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

Welcome to our specialized telemedicine service. This consultation option is designed for individuals navigating the challenges of mood disorders, who are seeking a comprehensive evaluation of their condition. Whether you've already undergone lab testing under the care of another physician, or are in need of a comprehensive assessment, our service can provide you with the insights and guidance you require. Our approach is rooted in the Walsh Protocol, ensuring a holistic understanding of your situation and tailored recommendations to support your well-being.

Tailored Telemedicine for Depression and Anxiety

Second Opinion Physician offers a specialized service for patients with full or partial lab tests seeking Walsh Protocol evaluation. This service is also an ideal choice for patients who have accessed testing via their own physicians and for those who are out of the country or otherwise unable to access our recommended laboratories. In cases where lab testing is impossible, we base our evaluation on the detailed questionnaire and follow-up phone consultations, adopting a more cautious approach to mitigate any potential ambiguities in nutrient status. Typical labs that we use to evaluate mood and behavior disorders can be found in the Comprehensive Biotype Panel offered on this website.

Physician Consultation for Mood and Behavior Disorders

Our comprehensive consultation includes the evaluation of your lab scores and a detailed questionnaire, culminating in a multi-page Biotype Report. This report offers a digest of findings, personalized supplement recommendations adjusted for weight, and an explanation of the findings. Following this, you or your responsible parties have the opportunity to discuss the report with Dr. Epstein, addressing any queries or concerns that may arise.

Evaluating MTHFR for Depression and Anxiety

In line with the Walsh Approach, our standard procedure for determining methylation status is the whole blood histamine test. However, in specific circumstances where a patient is taking antihistamines or when additional information on the methylation pathway is required, we may recommend the Plasma Methylation Panel by Doctors Data. MTHFR and COMT are not typically used in evaluation of methylation status as it is merely one of more than 70 genetic markers that contribute to the methylation status of a person. The more useful labs, per the Dr Walsh Approach, is based on the actual biochemical function which can be better assessed by whole blood histamine and plasma levels of SAMe and methionine, etc.

Physician Consultation for Anxiety and Copper Overload

For those seeking to save on testing and consultation costs, we offer a scaled-down panel with the Consultation option. This choice may incur slightly higher costs due to manual data entry and the possibility of additional questions required for accurate lab testing and reporting. More affordable consultation options are also available.

Trusted Second Opinion Physician

Dr. David Epstein, D.O., brings nearly four decades of functional medicine experience to your consultation. Recognized as the Second Opinion Physician, Dr. Epstein has specialized in treating mood, cognitive, and behavior disorders using the Walsh Protocol since 2015. His extensive training in the Walsh Approach ensures a comprehensive understanding of the interplay between oxidative stress, epigenetics, nutrient status, and their role in neurotransmitter activity.