your body needs?
- Total Protein Overall circulating protein level (nutrition + liver production).
- Albumin Main blood protein. Tracks nutrition, hydration, and liver synthesis.
- Globulin Transport and immune-related proteins in your blood.
- A/G Ratio Balance of albumin vs globulin; shifts can hint at inflammation or liver issues.
Cardiometabolic Lipids
Cholesterol transport and circulating fats tied to vessel health.
- Total Cholesterol All cholesterol together. A starting number, not the whole story.
- LDL-C Cholesterol carried to tissues. We want this in a safe range for artery health.
- HDL-C Cholesterol carried away for recycling. Often called the “protective” fraction.
- Triglycerides Circulating fats. Often linked with diet, weight, and blood sugar control.
- Non-HDL Cholesterol Total minus HDL. A useful single number for total cholesterol load.
Thyroid & Metabolism
Signals that drive energy, temperature, and daily metabolic speed.
- TSH Brain signal telling the thyroid to work harder or relax. First-line screen for slow or fast thyroid.
- T4 Total Total amount of main thyroid hormone in circulation.
- T3 Uptake Indirect look at how binding proteins handle thyroid hormone.
- Free T4 Index Estimated “free” thyroid hormone available for your cells to actually use.
Hormones
Baseline hormone signals that guide energy, body composition, and long-term metabolic health.
- Total Testosterone Overall testosterone level in the bloodstream.
- Free Testosterone Testosterone not tightly bound to proteins — the portion most available for tissues like muscle.
- Bioavailable Testosterone Free + loosely bound testosterone. A practical look at usable signal.
- Sex Hormone Binding Globulin (SHBG) Carrier protein that “holds” testosterone and other hormones. Higher SHBG can mean less freely available hormone.
- Estradiol Key estrogen for bone, brain, and metabolic stability.
- AMH (Anti-Müllerian Hormone) Reflects ovarian reserve and hormone production capacity over time.
Vitamins & Reserves
Foundation nutrients for nerves, bones, recovery, and energy.
- Vitamin B12 Needed for healthy nerves and red blood cells. Low levels can show up as fatigue, tingling, or brain fog.
- Vitamin D Supports bone strength, muscle function, and immune balance. Low vitamin D is extremely common.
What You Get: A Clear Path Forward
Your personalized health blueprint, delivered securely.
Your Personalized Health Report
You receive a secure, HIPAA-compliant report via email, detailing everything you need to know about your health status. It's more than just numbers; it's a clear, actionable plan from your M.D.
- Detailed results with optimized reference ranges.
- Clear explanations of any abnormalities found.
- Potential interventions and lifestyle modifications.
- Dietary, supplement, and pharmacologic therapies (as needed*).
A Whole-Person Approach
We manage multiple, complex issues and are happy to offer second opinions. Our focus includes:
Gut Health
Addressing bloating, discomfort, and sensitivities as the foundation of health.
Fatigue & Burnout
Investigating hormonal, nutritional, and adrenal causes of low energy.
Hormone & Thyroid Health
Comprehensive balancing for mood, energy, metabolism, and more.
Chronic Inflammation
Identifying triggers from diet, lifestyle, and environment.
Complex Chronic Issues
Managing multiple conditions with one cohesive, integrated plan.
Health Optimization
For those who feel "fine" but want to feel *great* and optimize for longevity.
Mold & Environmental Illness
Mycotoxin, heavy metal, and toxin exposure testing—taken seriously, evaluated by an MD.
Detox, Done Sensibly
Find the exposure, remove it, support clearance, retest. No juice-cleanse theater.
Questions We Hear a Lot
Do you test for mold and mycotoxin exposure?
Yes. We offer mold and mycotoxin exposure testing alongside a physician-guided workup. Symptoms like fatigue, brain fog, and sinus trouble overlap with many other conditions, so we interpret results in the context of a full internal medicine evaluation—never a test in isolation.
Can you test for heavy metals and environmental toxins?
Yes. Heavy metal and environmental toxin panels are available with direct-access ordering and transparent pricing, reviewed by a board-certified internal medicine physician. Curious about the science first? Start with our article on heavy metals in food.
Is Julep a functional medicine practice?
Julep blends both worlds: board-certified internal medicine as the foundation, with a functional, root-cause approach layered on top. You get conventional standards of care plus the deeper testing and whole-person perspective—without giving up either.
Do you offer detox programs?
We offer evidence-based detoxification support: identify the real exposure, remove it, support your liver and kidneys (the organs that actually detox you), and retest to confirm progress. We skip the gimmicks and follow the lab work.
Ready to Get Started?
Stop managing symptoms and start building real, lasting health. Book your first functional medicine consultation today.