Your symptoms are taken seriously
Stress may be one part of the picture, but it is not assumed to be the explanation.
Bow Hill Integrative HealthKelly Evans, MDAreas of care
Care that considers the whole picture.
Symptoms rarely arrive in neat categories. We look at what may be connected and focus on the changes most likely to make a meaningful difference in daily life.
01Stress & nervous system support
Understand the patterns that keep your system on alert and build practical skills that support steadiness, resilience, and recovery.
Stress regulation · Mind–body tools · Sustainable recoveryLearn moreClose+
Care may include looking at how ongoing stress, anxiety, physical tension, sleep, health conditions, and life demands interact—then choosing practical strategies that fit your nervous system and daily life.
- Stress-response patterns and common triggers
- Breathing, HeartMath, meditation, and other mind–body tools
- Sleep, movement, nourishment, and recovery supports
02Perimenopause & menopause
Thoughtful support for sleep, mood, energy, body-composition, and metabolic changes that can make this season feel unfamiliar.
Hormonal transitions · Sleep and mood · Metabolic healthLearn moreClose+
We look at your symptoms, menstrual and medical history, goals, and relevant risk factors. The conversation can include both hormonal and nonhormonal options, with attention to symptoms that may need evaluation beyond menopause care.
- Hot flashes, sleep, mood, energy, and cognitive changes
- Genitourinary symptoms, sexual health, and musculoskeletal concerns
- Hormone therapy considerations, metabolic health, and healthy aging
03Sleep, fatigue & energy
A careful look at the medical, hormonal, nutritional, and daily-life factors that may be affecting rest, stamina, and recovery.
Sleep quality · Persistent fatigue · Energy patternsLearn moreClose+
Persistent fatigue is rarely explained by one number or one habit. We organize the possibilities, identify what deserves medical evaluation, and build a focused plan rather than trying to change everything at once.
- Sleep timing, quality, disruption, and possible sleep disorders
- Hormonal, metabolic, nutritional, medication, and stress-related contributors
- Realistic supports for steadier energy and recovery
04Digestive & metabolic foundations
Support for the everyday foundations of health, including nutrition, digestion, blood-sugar balance, movement, and sustainable habits.
Digestive health · Nutrition · Metabolic foundationsLearn moreClose+
Digestive and metabolic symptoms are considered in the context of your history, routines, medications, stress, and overall health. Recommendations are individualized and may include coordination with primary or specialty care when appropriate.
- Bloating, bowel-pattern changes, food tolerance, and digestive comfort
- Blood-sugar, lipid, appetite, and body-composition patterns
- Nutrition, movement, sleep, and sustainable daily routines
05Focused lab evaluation
Targeted testing may be considered when it can clarify a specific clinical question and meaningfully guide the next step in care.
Relevant testing · Pattern review · Plan refinementLearn moreClose+
Testing begins with a clinical question—not a broad panel by default. We review useful existing results first, discuss what additional testing could and could not tell us, and connect any findings to a practical care plan.
- Review of relevant prior results and trends
- Targeted testing when it is likely to change next steps
- Clear interpretation, limitations, and follow-up priorities
When to consider a consultation
This care may be helpful if…
Begin with what you have noticed. Together, we can explore what may be connected and decide where to focus first.
- 01Stress feels difficult to switch off—even when life is going well.
- 02Sleep, mood, or energy changed during perimenopause or menopause.
- 03Your results have been described as reassuring, but you still do not feel well.
- 04Digestive or metabolic concerns seem connected to the bigger picture.
- 05You want help making sense of symptoms, history, and relevant lab results.
- 06You value a collaborative plan that is realistic for your actual life.
When answers have been hard to find
Your experience deserves careful attention.
Uncertainty is handled honestly
We clarify what is known, what remains uncertain, and what may—or may not—be worth exploring next.
You leave with something useful
You receive focused recommendations and a written summary that can be shared with your primary-care provider.
Not sure where your concerns fit?
A complimentary 15-minute Discovery Call is a simple place to begin.
Schedule a Discovery Call