Functional Medicine

From The Institute for Functional Medicine

Functional Medicine addresses the underlying causes of disease, using a systems-oriented approach and engaging both patient and practitioner in a therapeutic partnership. It is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, Functional Medicine addresses the whole person, not just an isolated set of symptoms. Functional Medicine practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, Functional Medicine supports the unique expression of health and vitality for each individual. – See more at: https://www.functionalmedicine.org/What_is_Functional_Medicine/AboutFM/#sthash.3hr1RA2j.dpuf

Our Providers

Primary Care Internal & Functional Medicine with Dr Sarah Zielsdorf, MD, MS

Sarah Zielsdorf, MD, MS, Internal & Functional Medicine

"My goal is to empower patients to reverse chronic disease through functional medicine; a combination of nutrition and science-based, 21st-century ...
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Ann Mitrakul, M.D.

Dr. Ann Mitrakul is a native Chicagoan. She received her bachelors degree in psychobiology from Oberlin College in Ohio and ...
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Roxana Calafos, FNP, Nurse Practitioner

Treating The Underlying Cause of Persistent Health Problems with Advanced Internal Medicine. Roxana Calafos is a Family Nurse Practitioner with ...
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Kelly Johnson, LCPC CADC, Functional Medicine Health Coach

“My goal is to help empower clients to live vibrantly. I am passionate about treating the whole person and honor ...
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Jennifer Peterson, FNP, Functional Medicine

Jennifer Peterson is a Family Nurse Practitioner who has worked in the western suburbs as a cardiac and vascular health ...
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Q & A for Functional Medicine Department

Welcome to the Functional Medicine Department at The Institute for Personal Development (IPD) and Ardent/The Center for Life Enrichment (CLE). 

Appointments

This guide serves to assist new patients in making a decision regarding a potential FM provider. If you would like more information on our providers, it can be found here.

Insurance Accepted and Ages Treated

Subject to change. 

 

Dr. Zielsdorf, MD: 

-      For the time being, Dr. Z will continue seeing patients who are already established with insurance for follow-up appointments. 

-      Dr. Zielsdorf is currently accepting only self-paynew patients through Ardent- The Center for Life Enrichment (CLE).

-       Disclaimer: At this point in time, any Medicare insured patients may only book appointments using their insurance to establish care with either Roxana Calafos, APN or Dr. Ann Mitrakul, MD, due to Medicare regulations.

-       Ages 18+ (adolescents per discretion)

 

Dr. Mitrakul, MD: 

-      BCBS, PPO

-      Medicare

-      Cigna

-      Pending other insurances, please call for updates

-      Self-pay through IPD

-      Ages 12+

 

Roxana Calafos, APN:

-      BCBS, PPO

-      Medicare

-      Health Alliance

-      Aetna

-      Self-pay through CLE

-      Ages 6+

 

Kelly Johnson, LCPC, Health Coach:

-      BCBS, PPO

-   Pending other insurances, please call for updates

-      Self- pay through CLE

-      Ages 12+

What does the initial CLE/self-pay appointment entail with Dr. Z or Roxana?:

-      The appointment will last up to 2 hours.

-      Dr. Zielsdorf or Roxana will review:

o  Your full history and family history

o  Any pertinent positive information (such as lab records, imaging/results, previous medical records, etc.)

o  Medications and/or supplements, if currently taking

o  Will perform a physical exam (if time allots) 

o  Will create a comprehensive plan with you at the appointment

-      FULL Labs will also be written at first visit. 

-      The second visit (2-4 weeks later) will consist of a full lab review to come up with a comprehensive plan. 

What does the initial IPD appointment entail with Roxana or Dr. Mitrakul?

-     The appointment will last up to 1 hour with Roxana and up to 1.5 hours with Dr. Mitrakul. 

-      Dr. Mitrakul or Roxana will review:

o  Your full history and family history

o  Any pertinent positive information (such as lab records, imaging/results, previous medical records, etc.)

o  Medications and/or supplements, if currently taking

o  Will create a comprehensive plan with you at the appointment

-      FULL Labs will also be written at first visit. 

-      The second visit (2-4 weeks later) will consist of a physical exam (as time allots) and a full lab review to come up with a comprehensive plan. 

 

Additional info: 

-      Dr. Mitrakul has extra training in Eastern Medicine, including acupressure therapy and energy medicine. Please read bio for further information. 

What to expect and do after scheduling your initial appointment

-      A second appointment will be scheduled 2-4 weeks after your initial appointment, followed by an appointment with Kelly Johnson. 

-      Please bring with: pertinent positive information (i.e., lab records, imaging/scans, etc.), as well as supplements/medications (either physically bring with or take pictures of brand and ingredients).

-      Please arrive 30 minutes early to your appointment to fill out the initial paperwork (paperwork may also be found on website/emailed/mailed/faxed)

-      REMINDER: if you need to cancel or change your appointment day/time, we need AT LEAST a 24 hour notice

 

Booking with Kelly Johnson, LCPC, Health Coach

To ensure our patients are receiving the best care possible new patients are required and encouraged to book an appointment with Kelly Johnson, LCPC, our Functional Medicine Health Coach

-      Kelly is a Licensed Clinical Professional Counselor and Certified Alcohol Drug Counselor with a passion for treating chronic pain. She has trained through the Institute for Functional Medicine Coaching Academy to be a health coach.

