Whole-person, personalized care focused on root causes and lasting well-being

"I bring more than 30 years of clinical experience in both academic medicine and community practice to a new chapter in my career"
My approach has shifted from traditional family medicine to a more integrative, whole-person model of care
Lasting health requires looking beyond symptoms to understand the influence of genetics, environment, lifestyle, and nutrition
Whether you are navigating a chronic condition or seeking to optimize your health, I invite you into a partnership where we work together to understand what is affecting your health
Together, we will create a practical path toward a healthier next chapter

We use an array of advanced testing to get to the root cause of your symtoms.
Every patient starts with a comprehensive bloodwork panel that is reviewed during the Foundational Assessment.
In the membership we often use advanced testing such as gastrointestinal, hormonal and metabolic testing to investigate the root cause of your symptoms.

Change and healing occurs best when you know what to expect, have regular appointments and continual support from your team.
Each pathway to healing is unique, so an individualized plan is necessary for optimal outcomes.
That is why our membership program supports you in everyway so you can focus on yourself.

Our functional medicine-certified Nurse Health Coach has a passion for helping individuals transform their health.
Her approach centers on encouraging, educating, and empowering you along your health journey.
The root cause might not be where you think.
Did you know that 70-80% of your immune system lives directly in your gut?
Whether you are navigating a chronic condition or seeking to optimize your wellness, we invite you into a restorative partnership focused on order, balance, and a sustainable "next chapter" for your health.

The Discovery Call
The best way to begin is with a Discovery Call. This is a space for you to feel heard before committing to a clinical path.
What it is: A complimentary 15–20 minute connection with Dr. Marshall.
The Experience: Share your health concerns, ask questions about our philosophy, and determine if our partnership feels like the right fit for your goals.
The Next Step: If we decide to move forward, we will onboard you via our Ultralight Electronic Health Record , where you’ll complete your intake forms and sign legal documents to prepare for your first visit.
Please Note: The Discovery Call is for informational purposes to discuss practice fit. It is not a medical appointment; therefore, no diagnoses, treatments, or prescriptions will be provided.
Foundational Assessment
Following your Discovery Call, patients begin their journey with our Foundational Assessment ($595). This is a comprehensive, three-visit cluster designed to create your clinical roadmap. It includes:
A 75–90 minute deep-dive visit, a body composition analysis,
A detailed review of advanced biomarkers
A personalized care plan to address nutrition, sleep, and lifestyle interventions, meeting both with Dr. Marshall and our Health Coach.


