Contact Us
Tel: (757) 363-8571
What Should You Expect During Your First Functional Medicine Visit?
Scheduling your first functional medicine appointment can feel different from visiting a traditional medical office—and that’s intentional.
Rather than focusing on one symptom or one diagnosis, your first visit is designed to understand your complete health story. We’ll discuss your current concerns, review your medical history, talk about your lifestyle, nutrition, sleep, stress, previous testing, and other factors that may be influencing your health.
The goal isn’t simply to identify another diagnosis.
It’s to better understand why your symptoms developed and begin creating a personalized plan that addresses the factors contributing to your health concerns.
Many patients tell us that this is the first time they’ve felt someone truly listened to their story.
That’s because functional medicine recognizes that your symptoms don’t exist in isolation—they’re part of a much bigger picture.
If you’re new to functional medicine, you may also want to read our Functional Medicine guide (https://totalhealthcentervb.com/functional-medicine/) and What Makes Functional Medicine Different (https://totalhealthcentervb.com/what-makes-functional-medicine-different/) to better understand the philosophy behind this approach.
What Happens During Your First Visit

A little preparation helps us make the most of your first visit by giving us a more complete understanding of your health history and goals.
Your first functional medicine appointment is much more than a review of your symptoms. It’s an opportunity to step back, look at the bigger picture, and begin understanding how the many pieces of your health fit together.
Rather than rushing to a diagnosis or treatment plan, we’ll spend time learning about you—your health history, your current concerns, and the factors that may be influencing how you feel today.
Every patient is different, but your first visit typically includes the following:

Your first functional medicine visit follows a personalized process designed to understand your health, identify underlying factors, and develop a plan tailored to your unique needs.
We Listen to Your Story
Your symptoms are only one part of the picture.
We’ll discuss:
- Your current health concerns
- When your symptoms began
- Previous diagnoses and treatments
- Medications and supplements
- Family health history
- Lifestyle and daily habits
- Nutrition
- Sleep quality
- Stress
- Exercise and activity level
Understanding your health story often reveals important patterns that may not be obvious during a brief office visit.
We Review Previous Testing
Many patients arrive with years of laboratory work, imaging studies, and specialist reports.
Whenever possible, we review these records before recommending additional testing.
Sometimes the answers are already there—they simply haven’t been viewed through a functional medicine perspective.
If additional evaluation is appropriate, we may recommend more comprehensive testing based on your individual situation rather than ordering the same tests for every patient.
To learn more about this approach, visit our Thyroid Testing guide
https://totalhealthcentervb.com/thyroid-testing/
We Look for Patterns, Not Just Individual Symptoms
One symptom rarely tells the entire story.
Fatigue may be connected to poor sleep, nutritional deficiencies, thyroid function, blood sugar regulation, chronic stress, inflammation, or digestive health.

