FUNCTIONAL MEDICINE · EL PASO, TX
Functional medicine asks why you feel the way you feel — and builds a personalized plan to address it at the root. At Solas, we combine clinical evaluation, advanced lab work, and individualized treatment to help you feel your best.
QUICK ANSWER
Functional medicine is a clinical approach that identifies upstream drivers of chronic symptoms — hormone imbalance, gut dysfunction, nutrient gaps, inflammation, blood-sugar dysregulation — rather than treating each symptom in isolation. At Solas Health & Wellness in El Paso, Celeste Cisneros, FNP-BC runs comprehensive lab panels, reviews them with you in plain language, and builds a personalized plan that may combine prescription medication, nutrition strategy, supplements, lifestyle changes, and (when it fits) services like hormone optimization, peptide therapy, or NAD+ IV.
Celeste brings a background in critical care nursing, national experience training medical injectors, and prescriptive authority in Texas and New Mexico to every functional medicine plan, and she is the provider at every visit.
START HERE
Start for $250
Visit One · Deep-Dive Intake
Full history, symptom timeline, medication and supplement review, review of labs from the past six months. Lab orders placed through our secure patient portal and drawn at a lab location near you.
Visit Two · Results and Your Plan
Plain-language results review using optimal ranges, plus a written personalized plan.
Complete assessment $449 · Follow-up visits $199 for 30 minutes
Why two visits? Reviewing your labs deserves its own appointment.
BOOK YOUR ASSESSMENTCash-pay. Superbill available on request for visit fees only. Lab panels are self-pay and not billable to insurance.
FUNCTIONAL LAB PANELS
Panels are ordered through our secure patient portal, priced flat, and drawn at a lab location convenient to you. The draw fee and provider review are included in the price.
Energy & Fatigue Panel
$341
For when you feel run down but keep hearing your labs are normal.
Women's Hormone Check
$319
Thyroid Deep Dive
$279
Men's T Check
$169
WHAT WE EVALUATE
Most patients arrive at Solas after standard labs came back "normal" but they still feel off. These are the patterns we work through most often:
Full thyroid panel (TSH, Free T3/T4, reverse T3, TPO/Tg antibodies). Many patients with "normal" TSH actually have suboptimal Free T3 or low-grade Hashimoto's that conventional screening misses.
Structured differential: iron, B12, vitamin D, thyroid, cortisol pattern, sex hormones, gut, sleep. Often one or two drivers hiding in plain sight. NAD+ IV is a common short-term add-on while we work the plan.
Bloating, reflux, irregular bowels, food sensitivities. We assess microbiome health, nutrient absorption, intestinal permeability, and structure a healing protocol (typically 8–12 weeks) with reassessment.
CRP, homocysteine, ferritin, ANA, and pattern-specific markers. We address modifiable drivers (gut, food sensitivities, vitamin D, stress, sleep) alongside your rheumatologist's care plan.
A1c, fasting insulin, lipids, liver markers — the picture of metabolic health most checkups skip. Often pairs with our medical weight loss program when GLP-1 is appropriate.
Estradiol, progesterone, testosterone, DHEA, thyroid, adrenals. Hot flashes, sleep disruption, brain fog, low libido — addressed at the hormonal level instead of symptom-by-symptom.
Cognitive sluggishness, low mood, and anxiety that's worse with hormonal or metabolic changes. We work through thyroid, B12/folate, blood sugar, gut-brain axis, and stress physiology.
Low testosterone, low drive, slow recovery, stubborn fat. We coordinate with our TRT program when labs warrant it, after ruling out reversible drivers.
HOW IT WORKS
A typical patient journey at Solas. We tell you what's coming up front so there are no surprises.
60–90 minute first visit. Full health history, medication review, symptom timeline, goals, and what's already been ruled out. We bring your existing labs into the discussion.
We order the panels that match your story — not a one-size-fits-all template. Panels are priced flat and drawn at a lab location near you (see pricing above). If you've had relevant labs in the last 6 months, bring them — we often start from those.
We go through your labs in plain language and build a written plan: medication changes (prescribed when appropriate), nutrition strategy, targeted supplements, and which Solas services (TRT, hormone optimization, peptides, IV, NAD+) fit your case.
Reassess at the timeline that matches your protocol — usually 6–12 weeks. We compare new labs against baseline, adjust the plan, and decide what's next. Most patients see follow-ups every 3–6 months once they're stable.
WHAT TO EXPECT
Depends entirely on what's driving your symptoms. Here's the typical curve at Solas.
Nutrient repletion (iron, B12, vitamin D) often shows in energy and mood first. NAD+ IV add-on can compound the early lift while the slower fixes take hold.
Thyroid med adjustments steady out in this window. HRT and TRT start producing visible shifts in sleep, mood, and energy. We re-check labs around week 6–8.
Gut protocols (SIBO, candida, leaky gut, microbiome work) typically run 8–12 weeks before retest. Most patients feel improvements in digestion, bloating, and brain fog by week 6.
As multiple drivers are addressed, the picture clears. Most patients describe this as the "wait, when did THAT improve?" moment — sleep, recovery, mental clarity, weight all moving the same direction.
Honest framing: functional medicine works through layers. Patients who treat it as one quick visit are usually disappointed. Patients who commit to the protocol and the recheck cadence are the ones who post the testimonials.
WHO IT HELPS
Standard GYN care often shrugs at hot flashes, sleep disruption, and weight gain as "normal aging." Functional medicine evaluates the full hormone picture and pairs with HRT, peptide therapy, and lifestyle support.
If your TSH is 3.5, ferritin is 30, and vitamin D is 28, conventional medicine calls that normal. We use optimal ranges and treat suboptimal patterns before they progress to diagnosable disease.
