Conditions We Support

Thyroid Conditions

Your thyroid regulates many of your body’s most important processes, including metabolism, energy, temperature, and mood. When it isn’t functioning well, you may experience fatigue, weight changes, feeling cold, muscle aches, brain fog, and more. We support patients with Hashimoto’s thyroiditis, hypothyroidism, hyperthyroidism, Graves’ disease, and those who have had their thyroid removed.

How can we help

Our approach is to look for what may be disrupting your thyroid and the hormones it produces. That may include autoimmunity, food sensitivities, infections, nutrient insufficiencies, mold, or other environmental factors. Once we identify potential triggers, we work to reduce them and support your body’s ability to function at its best. We look at the complete thyroid picture, not just a single lab value.

What to expect

At your initial appointment, your functional medicine provider will review your health history and symptoms in detail and order a comprehensive thyroid panel along with other labs as needed. At your follow-up visit, you’ll review your results together and receive a personalized care plan. It may include nutrition and lifestyle changes, targeted supplementation, and medication when appropriate. A health coach will help you put your plan into action.

Integrative Primary Care

Primary Care should be more than an annual checkup and a prescription. At Turnpaugh Health, our Integrative Primary Care program is built around something different — a genuine, long-term relationship between you and a care team that actually knows you. We take the time to understand your full health picture, your history, your goals, and the conditions that affect your day-to-day life, then build a proactive care plan designed to keep you well — not just manage you when you’re sick.

Whether you are an individual looking for a Primary Care experience that goes deeper, or a family seeking a practice that can support each member’s unique health needs, our whole-body care team brings together the clinical depth of Functional Medicine with the accessibility and continuity of great Primary Care. Longer visits, same- or next-day access, advanced diagnostics when needed, and providers who are genuinely invested in your long-term health — this is Integrative Primary Care the way it should be.

Women’s Health and Hormones

You’re not imagining it. And you don’t have to live with it.

Hot flashes. Night sweats. Waking at 3 a.m. Brain fog. Anxiety that seems to come out of nowhere. Frozen shoulders!  Weight settling around your middle despite doing everything right. Joint pain, low libido, irregular periods, and the feeling that you just don’t recognize yourself anymore.

Too many women are told these symptoms are “just part of getting older,” or are offered an antidepressant and sent on their way. We believe you deserve better. For more than a decade, our providers have helped women through every hormonal stage of life, from menstrual concerns and PCOS to perimenopause, menopause, fertility and beyond.

The conversation about hormones has changed

For years, many women were steered away from hormone therapy based on early research that has since been reexamined. Today, a growing body of evidence shows that for many women, especially those who begin treatment within about ten years of menopause, the benefits of hormone therapy can outweigh the risks. Hormones don’t just relieve symptoms. Estrogen, progesterone, and testosterone play important roles in protecting your bones, heart, brain, and metabolism as you age.

Perimenopause can begin in your late 30s or 40s, often years before your last period. Many of the symptoms women struggle with most happen during this window, and it is one of the most overlooked stages in women’s health. We don’t make you wait until your periods stop to take your symptoms seriously.

How can we help

We are not afraid of hormones, and we don’t take a one-size-fits-all approach to them. Your provider will look at your full picture, including your symptoms, history, goals, and comprehensive lab work, to build a plan that is right for you.

When appropriate, that plan may include:

• Bioidentical hormone therapy, including estrogen, progesterone, and testosterone
• Thyroid and adrenal support
• Nutrition and lifestyle strategies to support blood sugar, weight, and inflammation
• Gut health and detoxification support, which play a key role in how your body processes hormones
• Targeted supplementation
• Strength, sleep, and stress support to protect your long-term health

Hormone therapy isn’t right for everyone. Your provider will walk you through the benefits, risks, and options so you can make a confident, informed decision. Once you begin, we monitor your labs and symptoms closely and adjust your plan as your body changes.

What to expect

At your first visit, your provider will spend time understanding your symptoms, health history, and goals, and will order comprehensive lab testing. At your follow-up visit, you’ll review your results together and leave with a personalized plan. Ongoing follow-up visits let us fine-tune your care so you continue to feel your best, not just this year, but for decades to come.

