Conditions we treat

Preventative Care

Research shows us that many opportunities to prevent disease and to prevent complications of existing diseases are still missed – we want to remedy that. Our providers have trained hard to become experts in disease prevention, early detection, and health promotion. From cancer screening to preventing heart attacks and strokes, to PrEP, we want to keep you healthy!

Cardiovascular Health

Heart disease and stroke remain leading causes of death in the U.S. We are confident in counseling on evidence-based measures to screen and prevent cardiovascular disease as it relates to exercise, nutrition, pharmacology, lab testing, and imaging when indicated. In those who have a history of cardiovascular disease, we can help manage, or co-manage treatment following a related event to ensure that risk of recurrence is reduced. Management of hypertension and high cholesterol are common co-occurring disorders of which we can treat.

Reproductive Health

Wise Patient Internal Medicine provides a wide range of reproductive related treatments to include but not limited to contraception counseling, routine PAP smears, breast exams, and diagnostic gynecological exams for symptoms you may be experiencing. We can also manage and treat perimenopause and post menopausal symptoms. We are able to provider IUD insertion and removal. We also provide treatment options for low testosterone, and erectile concerns. If your have symptoms that require advanced care or further imaging we work closely with trusted specialists to ensure your needs are met.

Mental and Behavioral Health

Psychiatric illness comprises a wide spectrum to include generalized anxiety disorder, major depressive disorder, PTSD, OCD, ADD/ADHD, bipolar, amongst many others. Our providers are capable of treating many of the most common mental health diseases. We take a holistic approach to mental health and do our level best to understand your illness and unique life circumstances to determine the best treatment plan. This often includes connecting with psychotherapy, medication management, and coordination or collaboration with a Psychiatrist if needed.

Regarding ADD or ADHD, our providers can manage related medications once we have reviewed prior records confirming your diagnosis. Please have your records with you at your first appointment or faxed to us before your appointment if you intend to transfer management of ADD/ADHD medication to our practice.

Metabolic Health

Does diabetes run in your family? Have you been told you are “pre-diabetic”? Are you worried about insulin resistance? Or do you already carry a diagnosis of diabetes? We will work closely with you to manage your glucose and prevent complications, through exercise, nutrition, and medication (including insulin management if required). We manage the care of most people with diabetes in-house, and rarely refer outside to an endocrinologist.

Beyond diabetes, our providers are trained to address a wide range of endocrine, metabolic and related diseases to include thyroid disorders, osteoporosis, obesity, sleep apnea, and more. Obesity is a complex topic that has cultural, societal, genetic, and medical implications. We recognize that not all patients with obesity necessarily need targeted treatment. However, when obesity becomes a medical risk factor, we can help you navigate your treatment options in the form of non-pharmacological counseling, appropriate referrals, or directly with medication management.

Gender Affirming Care

We provide affirming services for transgender, genderqueer, non-binary, and all gender expressions via the Informed Consent Model. No letter from a therapist is needed. We provide hormone therapy (HRT), pre-operative medical evaluations, required letters for gender-affirming surgeries, letters for Social Security and Passport name and gender changes, PrEP, and of course, whole-person primary care. All of our bathrooms are gender-neutral. We understand that gender is a spectrum and that there is no one-size-fits-all hormone regimen, and we will work with you for hormone therapy that fits YOU.

HIV Prevention and Treatment

Janna Cuneo, ARNP is accredited by the American Academy of HIV specialists to manage primary care and HIV across the lifespan. All our providers actively manage PrEP and HIV prevention services, including sexually transmitted infection testing and treatment, and injectable and oral medications.

Unsure if we treat your condition? Call us!

Our team is trained to handle advanced chronic illnesses and situations where several different illnesses are interacting with one another. When other medical specialists are involved, our providers seamlessly coordinate their patient’s care and manage complex medical conditions.

Some common conditions we see:

Headaches and Neurological Concerns
Abdominal and Gastrointestinal Concerns
Musculoskeletal Concerns
Kidney disease
Thyroid disorders
Sleep disorders
Allergies and Asthma
STIs (sexually transmitted infections including screening and treatment)
PrEP

Still have questions? Give a call (206-466-5937) and we would be happy to answer any questions or concerns.