Continuing Your Journey: For Current Patients
For patients already established within the practice, we provide streamlined tools to manage your ongoing care:
Patient Portal: Access our secure portal for clinical messaging and convenient appointment scheduling.
Fullscript Dispensary: Order practitioner-grade supplements through our online pharmacy and enjoy a 15% discount exclusively for our patient community.
At Next Chapter Functional Medicine, we believe optimal health comes from understanding you as a whole person, not just a collection of symptoms.
Our approach is rooted in partnership. We take the time to listen carefully to your story, clarify your health goals, and explore the interconnected body systems that influence your well-being. Rather than simply managing symptoms, we work together to identify underlying imbalances and develop sustainable, personalized strategies for healing.
Every individual’s path to health is unique. We integrate the latest scientific evidence with a deep understanding of how genetics, environment, lifestyle, nutrition, and stress interact to shape health over time. Through comprehensive evaluation and collaborative care planning, we empower you to take an active role in your wellness journey.
Whether your goal is to prevent future illness, optimize your current health, or address persistent concerns that haven’t responded to conventional approaches, we are here to support you with thoughtful, science-informed care. If your needs extend beyond my scope of practice, I am committed to connecting you with a functional medicine practitioner whose training best serves you.
If you’ve spent years treating symptoms and are ready to explore root causes, I would be honored to be part of your next chapter. You may not fully understand my approach yet, but once we meet, you will. I care deeply, I listen closely, and I am fully invested in helping you live better.
This is my next chapter, and I would be honored to walk alongside you as you step into yours.
Health is a beautiful spectrum, and you certainly don't need a specific diagnosis to partner with a physician. Waiting until you are sick is the old way of thinking. I believe you deserve to feel truly well and live your best life right now. Many people think they feel "fine," but are amazed at how much better they can actually feel once we start making simple adjustments.
By working together proactively, we can help you experience:
Deep, restorative sleep
Sharper mental focus and clarity
A calmer, stronger ability to handle daily stress
More energy and better physical performance
Hippocrates said, "all disease begins in the gut," and in functional medicine, we see how true that is every single day. Your gut is truly the foundation for your overall health. In fact, about 70% of your immune system and up to 90% of your serotonin (your "feel-good" hormone) live right there in your GI tract.
When your gut isn't happy or is inflamed, it struggles to absorb the vital nutrients your body needs. This hidden inflammation can complicate everything else, from your mood and hormones to your skin, metabolism, and energy levels.
Because the gut is so deeply connected to the rest of your body, almost all of our patients start with a thorough GI evaluation, which might include advanced stool or breath testing. If your gut isn't functioning well, it's incredibly hard to achieve true wellness anywhere else.
We frequently partner with patients to find the root cause of issues like:
GERD (Acid Reflux)
Inflammatory Bowel Disease (IBD)
Irritable Bowel Syndrome (IBS)
Food Allergies and Intolerances
Yeast Overgrowth
Eosinophilic Esophagitis
Small Intestinal Bacterial Overgrowth (SIBO)
Did you know your skin is the largest organ in your body? I often look closely at the skin because it provides vital clues about what might be going on internally.
If you are struggling with a stubborn skin issue, treating it successfully usually means we have to uncover and address the root causes of hidden inflammation, physical imbalances, or nutrient deficiencies. To help your skin truly heal, we will evaluate your hydration, gut health, hormones, and nutrition, as well as your daily stress and sleep habits.
We can partner together to get to the bottom of conditions like:
Eczema
Psoriasis
Dermatitis
Skin Allergies
Did you know that 1 in 12 people in the U.S. currently struggle with an autoimmune condition? It is one of the fastest-growing health challenges we face today. In simple terms, an autoimmune disease happens when your immune system gets confused and mistakenly starts attacking your own body.
Your immune system is deeply connected to your mental health, your hormones, and your heart. That is why we have to look at the big picture. We search for the hidden triggers that are keeping your immune system on high alert, like gut imbalances, environmental toxins, chronic hidden infections, or missing vitamins and minerals.
Because everyone's triggers are different, your care plan will be entirely unique to you. Our goal together is to identify and gently remove whatever is aggravating your system so your body can find its natural balance again.
We frequently partner with patients managing:
Hashimoto's Hypothyroidism
Lupus
Rheumatoid Arthritis
Psoriasis
Sjogren's Syndrome
When it comes to protecting your heart, our biggest goals are reducing hidden inflammation and improving your overall metabolic health. Instead of just looking at your basic cholesterol levels, we dig deeper by testing specific biomarkers to see if there is active inflammation in your artery walls.
Because everything in your body is connected, we focus heavily on realistic lifestyle changes to lower your risk. Together, we will build a plan that includes an anti-inflammatory way of eating, stress reduction, and an evaluation of other potential root causes like poor gut health, environmental toxins, or hormone imbalances.
We frequently partner with patients to manage and reduce the risks of:
High Blood Pressure (Hypertension)
High Cholesterol (Hyperlipidemia)
Sleep Apnea
Metabolic Syndrome
Heart Disease
Diabetes
Think of your hormones as a complex communication system. There is an intricate chain of command that starts in your brain and ends in your cells, regulating everything from your metabolism to your reproductive system. When there is a breakdown anywhere along that chain, whether in how your hormones are produced, transported, or used by your body, it can throw everything out of balance.
Instead of immediately jumping to prescription hormone therapy to mask your symptoms, we take a step back. We evaluate every single link in your hormone chain to see where things are getting stuck or misfiring. By addressing those specific root issues systematically, we help your body naturally restore its own balance, using hormone therapy only as a last resort.
We frequently partner with patients to resolve:
Polycystic Ovarian Syndrome (PCOS)
Thyroid Issues (like Hypothyroidism)
Adrenal Dysfunction (Stress Hormone Imbalances)
Insulin Resistance and Diabetes
Female Hormone Dysregulation
Obesity and stubborn weight gain
Almost everyone I see struggles with their sleep, anxiety, or mood at some point. Instead of just treating these symptoms, I look at them as signs that your brain health might need some support.
To help you feel like yourself again, we evaluate the foundational pieces of your brain health. We will look closely at your gut health, thyroid and adrenal function, vitamin levels, daily nutrition, and even your stress and relationships.
While prescription medications can be incredibly helpful—and for some, absolutely necessary- they aren't the only answer, and many people don't find full relief with them alone. Whether your goal is to find alternatives or simply support your body while taking medication, we will create a tailored plan to stabilize your mood by reducing inflammation and balancing your blood sugar.
We frequently partner with patients to manage:
Insomnia
Anxiety
Depression
Inattention Disorders
We are working on a newsletter full of practical health insights, root-cause tips, and updates from the practice.
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