Biotype Report Consultation and Discussion – For Labs Ordered by Another Provider

Second Opinion Physician, P.C., offers a specialized telemedicine consultation option for individuals with mood disorders. This consult is structured specifically for patients who have completed lab tests and seek an evaluation following the Walsh Protocol, as well as for those requiring initial assessments. It caters to both domestic and international patients, offering insights and recommendations even when direct lab access is unavailable, through detailed questionnaires and follow-up consultations.

This consultation includes evaluations for depression and anxiety using the Walsh Protocol, even if patients have limitations with respect to ability to get a full set of blood tests. Patients receive a comprehensive Biotype Report summarizing findings, personalized supplement recommendations, and an opportunity for a follow-up discussion of the report to address questions or concerns and strategy for follow up.

For methylation status evaluation, the preferred method is the whole blood histamine test. A sufficient alternative test is the Plasma Methylation Panel. This approach prioritizes biochemical function over common genetic markers like MTHFR and COMT for a more accurate assessment.

Second Opinion Physician, P.C., led by Dr. David Epstein, D.O., draws on nearly four decades of experience in functional medicine, specifically treating mood, cognitive, and behavior disorders using the Walsh Protocol since 2015. The practice is grounded in a comprehensive understanding of oxidative stress, epigenetics, nutrient status, and their impact on neurotransmitter activity.