From preventive health and hormone imbalances to weight management and chronic disease control, our focus is on helping you achieve lasting wellness.
Adrenal Fatigue refers to a state in which the adrenal glands — the small glands that sit above your kidneys and help regulate stress hormones like cortisol — become overextended and underresponsive due to chronic stress. When the body is exposed to long periods of emotional, physical, or physiological stress, the adrenal system can struggle to keep up.
Over time, this causes your stress-response system to become dysregulated, leading to symptoms like exhaustion, poor sleep, mood swings, brain fog, inflammation, and difficulty recovering from even small stressors. Many patients describe adrenal fatigue as feeling like their battery will not recharge — no matter how much they rest.
At First Call DPC, we take adrenal fatigue seriously because it is often a sign that the body is trying to communicate something important: you’ve been running in survival mode for too long. True healing requires restoring balance, not simply pushing through.
Erectile Dysfunction (ED) is the persistent difficulty achieving or maintaining an erection firm enough for sexual activity.
While it is often discussed as a physical issue, ED is actually a whole-body condition involving circulation, hormone balance, nerve function, stress response, and emotional health.
ED becomes more common with age, but it is not an inevitable part of aging — and it is not something you have to tolerate or feel embarrassed about. At First Call DPC, we approach ED with respect, clarity, and privacy. We recognize that sexual health is a key part of overall well-being and quality of life.
Just as important: Erectile Dysfunction is often a signal of deeper metabolic or vascular changes. When treated thoughtfully, ED can be a window into improving not only intimacy, but heart health, confidence, energy, and longevity.
Health Optimization is a proactive, personalized approach to improving how your body functions day-to-day — not just preventing illness. Instead of waiting for symptoms to appear or worsen, Health Optimization focuses on elevating your energy, metabolism, hormonal balance, strength, sleep, cognition, and long-term vitality.
Most traditional healthcare models wait for a problem to occur before addressing it. Health Optimization at First Call DPC is different. We look at how your systems are performing now, identify where things can function better, and help you reach your body’s ideal state — physically, mentally, and metabolically.
This type of care is about living better, not just longer. It’s about waking up with energy, maintaining strength as you age, thinking clearly, feeling emotionally balanced, and keeping your body resilient. Whether you’re simply not feeling like your best self, or you’re striving to enhance performance and longevity, Health Optimization helps you operate at your highest, healthiest level.
Sexual Dysfunction refers to ongoing difficulties in sexual desire, arousal, or physical response that interfere with satisfaction, intimacy, or connection. This condition can affect both men and women, and it can appear gradually or suddenly. It is not simply a physical issue — sexual wellness involves the interconnected balance of hormones, circulation, nervous system regulation, emotional well-being, and relationship health.
At First Call DPC, we treat sexual dysfunction with respect and discretion. We understand that sexual health is an essential part of quality of life, identity, and confidence. When sexual function changes, it can impact emotional connection, self-esteem, and intimate relationships — which is why it deserves thoughtful, compassionate care.
Sexual dysfunction is common, but it is not something you have to ignore, accept as “normal with age,” or try to manage alone. There are real, effective, personalized treatment options that restore desire, function, pleasure, and connection.
Stress & overwhelm occur when the demands placed on your mind and body exceed your current capacity to cope. While occasional stress is a normal part of life, chronic stress can create a persistent state of tension that affects your energy, mood, hormones, immune system, and overall health.
Overwhelm feels like your system is constantly running on overdrive — even when you’re mentally exhausted. You may feel like you can’t slow down, relax, or “turn your mind off.” Over time, this can lead to irritability, burnout, emotional exhaustion, physical symptoms, digestive issues, and fatigue.
At First Call DPC, we recognize that stress is not just “in your head.” It is a physiological stress-response shift involving the nervous system, adrenal hormones, sleep patterns, and metabolic function. You do not need to simply “push through” or try to force yourself to cope. Real support means understanding why your system feels overloaded — and then helping restore balance so that life feels manageable again.
Weight gain occurs when the body begins storing more energy than it uses — but the reasons behind that change are often far more complex than “eating more and moving less.” Weight is influenced by hormones, sleep, metabolism, stress response, gut health, inflammation, and nervous system regulation. When one or more of these systems becomes imbalanced, the body may begin holding onto weight — even when you’re dieting, exercising, or “doing everything right.”
