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  • Dr. Natalie Bruce
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    • PANS and PANDAS
    • Complex Care
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    • Home
    • Dr. Natalie Bruce
    • Services & Fees
      • PANS and PANDAS
      • Complex Care
    • FAQs
    • Clinic Info
  • Home
  • Dr. Natalie Bruce
  • Services & Fees
    • PANS and PANDAS
    • Complex Care
  • FAQs
  • Clinic Info

Integrative Pediatric Consultations for Complex Care Needs

Designed for families seeking a comprehensive evaluation of complex, chronic, or difficult-to-explain medical, behavioral, and neuroimmune symptoms.

Root Causes

Root Causes

Root Causes

Image of root network of tree symbolizing functional medicine that looks at root causes of problems.

Before prescribing medications, dietary changes, or nutritional supplements, we will work together to determine root causes of your child’s symptoms so that we know which treatments will most effectively address problematic symptoms and restore health.

Nutrition

Root Causes

Root Causes

Vibrant and diverse foods demonstrating that good nutrition is vital to health and well-being.

We will get a detailed history of your child’s past and current nutrition and determine if any diet alterations might help address root causes of your child’s issues. Though we will always aim to use real food to fill in gaps, there may be times when we will need to use dietary supplements.  

Sleep

Root Causes

Physical Activity

Sleeping face emoticon with Zzz symbolizing the critical role quality sleep plays in good health.

Good sleep is critical to well-being.  We will dig into what is and isn’t working and come up with a plan to hopefully get your child (and you!) sleeping better so that everyone feels rested.

Physical Activity

Physical Activity

Physical Activity

6 children of various ages and ethnicities holding hands and running on the beach.

Moving our bodies is not only important for physical health but is also vital to our mental health.  We will assess your child’s physical activity and work together to create a plan that includes activities they love and enjoy and that work for your family.

Gut Health

Physical Activity

Lab Testing

See through image showing the GI tract and symbolizing the role gut health plays in well-being.

We will assess factors that may be resulting in poor absorption of nutrients and work to improve gut health, which goes hand-in-hand with physical and emotional health.

Lab Testing

Physical Activity

Lab Testing

Drop going into beaker symbolizing lab tests, studies, and investigations of root cause medicine.

After getting a comprehensive history, we will use targeted labs to identify factors that may be affecting your child’s overall health.  These can be as simple as routine tests to look for iron deficiency to more complex testing. We will work together to find the most cost-effective way to get tests done.

Pre-Consultation (required first step)

$150

This 30-minute informational virtual visit is designed to review our services, discuss your general concerns, and determine whether a formal consultation is a good fit. No medical advice or clinical relationship is established. If you proceed with a consultation, the visit fee is credited toward the total consultation cost.

Comprehensive Consultation Package

$2,000

  • Comprehensive review of past medical records 
  • Physical examination
  • Additional laboratory testing as clinically indicated (lab fees not included)
  • Initiation of a personalized treatment plan with structured follow-up monitoring over the consultation period (typically 4–8 weeks depending on clinical complexity)
  • Written consultation summary with prioritized recommendations, treatment considerations, and next steps
  • Payment plans available

Continued Care Management

Starting at $150/mo

Ongoing care is available to monitor progress, manage follow-up labs (lab fees not included), and adjust your plan as needed. Monthly pricing is based on estimated physician time at $300/hour.

Please send an email to support@nurturingpediatrics.com if you are interested but the fees are outside of your means.

Nurturing Pediatrics is out-of-network for all insurers, meaning we do not handle insurance claims. This enables us to spend the time necessary to address medical problems. You can use HSA and FSA cards, and we can issue a receipt for services if needed.

Functional and Integrative Pediatrician

After reviewing the information above, please complete the form below to express your interest in a pre-consultation.

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1415 W NC-54 Suite 124, Durham, NC 27707

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