Dr. Kellman's Framework

Microbiome Medicine

Healing the body from within

A system-first approach to diagnosis, built on the discovery that the gut microbiome acts as a command center for immune, thyroid, and metabolic health.

What Is the Microbiome?

An entire environment, living within you

Dr. Raphael Kellman is the pioneer of Microbiome Medicine — he coined the term and has written 10+ books on the microbiome, gut health, and the gut-brain axis.

The microbiome is an entire community of microorganisms that live within the gastrointestinal tract, primarily in the intestines. As many as 10 to 100 trillion of these microbes live in the gut — significantly outnumbering the body's own cells, and outnumbering our genes at nearly 150 to 1.

These microorganisms are integrally entwined with all of the body's systems, influencing everything from immune function to genetic expression. Research shows that over 80% of all diseases can be traced back to the health of the gut and its microbiome.

MICROBIOME BRAIN Brain Fog · Memory · Mood THYROID Energy · Metabolism · Hormonal Signaling METABOLISM Weight · Glucose · Energy IMMUNE Inflammation · Autoimmunity CELLULAR HEALTH Energy · Recovery · Healthy Aging GUT Bloating · Gas · SIBO · Constipation
What a Healthy Microbiome Supports
A properly functioning immune system — roughly 70% of the immune system resides in the gut.
Healthy gut function, ensuring efficient digestion and nutrient assimilation.
Optimal brain function and health, through the gut-brain axis.
Improved metabolism and maintenance of a healthy weight.

Why the microbiome first

The gut hosts trillions of bacteria that outnumber our own genes — an ecosystem involved in nearly every physiological and metabolic process, and home to a significant share of the immune system.

When this system is disrupted, the effects ripple outward: thyroid regulation weakens, inflammation rises, and symptoms appear across seemingly unrelated systems — from mood and cognition to digestion and autoimmunity.

Dr. Kellman approaches nearly every condition with a "Microbiome First" lens — treating the underlying ecosystem rather than isolated symptoms.

Autoimmune conditions Microbiome-linked
Thyroid disorders Microbiome-linked
Anxiety & insomnia Microbiome-linked
Brain fog & cognitive symptoms Microbiome-linked
Chronic digestive issues Microbiome-linked
Unexplained fatigue Microbiome-linked
Your Journey

What it's like to work with us

Every patient's path looks a little different, but here's what you can expect from your first call to your treatment plan.

01

We listen to your story

Visit 1

You sit down with Dr. Kellman and walk through your symptoms, history, and everything you’ve already tried — no rushed 10-minute appointment.

02

We look deeper than standard labs

Week 1–2

You’re tested for what routine bloodwork misses: microbiome, thyroid, and metabolic markers that explain how you actually feel.

03

We connect the dots for you

Week 2–3

You get a plain-language explanation of what’s driving your symptoms — not a list of numbers, but the story behind them.

04

You get a plan built around you

Ongoing

You leave with a treatment plan tailored to your body, and a care team that adjusts it with you as you improve.

Start with the right test.

Book a Consultation