Hashimoto's, lupus, RA, MS, psoriasis. We don't replace your rheumatologist — we address the modifiable drivers (gut, food sensitivities, vitamin D, stress) that often flare or quiet autoimmune disease.
Athletes, executives, parents of young kids — patients running hard who've started to plateau or break down. Often the issue is hormonal, nutritional, or sleep-architecture, not effort.
Low energy, low drive, recovery issues, stubborn belly fat. We rule out reversible drivers first (sleep, weight, alcohol, stress) before recommending TRT. Sometimes the labs say TRT; sometimes they say "fix this first."
Lingering fatigue, brain fog, exercise intolerance, hormonal disruption months after infection. We work through inflammation, mitochondrial support (NAD+ IV is a common add-on), thyroid, and adrenal patterns.
WHAT WE ADDRESS
Conventional medicine often treats symptoms in isolation. Functional medicine looks at the full picture — how your hormones, gut, immune system, stress response, and lifestyle interact and affect each other.
Celeste Cisneros, FNP-BC conducts thorough wellness evaluations to identify what's driving your symptoms and create a plan that actually addresses them.
Comprehensive hormone evaluation including thyroid, adrenal, reproductive hormones, and metabolic markers. Imbalances here affect everything from energy to weight to mood.
The gut is connected to immunity, inflammation, mental health, and more. We address digestive concerns, microbiome health, and nutrient absorption as part of a whole-body approach.
Chronic low-grade inflammation is behind many modern health concerns. We identify inflammatory drivers and create anti-inflammatory strategies tailored to your lifestyle.
Fatigue, poor sleep, and chronic stress are often symptoms of deeper imbalances — not character flaws. We dig into the physiology behind these patterns and address them directly.
COMMON QUESTIONS
Functional medicine is an approach to healthcare that focuses on identifying and addressing the root causes of disease and dysfunction — rather than just managing symptoms. It considers how genetics, lifestyle, environment, and biochemical individuality interact to create health or illness.
A functional medicine wellness visit at Solas is longer and more comprehensive than a typical primary care appointment. We spend time understanding your full history, review detailed lab work, and build a personalized plan — rather than a quick symptom-to-prescription approach.
It depends on your symptoms and goals, but may include a full hormone panel (thyroid, cortisol, reproductive hormones, DHEA), metabolic panel, CBC, inflammatory markers (CRP, homocysteine), insulin and blood sugar markers, nutrient levels (B12, D, ferritin), and more.
We evaluate and support thyroid health as part of our functional medicine approach. This includes comprehensive thyroid panels (TSH, free T3, free T4, reverse T3, antibodies) and individualized treatment when indicated.
Our functional medicine wellness visits are typically cash-pay. We can provide a superbill for potential reimbursement depending on your plan. Please call us at (915) 266-3174 to discuss pricing and options.
At Solas Health & Wellness, the Functional Wellness Assessment starts at $250 for a 60-minute Deep-Dive Intake, followed by a 45-minute Results and Plan visit ($199). Complete assessment $449. Follow-up visits are $199 for 30 minutes. Optional lab panels are priced flat and include the draw fee and provider review (Energy & Fatigue Panel $341, Women's Hormone Check $319, Thyroid Deep Dive $279, Men's T Check $169). Cash-pay. Superbill available on request for visit fees only. Lab panels are self-pay and not billable to insurance.
Traditional medicine excels at acute care (broken bones, infections, surgical emergencies). Functional medicine is built around chronic conditions and "why" questions — why is your thyroid borderline, why is your gut inflamed, why are you tired despite normal labs. We use the same labs but interpret more granularly (optimal vs just "in range") and build plans that combine medication when appropriate with nutrition, sleep, stress, and supplements. Most patients use both: PCP for acute, functional medicine for chronic patterns.
Yes. We evaluate TSH, Free T3, Free T4, reverse T3, TPO/Tg antibodies, plus the nutrients required for thyroid function (iodine, selenium, zinc, B12, ferritin). Many patients told their thyroid is "fine" have suboptimal levels or undiagnosed Hashimoto's. We treat with medication when needed and address upstream drivers (stress, gut, nutrients) at the same time.
Functional medicine doesn't replace your rheumatologist if you have a diagnosed autoimmune condition. What we can do is address the modifiable drivers that often flare autoimmune disease: gut permeability, food sensitivities, vitamin D, chronic stress, sleep, inflammation. Many patients find that pairing standard care with a functional medicine plan reduces flare frequency.
One of the most common reasons patients come to functional medicine. We work through a structured differential: thyroid, iron/ferritin, B12, vitamin D, blood sugar regulation, cortisol pattern, sex hormones, gut function, sleep architecture, inflammation. Often one or two modifiable drivers are hiding in plain sight. NAD+ IV therapy is a common short-term add-on while we work through the root-cause plan.
Depends on what's driving your symptoms. Nutrient repletion (iron, B12, vitamin D) often shows changes in 2-4 weeks. Thyroid medication adjustments take 6-8 weeks. Gut healing protocols typically run 8-12 weeks. Hormone balancing varies — perimenopausal patients on HRT often feel different within a month; testosterone therapy takes 2-3 months for full effect. We set realistic expectations at the start.
Yes. Perimenopause and menopause are areas where functional medicine and conventional GYN care often diverge — many women are told their labs are "normal" while symptoms tell another story. We evaluate estradiol, progesterone, testosterone, DHEA, thyroid, and adrenal markers, and build a plan that may include hormone optimization, peptide therapy, lifestyle changes, and targeted supplementation.
Book a functional medicine wellness visit with Celeste Cisneros, FNP-BC at Solas Health & Wellness in El Paso, TX.
6633 N Mesa St, Suite 508 · El Paso, TX 79912 · Licensed in TX & NM