Supporting Colleagues in Complex Cases

As integrative medicine continues to evolve, many clinicians encounter patients whose cases are exceptionally complex. Interpreting advanced lab data, designing safe integrative protocols, and supporting oncology patients alongside conventional care can feel overwhelming.

I offer direct collaboration with practitioners who want expert guidance in metabolic and integrative oncology.

Internal Case Reviews

A comprehensive analysis of the patient’s history, data, and terrain.

What it includes

  • Review of oncology records, treatment history, medications, and supplements
  • Interpretation of conventional and functional labs and other tests
  • Identification of metabolic and terrain-based imbalances
  • Recognition of patterns contributing to progression, side effects, or reduced resilience

How it works - These are single-session clinician-to-clinician consults, with the option for ongoing support depending on the complexity of the case.

The clinician gathers, organizes, and provides all relevant data prior to the session so our time together can focus on analysis, discussion, and strategic interpretation.

Tests Commonly Reviewed

Clinician-to-clinician consults typically focus on one to two tests per session, allowing for a thorough, structured interpretation and clear clinical direction.

Tests I frequently review include:

Epigenetics / Genomics

  • Nutrition Genome
  • 3X4 Genetics

Hormone & Adrenal Testing

  • DUTCH
  • HUMAP

Toxicity & Environmental Exposure
Testing

  • Toxic metals
  • Environmental pollutants
  • Environmental toxin profiles

GI & Microbiome Panels

  • Comprehensive stool analysis
  • Microbiome mapping

Mold & Mycotoxin Panels

  • Urinary mycotoxin testing
  • Environmental exposure
    assessments

Organic Acid Testing (OAT) - Foundational metabolic and mitochondrial markers used to identify blocks in energy production, detoxification, neurotransmitters, and nutrient status.

Comprehensive Blood Work

  • Oncology panels
  • Metabolic and inflammatory markers
  • Immune profiles
  • Nutrient status

Advanced Immunology Panels

  • Immune cell subsets
  • Inflammatory cytokines
  • Specialized immune function assessments

Liquid Biopsy / NGS Testing

  • ctDNA, tumor markers, and resistance mutations
  • Next-generation sequencing insights relevant to metabolic and integrative care

 

Clinician-to-clinician consults provide an added layer of clarity that strengthens clinical decision-making.

They support you in navigating oncology cases with confidence while giving your patients the benefit of a broader, more integrative perspective.

This collaborative approach helps ensure care that is:

Personalized – Grounded in the patient’s unique biology and terrain.

Evidence-Based – Informed by research, metabolic insight, and clinical experience.

Integrative – Honoring conventional oncology while expanding therapeutic understanding.

  • Janet’s depth of knowledge in metabolic and integrative oncology is exceptional. I trust and respect her ability to interpret complex data and translate it into clear, actionable strategies for patients. Her approach is thorough, evidence-informed, and always centered on the individual. As a colleague, I value her insight and collaborative spirit — she elevates the level of care for every patient she works with.

    Dr. A. E., Integrative Physician/Oncologist
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