Autoimmunity

Autoimmunity occurs when the immune system mistakenly targets the body’s own tissues. We support patients with many autoimmune conditions, including Hashimoto’s thyroiditis, rheumatoid arthritis, lupus, multiple sclerosis, Sjögren’s syndrome, Crohn’s disease, ulcerative colitis, psoriasis, eczema, celiac disease, vitiligo, and more.

How can we help

Our approach is to look for what may be triggering or aggravating the immune response. That may include food sensitivities, gut health, infections such as Lyme disease, mold, heavy metals, or other environmental exposures. We work to reduce those triggers, support healing of the gut lining, calm systemic inflammation, and restore balance. We work alongside your rheumatologist and other specialists whenever needed.

What to expect

At your initial appointment, your functional medicine provider will review your health history in detail and order comprehensive lab work. Your diet, sleep, activity, stress, and environmental exposures will all be part of the conversation. At your follow-up visit, your provider will spend an hour building your personalized care plan, and you’ll meet with a health coach to support any dietary changes.

Alzheimer’s and Parkinson’s disease are neurodegenerative conditions, meaning they affect the brain and nervous system over time. Alzheimer’s disease primarily affects memory and thinking, while Parkinson’s disease primarily affects movement. Research increasingly points to factors such as inflammation, blood sugar regulation, nutrient status, sleep, and toxin exposure as contributors to brain health.

How can we help

While there is currently no known cure for either disease, our providers focus on what can be influenced: the health of the whole person. We look for underlying imbalances that may be affecting brain function and address them through nutrition, lifestyle, targeted supplementation, and other supportive therapies. We don’t simply add a new medication for each symptom.

We work alongside your neurologist and existing care team, never in place of them. Drs. Regina Smith and Drobin are certified in the ReCODE protocol, a personalized, research-based approach to cognitive decline developed by Dr. Dale Bredesen.

What to expect

At your initial appointment, your functional medicine provider will review your health history, current symptoms, and goals in detail. When appropriate, they will order comprehensive lab testing to identify factors that may be affecting your brain health.

At your follow-up visit, you’ll receive a personalized care plan. That plan may include dietary changes, targeted supplementation, sleep and stress support, and other therapies. A health coach will help you and your family put the plan into practice, and your care team will continue to adjust it over time. Family members and caregivers are always welcome to attend appointments.

Chronic fatigue is one of the main reasons that people stumble upon functional medicine when previously unfamiliar with this new type of care. Often, people don’t even know what it’s like to feel GREAT or to be pain-free. We believe in not just treating and eliminating disease but also increasing the health of the host.

How can we help

Chronic fatigue can derive from a wide variety of health conditions and external factors. Our goal is to find the root cause of your current condition. Through laboratory testing we will find what is causing you to feel this way and will use a team approach to put together an individualized health care plan that will help you combat your chronic fatigue.

What to expect

You will go over a detailed health history with your Functional Medicine provider and have blood work done to identify any insufficiencies and/or potential deficiencies in your physiology. An assessment of your diet, your sleep, your exercise patterns, your tolerance to stress, and your environmental toxins will all be addressed as well. This will all be followed up at your second visit, where your functional medicine provider will spend an hour customizing your individualized care plan. You will also have two appointments with the nutrition team to review and support you through any dietary changes. In addition to these appointments, your team will work together to make any recommendations as to what other treatments may be beneficial to you.

Mood Disorders, Anxiety, and Depression

Your mental health is just as important as your physical health, and the two are deeply connected. Anxiety and depression are among the most common concerns we see, and they can affect anyone at any stage of life.

How can we help

We look at mood through a whole-body lens. Factors such as blood sugar regulation, hormone balance, thyroid function, gut health, inflammation, nutrient status, and sleep can all influence how you feel. Our functional medicine providers work to identify and address those contributing factors, and our Dr. Lynn Panattoni supports the emotional side of your care. Together, your team builds a plan designed to help you feel more like yourself.

f you are in crisis or thinking about harming yourself, please call or text 988 or go to your nearest emergency room.

