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Warrenton, VAIntegrative & Functional Medicine
Find the cause.
Not just a prescription
for the symptom.
Physician-led, root-cause medicine in Warrenton and Culpeper — for patients who’ve been told their labs are “normal” but know something isn’t right.
Explore the approach
3×
Board-certified: Internal Medicine,
Obesity Medicine, Integrative Medicine
10+
Serving the Northern Virginia
community
2
Clinic locations
Warrenton · Culpeper
90min
First visit. Because complex
problems take time.
01 — The Problem We Exist to Solve
Modern medicine is brilliant at acute
care.It is structurally bad at
chronic, multi-system illness.
If you’ve been to four specialists and still don’t have an answer — that’s not your fault, and it’s not your imagination. It’s a structural problem.
The conventional system is built around a 12-minute visit, an organ-specific specialist, and a diagnostic code that maps to a billable treatment. That model works beautifully for a heart attack, a broken bone, or strep throat. It performs poorly on the things that now make up the majority of chronic disease in America: fatigue, brain fog, hormonal disruption, gut dysfunction, autoimmune flares, and metabolic decline.
These problems don’t live in a single organ. They live in the connections between systems — and those connections are exactly what 12 minutes can’t see.
Standard lab panels are calibrated to flag disease, not the slow drift toward it. You can be objectively unwell and still get told everything looks fine.
That gap — between feeling sick and being officially sick — is where most
of our patients have lived for too long. It’s where we work.
02 — Two Lenses, One Practice
Integrative and functional medicine
— applied together at every visit.
The terms get used interchangeably. They shouldn’t be. They describe two
different things, and we use both.
Diagnostic Framework
Functional medicine
Asks how your body’s systems — gut, hormones, immune, metabolic, neurological — are interacting and where the dysfunction starts. The upstream work of figuring out what’s actually wrong.
Treatment Philosophy
Integrative medicine
Combines the best of conventional medicine with evidence-based therapies — peptides, BHRT, IV, ozone, regenerative injections, clinical nutrition. The downstream work of fitting the plan to the actual person.
— Most clinics do one. We do both. —
03 — Physician Leadership
A Credential Combination that’s hard
to find in one physician.
The practice is led by Dr. Sagar Verma, MD, who holds three board certifications — a combination that doesn’t typically exist in a single physician.
“The internal medicine training gives us the systems view. The obesity medicine training gives us the metabolic and hormonal tools. The integrative training gives us a much wider therapeutic vocabulary than a typical clinic.”
04 — Conditions We Treat
If standard care hasn’t given you answers, start here.
Energy, Cognition & Sleep
- Persistent fatigue, low stamina
- Post-exertional crashes
- Brain fog, memory, focus
- Sleep that isn’t restorative
- Anxiety with metabolic drivers
Hormonal Health
- Perimenopause & menopause
- Low testosterone in men
- Thyroid dysfunction & Hashimoto’s
- PCOS and irregular cycles
- HPA-axis dysfunction, burnout
- Bone & cardiovascular health
Metabolic & Weight
- Stubborn weight that won’t move
- Insulin resistance, pre-diabetes
- Visceral fat after 40
- Lipid optimization
- GLP-1 management — done right
Gut, Inflammation & Immune
- Bloating, reflux, IBS, sensitivities
- SIBO & dysbiosis
- Suspected leaky gut
- Chronic inflammation, joint pain
- Autoimmune conditions
- Recurrent infections
Complex & Recovery
- Long-COVID & post-viral syndromes
- Heavy metal toxicity
- Chronic Lyme & tick-borne illness
- Migraines with metabolic drivers
Longevity & Optimization
- Healthspan & biological age
- Cognitive longevity
- Advanced cardiovascular risk
- Hormone optimization for high performers
If your concern isn’t on this list, it usually means it deserves a longer conversation.
Bring it to the consultation.
05 — Specialty Programs
Structured arcs of care for specific
clinical problems.
For patients who want a clear, defined path — not one visit at a time.
12 Weeks · Women 42–58
THRIVE — Hormonal Restoration
& Vitality
Total Hormonal Restoration & Integrative Vitality Enhancement. BHRT, peptide therapy, nutrition coaching, and metabolic optimization for perimenopausal and menopausal women.
12 Weeks · Metabolic Reset
Medical Weight Loss
Assess, Assimilate, Stabilize framework. Advanced metabolic testing (PNOE, InBody), GLP-1 medications when indicated, and structured behavioral support.
Comprehensive · Cardiovascular
Heart Health & Lipid Management
Advanced cardiovascular evaluation that goes beyond a standard lipid panel — ApoB, Lp(a), particle size, hs-CRP, insulin dynamics, and metabolic cardiology principles applied to your individual risk profile.
12 Weeks · Digestive Reset
Gut Detox & Restore
A structured 5R protocol — Remove, Replace, Reinoculate, Repair, Rebalance. GI mapping, targeted elimination, microbiome restoration, and gut-healing peptides for chronic digestive dysfunction.
Ongoing · Optimization
Peptide & Hormone Optimization
Bioidentical hormone replacement and clinically appropriate peptides for tissue repair, metabolic health, cognitive support, immune modulation, and longevity. Individualized for men and women.
In-Clinic · Therapeutic
IV Nutrient Therapy & Ozone
In-clinic IV protocols for repletion, recovery, and immune support. Ozone therapy for inflammatory and infectious processes.
06 — Diagnostics
We test what your case calls for.
No more, no less.
The reason functional medicine works is that it uses testing most clinics don’t order. The reason it
sometimes fails patients is when clinics over-test indiscriminately. We do neither.
