Contact Dr Dave for a free "pre consultation" with Dr. Dave.
With advances in the science of nutrition, epigenetics and oxidative therapy, it is possible to determine one's unique biochemistry and address imbalances to better manage depression, memory loss and many other mood disorders.
Second Opinion Physician serves individuals and practitioners with competitively priced lab testing and consultations. Dr Epstein is a Walsh Trained physician and works by telemedicine to coordinate labs, evaluate results and health histories and provide a detailed Report and Plan focusing on nutritional supplements, diet and lifestyle and home devices to improve patients condition.
Utilizing secure, HIPAA compoiant emails, data storage and communications for:
Second Opinion offers other physicians a lab testing service and assessment support.
Dr David Epstein, D.O. has been practicing functional medicine as a licensed physician since 1987. His private practice was established in 1989 in Atlanta, Georgia. He was one of Georgia's first integrative medicine providers offering chelation therapy, IV H2O2, and vitamins and nutritional counseling. Today Dr Dave practices via telemedicine entirely, and focuses on the protocol taught by the Walsh Research Instutite.
According to the research of Dr William Walsh, who is not affiliated with Second Opinion Physician, as many as 95%, of all persons who suffer with mood disorders, are likely to have a biochemical imbalance that will respond favorably to nutritional therapy. Feel free to reach out at any time to discuss the test and process for determining what is the best course of action for your health issue. When we're not working up an Assessment, we're here to answer your questions.
Contact Dr Dave for a free "pre consultation" with Dr. Dave.
William Walsh PhD Protocol
Methylation, Nutrition, Oxidative Stress
Dr Walsh has studied the brain chemistry of persons with mood disorders for over 40 years. His research and book Nutrient Power is groundbreaking and very important in the prevention and natural treatment of many conditions associated with high and low levels of neurotransmitters:
Mood, Cognition and Behavior Disorders
Depression and Bipolar Disorder
Schizophrenia and Psychosis
Autism, ADHD and Oppositional Defiance
Optimal Methylation Support
Metal Overload Detox
Anti-Oxidant and Metallothionein
Nutrients to Avoid
Dale Bredesen MD Approach
Cognoscopy Test Panel
Bredesen wrote the popoular book the End of Alzheimers; his approach addresses similar factors as Dr Walsh, plus other areas that he describes that lead to dimished brain health with aging.
Digestion and Leaky Gut
Mold and Environmental Exposure
Second Opinion Physician is not directly affiliated with the Walsh Institute, however, I am fully trained in the protocol and very confident in the benefits of this approach for diagnosis and management of patients with mood disorders.
William Walsh PhD. himself, has spent many years investigating biochemical imbalances associated with mood and behavior disorders. His analysis has included tens of thousands of persons suffering with mental health conditions including depression, anxiety, Autism, ADHD, biopolar disorder, schizophrenia, post partum depression and psychosis.
Links below are to his various publications and presentations. For a more indepth overview, his publications are listed on the Walsh Institute Website.
To suit your financial needs or key areas of interest, select from our Comprehensive Panels, Modified Panels and Single Item Tests. Consultations available with or without detailed reports.
Go to the Labs and Assessments page and select the test and consultation service you would like to receive. You will receive a link to complete and online questionnaire. You will then get a test form to take to Lab Corp and your urine kryptopyrrole test kit will come to you by mail. Once tests and the questionnaire are complete you will receive results. If a consultation and assessment are also ordered these will be sent via secure email and a time will be made available to talk with the physician as a follow-up to the report.
Consultation and Assessments are available for persons who already have labs, as long as they were completed in the past 3-4 months. Consultation fee is a bit higher, due to the extra time involved. Sometimes tests may have to be repeated if they were drawn by a less reliable source or appear ambiguous.
Second Opinion Physician does not bill insurance at this time. However upon request a statement will be provided with CPT codes and fees spent for the labs and consultation. Sometimes insurance or private funds will apply this to your deductible or reimburse for the services.
The 5 Biotypes of Depression is a term developed by Dr Walsh of the Walsh Institute to describe the primary biochemical classifications of mood and behavior disorders. When a practitioner knows one's biotype, then a specific nutrient strategy can be applied to the treatment strategy.
The key underlying factors influencing one's mood and behavior are the 1) the epigenetic (methylation) influences upon neurotransmitter activity and, 2) nutrition and the ability for key biochemical processes to take place and, 3) oxidative stress, an important indicator of need for nutrient and lifestyle management.
Your biotype will be determined by the results of the labs. For a full set of the Walsh Biotype we recommend doing the Comprehensive Biotype Panel with Consultation. If you are just looking to determine if you have one or another Biotype imbalance, consider ordering one of the following. Overmethylation or Undermethylation biotypes are determined by a whole blood histamine test. Copper Overload requires copper, ceruloplasmin and zinc tests or the combo Copper Overload test panel. For kryptopyrroles order the Pyrrole Urine Test.
Methylation is a term that describes the status of DNA activity in the production of proteins, enzymes and immune globulins. Overmethylators tend to have an underactive DNA 'transcription' process, whereas undermethylators have an overactivity of cellular function.
As an example, individuals with overmethylation and overmethylation can experience mood disorders. Overmethylators issues arise from overactive serotonin and dopamine activity, while undermethylators it is due to an under active neurotransmitter activity. Addressing this imbalance is a major consideration in nutrient therapy. This is why treatment must be individualized.
Second Opinion Physician is independent from the non-profit Walsh Research Institute.
You may purchase supplements from any reputable source. Dosages and ingredients are provided with Assessment reports. To simplify the process of purchasing supplements online Second Opinion Physician has set up a website offering the top professional brands. It is called Biotype Nutrients. Supplements are categorized according to one's "biotype", a classification system developed by Dr Walsh.
If you are interested in a complete Walsh Panel with interpretation and supplement recommendations by the SOP Doctor then you'll want to order the "Lab Panel - Comprehensive Biotype". Be sure to select option "Diagnostic Test with Consult and Detailed Report".
The initial Comprehensive Biotype Panel includes tests that do not necessarily have to be repeated. If any of the following labs were out of balance then you may wish to repeat in 3-6 months. This includes one or more of the individual biotype lab tests such as vitamin D, homocysteine, copper, ceruloplasmin and zinc. Histamine and pyrroles do not have to be repeated unless we are uncertain about the results due to test handling or concurrent use of medicines or supplements. If you would like support in Assessing these results, consider options