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Michael Citron, MD has been practicing Medicine for over 30 years. He is residency trained and board certified in Emergency Medicine and has further training in Functional Medicine. Originally from Ohio, he moved to North Carolina about 22 years ago. Dr. Citron has completed fellowship training from A4M (The American Academy of Anti-Aging Medicine) and is currently finishing fellowship training from the Institute for Functional Medicine (IFM). Further, he has completed specialized training in Methylation (Dr. Lynch) as well as attended every SHEICON Methylation Conference (and is listed as a Physician who has "completed training in clinical methylation and nutrigenomics").

"Many years ago, it became apparent that there was more to treating illness then symptom reduction with the dispensing of pharmaceuticals. While emergency medical care is critically important, I saw a rather consistent pattern of chronic underlying issues leading to the emergency department visit in many cases. Typical examples include cigarette smoking, over-weight, hypertension, diabetes, and other chronic diseases.

I began to explore how we (as physicians) might do better at preventing the visit to the emergency department to begin with - how we might be able to identify and eliminate or minimize the root causes that eventually cause these underlying diseases that eventually lead to the need for medical care - often in the emergency department.

Medical care has gone through several phases over the years. Currently, traditional medical care is based on symptom identification and resolution. Many times, it involves a pharmaceutical given to combat a given finding (also known as "a pill for every ill").

In spite of some extremely costly intervention protocols (from a population point of view), it seems that we are simply not doing enough. Obesity and diabetes are going through the roof. Cardiovascular disease and cancer continue to be major burdens on us. Many seem to be aging at what appears to be an accelerated rate - either by physical appearance or by how one feels.

Well meaning interventions involving pharmaceuticals and traditional medical monitoring has just not been getting us very far. In fact, in many cases we are falling behind!

The current paradigm is clearly falling short. More people are developing more chronic diseases. Clearly, we can (and need) to do better.

A additional paradigm is needed - one that integrates all aspects of improving health.

By integrating traditional medicine with the principles of functional medicine - by understanding and working to balance the complex interconnections between (and within) organ systems, and with prudent monitoring of "markers" of disease, we can help people prevent those diseases from developing or worsening in the first place.

We can enhance health and vitality, and encourage graceful aging, and hopefully even begin to roll back what was thought to be an inevitable progression of chronic disease"

FoundationMED was developed to address these concerns and to intensely focus on you. By working together with our informed and motivated patients, we hope to help guide patients to a more desired health and wellness status.

Please contact us if you are interested in our practice!
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Kelly Day O’Brien is a Duke Integrative Medicine trained Integrative Health Coach and has over 25 years of healthcare-related experience.

As Health Coach Kelly provides resources, support, and accountability as you strive to make healthy changes. She has extensive experience with the diet and lifestyle recommendations that serve as the foundation to your treatment plan. Guided by her coaching expertise, you’ll set a plan in motion to achieve your vision of optimal health. Through a collaborative partnership you’ll identify obstacles to change and create strategies for sustainable health and wellness goals.

Kelly will have a brief consultation with FoundationMED patients after their office visit with Dr. Citron. In addition, she is available for more intensive/personalized health coaching consultations if desired (outside of the post-office visit consultation). We have found this to be an incredibly useful way to get our patients on track to meet their therapeutic goals.

Additionally, as Patient Coordinator, Kelly serves as a main point of contact addressing any questions or concerns you might have in regard to your care.

Please contact us if you are interested in our practice!
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