At First Call DPC, we approach weight gain with the understanding that your biology, lifestyle, and lived experience shape your health. Weight gain is not a personal failure. It is a signal from the body that something in your metabolic or hormonal system needs support, rebalancing, or recovery.
We help you identify what your body is asking for — and then guide you toward restoring metabolic stability, energy, confidence, and long-term wellness.
Depression is more than sadness — it is a whole-body condition that affects mood, motivation, energy, sleep, physical health, and how you feel day to day. Depression can make life feel heavy, overwhelming, or flat. Activities you once enjoyed may feel exhausting. Thoughts may feel slower, hope may feel out of reach, and even simple tasks can feel difficult.
Depression is not a character flaw, weakness, or lack of willpower. It is a physiological and emotional response involving the brain, nervous system, hormones, stress chemistry, sleep cycles, and inflammation. It can develop gradually or appear suddenly in response to stress, loss, or change.
At First Call DPC, we approach depression with compassion, understanding, and clinical precision. Your experience matters. Your story matters. And your brain and body deserve support — not judgment.
Depression is common. It is real. And with the right care, it is treatable.
Digestive issues refer to ongoing discomfort, irregularity, or difficulty digesting and processing food. These concerns may show up as bloating, constipation, diarrhea, gas, cramping, reflux, nausea, or changes in appetite. While occasional digestive discomfort is common, persistent digestive issues are a sign that the gut needs support and rebalancing.
The digestive system influences far more than just digestion — it impacts immune health, hormone balance, metabolism, mood regulation, sleep, and inflammation levels. When the gut is not functioning optimally, the effects can ripple throughout the entire body.
At First Call DPC, we recognize that digestive symptoms are communication signals, not random events. Your gut is asking for attention — and with the right clinical guidance, it can heal.
Low libido refers to a decrease in sexual desire, interest, or drive, either suddenly or gradually over time. It can affect men and women, at any age. While it’s common to experience fluctuations in desire due to stress or life changes, persistent low libido can feel confusing, frustrating, or even isolating — especially when it affects confidence, intimacy, or connection with a partner.
Low libido is not a personal flaw and it is not something you have to “push through.” Desire is influenced by hormones, stress levels, nervous system regulation, relationship dynamics, emotional energy, and physical health. When something is out of balance in any of those systems, sexual desire naturally shifts.
At First Call DPC, we approach low libido with respect and clarity — because your sexual well-being is an important part of your overall physical, emotional, and relational health. And with the right evaluation and support, desire can return.
Menopause is a natural biological transition that marks the end of a woman’s reproductive years. It is officially defined as the point when you have gone 12 consecutive months without a menstrual cycle, but the changes leading up to menopause — known as perimenopause — can begin years earlier. During this time, levels of estrogen, progesterone, and other hormones fluctuate and gradually decline.
Menopause is not a disease — it is a normal life transition. However, the symptoms it brings can significantly impact daily functioning, emotional wellbeing, and overall quality of life.
At First Call DPC, we approach menopause with respect, clarity, and compassion. Your symptoms are real. Your experience matters. And this phase of life can be one of renewal, strength, and deeper self-understanding — when you receive the right support.
Perimenopause is the transitional stage leading up to menopause, when hormone levels — especially estrogen and progesterone — begin to shift and fluctuate. This phase can begin as early as your late 30s or early 40s and may last several years. During this time, your cycle may still continue, but it becomes less predictable, and symptoms may come and go in waves.
Perimenopause is not a disease — it is a natural hormonal transition. However, the symptoms can be confusing, disruptive, or overwhelming. Many women describe this phase as feeling like their body and mind are changing faster than they can adjust.
At First Call DPC, we recognize that perimenopause is not “just hormones” and you are not “being dramatic.” You are experiencing real physiological change — and the right support can make this transition steadier, healthier, and more empowering.
Andropause — often referred to as “male menopause” — is the gradual decline in testosterone production that occurs as men age. Unlike menopause, where hormonal changes are more abrupt, andropause is slow and progressive, often developing over several years. Testosterone typically begins to decrease around age 30 and continues to decline by about 1–2% per year.
