This 15-minute telemedicine consultation is for patients or prospective patients who want a brief, focused phone discussion with David Epstein, D.O. It can be used to clarify a specific question, discuss testing or consultation choices, or determine the most appropriate next step within the Walsh Protocol, methylation, biochemical mental-health, or functional medicine assessment process.
What Can I Discuss During a 15-Minute Telemedicine Consultation?
The call is intended for one main question or a small number of closely related questions. It can be useful when a full assessment is not yet needed or when you need physician input before deciding what to order next.
Walsh Protocol Questions
Ask whether a Walsh Biotype assessment may be appropriate for concerns involving depression, anxiety, obsessive tendencies, attention, irritability, medication response, copper imbalance, pyroluria, or possible undermethylation.
Which Assessment Should I Choose?
Discuss whether your situation is better suited to a Biotype Assessment, Biotype + Methylation Assessment, follow-up review, or broader functional medicine assessment.
Which Labs May Be Appropriate?
Ask focused questions about Walsh-related testing, copper and zinc, whole-blood histamine, homocysteine, methylation testing, SAM/SAH, or other available laboratory options.
Prior Recommendations or Follow-Up
Established patients may use the call for a brief question about prior recommendations or to determine whether updated laboratory testing or a formal follow-up assessment is needed.
Can I Ask About Depression, Anxiety or Other Mental Health Concerns?
Yes, when the purpose is a focused discussion about biochemical assessment or next steps. Patients often explore the Walsh Approach after experiencing depression, anxiety, OCD-type symptoms, mood instability, attention problems, medication intolerance, or an incomplete response to conventional treatment.
A 15-minute consultation does not provide enough time for a complete psychiatric, Walsh Protocol, or functional medicine assessment. If your question requires review of your full history, questionnaire findings, multiple laboratory results, or development of an individualized nutrient plan, a more complete assessment should be selected.
Second Opinion Physician provides remote consultations by telemedicine, so geographic proximity to a local Walsh practitioner is not necessary for services that can appropriately be provided remotely.
Can We Discuss Undermethylation or Methylation Testing?
Yes. A brief call can help determine whether methylation testing may be worthwhile and which type of assessment is most appropriate.
Questions may include whether symptoms suggest further evaluation for undermethylation, whether a plasma methylation panel would add useful information, or whether prior results involving SAM, SAH, methionine, or homocysteine warrant a more complete methylation consultation.
However, detailed SAM/SAH interpretation and individualized treatment recommendations require sufficient time to review the complete methylation panel and clinical context and are therefore better handled through a formal methylation assessment.
Helpful Walsh Protocol Questionnaires and Lab Options
You do not need to order testing before a 15-minute consultation. If you are already considering biochemical assessment, the following resources may help you understand the available options before the call.
What Does the 15-Minute Phone Consultation Not Include?
- a full Walsh Protocol or functional medicine assessment;
- detailed interpretation of multiple laboratory reports;
- complete SAM/SAH or methylation-panel interpretation;
- full questionnaire analysis;
- a written physician assessment or report;
- a comprehensive individualized supplement or treatment plan;
- psychiatric crisis or emergency care.
If the issue requires detailed review of symptoms, clinical history, medications, laboratory findings, or nutrient recommendations, one of the comprehensive assessment options will generally provide substantially more value.
When Should I Choose a Full Walsh Protocol Consultation Instead?
A full consultation is more appropriate when you want Dr. Epstein to evaluate the overall biochemical pattern rather than answer a single focused question.
Walsh Protocol Biotype Assessment
Appropriate when you need questionnaire review, relevant biochemical laboratory interpretation, physician assessment, and individualized recommendations.
Biotype + Methylation Assessment
Appropriate when both the Walsh Biotype pattern and methylation chemistry—including SAM, SAH and related markers—need to be evaluated together.
Is This the Same as the Free Walsh Protocol Pre-Consultation?
No. The two calls serve different purposes.
Free Pre-Consultation
Best when you are new to the practice and mainly need help deciding whether Second Opinion Physician is a fit and which questionnaire, laboratory panel, or consultation to begin with.
15-Minute Physician Consultation — $99
Best when you have a specific clinical, testing, follow-up, or assessment question and want dedicated physician time to discuss it.
If you primarily need help understanding the available services or deciding where to start, schedule the Free Walsh Protocol Pre-Consultation.
How Long Is the Consultation?
The consultation is limited to 15 minutes. Because of the short time frame, it is best to identify your primary question before the call.
If your concerns require a broader medical history, substantial laboratory review, detailed methylation interpretation, or development of an individualized treatment strategy, Dr. Epstein may recommend a more complete assessment.
How Do I Schedule the Phone Consultation?
Purchase the 15-minute consultation on this page first. After checkout, use the appointment calendar to select an available phone appointment.
Schedule your appointment using the Second Opinion Physician online calendar.
Schedule the Appointment Free Pre-Consultation15-Minute Telemedicine Consultation FAQs
Can you interpret my laboratory results during the 15-minute call?
A focused question about a specific result may be discussed, but this service does not include detailed review of multiple labs or preparation of a written laboratory interpretation.
Can I discuss a methylation panel or SAM/SAH result?
Brief questions about whether methylation testing or a more complete methylation review is appropriate may be discussed. Detailed SAM/SAH interpretation and individualized recommendations are better handled through a formal methylation assessment.
Can I ask about undermethylation, copper overload or pyroluria?
Yes. The call can be used for focused questions about Walsh biochemical patterns and which questionnaire, laboratory tests, or assessment may be appropriate. It does not replace a full Biotype Assessment.
Do I need to complete the Walsh Protocol questionnaire before the call?
No. The questionnaire is not required for a brief consultation. You may complete it if you are already considering a full Walsh Protocol assessment and want to become familiar with the screening process.
What if I am not sure whether I need the paid 15-minute consultation?
If you mainly need help selecting a service or determining where to start, the Free Walsh Protocol Pre-Consultation may be sufficient.
Is this a full mental health or functional medicine consultation?
No. This is a brief telemedicine consultation for a focused question. Full assessment of depression, anxiety, biochemical patterns, functional medicine concerns, multiple laboratory results, or individualized treatment requires an appropriate comprehensive consultation.
Important Medical Information
This brief telemedicine service is not intended for emergency care, psychiatric crisis management, or medical conditions requiring immediate or in-person evaluation. Urgent or serious symptoms require appropriate local medical care.






