NYC’s Leading Integrative Health Care Center
NYC’s Leading Integrative Health Care Center
Medically reviewed by Rashmi Gulati, MD — Last updated: September 26, 2026
MD-supervised detoxification on Fifth Avenue. We test for heavy metals, mold and chemical exposure, find where it is coming from, and treat it with a plan your physician monitors with lab work. No juice cleanses and no guesswork.
Integrative care since 1974
New patient consultations
Testing, plan & follow-up
Detoxification treatment lowers your toxic load by removing the source of exposure and supporting the organs that clear toxins: the liver, kidneys and gut. At Patients Medical, treatment starts with testing for heavy metals, mold and chemical exposure, then a personalized plan that may combine chelation therapy, IV nutrients, liver and gut support, and nutrition, all prescribed and monitored by an MD.
Heavy metal detox, chelation therapy, IV nutrient therapy, liver and gut support, nutrition and exposure control
Consultation and testing first, then a plan that removes the source before treating what is left
Adults with known or suspected exposure to heavy metals, mold or chemicals, and symptoms that have no clear cause
Energy and digestion often improve within weeks; lowering a confirmed metal burden usually takes several months
These symptoms have many possible causes, and toxic exposure is only one of them. That is why we test before we treat. If several of them have lasted for months, and you have a likely source of exposure at home or at work, a proper evaluation is worth your time.
Want the background first? Read about heavy metals and chronic illness or environmental toxins in NYC.
Toxic exposure can sit behind a diagnosis you already have, or look like one. We check whether it is playing a part, and treat it when testing confirms it.
Each finding from your testing becomes part of your plan. These are the sources of toxic load we treat most often, and many patients have more than one.
Lead, mercury, arsenic and cadmium reach us through old paint and pipes, some fish, well water, work and hobbies. Confirmed by testing, then treated by removing the source and, when needed, chelation.
Heavy metals and chronic illnessWater-damaged homes and offices can cause airway, sinus and allergy symptoms. Treatment starts with fixing the exposure, then calming the inflammation it caused.
Mold exposure and inflammationPesticides, solvents, plastics and air pollution add up in city life. We map your exposures at home and work and cut the ones that matter most.
The liver changes toxins into forms the body can remove. Alcohol, some medications and fatty liver slow that work. Liver tests guide the treatment.
Toxins leave through bile and stool. Constipation and gut inflammation let them be reabsorbed, so gut repair is often an early step.
Gut detox and leaky gutThe liver needs protein, B vitamins, magnesium, zinc and antioxidants to do its job. Low levels are tested, corrected and rechecked.
Vitamin testingOngoing exposure uses up antioxidants such as glutathione and drives inflammation. Markers are measured and treated with nutrition and, when appropriate, IV support.
Gene variants can change how quickly you process certain chemicals. Testing is used selectively to explain results and guide nutrition, not as a diagnosis.
Your treatment follows four clear steps, so you always know what is being treated, why, and what comes next.
A 60–90 minute first visit covering your symptoms, home and workplace, water source, diet, dental history, medications, supplements and hobbies, to find likely sources of exposure.
As appropriate: blood and urine heavy metals, liver and kidney function, mold and environmental toxin panels, organic acids, nutrient levels and inflammation markers.
Heavy metal testing, Toxin level testing, Mold testing, Organic acid testing
Your physician removes the source of exposure first, then supports the liver, kidneys and gut, and adds chelation or IV therapy only when your results call for it.
Follow-up visits recheck your levels, kidney function and minerals, and adjust the plan until your results and symptoms have improved.
Most plans combine two or more of these. Your physician recommends only what your results and symptoms support.
Testing for lead, mercury, arsenic and cadmium, finding the source, and a treatment plan sized to your results.
A prescription treatment that binds certain metals so the kidneys can remove them. Used when testing confirms a need, with minerals and kidney function monitored.
Vitamins and minerals given by IV when levels are low or absorption is poor, so the liver has what it needs to process toxins.
Glutathione is the antioxidant your liver relies on during detoxification. Given by IV when your physician finds it appropriate.
A medical nutrition plan, a review of alcohol and medications, and targeted nutrients that help the liver do its work.
Treating constipation, bacterial imbalance and gut inflammation so toxins leave the body and are not reabsorbed.
For mold and chemical exposure: finding the source, reducing contact, and treating the airway, sinus and immune effects.
An anti-inflammatory eating plan with enough protein, fiber and fluids to support the liver, kidneys and gut every day.
Poor sleep and long-term stress slow recovery. Both are assessed and treated as part of your plan.
Your testing, plan and prescriptions are directed by Rashmi Gulati, MD, not sold as a package.
