When a diagnosis already exists, or is still being sorted
You may arrive with rheumatoid arthritis, lupus, psoriasis, or another diagnosis already on the chart. You may also arrive with positive antibodies and a specialist who has not finished the workup. Both situations are welcome. FRI does not create a new autoimmune label to replace the one your physician is using.
Dr. Sani Kohen, D.C. and Dr. Tara Kohen, D.C. ask which joints flare, what the specialist has ruled out, and which medications you are on. Functional Medicine reads that list before suggesting a test. Stopping an immune-modulating drug is not part of this visit.
Rheumatology stays in charge of the disease
FRI does not replace a rheumatologist, a primary physician, an endocrinologist, a gastroenterologist, or a mental health clinician. Flares, new rashes, eye pain, and medication side effects go back to the specialist who knows the disease. A nutrition visit is not a second opinion on immunosuppression.
What this office can do is look at sleep, food, and movement as support around that medical plan. The Hashimoto's thyroiditis page is the specific autoimmune thyroid conversation. This page stays on the broader situation so the two are not collapsed.
Gut, food, and sleep as optional support
Some people with autoimmune disease also bloat, react to meals, or sleep in fragments. Those threads are optional. They are not a claim that the gut caused the disease. GI-MAP stool testing is used when digestion is actually part of your story, not as a required rite.
Chronic inflammation describes inflammation as a process your physician may already be measuring. FRI will not promise that a food change lowers every marker or quiets every flare. Sleep loss, by itself, can make pain feel louder the next day, and that lever is practical.
Movement so joints stay usable
Stiff mornings and joints that will not load are a reason people stop moving, which often makes the day worse. Chiropractic Sports Medicine and Neuromuscular Rehabilitation can work on the joints you still need for walking, gripping, and getting off the floor. The pace respects a flare.
Functional medicine at FRI does not replace a primary physician, endocrinologist, gastroenterologist, or mental health clinician. Nutrition and supplementation is individualized, with no brand protocol and no dose aimed at the immune system. You keep every prescription your specialist wrote.
What to expect when you are seen for Autoimmune Conditions
A complimentary 20-minute consultation can clarify whether support care is appropriate beside your specialist. FRI is out of network, offers superbills, and accepts HSA and FSA funds. Hours are Monday–Thursday, 9–6.
Bring the diagnosis, the medication list, and recent labs from your rheumatologist or physician. Any gut test is optional. You should not expect a plan that replaces immune medication.
What a Newport Beach week actually asks of the body
Newport Beach is not one neighborhood. Corona del Mar climbs away from the water, Balboa Peninsula is flat and windy, Newport Coast sits on hills above the toll road, and the streets around Eastbluff, Big Canyon, and Fashion Island mix short drives with long desk blocks. People paddle in the harbor, ride the Back Bay loop, play tennis, or swim before a day of meetings. That mix shows up in the history we take: which shoulder loads a paddle, which hip complains on the hills, which neck tightens after a commute that ends at a screen. None of those details is a diagnosis. They tell us which movements to test.
Food and schedule questions belong in the same visit when symptoms are not only mechanical. A late dinner after a harbor event, an early paddle, and a short night are ordinary Newport weeks. If you are also dealing with cycle changes, reflux, or a fatigue that does not match your training, the Functional Medicine side of the clinic can look at labs chosen from that story. The manual care and the lab conversation happen in the same practice, so you are not retelling the history in two buildings.
The drive up the 73 from Newport Beach
Most Newport Beach patients take the 73 north from MacArthur Boulevard or from Bison and stay on the toll road until the Mission Viejo exits that feed La Alameda. Door to door it is about 18 miles. Midday it can be close to 25 minutes. Late afternoon toward the coast, or the reverse commute when the toll road stacks, it stretches toward 40. The office is in a ground-floor suite at 26400 La Alameda, Suite 100, Mission Viejo, CA 92691, with parking at the building. Hours are Monday through Thursday, 9 to 6.
Plan the return before you book. A late-afternoon visit lands you back on the 73 toward Newport when the toll road is busiest. Morning and early afternoon slots are usually the calmer drive. Call (949) 312-1754 if you need to move a time. The first step for many people is a complimentary 20-minute consultation, which is a fit conversation, not a treatment squeezed into a sales pitch.
How care is organized once you are in the office
The first full visit is an evaluation. For pain and injury that means a history, movement testing, and the hands-on exam that fits the complaint, which may include joint motion, nerve tension, and orthopedic tests. You leave with an explanation of what we think is driving the problem and a short plan, often including something you do at home. Adjustments, soft tissue work, and exercise are tools inside that plan. They are not a package you are expected to buy before anyone has examined you.
If the main issue is hormones, digestion, energy, or an autoimmune diagnosis you already carry, the visit leans on history and on which labs are actually worth running. DUTCH, GI-MAP, thyroid panels, and the rest of the functional lab menu are chosen from the story, not ordered as a bundle. Medication changes stay with the physician who prescribed them. FRI is out of network with most plans. Many Newport patients pay with HSA or FSA funds, and we provide a superbill for whatever reimbursement your plan allows.
Questions patients ask
Can FRI replace my rheumatologist?
No. Rheumatology, or whichever specialist manages your autoimmune disease, stays in charge of diagnosis and immune medication. Functional medicine at FRI does not replace that physician, your primary physician, an endocrinologist, a gastroenterologist, or a mental health clinician. The visit can look at sleep, food, gut symptoms, and movement so joints stay usable. It is support, not a substitute clinic.
Will gut testing explain my autoimmune disease?
No. FRI does not claim a gut barrier problem caused your disease. GI-MAP stool testing is considered when you have digestive symptoms worth their own question. A stool report cannot prove the intestine created an autoimmune condition. If you have no gut symptoms, that test is easy to skip. Your specialist's workup remains the center.
Should I stop my immune medication to see if food is the cause?
No. Do not stop an immune-modulating medication, a steroid, or any other prescription for an experiment. Talk to the prescribing specialist. Food changes, if they are tried, happen beside that plan, not instead of it. FRI will not ask you to pause a drug so a symptom diary looks cleaner.
Can I still exercise during a flare?
Often you can do something, and the something should be smaller than a healthy-week workout. Neuromuscular Rehabilitation and Chiropractic Sports Medicine scale load to the joints that hurt. A flare with fever, a hot swollen joint that is new, or chest symptoms belongs with your physician the same day. Movement support is not an instruction to push through those signs.
Related care for Newport Beach
Autoimmune Conditions is handled at the Mission Viejo clinic, not in a satellite office in Newport Beach. The related pages below stay on that same visit and add the methods or neighboring problems that usually come up in the history.
- Newport Beach chiropractor
How people from Newport Beach reach 26400 La Alameda and what the three pillars cover.
- Autoimmune Conditions clinical overview
The non-geographic condition page, if you want the clinic-wide explanation without the drive.
- Functional Medicine
The pillar this problem sits in at Functional Restoration Institute.
- Hashimoto's Thyroiditis in this city
Hashimoto's thyroiditis is an autoimmune pattern in which immune activity is directed at thyroid tissue. Antibodies can be high while you still.
- Chronic Inflammation in this city
Inflammation is a process your body uses, not a personality and not a mood. It can be useful while you heal and.
- Gut Health in this city
Digestion problems rarely arrive as one tidy symptom. Bloating, stool changes, and food reactions can travel together or take turns. This page.
- Leaky Gut in this city
People say leaky gut when they mean the gut barrier might be letting more through than it should. The plainer name is.
- GI-MAP Stool Testing
GI-MAP is a stool test that uses a PCR-style method to ask about microbes, including possible pathogens, and about selected markers of.