What to expect

At your initial appointment, you’ll meet with a functional medicine provider to review your health history and current symptoms in detail, and they may order lab testing.

At your follow-up visit, your provider will review your results with you, and your care team will create a personalized plan. That plan may include nutrition and lifestyle changes, targeted supplementation, and therapy. Ongoing appointments are scheduled based on your needs.

Gastrointestinal Disorders

Your digestive system does far more than process food. It plays a central role in immunity, inflammation, energy, and even mood. When something is off in your gut, you often feel it throughout your whole body. We support patients with a wide range of digestive concerns, including Crohn’s disease, ulcerative colitis, IBS, SIBO, reflux, diverticular disease, food sensitivities, and more.

How can we help

Our approach is to look for what is driving the imbalance in your digestive system. That may include food sensitivities, infections, imbalances in the gut microbiome, mold, or other environmental factors. Once we understand the triggers, we work to reduce them, support healing of the gut lining, and restore healthy digestion. In functional medicine, we take a deep look at your gut health, leaky gut, food sensitivities, microbiome changes and more.

What to expect

At your initial appointment, your functional medicine provider will review your health history and current symptoms in detail and order the testing that makes sense for you. This may include comprehensive stool analysis and other advanced lab work.

At your follow-up visit, you’ll review your results together and receive a personalized care plan that may include dietary changes, targeted supplementation, and lifestyle support. You’ll also meet with a health coach who will help make those changes realistic and sustainable. Your care team stays with you throughout your journey, adjusting your plan as you progress.

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Lyme Disease and Co-Infections

Lyme disease is caused by the bacterium Borrelia burgdorferi and is most commonly spread through the bite of an infected deer tick. Ticks can also carry co-infections, most often Babesia and Bartonella. Left unaddressed, Lyme disease can affect the joints, nervous system, heart, and immune system. Central Pennsylvania has one of the highest rates of Lyme disease in the country, and our team has spent decades supporting patients through it.

How can we help

Lyme disease can be difficult to diagnose. Standard screening tests can miss some cases, particularly early infections and those that have gone on for a long time. When appropriate, our providers use more comprehensive testing to get a clearer picture of what’s happening in your body.

From there, we look beyond the infection itself. We work to strengthen your body’s overall resilience by addressing inflammation, immune function, gut health, detoxification, and nutrition. Our goal is to help you feel like yourself again, with a plan built around you rather than a one-size-fits-all protocol.

We also host regular community talks on Lyme disease and tick-borne illness here in Central PA.

What to expect

Before your first appointment, you’ll complete a detailed intake form so your provider can review your history in advance. At your initial visit, your functional medicine provider will go over your health history and current symptoms in depth and order the testing that makes sense for you.

At your follow-up visit, you’ll review your results together and receive a personalized care plan. That plan may include nutrition and lifestyle changes, targeted supplements, and other therapies. You’ll also meet with a health coach who will help you put your plan into action. Your care team stays with you throughout your journey, adjusting your plan as your body responds.

Neurobehavioral Disorders

Neurobehavioral concerns reflect the connection between the brain, the nervous system, and behavior. We support children and adults with ADD/ADHD, autism spectrum disorder, and other neurobehavioral concerns, working alongside your existing care team.

How can we help

Our providers take a whole-body approach. We look at factors that can influence brain function and behavior, including nutrition, gut health, food sensitivities, sleep, nutrient status, and environmental exposures. When we identify contributing factors, we work to address them through a personalized plan designed to support focus, regulation, and overall well-being. Our care complements, and never replaces, support from your pediatrician, therapists, and educational team.

What to expect

At your initial appointment, your functional medicine provider will review a detailed health history and current concerns with you. When appropriate, they will order lab testing to identify nutrient insufficiencies or other contributing factors.

At your follow-up visit, you’ll receive a personalized care plan that may include dietary changes, targeted supplementation, and lifestyle support. A health coach will help your family put the plan into practice, and our [functional therapist] can help address the emotional and stress-related side of care. Your care team will continue to adjust the plan over time.