Ongoing telehealth care for hypermobility/hEDS/HSD, POTS and dysautonomia, mast-cell symptoms/MCAS, lipedema, chronic fatigue, and other multisystem concerns.
Some people don't have one problem. They have eight, and each one has been looked at by a different clinician who only saw their piece of it. This program exists for that patient. I take the time to gather the full history, map the pattern across systems, and work through it in order — not in a fifteen-minute slot. I'm not promising a cure, and I won't overstate what I can offer. What I do offer is continuity, a clinician who reads your records, and a plan that gets revisited as new information comes in and your symptoms change.
You don't need every box checked. If two or three of these sound familiar — or you've been told "your labs look fine" while still feeling off — it's worth a real conversation.
"Every one of these gets asked about on the intake — not skipped because a number came back inside a reference range."
Joint hypermobility, frequent subluxations, or a suspected hEDS/HSD picture
Lightheadedness, racing heart on standing, or exercise intolerance suggestive of POTS or dysautonomia
Flushing, hives, GI upset, or reactions to foods, scents, and medications that come and go
Disproportionate, painful fat distribution in the legs or arms that doesn't respond to weight loss
Fatigue and post-exertional crashes that don't match the workup
Multiple diagnoses from multiple specialists with no one connecting them
Normal laboratory results alongside symptoms that keep limiting your day-to-day function
Multisystem symptoms often coexist. Hypermobility, dysautonomia, and mast cell reactivity are frequently reported together — that doesn't mean they share a single cause, but looking at them together can change the differential, testing, and treatment plan. Here's the framework I use.
Before ordering anything
A full symptom timeline, including what came first
Prior records, imaging, and laboratory testing you already have
Medications and supplements, including what made things worse
Function: what you could do two years ago versus now
Where symptoms commonly overlap
Hypermobility and autonomic symptoms are frequently reported together
Mast-cell symptoms may coexist with autonomic and GI symptoms
GI dysmotility, migraine, and anxiety may coexist, with contributors that sometimes overlap and sometimes don't
Nutrient deficiencies, thyroid disease, and sleep disorders are evaluated early
One variable at a time
Foundations first: hydration, sodium where clinically appropriate, sleep, and paced movement
Targeted medication trials with a defined endpoint and a plan to stop if it doesn't help
Referral when a specialist is genuinely the right next step
Regular reassessment instead of an open-ended prescription
hEDS is a clinical diagnosis made using the current diagnostic criteria — there is no confirmatory genetic test for it. Genetic testing is used to evaluate for other heritable connective tissue disorders, and I'll refer to genetics when that's indicated.
There are a lot of telehealth options available. Here's how I approach care differently — one experienced clinician, thoughtful evaluation, and ongoing follow-through that doesn't disappear after the first visit.
Your first visit is built for a complicated story. There's no incentive here to move you along.
I keep your records, your timeline, and your prior trials in front of me. You don't have to re-explain the last five years at every visit.
Some of this care belongs with a specialist. I coordinate with the specialists you already see, and I'll tell you plainly when a referral is the right next step rather than keeping you in-house.
A detailed intake plus any records, imaging, and laboratory results you can send ahead of time. I review them before we meet.
A 75–90 minute telehealth visit to build the timeline, map the overlapping symptoms, and agree on what to address first.
You leave with a plan in writing: what we're testing, what we're trialing, what we're watching, and what would change the approach.
If you'd like me to manage the plan with you, ongoing care continues through the Complex Care Membership: follow-up visits, direct messaging about your active plan, and regular reassessment as things shift.
One clinician holding the whole picture — your history, your records, and a plan that gets revisited as things change.
Step one is a one-time $399 extended evaluation. Patients who want ongoing management may continue through the Ongoing Complex Care Membership at $169 per month, with longer-term savings when you prepay 6 months or a year. This is a cash-pay practice — I don't bill insurance for visits.
