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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.
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Jignasa Sachar, DO is a Family Practice physician and has extended her training to the field of Functional Medicine. She is Board Certified in Anti-Aging and Regenerative Medicine, and is a Certified Bredesen Protocol physician.

She completed her Family Practice training at Long Beach Medical Center in New York. She was a staff physician at The Cleveland Clinic Foundation for 5 years, where she received the "Best Practice Award" for Outstanding Patient Satisfaction.

Dr. Sachar subsequently completed a Fellowship in Functional Medicine - which is the main focus of her practice.

As a Functional Medicine physician, she is passionate about identifying the root cause of disease, rather then just focusing on the symptoms of the disease.

By focusing on the root cause, this results in the ability to restore optimal functioning of the body and its organs. This reduces by orders of magnitude the risk of recurrence and progression of the disease process.

Dr. Sachar has a particular interest in autoimmune thyroid disorders, and the Bredesen Protocol for Alzheimers, Dementia, and cognitive decline.

Dr. Sachar is a certified yoga teacher and incorporates integrative principles to restore health and well-being.

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"). Often medical care is reduce to "disease management" with little or no interest in the underlying changes in physiology that are actually driving the disease or symptom process.
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 rates 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, drugs, surgeries 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.

An 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) physiology and organ systems, and with prudent monitoring of disease markers we strive to help people prevent those chronic diseases from developing or worsening in the first place.

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

FoundationMED was created to address these concerns and to intensely focus on you - the primary target of all of our efforts. 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.
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Leah Randolph trained at Duke Integrative Medicine's world-class professional integrative health coaching program. Here she learned to work with individuals around how to dynamically engage in living to the fullest level of optimal wellness.

She has years of expertise to support you in transformational behavior changes that will maximize your well-being. Based on her years of research in behavior change and patient care at Duke's School of Medicine, her training led her to be appointed as a mentor for medical students and residents.
Our Health Coach will have a brief consultation with all FoundationMED patients after their first office visit with our physician.

In addition, our Health Coaches are 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 - and highly encourage that you give serious consideration to Health Coach consultations.

Additionally, as Patient Coordinators, our Health Coach team 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 or want to learn more about Health Coaching!

Joy Przybyla is our Administrator and helps with patient intake, discharge and scheduling - along with countless other issues that keep our office running smoothly.
We welcome Larnessa to FoundationMED as our newest employee and a member of our Administration team.


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