Why the first visit sets the trajectory
The first integrative-style visit isn’t about doing everything. It’s about asking questions that change what you think is happening—so your plan becomes targeted rather than generic.

The goal: questions that create clinical leverage
A good question does one of three things:

• narrows your differential
• reveals a pattern driver
• identifies the most realistic first step

12 high‑yield questions (organized for speed)
Sleep + circadian

1. What time do you fall asleep and wake up on workdays vs weekends?
2. Do you wake refreshed, or tired no matter what?

Energy + metabolism
3) When do you crash—morning, afternoon, evening?
4) What happens if you skip breakfast?

GI + tolerance
5) What foods reliably worsen symptoms?
6) What are your bowels like most days (frequency + form)?

Stress + nervous system
7) What has your stress load looked like in the last 6–12 months?
8) Do you feel “tired and wired”?

Inflammation + recovery
9) How long does it take you to recover from a tough week, workout, or illness?
10) Any new or worsening pain patterns?

Women’s health (if applicable)
11) Any cycle changes, PMS shifts, heavier bleeding, or new headaches?

Medication + supplements
12) What did you start (or stop) in the last year—including supplements?

How to use the answers (without rabbit holes)
After these questions, write one sentence:
“Most consistent pattern suggests ___; first lever to move is ___.”

What to do this week
Try using just 5 of these questions in your next visit and see how much your differential tightens.