Chronic Fatigue
Energy crashes that do not improve with sleep alone
Functional Wellness in Big Pine Key, FL: Restore Strength, Mobility and Everyday Vitality
Root-cause medicine that uses advanced labs and personalized protocols to optimize how you actually feel
Approach:Whole-system optimization
Lead Provider:Dr. Gregory Keifer, D.O.
Coordinated With:HRT, supplements, body composition
Format:Lab-guided, lifestyle-integrated
What is it
When You Don't Feel Right and Standard Care Says You're Fine
Bridging the Gap
Lower Keys patients arrive with the same story: tired all the time, stiffer than last year, weight that won't move, mood that dips for no clear reason, sleep that no longer restores. Routine bloodwork comes back "in range." The visit ends with "eat better, exercise more." Symptoms stay. Standard care is built to catch disease, not optimize function — and patients often blame themselves for the gap between sick and thriving.
Functional wellness is our umbrella program for non-disease optimization. Dr. Keifer and Tabble combine deeper bloodwork, hormone panels, body composition, mobility and lifestyle into one picture, then layer in hormone replacement therapy, medical weight loss, Emsculpt Neo, Emsella, Exomind and physician-grade supplements. The goal is not chasing labs - it is making you feel like yourself again.
Treatment Timeline
Initial Consultation
60-75 minutes
Lab Work
Comprehensive panel; results in 5-10 days
Plan Build
Personalized roadmap reviewed in second visit
First Reassessment
6-8 weeks after starting plan
Ongoing Cadence
Quarterly to twice-yearly check-ins
What Is Functional Wellness?
Whole-System Optimization
Functional wellness, sometimes called functional medicine or integrative primary care, is a clinical approach that looks at the body as a connected system and asks why a patient feels off rather than only screening for disease. Standard primary care guidelines from organizations like the American Academy of Family Physicians remain the foundation; functional wellness adds deeper labs, hormone status, sleep, body composition, mobility and lifestyle context on top of that foundation.
At Florida Keys Primary Care & Wellness, the program is run by Dr. Gregory Keifer, D.O. and Tabble Memoli, MSN, APRN. Tabble's training in Dr. Rachel Rubin's Hormone Therapy for Early Adopters program, along with her family practice experience since 2012, brings hormone fluency directly into the program. Tommy Iglesias coordinates the device-based interventions - Emsella, Exomind, Emsculpt Neo and ADVATx - that often plug into a functional wellness plan.
A functional wellness visit typically combines a thorough history, comprehensive lab work (CBC, full metabolic, thyroid panel, sex hormones, lipids, inflammation markers, vitamin D and B12), body composition review and lifestyle inventory. From there, the team designs a personalized plan that may include hormone optimization, weight strategy, supplement protocols, device-based body and brain support and routine follow-up.
Why Patients Choose Our Program
Care That Connects
2000+ Satisfied patients
- 01
Lab-Guided, Not Guess-Based
Decisions made on bloodwork, hormones and body composition data
- 02
Built on 40 Years of Primary Care
Optimization layered onto a long-standing primary care foundation
- 03
Time-Generous Visits
Longer appointments designed to actually hear your full story
- 04
Technology-Backed
Access to nine in-house device platforms for non-pharmacologic options
- 05
Ongoing Adjustment
Quarterly check-ins and lab follow-up keep your plan accurate over time
Functional Wellness vs Standard Visit vs Med Spa
How Approaches Compare
| Approach | Visit Length | Lab Depth | Coordination | Provider | Goal | Best For |
|---|---|---|---|---|---|---|
| Functional Wellness (Florida Keys Primary Care) | 60-75 min initial, 30+ min follow-up | Comprehensive - hormones, metabolic, inflammation | Single physician-led team | D.O. + APRN trained in modern hormone care | Optimize energy, body and mind | Adults who feel off but are told labs are normal |
| Standard Primary Care Visit | 10-15 min | Disease-screening panel | Referrals to specialists | MD/DO/NP | Diagnose and treat disease | Acute illness, screening, chronic disease management |
| Med Spa | 30-60 min cosmetic visit | None or minimal | Procedure-focused, no medical follow-through | Aesthetician or RN | Aesthetic outcomes | Patients seeking cosmetic results only |
Who Is a Good Candidate for Functional Wellness?
Big Pine Key Whole-Person Care
Functional wellness is designed for adults who want a deeper look at how their body is functioning - energy, hormones, body composition, mobility and lifestyle - and who are willing to act on a personalized plan over time. It is not a replacement for acute disease care, but it integrates seamlessly with our annual physical exams and preventive screenings.
Ideal Candidates for Functional Wellness
- Adults who feel off (fatigue, weight, mood, sleep) but have been told labs look normal
- Midlife patients navigating menopause, perimenopause or low testosterone
- Patients carrying unexplained weight gain or stuck on a plateau
- Active adults dealing with joint pain and reduced mobility
- Patients who want hormones, weight, supplements and devices coordinated by one team
- Adults willing to commit to lab work, follow-up visits and lifestyle adjustments
Who Should Wait or Defer Functional Wellness
- Patients with active acute illness or unstable chronic disease - stabilize first, then optimize
- Anyone seeking a one-visit fix without follow-through
- Active cancer treatment (coordinate with oncology team)
- Pregnancy (coordinate with OB)
- Patients looking for cosmetic-only outcomes - consider a med spa instead
Dr. Keifer and Tabble will let you know if the program is the right next step or if a different starting point will serve you better.