However, the effects of andropause are not just about aging. They involve energy levels, mood stability, metabolic function, strength, sexual health, cognition, confidence, and overall vitality. Many men describe feeling like they “lost their edge” — physically, mentally, or emotionally.
At First Call DPC, we don’t dismiss these experiences as “just getting older.”
Your energy, strength, motivation, and drive matter.
And when hormone levels shift, you deserve real medical support, not reassurance to “tough it out.”
Andropause is real — and with the right care, men can feel strong, clear, energized, and confident again.
Mood swings refer to noticeable shifts in emotional state — moving from calm to irritable, energized to drained, or motivated to disengaged more quickly than usual. While everyone experiences emotional changes from time to time, frequent or intense mood swings can begin to interfere with daily life, relationships, confidence, or work.
Mood swings are not just “emotional sensitivity” or a lack of self-control. They are often the result of biochemical, hormonal, neurological, and metabolic changes happening beneath the surface. Your emotions are not separate from your body. They are signals — telling you something needs care, support, or rebalancing.
At First Call DPC, we treat mood swings with both empathy and clinical clarity. Our goal is to help you understand why you feel this way — and to restore stability, confidence, and emotional steadiness so you can feel like yourself again.
Autoimmune disease occurs when the immune system — which is designed to protect you — begins to mistake your own cells and tissues as threats. Instead of defending your body, it becomes overactive, confused, and inflamed, leading to damage in organs, glands, joints, skin, or the digestive system.
Autoimmune disease is often misunderstood. Many patients are told their symptoms are “just stress,” “unrelated,” or “something you have to live with.” At First Call DPC, we approach autoimmune conditions differently. We treat the immune system as part of a whole-body ecosystem, influenced by hormones, inflammation, gut health, stress, sleep, nutrition, and environment.
Thyroid dysfunction occurs when the thyroid gland — a small, butterfly-shaped gland in the front of your neck — does not produce the right amount of hormones needed to regulate metabolism, energy, mood, and cellular function. The thyroid influences nearly every system in the body, including heart rate, digestion, body temperature, brain function, weight balance, and hormonal signaling.
There are two primary types of thyroid dysfunction:
Thyroid dysfunction can also include autoimmune thyroid disorders, such as Hashimoto’s (leading to hypothyroidism) and Graves’ Disease (leading to hyperthyroidism).
At First Call DPC, we understand that thyroid symptoms are real — even when standard labs are “normal.” We look deeper than basic screening tests to understand your full thyroid function, metabolic response, and symptom patterns. You deserve answers, clarity, and a treatment plan that helps you feel like yourself again.
Hashimoto’s Disease, also known as Hashimoto’s Thyroiditis, is an autoimmune condition in which the immune system mistakenly attacks the thyroid gland. Over time, this inflammation damages the thyroid and reduces its ability to produce key hormones that regulate metabolism, energy, mood, digestion, temperature, and cognitive function. Hashimoto’s is the most common cause of hypothyroidism (an underactive thyroid).
Many people with Hashimoto’s experience symptoms for years before receiving an accurate diagnosis — often being told their symptoms are just stress, aging, or “normal.” It is common to feel unheard or dismissed.
At First Call DPC, we take your symptoms seriously. We look beyond basic thyroid labs, identify underlying immune triggers, and help restore balance in the full-body systems affected by Hashimoto’s. Because when your thyroid is struggling, your whole life feels the impact — and you deserve care that honors that reality.
Thyroiditis refers to inflammation of the thyroid gland, a small but powerful organ responsible for regulating your metabolism, energy levels, temperature control, digestion, and many hormonal processes. Thyroiditis is not a single condition — it is a category of thyroid disorders that can cause thyroid hormone levels to swing either too high or too low, depending on the stage and type of inflammation present.
Common types of thyroiditis include:
Thyroiditis can lead to symptoms that fluctuate, sometimes feeling like a rollercoaster — weeks of anxiety and irritability followed by periods of fatigue and sluggishness. These shifts are real and can make life feel unpredictable.
At First Call DPC, we take a root-cause, whole-body approach to thyroiditis, helping restore balance to the immune system, hormones, and metabolism while supporting the thyroid gland’s natural healing processes.
