Functional Medicine · Dr. Romanos Practice
Structured medical assessment for chronic, complex, or unexplained conditions.
Chronic fatigue, brain fog, digestive issues, or unexplained symptoms often remain unresolved in standard care. Not because nothing is wrong — but because the underlying mechanisms are not being analysed.
Indication
Process
Comprehensive medical history, symptom patterns, previous diagnostics. 60 minute initial consultation.
Only tests that are clinically meaningful — no screening panels without a hypothesis.
Clear priorities. No protocols. No supplement overload.
Philosophy
We do not work with predefined supplement lists or generic testing panels. Every step is based on clinical reasoning, individual presentation, and medical relevance.
What is not useful — we do not do.
Context
| Standard | Our Practice |
|---|---|
| Symptom-focused | Root-cause analysis |
| Short consultations | In-depth clinical assessment |
| Routine labs | Targeted diagnostics |
| Trial-and-error | Structured plan |
Expertise
Unlike many functional medicine providers, this approach is grounded in clinical medicine. Clinical reasoning takes priority — not protocols, not trends.
Assessment by a physician — not a coach, not an algorithm.
Integration of standard and extended diagnostics.
Focus on the 1–3 key drivers behind your symptoms.
Objective parameters — not guesswork.
Diagnostics
Thyroid, iron metabolism, inflammatory markers, micronutrients, omega-3 index. Targeted by clinical hypothesis — not as a panel.
Stool analysis for gut flora, inflammation, leaky gut, and pathogens. For persistent digestive complaints when standard results offer no explanation.
Hydrogen and methane breath test for small intestinal bacterial overgrowth. For bloating that worsens through the day, constipation, or an IBS label given without a causal workup. Performed at a specialised laboratory in Zurich.
Cortisol daily pattern, oestrogen metabolites, testosterone, melatonin. For burnout, PMS, menopause, or sleep disorders.
Differentiated immune profile for recurrent infections, chronic inflammation, or autoimmune suspicion.
Organic acids in urine: markers for mitochondrial function, neurotransmitter metabolism, B-vitamin status and microbial activity. For persistent exhaustion or brain fog with no measurable finding on standard labs.
Expectations
Focus Areas
Energy loss, exercise intolerance, persistent exhaustion — systematically assessed.
Bloating, intolerances, IBS — treating causes, not symptoms.
Cycle, stress, thyroid, menopause — precise analysis, not guesswork.
Insulin resistance, weight, lipid metabolism — identifying metabolic drivers.
Acne, eczema, chronic inflammation — investigating internal causes.
Brain fog, poor concentration, declining performance — root causes, not workarounds.
Frequent infections, slow recovery, immune dysregulation — systematically assessed.
Persistent symptoms after infection, including long COVID — exercise intolerance and fatigue.
Costs
General-practice assessment is covered by mandatory basic insurance (KVG). The functional workup is a self-pay service: it requires time and a depth of analysis that cannot be delivered responsibly within the consultation time basic insurance provides for.
Covered by basic insurance (KVG)
Functional workup — self-pay
Analyses — billed separately
Usually one of these analyses is indicated, occasionally two — not all of them. What gets ordered is decided together after the initial consultation, and you receive the cost estimate in writing beforehand. Typical total for a functional workup: CHF 1'650 – 2'900.
FAQ
Functional medicine does not replace conventional medicine — it complements it where standard approaches reach their limits. We systematically analyse the mechanisms behind your symptoms.
The initial consultation lasts 60 minutes. Lab results are available within 5–10 working days, followed by the results discussion with a written treatment plan.
General-practice assessment is covered by basic insurance (KVG). The functional workup is self-pay: a professional fee of CHF 1'400 covering the initial consultation, interpretation, written treatment plan and results consultation. Analyses are billed separately, CHF 250 to 800 depending on the test.
No. You can book an appointment directly online. You are welcome to bring any existing results.
Yes. Our diagnostics and treatment are based on current scientific evidence and clinical experience — not blanket protocols.
That is valuable information in itself. We will advise you honestly — whether a different investigation is needed or whether conventional treatment should take priority.
If your symptoms remain unexplained, continuing the same approach will not lead to different results. A structured medical assessment creates direction.