HSA / FSA cards accepted
One-time · 75–90 minute visit with full records review
One-time
$399
Billed once · no membership required
Stands on its own — you leave with a written plan you can take back to your primary care clinician or specialists. Ongoing management requires membership.
Book initial evaluationStep 2 · continued management after the initial evaluation
Monthly
$169
Billed monthly · no long-term commitment
6 months
$954
Equivalent to $159/month
Save $60
Annual
$1,788
Equivalent to $149/month
Save $240
Ongoing management, prescription adjustments, and messaging are available through membership only. Direct messaging is intended for questions and updates related to your active treatment plan. New or unrelated concerns may require a scheduled visit. Extensive insurance appeals, peer-to-peer reviews, disability/FMLA paperwork, or other substantial administrative requests may require a separate fee.
Start Ongoing Complex Care MembershipLaboratory testing and imaging are ordered when clinically indicated; cost and billing vary by lab and insurance, and they can often be run through your insurance. Program fees are cash-pay. HSA and FSA cards are accepted, and I can provide an itemized receipt you may submit to your insurer — reimbursement is not guaranteed.
Don't see your question? Reach out — Mallory or her team respond directly, usually the same day.
Ask a questionI evaluate hypermobility using the current clinical criteria and manage symptoms. hEDS is a clinical diagnosis — there's no confirmatory genetic test for it. Genetic testing is used to evaluate for other heritable connective tissue disorders, and I'll refer to genetics when that's indicated.
Yes, I manage the symptoms of POTS and other forms of dysautonomia — hydration and sodium strategy, paced conditioning, and medication when appropriate. If your presentation suggests a cardiac cause that needs direct workup, I'll coordinate with your cardiologist.
Mast cell activation symptoms are managed with trigger identification, a stepwise medication trial, and clear endpoints. Testing for mast cell disorders has real limitations, and I'll be honest about what a result does and doesn't tell us.
I evaluate and support lipedema medically — pain management, conservative therapy, compression guidance, and referral for lymphatic or surgical care when indicated. I don't perform procedures.
Much of this care works well over telehealth: history, records review, symptom mapping, medication management, and ongoing adjustments. What telehealth can't do is a hands-on exam or in-office testing, so when that's needed I coordinate it locally with you.
No. Many patients arrive undiagnosed or partially diagnosed. Bring whatever records you have and we'll start with the history.
Complex care is available in 40+ states where I'm licensed. You can check your state with the eligibility checker on this site before booking.
No. Visits and membership are cash-pay. HSA and FSA cards are accepted, and I can provide an itemized receipt or superbill you may submit to your insurer for possible out-of-network reimbursement — reimbursement isn't guaranteed. Laboratory testing and imaging, if ordered, can frequently be billed through your insurance.
No. The evaluation fee covers the 75–90 minute initial visit and full records review. If you'd like ongoing management after that, it continues through the Ongoing Complex Care Membership: $169 per month, $954 for 6 months, or $1,788 annually.
The $399 evaluation can stand on its own — you leave with a written plan you're welcome to take back to your primary care clinician or specialists. If you'd rather I manage the plan with you over time, ongoing care is membership-based: $169 per month, $954 for 6 months, or $1,788 annually. Ongoing management, prescription adjustments, and messaging are available through membership only.
Messaging is for questions and check-ins related to your active treatment plan — side effects, dose questions, how a trial is going. It isn't a substitute for evaluating a new problem; when something new comes up, we'll schedule a visit for it.
Routine prior authorization support is included for treatments I'm actively managing through your membership. Prior authorization work isn't included with a one-time evaluation.
Honestly, this is slower work than a single-symptom program. Most patients see meaningful change over months, not weeks, because we change one variable at a time to know what's actually helping.
Often, yes. Many patients in this program also have a hormone or metabolic component. We'll talk through whether it makes sense to combine programs or handle it within this one.
Ready when you are
Whether you're still looking for answers or you already have diagnoses but no coordinated plan, start with the extended evaluation and we'll build the plan from there.
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