We spend time with patients, offer more specialized labs and dig deeper into current symptoms, diagnoses and overall health. We specialize in the use of natural therapies, lifestyle and nutrition interventions to support your health goals. Naturopathic and functional medicine also integrate well with pharmaceutical medications and we are trained in pharmacology.

It is is a branch of healthcare that focuses on preventing, managing, and often reversing chronic diseases by addressing their root causes through evidence-based lifestyle interventions. It empowers individuals to make positive, sustainable changes in key areas of their lives to improve overall health and well-being.

Anyone, regardless of age or current health status, can benefit from lifestyle medicine. It is particularly impactful for individuals with chronic conditions or those seeking preventive measures to maintain long-term health.

Functional Medicine is a systems biology–based approach that focuses on identifying and addressing the root cause of disease. Each symptom or differential diagnosis may be one of many contributing to an individual’s illness.

For example, depression can be caused by many different factors, including inflammation. Likewise, a cause such as inflammation may lead to a number of different diagnoses, including depression. The precise manifestation of each cause depends on the individual’s genes, environment, and lifestyle, and only treatments that address the right cause will have lasting benefit beyond symptom suppression (IFM).

Naturopathic medicine is a distinct primary health care profession, emphasizing prevention, treatment and optimal health through the use of therapeutic methods and substances which encourage the person's inherent self -healing process. The idea that our bodies can heal themselves when nurtured appropriately and when the obstacles to healing are removed is at the heart of naturopathic care. 

After receiving a bachelor's degree, Naturopathic doctors undergo a rigorous 4 year medical program which includes 1.5 years of clinical training. Both Dr. Pisacano and Dr. Shettell received their degrees from the state of Arizona, which has the largest scope of practice for Naturopathic Doctors. Therefore, within their education and clinical training, they both were trained to prescribe and manage pharmaceuticals, perform minor surgeries such as lipoma removals, act as primary care physicians, diagnose medical conditions, order lab work and imaging, and make referrals to other healthcare providers such as specialists, when appropriate. Having this medical training separates Naturopathic Doctors from many alternative practitioners since their education is not limited to their field, but overlaps the training of traditional Medical Doctor training.

Recommendations may include lifestyle modification, lab testing, nutritional counseling, botanical medicine, homeopathy, nutraceuticals, health appliances, hydrotherapy, environmental medicine and more. We meet the patient where they are at, meaning, we won’t make any recommendations that are unrealistic for you. We do however, encourage individuals to challenge themselves and to take steps outside of their comfort zone.

Unlimited messaging is intended to keep you on track and are for check-ins or questions about supplement or health plan recommendations. Patients have unlimited messaging contact with our healthcare providers. We will answer within 48 business hours excluding holidays. However, if an email question or request is deemed by one of our doctors to be too complicated or involved for a response via email they may, at their discretion, require that the member schedule a phone, telemedicine or in person visit instead of responding via email. If you have questions about billing, appointment times, rescheduling, orders, or non-medical questions, please contain our management staff at hello@tulsivis.com and they will assist you with your needs.