Functional Medicine · Praxis Dr. Romanos
When standard investigations
reach their limits.
Structured medical evaluation for chronic, complex, or unclear symptoms.
Starting Point
When findings are normal —
but symptoms persist.
Chronic fatigue, concentration problems, digestive issues, or other unclear symptoms often remain without clear explanation.
Not always because nothing is wrong — but because relationships haven't been examined thoroughly enough.
"Blood tests are normal" — but the exhaustion remains.
Multiple evaluations, no results — and no plan.
Symptoms are treated — but not understood.
Approach
Extension — not alternative.
Functional medicine is not an alternative to conventional medicine — it is an extension for appropriate clinical questions.
The focus is on relationships between metabolism, hormones, micronutrients, and other physiological systems — always based on clinical judgment.
Further diagnostics are performed selectively — not routinely.
Clinical Deep-Dive
Detailed history, symptom patterns, prior diagnostics. 60–90 min.
Targeted Diagnostics
Only tests clinically relevant — no panels without hypothesis.
Structured Treatment Plan
Clear priorities. No protocols. No supplement overload.
Who is this for?
Typical presentations.
Persistent Fatigue
Despite normal basic workup — exhaustion, lack of motivation, reduced exercise tolerance.
Digestive Issues
Without clear cause — bloating, intolerances, IBS, recurrent symptoms.
Hormonal Issues
With inadequate therapy response — cycle, thyroid, adrenals, menopause.
Focus & Performance
Brain fog, reduced performance, concentration problems — causes not workarounds.
Recurrent Symptoms
Despite treatment — when symptoms keep returning and no explanation is found.
Mismatch: Results vs. Wellbeing
"Everything is normal" — but you don't feel that way. When results and symptoms don't align.
Diagnostics
Targeted tests —
with clear clinical questions.
Advanced Blood Testing
Thyroid, iron metabolism, inflammation markers, micronutrients, omega-3 index. Targeted by clinical hypothesis.
GI-MAP (Gut Analysis)
Stool analysis for gut flora, inflammation, leaky gut, and pathogens. For persistent digestive issues.
DUTCH Test (Hormone Profile)
Cortisol daily pattern, estrogen metabolites, testosterone, melatonin. For burnout, PMS, menopause, or sleep issues.
Immunological Assessment
Detailed immune profile for infection susceptibility, chronic inflammation, or autoimmune concern.
Overview
Standard approach vs.
Functional evaluation
Philosophy
Medical reasoning
comes first.
Unlike many functional medicine providers, our approach is rooted in internal medicine. Clinical reasoning takes priority — not protocols, not trends.
We don't work with prefabricated supplement lists or generic test panels. Every step is based on individual presentation and medical relevance.
What doesn't make sense, we don't do.
Physician-led
Assessment by a board-certified physician — no coach, no algorithm.
Conventional + advanced
Conventional medicine as foundation, extended diagnostics only when clearly indicated.
Clear prioritization
Focus on the 1–3 main drivers of your symptoms.
Measurable results
Objective parameters — not gut feeling.
Clarity
What this is not.
Not wellness. Not biohacking. No generic supplement protocols. No diagnoses without evidence. Rather, structured, physician-led evaluation — where standard diagnostics reach their limits.
From Practice
When standard diagnostics
aren't enough.
Patient, 38 y.o.
Years of fatigue — despite "normal" values
Problem: Three doctors, three times "blood work is normal." Exhaustion, lack of motivation for 2 years.
Approach: Extended panel — ferritin 14, vitamin D 18, subclinical hypothyroidism (TSH 4.8).
Result: Targeted supplementation and thyroid management — energy level significantly improved in 8 weeks.
Patient, 52 y.o.
Digestive problems and joint pain
Problem: Recurrent bloating and joint stiffness. Endoscopy and rheumatoid factor normal.
Approach: GI-MAP and histamine diagnostics — elevated zonulin, histamine intolerance, B12 deficiency.
Result: Elimination diet and B12 supplementation — significant improvement in 6 weeks.
Patient, 44 y.o.
Brain fog and sleep problems
Problem: Concentration issues, non-restorative sleep, performance decline for months.
Approach: DUTCH test and micronutrient status — cortisol dysregulation, magnesium and omega-3 deficiency.
Result: Targeted supplementation and stress management — sleep and cognition stabilized in 10 weeks.
Patient, 35 y.o.
Skin problems despite treatment
Problem: Chronic eczema, dermatologically treated without improvement.
Approach: Gut analysis and inflammation markers — dysbiosis and elevated zonulin levels.
Result: Gut restoration and dietary adjustment — skin significantly improved in 3 months.
Costs
Costs & insurance coverage.
Basic Insurance (KVG)
Consultations and basic blood tests are covered by basic insurance. Advanced functional analyses (GI-MAP, DUTCH test, micronutrient panel) are private services from CHF 200 to CHF 500. We discuss exact costs clearly in the initial consultation — no surprises.
Frequently Asked
Good to know.
What distinguishes functional medicine from conventional medicine?
Functional medicine is not an alternative to conventional medicine — it is an extension for appropriate clinical questions. The focus is on relationships between metabolism, hormones, micronutrients, and other physiological systems.
How long does an initial evaluation take?
The initial consultation lasts 60–90 minutes. Lab results are available in 5–10 business days, followed by results discussion with a concrete treatment plan.
Are costs covered?
Consultations and basic lab work are covered by basic insurance (KVG). Specialized analyses like GI-MAP or DUTCH test are private services — costs are always discussed transparently beforehand.
Do I need a referral?
No. You can book an appointment directly online. You're welcome to bring any existing test results.
Is functional medicine evidence-based?
Our diagnostics are based on current scientific evidence and clinical experience. Further diagnostics are performed selectively — not routinely.
What if no functional cause is found?
That is important information. We will counsel you honestly — whether another evaluation is needed, conventional medical therapy takes priority, or a second opinion would be helpful.
Clarity changes everything.
When your symptoms remain unexplained — structured evaluation at our practice near Zurich HB brings direction.
