Every patient has a distinct diagnosis, treatment approach, and genetic profile. While we cannot guarantee a specific timeline for symptom improvement, most patients typically begin experiencing positive changes by their fourth visit with us.

We require 48 business-hours notice for any cancellations or rescheduling requests, excluding weekends. A $100.00 fee applies if you don't provide the required 48 business-hours notice.

Many patients wonder why their current physician isn't aware of advanced thyroid testing protocols. The reality is that the vast majority of physicians—including endocrinologists, internists, family practitioners, and rheumatologists—don't regularly review current medical journals due to time constraints. This is particularly true for endocrinological conditions, where practitioners often resist updating diagnostic and treatment approaches that differ from their medical school training, even when current research supports these changes. At Holtorf Medical Group, we specialize in thyroid disorder treatment. While research is definitive, controversy persists regarding thyroid function testing. Using TSH (thyroid stimulating hormone) alone as a screening tool is outdated and has been repeatedly shown in research to be an unreliable indicator of thyroid disorders. Dr. Holtorf has published two peer-reviewed studies demonstrating that TSH fails to accurately reflect tissue levels of thyroid hormone in cases involving stress, chronic fatigue, infection, depression, extreme dieting, obesity, diabetes, and aging. Additionally, TSH testing can miss up to 80% of thyroid disorders in certain conditions.

While our physicians are highly trained in specialties including family medicine and internal medicine, we require patients to maintain a separate primary care physician for routine services such as strep or flu testing and annual physical examinations, which we don't provide. We also advise female patients to continue seeing an OBGYN for regular pap smears. For medical emergencies, please visit urgent care or an emergency room.

We suggest completing your lab work before your second appointment with your Holtorf Medical Group provider. This gives your doctor sufficient time to thoroughly review your results and develop a comprehensive treatment plan tailored to your needs.

There's no need to compile your complete medical history. Holtorf Medical Group provides each patient with a comprehensive health questionnaire that guides our physicians in understanding your individual health requirements.