Advanced Metabolic & Cardiovascular
Beyond CBC/CMP — ApoB, Lp(a), particle size, hs-CRP, homocysteine, insulin and glucose dynamics, genetic risk markers when appropriate.
GI Mapping & Stool Analysis
Dysbiosis, infections, parasites, inflammatory markers, and digestive function assessment.
Mycotoxin & Environmental
Mold and environmental toxin panels when exposure is suspected, with confirmatory follow-up.
Genetic & Longevity Panels
For patients pursuing optimization — including longevity-oriented panels and methylation analysis.
Comprehensive Hormone Panels
Sex hormones, adrenal/cortisol rhythms, full thyroid (with reverse T3 and antibodies), and DUTCH testing when indicated.
Micronutrient & Amino Acid
Far beyond a standard B12/D check — full intracellular nutrient and metabolic intermediate panels.
Heavy Metals
Urine, blood, and provoked testing when clinically indicated.
Body Composition & Metabolism
InBody and PNOE in select programs — direct measurement of metabolic rate and substrate utilization.
Laboratory Partners
Genova Diagnostics · Vibrant America · Mosaic Diagnostics · ZRT · LabCorp · Quest · Real Time Labs · Doctor’s Data
07 — The Patient Journey
We don’t believe in 15-minute visits for
complex problems.
Comprehensive Intake
60 – 90 MINUTES
Targeted Diagnostics
2 – 3 WEEKS
The Plan Visit
60 MINUTES
Follow-Through
8 – 12 WEEKS INITIALLY
08 — Why Lifestyle Physicians
Credentials and capability, under
one roof.
Triple board-certified physician leadership
The credential combination , Internal Medicine, Obesity Medicine, Integrative Medicine , is rare. Most integrative clinics aren’t physician-led. Most internal medicine clinics don’t offer integrative care. You get both.
A complete in-house toolkit
Many functional medicine practices identify problems and refer you elsewhere. We diagnose and treat under one roof , peptides, BHRT, IV, ozone, regenerative injections, medical weight loss, and aesthetics.
Real time, real attention
Initial visits are 60–90 minutes. Follow-ups are 30–60. The schedule is designed around your case, not the billing system.
Two locations serving the broader region
Warrenton and Culpeper. Patients come from Loudoun, Fauquier, Prince William, Culpeper, Rappahannock, and surrounding counties , without the drive into Northern Virginia traffic.
09 — Patient Stories
Real cases. Real outcomes.
11 — Common Questions
Answered before you call.
Is integrative medicine covered by insurance?
Some elements — the office visit and standard lab work — may be covered. Specialty testing, supplements, peptide therapy, IV therapy, BHRT, and ozone are typically not covered and are offered cash-pay. Costs are reviewed before any testing or treatment begins. We provide superbills for out-of-network reimbursement when applicable.
Can I keep my primary care physician?
Yes, and we encourage it. Integrative medicine works best alongside good primary care. We coordinate with your existing physicians and share records when you’d like us to.
How is this different from a "wellness" clinic?
This is a physician-led medical practice. Diagnostics, prescribing, hormone replacement, and peptide therapy are done within a real medical relationship — not over a website checkout. Supplements are recommended only when clinically indicated.
How long until I feel better?
Most patients notice initial improvements in energy, sleep, or digestion within 4–8 weeks. Hormonal and metabolic shifts typically take 8–12 weeks. Deeper conditions — autoimmune, chronic gut dysfunction, cardiovascular optimization, long-COVID — typically follow a 6–12 month arc.
What does it cost to start?
The 90-minute consultation is the entry point. Costs vary depending on diagnostic workup. We send a written estimate before any specialty test is ordered.
Do you treat patients from outside Virginia?
We see patients in person at our Virginia locations. Telehealth follow-up is available in compliance with state licensure rules — we’ll confirm eligibility based on where you live.
How do I know if I'm a good fit?
The best-fit patients are those who want answers, are willing to engage actively in their own care, and are looking for a long-term physician relationship. If that describes you, schedule a consultation and we’ll figure out the rest together.
Ready to find out
what’s actually going on?
The first visit is where everything starts. Bring your history,
prior labs, and questions. We’ll bring the rest.
Book Your Consultation
Begin with a conversation, not a purchase.
Tell us a bit about what you’re looking to address. We’ll review your inquiry within one business day and reach out to schedule a comprehensive consultation at the location closest to you.
Direct evaluation by Dr. Verma
Honest assessment of whether peptides are the right fit
Transparent pricing before any protocol begins
Your information is kept confidential and HIPAA-protected
Your information is handled in accordance with our Privacy Policy and HIPAA Notice of Privacy Practices. We do not sell or share your information with third parties for marketing purposes. Please do not include sensitive medical information in the fields above.
Physician-led integrative medicine practice serving Northern Virginia.
Comprehensive, evidence-based.
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540-680-2426
Medical & Regulatory Disclaimer. The information on this website is provided for general educational and informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment from a qualified healthcare provider. No physician-patient relationship is established by reading this page or by submitting a consultation request. Always seek the advice of your physician regarding any medical condition.
Peptides referenced on this page are compounded medications obtained through state-licensed compounding pharmacies. They are not approved by the U.S. Food and Drug Administration for the categories or uses described. Use of compounded peptides for the purposes referenced is considered off-label. No claim of efficacy, safety, or specific outcome is made or implied. Individual results vary, and outcomes cannot be guaranteed. Whether any peptide is appropriate for a given patient is determined only after individual clinical evaluation, and not all patients are candidates for peptide therapy.
Lifestyle Physicians LLC is a cash-pay practice operated under the medical direction of Dr. Sagar Verma, MD, licensed to practice medicine in the Commonwealth of Virginia. Services described are provided to established patients of the practice in accordance with applicable Virginia law.