The North Star
Guiding You out of the Storm
How We Work
This practice is a research‑grade consulting model for Type B neuroimmune systems. Everything—from the visit structure to the pace of treatment to the way we communicate—is intentional and part of the care.
To preserve clinical clarity and the depth of research that goes into your case, this is not a high‑access or high‑volume model. It is designed to support stable treatment pacing for systems where mold/biotoxins, infection, autonomic dysfunction, mast‑cell activation, and relational stress are no longer treated as separate problems.
Type B neuroimmune bodies tend to do best with a quieter, more structured, consultant‑style relationship: a clear framework, careful pacing, and a supportive clinical container. The practice is thoughtfully organized and sequenced so that the way care is delivered is therapeutic for Type B systems, not just the content of the plan.
Who I Work With
This consulting practice is built for a specific subgroup of chronic‑illness patients.
I work with Type B neuroimmune patients whose brain, immune, and autonomic nervous systems have become interlocked under cumulative biotoxin/toxin, infectious, and relational‑trauma load. These patients are often low‑buffer (have little resilience to recover), treatment‑reactive, and poorly served by louder, faster, or more generalized care models.
This practice is a fit for people who:
Have chronic illness that feels reactive, nonlinear, or difficult to stabilize
Identify with mold illness, Lyme and/or coinfections, CIRS, MCAS, dysautonomia/POTS, PANS/PANDAS‑like patterns, Long‑COVID, chronic fatigue (CFS/ME), MCS/TILT, or chronic viral reactivation (e.g., EBV)
Feel that environmental, infectious, immune, and relational stress have all shaped their current physiology
Have not done well with aggressive protocols, large supplement stacks, or high‑effort models and sense they need a more carefully sequenced approach
Do not do well with high-effort nervous‑system retraining approaches
Value clinical precision, structure, and thoughtful pacing
This Practice May Be Especially Relevant If
This model is often particularly helpful if you:
Have already tried standard mold, Lyme, CIRS, functional‑medicine, or nervous‑system programs and remain stuck
Are told you are “too sensitive” or “too anxious” when, in reality, you are highly treatment‑reactive
Repeatedly crash when a plan becomes too intense or complex
Notice that head pressure, neck or spine/axial pain, fatigue, palpitations, POTS symptoms, or mast‑cell symptoms flare when total load gets too high
Recognize that cPTSD, chronic hypervigilance, attachment injury, or long‑term boundary violation are affecting your physiology
Need a clinician who understands that relational load is part of the medical terrain, not “just psychology”
If this feels familiar, this practice may be a good fit.
This Practice May Not Be the Right Fit If
This practice is not the best fit if you are looking for:
Aggressive, protocol‑heavy care with rapid escalation of binders, detox, antimicrobials, or supplement stacks
A “do everything at once” treatment style
Frequent informal communication between visits or frequent unscheduled access
A broad, conventional primary‑care model
A clinician who frames mold, Lyme, MCAS, autonomic dysfunction, and trauma as separate silos
Ongoing high or frequent use of alcohol, marijuana/cannabis, recreational drugs, or psychedelics
High‑intensity treatment pace over careful sequencing
Why the Care Container Matters
The what of treatment only works when the how—the care container itself—is aligned with a Type B neuroimmune system.
In The Jupiter Approach, that means:
A clear structure
Clearly defined follow‑up consultations and predictable access. This is an application‑only, limited‑capacity practice, and all new patients start with the Neuroimmune Onboarding & Mapping Bundle.Treatment planning and pacing
Protocols are designed to respect and support Type B physiology. We use careful sequencing and load‑appropriate steps rather than “turning up the dial” when something isn’t working.Reduced noise
We prioritize careful planning, precise focus, and strategic assessments over a shotgun or “try everything at once” approach. The goal is to widen your buffer, not overwhelm it.A consulting model
This is a research‑grade, consultant‑style practice. I use pattern recognition across your symptoms, history, and labs to map your current systems‑state and adjust treatment accordingly, rather than applying single‑diagnosis protocols.
What makes this practice different
Many chronic‑illness models assume that if the right trigger is found and the right protocol is applied, improvement will follow. They quietly assume there is enough capacity to respond to the protocol.