-      She works directly with the other FM providers to guide patients on their journey to health. 

-      Diet is the foundation and pillar of functional medicine. It all starts with what we eat and put into our body. Kelly will prepare you with the necessary tools to succeed in optimizing your health.

What Labs are Ordered at Initial Appointment

(subject to change based on individual circumstances), including but not limited to: 

- ANA (antinuclear antibody: autoimmunity screen) w/ reflex titer

- CBC w/ diff

- CMP

- hsCRP

- Homocysteine

- A1c

- Insulin

- Magnesium, Red blood Cell

- TSH

- Free T4

- Free T3

- Reverse T3

- TPO antibody  

- Tg antibody

- Iron and TIBC

- Ferritin, transferrin

- Vitamin B12 and folate

- methylmalonic Acid

- Vitamin D3 

---> + other individualized testing based on the person's specific needs, ex: Other co-infection and immune system tests 

Other Commonly Performed Tests

-      Dutch test for hormones and adrenals

-      Stool testing including: Doctor’s data, GI Map, Genova, etc.

-      SpectraCell micronutrient testing 

-      ZRT saliva testing for hormones and adrenals

-      Cyrex food sensitivity testing

-      OAT test Great Plains (organic acids testing)

Lab Q &A

-      Where do I get labs done?

  • Quest Diagnostics is strongly preferredbut you may get them done anywhere your insurance will cover them (call insurance to find out). 
  • Labs that are not completed at a Quest Diagnostics facility:

o  If labs are done at any other facility, you must bring your own lab results to your appointment.

o  The reason behind this is that lab results are often not faxed to our office after a patient gets them done. This is often due to the labs not being completely processed (most often, labs will not get faxed to the office unless they are “finalized” or requested to be faxed). This is a time consuming process as it is needed to be done for 90+% of our patients on a daily basis.

 

- Why do labs need to be completed 2 weeks prior to appointment?

  • MOST labs take 5-14 days to be completed as they are send-out labs. 
  • RT3 specifically takes about 10-14 days to be completed.
  • Getting labs done at least 2 weeks prior to appointment will ensure that ALL of the lab results are finalized and will allow time for the patient to retrieve a copy of the results (whether it be through an online portal with ability to print the lab results, obtaining a hard copy, of calling the facility to have the results faxed to our office- patients must confirm that the lab results have been faxed).
  • Labs that are not completed in this manner may not be back by your appointment time (as the results will likely be “pending” and unable to view by patient).

 

-      Did you forget to get labs done 2 weeks prior to appointment and now appointment is in a few days? 

  • You have 3 options: 

o  Get labs done ASAP, call lab to make sure they fax the likely PARTIAL results to our office.

o  Come to appointment without new labs, that is ok, assuming you have questions/updates to go over with your provider.

o  You may reschedule your appointment, this is not suggested, as appointments may be booked out for some months. 

*** Please keep in mind there is a 24-hour cancellation policy for all appointments.

 

-      If you are taking thyroid medications: 

  • You should be on a stable dose of thyroid meds for about 4 weeks for labs to show an actual change in the body’s system (any shorter, may not accurately reflect the amount of medication being taken).

 

-      If you are taking supplements and getting labs done:

o  Look to see what specific labs are being tested.

o  If you are taking a supplement containing any of the nutrients being tested at this lab draw (ex: magnesium, vitamin D, vitamin B12, iron, etc.), do not take those specific supplements ~2-5 days prior to lab draw (not preferred, but ok if labs are drawn on supplements if you symptomatically cannot be off- please inform provider at appointment which supplements you continued to ensure results are interpreted accurately). 

o  If no nutrients are being tested, ok to continue all supplements, unless provider states otherwise.

 

-      Thyroid labs include: 

  • TSH, Free T4, Free T3, Reverse T3, Thyroid Antibodies: TPO and Tg; sometimes TSI if showing hyper symptoms or history of Grave’s disease

 

-      We will review past labs at the initial appointment and then will discuss what new labs are needed. 

 

-      Self-pay lab options: 

  • Walkinlabs.com
  • Lifeextension.com
  • Ultalabtests.com

·       Will need to type in each lab test and order it yourself, often times these sites use facilities like Quest for their draw site. 

Thyroid US and other imaging

-       If the script was written in office, patients are required to have the radiology readout report faxed to our office, and verify by the facility where it was completed that it was sent.

DUTCH Test Q&A

-       For females:

o  If cycles are regular:

  • Kit to be completed between days 19-21 of cycle (day 1 is first day of period).

o  If cycles are irregular:

  • Testing is to be completed 5 days post ovulation
  • To test for ovulation: use “Ovulation predictor kit”, found online or in stores

o  Ifgoing through menopause, complete kit on any day.

