Chronic Disease Management

Chronic Disease Management

  • Hypertension/High Cholesterol
  • Diabetes
  • Thyroid Disorders
  • Allergies and Asthma
  • Obesity
Chronic Disease Management
Chronic Disease Treatment

Six in ten adults in the United States have a chronic disease and four in ten adults have two or more.

While two patients (Patient A and Patient B) may have the same chronic disease, these two patients may have different health goals and want to choose different paths for treatment.

Stick Figure Icons - Download Free Vector Icons | Noun ProjectPatient A might choose to begin by evaluating the impact of nutrition, food sensitivities, inflammation, and exercise on their chronic condition and try to avoid prescription medication for as long as possible. 

Stick Figure Icons - Download Free Vector Icons | Noun ProjectPatient B may want to start or continue on prescription medication and explore options of adding-to or tweaking their existing regimen.

Both paths are okay with us! 

Our goal is to educate you about your health, explain the options you have, and help you improve your life in a way that fits your needs and lifestyle.  

Hypertension and High Cholesterol

About 78 million US adults (1 in 3) have high blood pressure. Only about half (48%) of these people have their high blood pressure under control. Hypertension is a major risk factor for Heart Disease.  Similarly, high cholesterol can double a patient’s risk of heart disease or stroke.

While these conditions are most often treated with prescription medication, our providers will not disregard the impact of nutrition, exercise, stress management…  as a member of the Association for the Advancement of Restorative Medicine, Brooke Fields MSPAS PA-C  will educate patients on the latest information regarding nutrition, botanicals, and supplements used in heart disease. 

Alison deVazeille PharmD, is a pharmacist and available as a consultant for our providers needing information on prescription medications. 


Thirty-four million people (one in ten) have diabetes – and one in five don’t even know it yet! This condition of high blood glucose leads to heart disease, kidney dysfunction, and other complications

Treatment recommendations often depend on the severity of the disease. Our providers seek to educate their diabetic patients about the role of nutrition and exercise, as well as manage their condition with prescription medications.  

There may be a place for alternative therapies in the treatment of Diabetes.  

Thyroid Disorders

Imbalances in thyroid levels can have symptoms that impact a patient’s daily lives: fatigue, anxiety, heart palpitations, depression, digestion issues, and weight changes. Thyroid Disorders are often easily treated with prescription medications; however, the process of reaching an ideal dose can be frustrating and overwhelming. 

Allergies & Asthma

Environmental allergens are not only problematic in the Spring and Fall.  Many patients suffer from indoor and outdoor allergies throughout the year.  

Because they have been treating patients in this area for 8 years, Brooke Fields and Rachel Sposito are familiar with the local allergens and the impact seasonal allergies can have on the quality of life.  

Treating allergies and asthma can be frustrating for patients.  Symptoms may seem to have been treated successfully, only to return… sometimes years later!  There are often underlying medical issues that can foster and trigger allergies and asthma, we are here to help you identify these, which often can significantly improve symptoms.  


According to the CDC, the prevalence of obesity in adults between 2017-2018 was 42.4%.  

Factors contributing to excessive weight include genetics, poor diet, lack of exercise, thyroid disorders, hormone imbalances, depression, and some prescription medications. 

Brooke Fields has a vast knowledge of metabolic disorders, nutrition counseling, and underlying issues that can support obesity.  Every patient presents a unique story and history which can lead to general weight gain.  To truly address the problem, we must focus on the building blocks that have facilitated weight gain, overeating, and chronic obesity.  

Rachel Sposito brings a holistic approach to nutritional awareness and weight loss strategies that are specific to what is sustainable long-term based on your lifestyle, time, resources, and family influence. Most often, the trends that set someone up for obesity are buried deep within the family and ethnic culture. Adjustments can be made to your lifestyle without losing the essence of your cultural preferences.

Excessive weight may increase the risk for many health problems, including:

  • Type 2 Diabetes
  • High Blood Pressure
  • Heart Disease and Strokes
  • Certain types of Cancer
  • Sleep Apnea
  • Osteoarthritis
  • Liver Disease
  • Kidney Disease
  • Pregnancy problems

Patients who are dedicated to taking a critical look at their habits and lifestyle choices have the potential to help the entire family reach a new level of health and curb the incidence of familial disease (ie diabetes, high cholesterol, etc).

Rachel Sposito

DNP, FNP-C, CEO LEAP Integrated Health

Integrated Healthcare that Focuses on Preventative Medicine and Healing

(703) 544-7145