The Jupiter Approach starts from a different premise:
In some patients, repeated environmental, infectious, immune, and relational insults do not simply create parallel diagnoses. They drive the emergence of a single, low‑buffer, interdependent brain–immune–autonomic state that must be treated as a whole.
That is why this practice emphasizes:
Careful sequencing
Load management
Reduced treatment noise
Individualized, targeted interventions
A clear, contained structure of care
To keep this work sustainable:
No crisis care is provided through this practice
Messages between visits are for logistics and documents only
All medical questions and decisions require a scheduled visit (15/30/45/60 minutes)
Sequencing for Type B Neuroimmune Systems
Recognizing a Type B neuroimmune pattern changes how treatment is delivered:
You are no longer labeled “too sensitive” or “not trying hard enough.”
Treatment is not simply escalated when something isn’t working.
Instead, we use a carefully sequenced, load‑appropriate protocol.
Type B‑safe sequencing often looks like:
Environment and CIRS/biotoxin work
MCAS/immune and autonomic nervous system stabilization
Infection treatment and deeper processing work
Hormones, detoxification, and brain restoration
The focus is on reducing total load and stabilizing your system so treatment supports your physiology instead of overwhelming it. As your buffer widens and your capacity for deeper work increases, infection treatment and/or trauma‑processing are introduced at a pace your system can genuinely tolerate.
The Integrated Systems-State
This is the heart of The Jupiter Approach:
Repeated insults do not simply create a list of parallel diagnoses.
They drive the emergence of a single, interdependent, low‑buffer state.
In real life, that can look like:
A conflict with a narcissistic or otherwise abusive person triggering mast‑cell activation, cytokine flares, POTS‑like symptoms, and severe insomnia
A minor mold exposure sending pain, mood, digestion, and heart rate into dysregulation
A small treatment change setting off a multi‑system reaction that looks “disproportionate” inside single‑protocol models
In The Jupiter Approach, I am always tracking:
Load across three domains: biotoxins/environment, chronic infections, and relational/psychosocial toxicants
Dysregulation and physiologic change across immune, autonomic, and neuroendocrine systems
Buffer – how much physiologic “space” your system has so treatment is therapeutic rather than adding more load
Interdependence – how tightly these domains are linked and co‑reactive
I am not asking, “What’s the protocol for X?”
I am asking, “What is this person’s current systems‑state?”
Then we match the appropriate treatment.
Overall Structure
After the initial Type B Neuroimmune Intake, work with me typically moves through three phases. Each phase is designed to meet your needs at a different stage of healing your Type B neuroimmune system.
During each phase you will receive:
Research‑grade mapping of your Type B neuroimmune system
Analysis of your autonomic nervous system, immune system, and physiology as they have been affected by the three loads: toxins, infections, and relational trauma
Specialized treatment and testing protocols tailored to your current systems‑state
What Treatment Looks Like
Treatment in The Jupiter Approach is sequenced, load‑governed, and designed specifically for Type B neuroimmune bodies. Over time, and as your system allows, we may use:
Mold‑ and CIRS‑oriented tools
Antimicrobial strategies for diverse chronic infections
MCAS stabilization and other immune‑modulating support
Vagus‑nerve and HRV tools, and nervous‑system re‑regulation practices
In The Jupiter Approach, the order, pacing, and dose of these interventions are governed by your buffer and current systems‑state, not by a generic protocol. This is what makes the trajectory therapeutic rather than destabilizing.
Key differences include:
Stabilization and safety first
We start by creating as much stability and safety as possible by identifying and reducing current high‑impact loads (for example, active mold exposure, aggressive antimicrobial treatment protocols, and ongoing relational triggers).Sequenced care
Instead of adding many things at once, we:Introduce changes in a way that is therapeutic instead of overwhelming to your Type B neuroimmune system
Observe signature Type B barometers (for example, head pressure, neck and spine pain, insomnia, autonomic swings, digestive shifts, and mood changes) as real‑time feedback to guide treatment decisions
Strategically change course when the system signals overload, rather than asking you to push through
Respect relational load as physiology
Attention is given to:The effects of narcissistic and other toxic relational dynamics as ongoing physiological load
The consequences of chronically porous or collapsed personal boundaries on immune and metabolic function
Addressing these directly as neuroimmune interventions—on the same level as biotoxin removal and infection work
Diagnostics and Treatment in Your Care
The heart of this practice is consulting: mapping, high‑level pattern‑recognition, and sequencing.
