Still Exhausted, Bloated, or "Off" — but Your Labs Came Back Normal?

You're not imagining it, and you're not out of options. At Fire Over Water in NYC, we use advanced functional lab testing to find the root cause of your symptoms — the one a rushed 10-minute visit missed — and build a plan to actually address it.

No cost, no pressure — just a conversation about what's going on and whether we can help.

If you've been told "everything looks fine" but you don't feel fine, you're in the right place.

Maybe it looks like this:

• You're tired no matter how much you sleep.

• Digestion has become a daily guessing game — bloating, discomfort, foods that used to be fine.

• Your hormones feel off: irregular cycles, mood swings, weight that won't budge, a libido that disappeared.

• You've been handed a prescription (or three) that treats the symptom but never the cause.

• You've been told it's "just stress," "just aging," or "just in your head."

You've done the right things. You've gone to the appointments. And you still feel like something is wrong.

That feeling is data — and it deserves a real investigation.

The problem isn't you. It's that no one looked deep enough.

Conventional medicine is built to catch disease once it shows up on a standard blood panel. It's not designed to explain why you feel unwell when those basic labs look "normal."

Functional medicine is. Instead of matching a symptom to a prescription, we ask a different question: what is actually driving this? We look at how your systems connect — gut, hormones, thyroid, immune function, stress, and nutrition — and we test the things standard panels leave out. Then we build a plan around what your results actually show, not a one-size-fits-all protocol.

At Fire Over Water, we pair that advanced testing with Traditional Chinese Medicine, so your plan treats the whole picture — the biochemistry and the person.

HOW IT WORKS

Your Path From "Something's Wrong" to "Here's Your Plan"

1. Comprehensive Health Assessment We start with a deep dive into your health history, symptoms, lifestyle, and goals — the full story most appointments never have time for. This is where patterns start to emerge.

2. Advanced Functional Lab Testing We order targeted tests that reveal what standard panels miss — gut, hormones, thyroid, nutrients, and inflammation.

3. Results Review We sit down together, in person or virtually, and walk through exactly what your results mean in plain language. You'll finally understand what's behind how you feel.

4. Your Personalized Healing Plan Based on your results, we build a plan tailored to you — which may include nutrition changes, targeted supplements, Chinese herbal medicine, acupuncture, and lifestyle support. The goal isn't just symptom relief; it's restoring how you actually feel, and keeping it that way.

WHAT WE TEST FOR

The Testing That Finds Answers

These are some of the advanced labs we use to uncover what's really going on:

• DUTCH Hormone Test — a detailed map of your hormones, adrenal function, and stress patterns.

• GI-MAP & Comprehensive Stool Analysis — your gut microbiome, hidden pathogens, and sources of inflammation.

• Organic Acids Test (OAT) — nutrient deficiencies, gut dysbiosis, and cellular energy issues.

• Complete Thyroid Panel — the full thyroid picture, not just TSH, including Hashimoto's markers.

• Food Sensitivity Panels — foods quietly driving inflammation or digestive symptoms.

• Cardiometabolic Panel — heart health, cholesterol particles, blood sugar, and insulin resistance.

• IGeneX Lyme Testing — specialized testing for Lyme and co-infections.

Not sure which tests you need? That's exactly what your free consult is for.

WHO WE HELP

We Help People Who've Been Told "It's Normal" — but Know It Isn't

We work with people navigating:

• Hormonal imbalances — PMS, PCOS, perimenopause, thyroid

• Digestive issues — bloating, IBS, food reactions, gut infections

• Autoimmune conditions and chronic inflammation

• Persistent fatigue and low energy

• Stubborn weight, mood, sleep, and stress issues

If you've been cycling through appointments and prescriptions without real improvement, this is the different approach you've been looking for.

Ready to Find Out What's Actually Going On?

You don't have to keep guessing, and you don't have to wait until things get worse. In a free 15-minute consult, we'll talk through what you're experiencing and whether functional medicine is the right fit for you.

In-person on the Upper West Side, or virtually from anywhere.

INVESTMENT & INSURANCE

What Your Care Includes

Functional medicine goes beyond a rushed, symptom-focused visit — and it's priced accordingly. Most insurance plans reimburse standardized, symptom-management care, not the extended consultations, advanced testing, and fully personalized plans this work requires. That's why we're out-of-network.

Here's what your investment actually buys:

• Time — real, unhurried appointments where you're heard.

• Advanced testing that looks for root causes, not just red flags.

• A plan built around your results, biology, and goals — not a template.

• A practitioner genuinely invested in you getting better.

If you've already spent years and money on care that didn't work, the real question isn't "why isn't this covered?" — it's "what is it worth to finally feel like yourself again?"

Frequently Asked Questions

What is functional medicine? A science-based, personalized approach that looks for the root causes of symptoms rather than just managing them. At Fire Over Water in NYC, we pair advanced lab testing with Traditional Chinese Medicine for a whole-person view of your health.

How is it different from conventional medicine? Conventional care often focuses on managing symptoms. Functional medicine looks at how your systems connect — gut, hormones, immune function, lifestyle — to find what's actually driving the problem, then builds a personalized plan around it.

What conditions can it help with? We commonly support people with hormonal imbalances, digestive issues, autoimmune conditions, thyroid concerns, chronic fatigue, and inflammation — especially those who've been told their labs are "normal" but still feel unwell.

What lab tests do you offer? Advanced functional labs including the DUTCH hormone test, GI-MAP and comprehensive stool analysis, the Organic Acids Test (OAT), complete thyroid panels, food sensitivity panels, IGeneX Lyme testing, and cardiometabolic panels.

Is it covered by insurance? Typically no. Insurance generally covers symptom-focused care, not the extended consults, advanced testing, and customized plans functional medicine relies on. The investment reflects the depth of personalized, root-cause care.

Do you offer virtual consultations? Yes. You can work with us from home via virtual visits, or in person on Manhattan's Upper West Side.

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