Chelation and IV therapy are used only when your results support them. Detox testing explained
Kidney function, minerals and symptoms are checked through treatment, so problems are caught early. Medical detox vs cleanses
Treatment does not hold if the exposure continues, so we track down where it is coming from. Environmental toxin testing
Hormones, thyroid, gut and immune health are assessed together. Why functional medicine
A routine check-up is a good first step. When symptoms persist and exposure is likely, a fuller treatment approach can help.
| STANDARD CHECK-UP | OUR INTEGRATIVE TREATMENT | SELF-MANAGING AT HOME | |
|---|---|---|---|
| Testing | Basic blood work; metals checked only if poisoning is suspected |
Heavy metals, liver and kidney function, mold and toxin panels, nutrients and inflammation markers |
No testing |
| First visit | Usually a short appointment | 60–90 minutes with a physician, including a full exposure history |
None |
| Treatment focus | Ruling out disease | Removing the source and treating each confirmed finding |
A fixed cleanse for everyone |
| Typical treatments | Advice to rest and return if symptoms worsen |
Exposure control, liver and gut support, nutrition, and chelation or IV therapy when indicated |
Juices, teas, fasting and store-bought supplements |
| Follow-up | As needed | Scheduled visits with repeat labs | None |
Your physician coordinates with your primary care doctor and other specialists when needed.
Deep, lasting tiredness often comes with a high toxic load. When it does, your treatment plan covers both. If exhaustion is your main problem, see our dedicated chronic fatigue treatment program.
Individual results vary. Your physician will set realistic goals with you at your first visit.
Timelines depend on the causes found, how long symptoms have lasted, other health issues and your treatment plan.
Sarah, 44, had a BMI of 36, five failed diets behind her and a new prediabetes diagnosis. Testing showed severe insulin resistance. Her plan combined Wegovy, increased gradually over four months, with a high-protein, low-glycemic diet and vitamin B12 support. In six months she lost 52 pounds, her A1c fell from 6.2 to 5.4, and her joint pain and reflux eased.
“I lost 68 lbs on Mounjaro. Finally, a solution that worked after years of struggling!”
S.N., 32 Brooklyn
“No more food noise! Ozempic helped me break my sugar addiction.”
M.K., 50 Manhattan
“The medical team made all the difference. I had zero side effects with their dosing plan.”
T.L., 41. Queens
Medical Director
Rashmi Gulati, MD, is a board-certified functional medicine doctor Manhattan and a leading holistic doctor in NYC.
Holistic Pain Management Physician
Holistic pain management physician at Patients Medical, caring for patients with chronic pain and inflammation.
Medical detoxification is physician-supervised treatment to lower the amount of harmful substances in your body, such as heavy metals, mold toxins and chemicals. It starts with testing, removes the source of exposure, and supports the liver, kidneys and gut, which do the actual clearing. Medical detox vs cleanses
No. This page is about environmental and heavy metal detoxification. We do not provide withdrawal management for alcohol or drugs. If you need that, call the SAMHSA National Helpline at 1-800-662-4357, which is free and open 24 hours a day.
You cannot tell from symptoms alone, because fatigue, brain fog and headaches have many causes. Treatment makes sense when you have a likely source of exposure and testing confirms it. Your first visit is designed to work that out. Detox testing explained
Common tests include blood and urine heavy metals, liver and kidney function, mold and environmental toxin panels, organic acids, nutrient levels and inflammation markers. Your physician chooses tests based on your symptoms and exposure history. Heavy metal testing
Lead, mercury, arsenic and cadmium are the heavy metals treated most often. We also treat the effects of mold in damp buildings and of pesticides, solvents and other chemicals, mainly by reducing exposure and supporting clearance. What are heavy metals?
Chelation is a prescription treatment that is safe when it is used for confirmed metal toxicity and monitored by a physician. It can also remove useful minerals and stress the kidneys, so it is not used without testing first. Chelation therapy
There is little good evidence that commercial cleanses remove toxins, and some carry risks such as dehydration and mineral imbalance. Your liver and kidneys clear toxins every day; treatment works by lowering exposure and supporting those organs. Why detox programs fail
IV therapy delivers vitamins, minerals and antioxidants such as glutathione directly into the bloodstream. It is useful when levels are low or the gut absorbs poorly. It supports treatment and is not a replacement for removing the exposure. IV therapy and detox support
Food cannot remove a significant metal burden, but good nutrition helps the body clear toxins. Enough protein, fiber, fluids and minerals such as iron and calcium also reduce how much lead and cadmium you absorb. Foods and heavy metals
It depends on what testing finds. Energy and digestion often improve within a few weeks once exposure stops. Lowering a confirmed metal burden usually takes several months, with repeat tests to track progress.
We are an out-of-network provider. We provide superbills to help you seek reimbursement, and some lab tests may be partially covered. Fees & insurance
Your physician spends 60–90 minutes on your symptoms, health history and possible exposures, orders the right tests and explains your treatment options. What to expect on your first visit
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
Copyright © 2026 Patients Medical. All Rights Reserved.
All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Patients Medical.
Disclaimer: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE AND MAY BE OUT OF DATE. The information, including but not limited to text, PDFs, graphics, images, and other material contained on this website, is for general educational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment, and does not create a patient-doctor relationship. Pricing on the website may be out of date, is subject to change without notice, and may be subject to additional terms and conditions. No information on this site is intended to be a financial quote for medical services. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition, lifestyle or dietary changes, treatments, and before undertaking a new healthcare regimen. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