Targeted labs
Through my Fullscript platform (using their physician umbrella), I can order a wide range of functional and conventional labs in the US except for NY, NJ, RI and HI. Labs are used strategically to clarify your current neuroimmune, metabolic, and inflammatory state.Imaging when indicated
In Florida (and, where applicable, in telehealth‑friendly states such as Colorado), I order neurological imaging studies (NeuroQuant MRI) directly. In some cases, patients choose to have their local provider order their imaging or travel to Florida to complete it there.Treatment
Carefully selected herbs and supplements are available through Fullscript and vetted affiliate partners. Treatment is matched to your current systems‑state and tolerance. For chronic infections I utilize highly specialized practitioner-only herbal formulas through Classical Pearls and Kamwo Pharmacies when appropriate.
I do not prescribe pharmaceuticals in this practice. When medications are needed, we coordinate with your local clinicians.
Across our time together, the emphasis remains the same: thoughtful sequencing, and using only those tests, herbs, and supplements that will meaningfully change how we support your Type B neuroimmune physiology.
Type B Neuroimmune Intake (Onboarding)
Goal: To build a coherent, research‑grade map of and stabilization plan for your Type B neuroimmune system so we are no longer “chasing symptoms,” but working from a structured understanding of your load and capacity.
The intake maps you across environmental/biotoxin, infectious/post‑infectious, and relational‑trauma loads and their cumulative effects on your immune system, autonomic nervous system, and brain‑body physiology.
What’s included
Extensive record review
In addition to your intake forms, I review prior labs, imaging, consults, and key symptom histories in advance of our appointments. This is where much of the real work begins—identifying patterns, missed connections, and places where Type B physiology has been misunderstood.Three 60‑minute visits over 2–3 weeks
Visit 1: Western / Functional & Neuroimmune mapping
Detailed medical, psychosocial, and symptom history, plus an initial testing strategy to assess baseline and fill in the gaps where needed.Visit 2: Autonomic / Limbic + Pattern Mapping
A deeper dive into current environmental/biotoxin, infectious, and relational loads, and how they are shaping your immune system, autonomic nervous system, cognitive/emotional state, and physical symptoms.Visit 3: Integrated Plan & 3-6 Month Roadmap
Integrated analysis of your new and prior test results, distilled into a single Type B neuroimmune map. This clarifies the primary drivers of your current symptoms and outlines the first phase of active stabilization.
What I build for you
As part of the intake, I create research‑grade documentation for your case that we use to establish a baseline and track progress as we work together:
Pre‑Jupiter summary of testing and diagnoses
A clear written summary of your key prior tests, diagnoses, and major interventions before working with me, so we have a single, coherent starting point.A living 14‑page tracking spreadsheet
A detailed spreadsheet that tracks your labs and key metrics over time during our work together. This lets us see patterns, trajectories, and treatment effects.Comprehensive treatment recommendation handouts
After each visit, you receive a written treatment handout that explains why each intervention is recommended, the logistics of how to take it, and how it fits into the larger plan.A structured treatment plan document
A written plan that outlines:Key findings and drivers from your mapping and test review
What still needs to improve
Short‑ and long‑term goals
Treatments including: supplements, nervous‑system repair, sleep hygiene, dietary recommendations, time in nature, and rest/activity recommendations
This level of mapping and documentation is part of what makes The North Star a research-grade consulting model rather than a standardized method.
Visit 1 – Western / Functional & Neuroimmune Mapping
We focus on a complete medical and social history, including:
Mold/biotoxin exposure, Lyme/coinfections, viral infections
MCAS and histamine symptoms
POTS/dysautonomia and neuro‑cardio/autonomic signs
PANS/PANDAS, ME/CFS/Long‑COVID‑like patterns
IBS/SIBO/leaky‑gut patterns
Autoimmune diagnoses and metabolic factors
You leave Visit 1 with:
A clearer picture of your neuroimmune terrain
Identification of obvious overloads and red flags
(Depending on your buffer and timing, we may also identify 1–2 very small, low‑load stabilizing steps. These are intentionally modest; the primary work of Visit 1 is mapping, not “doing everything.”)