 

-       For males:

o  Kit may be completed on any day. 

 

-       Please allow at least 4-5 weeks from the time you submit the kit until results will be received, processed and finalized. 

Questions regarding your lab results or needing a medication change?

·       Please call to schedule an appointment.

·       Labs will not be reviewed over the phone, unless there is a phone consultation appointment scheduled, or your provider specifically tells you to call the office to review a lab (i.e., one lab may have been pending during your appointment, or you are pregnant and thyroid needs monitoring)

Supplement Q & A

·       Specific brands recommended are either most pure or most efficacious. 

·       We do not require patients to buy supplements in office, but give out recommendations

·       Start one new supplement at a time.

·       “Just get it in”

  • If you are struggling with timing of medications and supplements, for most supplements, it is better to “just get it in”- as Dr. Z would say, rather than focusing on taking it at a certain time.
  • Vitamins: A,D,E,K are fat soluble, best to take with fat containing meal or snack.
  • Digestive enzymes:
    • To be taken only with protein containing meals (not snacks), taken as provider recommends.
    • Do not take calcium, or iron supplementation near thyroid medications (at least 4 hours apart). 

·       If getting labs done:

  • Look to see what specific labs are being tested.
  •  If you are taking a supplement containing any of the nutrients being tested at this lab draw (ex: magnesium, vitamin D, vitamin B12, iron, etc.), do not take those specific supplements ~2-5 days prior to lab draw (not preferred, but ok if labs are drawn on supplements if you symptomatically cannot be off- please inform provider at appointment which supplements you continued to ensure results are interpreted accurately). 
  • If no nutrients are being tested, ok to continue all supplements, unless provider states otherwise.

A Letter from our Medical Director and
Ardent (The Center for Life Enrichment) Rates Effective August 1, 2018

July 6, 2018

Dear Functional Medicine Family,

Our Functional Medicine Division, part of The Center for Life Enrichment (also known as the Ardent Center for Excellence) has been in existence for almost 3 years and has grown tremendously under the direction of Dr. Sarah Zielsdorf, MD, MS.  We owe a great debt to Dr. Zielsdorf for her dedication to pursue the science of Functional Medicine.  This pursuit requires significant additional levels of advanced training and education beyond that of traditional Medical Doctors.

In Traditional Medicine (Allopathic Medicine), doctors attempt to help patients live with their disease by alleviating their symptoms but do not necessarily address the root cause of illness.  In traditional medicine, doctors tend to see 5 or 6 patients per hour.  This is how these practitioners earn their living and insurance companies reimburse with this expectation. 

Functional Medicine is the science and practice of Health Restoration and Disease Prevention.  As opposed to only managing or alleviating symptoms, Functional Medicine investigates root causes of illness to attempt to reverse disease while restoring and optimizing health.  In Functional Medicine we recognize the necessity of spending time and caring for patients and therefore we only see 1 – 2 patients per hour.  Insurance companies have not yet recognized the necessity of Functional Medicine and as a result do not reimburse our practitioners accordingly.  They expect that we see 5- 6 patients per hour.  We are committed to devoting the necessary time with our patients to deliver an excellent level of care.  We are very fortunate to have Dr. Sarah Zielsdorf, a leader in functional medicine, who is committed to excellence in patient care. 

To continue this care and attract and retain the most talented practitioners we have adjusted our rates to cover the cost of delivering our services and to build a state of the art Functional Medicine Program.  Beginning August 1st 2018 our rates will be adjusted accordingly.  Please keep in mind that insurance companies often ask patients to pay $1000- $5000 out of their own pocket as a deductible.  Frequently this amount will often cover a significant amount of most of your Functional Medicine healthcare costs.  Please keep in mind that Functional Medicine receipts may or may not be recognized by your insurance company and may not count toward your deductible.

The Center for Life Enrichment and Dr. Zielsdorf aim to change how healthcare is administered to provide proactive mind, body, and spirit care for the entire person.  We aim to develop a Center of Excellence for Functional Medicine unmatched in the Nation!

Sincerely,

Ronald Wuest, MD

Medical Director, Center for Life Enrichment

New Rates for Ardent, (Center for Life Enrichment)
as of August 1st 2018

 

Dr Zielsdorf MD in person or on phone

Initial Eval – 2 hours 500.00

Follow up – 1 hour 425.00

Follow up – 30 mins 275.00

Roxana FNP in person or on phone

Initial Eval 2 hours – 375.00

Follow up – 1 hour 300.00

Follow up – 30mins 200.00

Kelly Johnson LCPC Health Coach in person or on phone

Initial Eval 1 hours- 140.00

Follow up – 1 hour 140.00

Follow up – 30mins 95.00

**Phone consultations are not covered by insurance. The rates for phone calls will be charged the same as the rates for self-pay patients. 

 

**Appointments will be charged the amount of time that the appointment is scheduled for. To make sure everyone receives an appropriate amount of time with their provider, appointments will not go over in time. Appointments that require extra time will need to book an additional follow-up appointment shortly after (this can be in the form of an in person visit or phone consultation).