Consultation Services

For Patients with Complex or Unresolved Medical Conditions

Many patients seeking consultation have already undergone years of medical evaluations, often seeing multiple specialists and receiving extensive laboratory testing, imaging studies, or genetic analysis.

In many situations, the challenge is not the lack of data, but the lack of an integrated systems-level interpretation of that data..

Dr. Cheng’s work in Integrative Orthomolecular Medicine (IOM) Systems Medicine focuses on analyzing complex clinical cases from a systems biology perspective, identifying underlying physiological drivers that may not be apparent when laboratory results are evaluated in isolation.

For patients with complicated or unresolved conditions, a comprehensive IOM systems analysis may help clarify:

• metabolic or mitochondrial dysfunction
• micronutrient imbalances affecting cellular regulation
• environmental or toxicological contributors
• immune or inflammatory drivers
• endocrine and metabolic network interactions

Such consultations are particularly valuable for individuals whose conditions remain poorly explained or insufficiently improved despite conventional medical care.

Pre-Consultation Case Review

Because many patients seeking IOM Systems Medicine consultations have complex medical histories, prospective patients are asked to first submit a brief summary of their case.

Please include:

• Age and primary diagnoses
• Main symptoms
• Relevant lab reports
• Current medications or therapies

This preliminary review allows Dr. Cheng to determine whether an IOM systems medicine consultation would be appropriate and helpful.

This review is a brief screening process and does not include medical advice or clinical recommendations.

If the case is suitable, scheduling information and consultation options will be provided.

Due to limited availability, response times may vary depending on current case volume, and not all cases may be accepted for consultation.

Types of Consultation

1. Initial Medical Consultation

Fee: $500
Include:

• review of basic medical history and available laboratory data
• 45-60 minute consultation (video or phone)
• discussion of the systems medicine perspective
• initial recommendations for further evaluation, lifestyle modification, or nutritional strategies

This consultation is appropriate for patients seeking initial guidance or a second opinion.

2. Comprehensive IOM Consultation

Fee: $2000

• detailed review of medical history and laboratory reports
• systems-level analysis of metabolic, nutritional, hormonal, and environmental factors
• 60–90 minute consultation
• written IOM consultation report summarizing key findings and recommendations

This consultation is appropriate for patients seeking a deeper systems-level analysis of chronic health conditions.

3. Expert Systems Medicine Case Review

Fee: starting at $5,000 (depending on case complexity)

Some cases involve extensive clinical data, including:

• genetic testing
• toxicology reports
• mitochondrial testing
• endocrine evaluation
• advanced metabolic investigations

For such complex cases, a comprehensive systems medicine analysis may be required.

This advanced consultation may include:

• detailed review of extensive clinical data
• integration of multiple biological systems (metabolic, mitochondrial, immune, endocrine, environmental)
• written case analysis report
• systems biology interpretation of underlying mechanisms
• long-term strategic recommendations

These evaluations are comparable to expert consultative analyses performed at academic and specialty medical centers.

Approach to Care

IOM Systems Medicine focuses on identifying and addressing root drivers of chronic illness, including:

• Environmental toxins
• Micronutrient imbalances
• Metabolic dysfunction
• Mitochondrial impairment
• Chronic infections
• Hormonal dysregulation
• lifestyle and environmental stressors

The therapeutic goal is to restore the body's optimal molecular environment, allowing normal physiological regulation and self-repair mechanisms to function more effectively.

Important Note

Consultations are provided as educational and medical advisory services.

They do not replace care from a local physician or emergency medical services.

Implementation of any medical or therapeutic recommendations should be done in coordination with the patient’s primary healthcare providers.