Visit 2 – Autonomic / Limbic + Pattern Mapping
We continue with:
Detailed autonomic and limbic profiling:
Past and current influences on your nervous‑system development
How and when you crash; what “overload” looks like for you
Your particular Type B style: hyperadrenergic, flat/atrophic, mixed
Classical East Asian medicine perspectives on chronic infections (Gu/Nüe‑like syndromes) as an internal pattern‑recognition lens
Organ‑system and constitutional patterns that match your symptoms
You leave Visit 2 with:
1–2 gentle nervous‑system micro‑practices you can easily integrate into your day
A sense of how medications, herbal, and nutritional tools might be used for your terrain
Visit 3 – Integrated Plan & 3–6 Month Roadmap
We bring it together:
Review of key labs and imaging (old and new)
We integrate:
Western and functional medicine
Shoemaker‑style CIRS mapping
MCAS/autonomic findings
Classical East Asian patterning
Your real‑life Type B reactivity
You leave Visit 3 with:
A 3–6 month roadmap that is:
Sequenced – what comes first, what clearly comes later
Individualized – what treatment is appropriate for you now
Clear about what is not appropriate for you to do right now
A decision about how we’ll work going forward:
Continuing with me as your neuroimmune consultant (regardless of location), and/or
Also working with me using East Asian herbal tools when you are in Florida or a telehealth‑eligible state
Ongoing Care – Retainer Phases
After the Strategy Sessions, select clients with approval may move into one of three structured retainer phases depending on stability, buffer, and treatment intensity. All retainers are billed monthly for a steady, predictable investment.
Phase 1 – Monthly Active Stabilization Retainer
Goal
Begin to shift and uncouple dysregulated immune and nervous‑system patterns, and start addressing the key drivers of load—biotoxins, infections, and relational trauma—without triggering collapse or major flares.
Structure
One 60‑minute visit per month
Focused pre‑visit review of interval labs, symptoms, and updates
Comprehensive visit‑related follow‑up within 3 business days, including your Type B neuroimmune‑specific lab orders and treatment protocols for the next month
Targeted research and literature review relevant to your case
Focus of this phase
In this phase, we work with:
MCAS/histamine and inflammatory patterns
Autonomic dysregulation (POTS‑like symptoms, orthostatic intolerance, heart‑rate and blood‑pressure changes)
Decreasing total load from biotoxins, infections, and ongoing relational stressors
Most patients spend at least 6 months and up to 2 years in the Active Stabilization phase. Once your system has more buffer and fewer flares, we transition to Phase 2.
Phase 2 – Bimonthly Shift Retainer
Goal
Continue and consolidate the gains from Active Stabilization; make strategic course corrections as needed and adapt to new developments. By this phase, your immune and nervous systems have begun to normalize, and symptoms are less intense and no longer require month‑to‑month oversight.
Structure
One 60‑minute visit every 2 months
Focused pre‑visit review of interval labs, symptoms, and key updates
Updated mapping of what has shifted, what remains stuck, and what new patterns are emerging
Visit‑related follow‑up within 3 business days, including your Type B neuroimmune‑specific lab orders and treatment protocols for the next 2 months
Continuing targeted research and literature review relevant to your case
Focus of this phase
In this phase, we continue to:
Work with MCAS/histamine and inflammatory patterns
Refine support for autonomic dysregulation (POTS‑like symptoms, orthostatic intolerance, heart‑rate and blood‑pressure variability)
Decrease total load from biotoxins, infections, and ongoing relational stressors
While also:
Beginning tissue repair and rebuilding
Undertaking deeper infection work when your system has the buffer to tolerate it
Phase 3 – Quarterly Progressive Retainer
Goal
Maintain your momentum and progress with high‑complexity Type B neuroimmune analysis twice per year, as your system continues to stabilize and rebuild.