The same symptoms can have different underlying causes. Functional medicine looks deeper to understand each patient’s unique health story before creating a personalized care plan.
Rather than evaluating each symptom in isolation, functional medicine looks for the relationships between body systems that may be contributing to your overall health.
This whole-person perspective helps guide a more personalized evaluation and treatment strategy.
To better understand this philosophy, read What Makes Functional Medicine Different
https://totalhealthcentervb.com/what-makes-functional-medicine-different/
We Develop a Personalized Plan
Before your visit ends, we’ll discuss the next steps together.
Depending on your health concerns, your plan may include:
- Nutrition and dietary recommendations
- Lifestyle modifications
- Targeted nutritional supplements
- Additional laboratory testing (when appropriate)
- Coordination with your primary care physician or specialists
- Follow-up appointments to monitor your progress
Every recommendation is tailored to your individual needs and health goals.
There is no one-size-fits-all treatment plan.
When Is Advanced Testing Recommended?
One of the most common questions we hear is:
“Will I need extensive laboratory testing?”
The answer is simple:
Not always.
Many patients already have valuable laboratory results from their primary care physician or specialists. Whenever possible, we begin by reviewing your existing records before recommending additional testing.
If more information is needed, testing is selected based on your specific health concerns—not a standard package given to every patient.
Testing Should Answer Questions
Every laboratory test should have a purpose.
Rather than ordering tests simply because they’re available, we ask:
- Will this information change your treatment plan?
- Will it help explain your symptoms?
- Will it provide useful information that we don’t already have?
If the answer is yes, additional testing may be appropriate.
If not, unnecessary testing is avoided.
A Personalized Approach
Depending on your health history and symptoms, your evaluation may include more detailed assessment of areas such as:
- Thyroid function
- Digestive health
- Hormone balance
- Nutritional status
- Inflammation
- Blood sugar regulation
- Food sensitivities (when clinically appropriate)
- Other specialty testing based on your individual needs
Not every patient requires every test.
Your evaluation is personalized to your unique situation.
Learn More About Functional Medicine Testing
If you’re interested in understanding how testing differs from conventional screening, these resources provide additional information:
Thyroid Testing
https://totalhealthcentervb.com/thyroid-testing/
Functional Medicine
https://totalhealthcentervb.com/functional-medicine/
Our Goal Is Clarity—Not More Testing
The purpose of testing isn’t to collect more laboratory results.
The purpose is to gather meaningful information that helps explain why you’re experiencing symptoms and supports a more personalized plan for improving your health.
Every recommendation is made with one question in mind:
Will this help us better understand your health and guide your care?
What Happens After Your First Visit?
Your first appointment is the beginning of a partnership—not a one-time consultation.
Before you leave, we’ll review what we’ve learned, discuss the factors that may be contributing to your health concerns, and outline the next steps together.
Depending on your situation, your personalized plan may include:
- Nutrition and dietary recommendations
- Lifestyle strategies to support healing
- Targeted nutritional supplements when appropriate
- Additional laboratory testing if more information is needed
- Coordination with your primary care physician or specialists
- A follow-up schedule to monitor your progress and adjust your plan as your health improves
Our goal is to create a practical, personalized roadmap that helps you understand your health and gives you clear, achievable next steps.
Rather than simply managing symptoms, we work with you to improve how your body functions over time.
Your Health Is a Journey
Chronic health problems rarely develop overnight, and meaningful improvement often takes time.
Functional medicine isn’t about finding a single “magic bullet.” It’s about understanding the factors that have influenced your health, making thoughtful changes, and monitoring your progress as your body responds.
Many patients appreciate having a healthcare partner who listens carefully, explains the reasoning behind recommendations, and adjusts the plan as their health evolves.
Our goal is not simply to help you feel better today—it’s to help you build a stronger foundation for long-term health.
Continue Learning
If you’d like to learn more before scheduling your appointment, these resources provide additional information about our approach to functional medicine.
Functional Medicine
https://totalhealthcentervb.com/functional-medicine/
What Makes Functional Medicine Different
https://totalhealthcentervb.com/what-makes-functional-medicine-different/
Thyroid Testing
https://totalhealthcentervb.com/thyroid-testing/
Functional Medicine FAQs
https://totalhealthcentervb.com/functional-medicine-faqs/
About Dr. Mark Scott
Dr. Mark Scott has been helping patients with chronic and complex health conditions for more than 30 years. As the founder and Clinic Director of Total Health Center in Virginia Beach, he combines functional medicine, advanced laboratory testing, nutrition, and lifestyle medicine with decades of clinical experience to help patients better understand the factors influencing their health.
His approach emphasizes identifying underlying causes, restoring healthy function, and empowering patients with the knowledge and tools they need to take an active role in their long-term wellness.
Ready to Take the Next Step?
If you’re ready to move beyond simply managing symptoms and want a more personalized approach to understanding your health, we’re here to help.
Your first functional medicine visit is an opportunity to tell your story, have your questions answered, and begin developing a plan designed around your unique health goals.
Schedule your Functional Medicine Consultation today and take the first step toward understanding the “why” behind your symptoms.
Contact Us
Tel: (757) 363-8571
FAQ Section
Frequently Asked Questions
1. What happens during my first functional medicine visit?
Your first visit is a comprehensive consultation focused on understanding your complete health story. We’ll review your current symptoms, medical history, lifestyle, nutrition, sleep, stress, previous testing, medications, and health goals to identify patterns that may be contributing to your condition.
2. How long is the first appointment?
Initial functional medicine consultations are typically much longer than a traditional office visit. This allows adequate time to discuss your health history, answer your questions, and develop a personalized plan.
3. Should I bring previous laboratory results?
Yes. Previous blood work, imaging studies, specialist reports, and other medical records can provide valuable information and may reduce the need for repeat testing.
4. Will I need additional laboratory testing?
Not necessarily. We first review your existing records. If additional testing is recommended, it is selected based on your individual health concerns and only when it provides information that may improve your care.
5. Should I continue taking my current medications?
Yes. Continue taking all prescribed medications unless instructed otherwise by the physician who prescribed them. Functional medicine is designed to complement—not replace—appropriate medical care.
6. What should I bring to my appointment?
Bring any recent laboratory results, a current medication and supplement list, relevant medical records, and a list of questions or concerns you’d like to discuss. This helps us make the most of your visit.
7. Will I receive a treatment plan during my first visit?
In many cases, yes. Depending on your health concerns, we’ll discuss initial recommendations before you leave. If additional testing is needed, your complete treatment plan may be finalized after those results are available.
8. Does functional medicine replace my primary care physician?
No. Functional medicine works alongside your primary care physician and other healthcare providers. Our goal is to complement your existing medical care by identifying underlying contributors to chronic health concerns and developing personalized strategies to improve overall health.