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Chronic Conditions

Ongoing conditions need ongoing attention

Chronic conditions are easier to manage when your physician has time to follow trends, adjust treatment, answer questions, and understand how one condition affects another.

Care between the big appointments

Managing a chronic condition involves more than renewing medication once a year. It may require reviewing home readings, interpreting laboratory changes, addressing side effects, supporting daily habits, coordinating specialty care, and adjusting the plan as life changes.

Conditions commonly managed

This list is representative and not exhaustive.

  • High blood pressure
  • High cholesterol and cardiovascular risk
  • Diabetes and prediabetes
  • Thyroid disorders
  • Asthma and common respiratory conditions
  • Depression and anxiety
  • Metabolic and weight-related conditions
  • Other stable conditions commonly managed in primary care

Care for complex and often misunderstood conditions

Not every health condition fits neatly into a textbook.

I care for patients living with complex, chronic conditions such as ME/CFS, fibromyalgia, hypermobility spectrum disorders, dysautonomia and related symptoms, as well as neurodivergent patients whose healthcare needs may not always be well understood in traditional medical settings.

Sometimes there is a clear diagnosis. Sometimes symptoms overlap, evolve over time, or do not yet have a simple explanation. My role is not to dismiss what you are experiencing or promise an answer that medicine does not yet have. It is to listen carefully, take your symptoms seriously, help evaluate what may be contributing, coordinate care when specialists are needed, and work with you on a practical plan to improve your health and quality of life.

You deserve a doctor who is willing to stay curious and stay involved, even when the answer is complicated.

The process

A plan that can change when you need it to

Understand the full picture

Review symptoms, goals, medications, home measurements, laboratory results, and other medical conditions.

Build a practical plan

Choose evidence-based treatment that fits the patient's priorities, resources, and daily life.

Follow progress

Monitor response, side effects, barriers, and meaningful health measures over time.

Coordinate when needed

Work with specialists, pharmacists, therapists, and other clinicians without losing continuity in primary care.

A physician measuring a patient's blood pressure

Daily life is part of the care plan

Sleep, stress, nutrition, movement, work, relationships, cost, and access can all affect treatment. These factors are considered alongside medication and other evidence-based care—not instead of them.

Common questions

Common conditions managed in primary care, including high blood pressure, cholesterol, diabetes, thyroid, asthma, mental health, and more. The list above is representative.

Follow-up is tailored to your condition and plan. Membership allows visits and messages without per-visit fees, so follow-up can happen when you need it.

Yes. Specialist coordination is part of ongoing care, maintaining continuity in primary care.

In-office care is included with membership. Outside labs, imaging, and medications may have separate costs, which are discussed in advance.

Ready to take the next step

Your care plan should not stand still while your life changes.

Learn how INcircle Health's ongoing primary care can help manage your conditions over time.

Patient app — SigmaMD

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