Structure
One 60‑minute visit every 3 months
Focused pre‑visit review of interval labs, symptoms, and key updates
Updated mapping of what has shifted, what remains stuck, and any new patterns emerging
Visit‑related follow‑up within 3 business days, including Type B neuroimmune‑specific lab orders and treatment protocols for the next 3 months
Continuing targeted research and literature review relevant to your case
Focus of this phase
At this stage, the main drivers of inflammation are gone or minimal, and your nervous and immune systems are more balanced. The emphasis shifts to:
Repairing damage from chronic inflammation and nervous‑system overdrive
Brain physiology and atrophy support (cognitive function, neuroprotection, neuroplasticity)
Gut repair and microbiome rebuilding
Hormone balance and fine‑tuning trophic support
Completing any remaining detoxification work that your system can now handle with greater buffer
Fees & Policies
This is a research‑grade, Type B Neuroimmune consulting practice.
The fee structure reflects the depth of case review, pattern differentiation, and ongoing complex mapping that this work requires.
Fee Overview
Phase 1 – Monthly Active Stabilization Retainer: $800 per month
Phase 2 – Bimonthly Shift Retainer: $440 per month
Phase 3 – Quarterly Progressive Retainer: $330 per month
*Retainers are billed monthly and are adjusted as your systems‑state and stability change. We’ll decide together when it’s appropriate to shift phases.
Communication Between Visits
To protect clinical clarity and allow time for deep analysis and research, this is a visit‑driven consulting model. We do not provide ongoing, informal clinical messaging or unscheduled support.
What’s included between visits
Brief, practical follow‑ups directly tied to your most recent visit with our Virtual Assistant (VA), for example:
Clarifying a specific instruction already given
Confirming a small adjustment we explicitly discussed in the visit
Coordinating lab orders, requisitions, or other paperwork
These are typically handled within ~3 business days and are considered part of your visit or retainer.
What requires a visit
Anything that calls for fresh clinical thinking or changes the map, including:
New or changing symptoms
New questions or concerns beyond simple clarification
Decisions about starting, stopping, or significantly changing treatments
Strategy shifts (e.g., moving into deeper infection work, changing detox approach)
These are addressed in scheduled visits (standard or short focused visits), so they receive the depth of attention they require.
Urgent Visits
Flares, Symptom Spikes, and “What Do I Do When Things Get Worse?”
During recovery from Type B neuroimmune physiology, you will have flares and bumps in the road. These are expected, not a sign that you are failing.
As this practice is not designed for urgent, crisis, or on‑demand care, we do not offer short‑notice or “emergency” visits.
Instead, we plan for flares in advance. During your first North Star visit, Dr. V will create a written contingency plan with you. This will outline:
Local supports you can lean on when symptoms increase (for example: your PCP, relevant specialists, IV clinics, trauma therapist, urgent care, and emergency departments).
How and when to best use those resources.
A protocol for environmental and relational exposures (e.g., mold hits, wildfire smoke, family contact, relational shocks) that you can follow when they occur.
You will receive this contingency plan and flare protocol as part of your initial North Star mapping, so that when a spike happens, you already know where to go and what to do.
Cancellation Policy
Because this is a low‑volume, research‑grade consulting practice, each visit slot includes dedicated pre‑ and post‑visit time.
Rescheduling
You may reschedule with at least 48 business hours’ notice (Monday–Thursday) without a fee, subject to availability.
Onboarding Type B Neuroimmune Intake visits require 2 weeks’ notice except in true emergencies.
Cancellations / late changes
Appointments cancelled, rescheduled, or missed with less than 48 business hours’ notice are charged in full.
This includes no‑shows and late arrivals that cannot be accommodated within the remaining time.
Arriving late
If you arrive late, the visit will still end at the scheduled time and the full fee applies.
Payments & Refunds
Payment
Monthly retainers are billed automatically to the card on file.
Refunds
Fees for completed or missed appointments within the monthly retainers are non‑refundable.
Retainers can be ended prospectively (before the next billing date). Partial refunds for unused time within a current billing period are not offered.
Next Steps
If you recognize yourself in this model and feel aligned with this structure, the next step is to apply for The Strategy Session. After completion, it will be decided if you and Dr. V will continue to work together in The North Star.