How a Functional Wellness Plan Comes Together
How a functional wellness visit unfolds, from in-depth intake and labs to your personalized care plan
Deep Intake
Dr. Keifer takes a 60-minute history covering symptoms, lifestyle, sleep and goals.
Comprehensive Labs
Tabble orders hormones, metabolic, thyroid, inflammation and vitamin markers.
Plan Build
Dr. Keifer and Tabble review results together and build a personalized roadmap.
Treatment Layer
Tommy schedules any device-based work (Emsella, Exomind, Emsculpt Neo) the plan calls for.
Reassessment
Repeat labs at 8-12 weeks and quarterly check-ins keep the plan adjusted to your data.
Risks and Considerations
What to expect from your plan, plus key safety considerations and how we coordinate with your providers
-
Common, Expected Effects of a Plan
Most patients tolerate functional wellness plans well, with steady gains in energy, sleep, and digestion. Some experience fatigue, headaches, or digestive shifts during the first one to two weeks of dietary changes or new supplements as the body adjusts. -
Less Common Reactions to Specific Therapies
Some patients have sensitivity to certain supplements, herbs, or protocols, leading to GI upset, skin reactions, or sleep changes. Adjusting dosing or formulations resolves most issues. We start conservatively and refine the plan based on how your body responds. -
Important Safety Considerations
Functional wellness complements, not replaces, conventional medical care for serious or acute conditions. We coordinate with your other providers, review medications and supplements, and watch for interactions. Lab-based decisions and physician oversight keep your plan safe.
Cost of Functional Wellness in Big Pine Key, FL
Transparent Membership and Visit Pricing
Functional wellness visits are typically not fully covered by insurance, though portions - such as a covered annual physical, certain lab work and standard primary care follow-up - may bill through insurance. We are transparent about what is covered and what is out-of-pocket, finalized at your free consultation.
Common pricing structures in our market:
- Initial deep-intake visit: $300-$500
- Comprehensive functional lab panel: $250-$700 (varies by panel and insurance coverage)
- Plan-build follow-up visit: $150-$300
- Quarterly check-in visits: $100-$200 each
Specific layered services - HRT, medical weight loss, Emsculpt Neo, Emsella, Exomind, physician-grade supplements - carry their own pricing and may be financed through Cherry or Care Credit. Book a Free Consultation for a written cost estimate based on your needs.
Why Choose Florida Keys Primary Care
Root-cause functional wellness combined with the rigor of an established primary care practice
Osteopathic Whole-System View
Dr. Keifer trained at Marian University College of Osteopathic Medicine
Modern Hormone Expertise
Tabble completed Dr. Rachel Rubin's Hormone Therapy for Early Adopters program
Engineer-Vetted Device Portfolio
Tommy expanded the practice from 3 to 9 device platforms in three years
Established Lower Keys Practice
40 years in Big Pine Key, recently renovated, formerly Big Pine Medical
Root-Cause Approach
We dig into the why, not just the surface symptoms
Integrated With Primary Care
Functional plans built alongside your standard medical care
Related Services
Treatments commonly layered into a functional wellness plan.
Medical and Preventive Care
Annual physicals, chronic disease management, walk-in sick visits and in-office procedures — physician-led care for the Middle and Lower Keys
Learn More
Wellness Treatments
Hormone Replacement, Medical Weight Loss, TMS Therapy, Emsella, Emsculpt Neo and more — physician-led wellness for the Lower Keys
Learn More
Regenerative Treatments
Hair restoration, PRP facials and PRP joint injections — physician-led regenerative medicine for the Lower Keys
Learn More
Aesthetic Treatments
Botox, dermal fillers, ADVATx laser resurfacing, Emface, Denza, Nirvana laser hair removal and physician-curated skincare — all under one roof
Learn MoreFunctional Wellness FAQ
Common Patient Questions
What is functional wellness?
Functional wellness is a primary-care-grounded approach that uses deeper labs, hormone panels, body composition and lifestyle context to optimize how you feel and function - not just screen for disease.
How is it different from standard care?
Standard care is built to catch disease in 10-15 minute visits. Functional wellness adds longer visits, deeper bloodwork and coordinated follow-up to address the gap between sick and thriving.
How long does it take to feel better?
Most patients feel meaningful change in energy, sleep and mood within 8-12 weeks of starting a plan. Body composition and full lab improvement typically takes 3-6 months.
Do I need a referral?
No referral is required. You can book a Free Consultation directly with Florida Keys Primary Care & Wellness.
What's included in the program?
Deep intake visit, comprehensive labs, written plan, access to HRT, medical weight loss, supplements and our nine-platform device portfolio, plus quarterly follow-up.
Schedule Your Functional Wellness Consultation
References
- PubMed (PMID: 31060038) - Comprehensive lifestyle and integrative-medicine approaches showed meaningful improvements in metabolic markers, fatigue and patient-reported outcomes when delivered in physician-led primary-care settings.
- PubMed (PMID: 30577642) - Functional medicine programs were associated with improved health-related quality of life across chronic disease populations compared with usual care.
- PubMed (PMID: 33526044) - Patient-centered, time-generous primary-care models were linked to better adherence, lifestyle change and long-term metabolic outcomes.