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-led autoimmune disease treatment on Fifth Avenue. We test deeper to find what keeps your immune system switched on, then build a step-by-step plan that calms those triggers and works alongside the care you already have.
Integrative care since 1974
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Testing, plan & follow-up
Autoimmune disease is treated by controlling the immune attack and removing what keeps provoking it. At Patients Medical, treatment starts with deeper testing, then a personalized plan that may combine anti-inflammatory nutrition, gut repair, thyroid and hormone care, nutrient repletion and stress and sleep treatment, prescribed and monitored by an MD alongside any medication you already take.
Nutrition therapy, gut repair, thyroid and hormone care, nutrient and IV therapy, stress and sleep plans
Consultation and deeper testing first, then a plan that treats triggers in the right order
Adults with a diagnosed autoimmune condition, or with symptoms and positive antibodies but no clear answers
Some patients notice change within weeks; long-standing disease usually takes several months
Our treatment is for adults whose symptoms come in flares, move around the body, or keep returning even though a check-up looked fine. About 15 million Americans have a diagnosed autoimmune disease, and one in three of them has more than one. If several of these symptoms sound familiar, it is time for a proper evaluation.
Not sure it is autoimmune? Read what autoimmune disease is or how it often begins long before diagnosis.
More than 100 autoimmune diseases have been identified. These are the ones we see most often. Your plan is built around your diagnosis and whatever your testing uncovers.
Medication can quiet the immune attack. It does not always explain why the attack keeps restarting. We look for the triggers behind your flares and treat each one. Every step is supervised by a physician.
Stool testing guides treatment of infections, overgrowth and a weakened gut lining, where much of the immune system sits.
Inflammation markers are tracked over time and lowered with nutrition, targeted supplements and medication when needed.
A full thyroid panel with antibodies, then medication adjusted to your results and how you feel, not one number.
Autoimmune disease is almost twice as common in women. Perimenopause, postpartum and cortisol changes are assessed and treated.
Vitamin D, B12, iron and omega-3 status are tested, corrected, then retested so levels stay in a healthy range.
Past viral and tick-borne infections can keep the immune system activated. We test where your history points to it.
Heavy metals, mold and chemical exposures are checked when symptoms and history suggest them, then reduced safely.
Stress and poor sleep are common flare triggers. Both are treated as part of the plan, not left as general advice.
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 diagnosis, flare pattern, medications, family history, gut health, hormones and stress, plus a review of the labs you already have.
As appropriate: ANA and specific antibodies, CRP and ESR, full thyroid panel with antibodies, vitamin D, B12 and iron, celiac screen, stool testing and hormones.
Blood testing, Thyroid testing, Stool testing, Hormone testing
Your physician treats the most important findings first, in sequence, and coordinates with your rheumatologist or other specialists. Prescribed medication is never stopped without your prescribing doctor.
Regular follow-ups recheck inflammation markers and symptoms, then adjust the plan. The goal is fewer flares and steady, low disease activity you can maintain.
Most plans combine two or more of these. Your physician recommends only what your results and symptoms support.
A personalized eating plan that removes your trigger foods and lowers inflammation. Strict gluten-free eating for celiac disease; a Mediterranean-style or short elimination plan for others.
Treatment of infections, bacterial overgrowth and a weakened gut lining found on testing, followed by a plan to rebuild a healthy microbiome.
Full thyroid testing with antibodies and carefully adjusted thyroid medication, with attention to the nutrients your thyroid depends on.
Correcting estrogen, progesterone, testosterone and cortisol imbalances that can worsen flares, with bioidentical hormones when clinically appropriate.
Restoring vitamin D, omega-3, B12, iron and other nutrients found low on testing, by mouth or by IV when absorption is poor or faster repletion helps.
Targeted treatment to bring down chronic inflammation, with markers rechecked so you can see whether it is working.
Testing for heavy metals, mold and chemical exposure where your history suggests it, then medically supervised steps to lower the load.
Stress reduction, mind-body therapies and sleep treatment, because stress and poor sleep are among the most common flare triggers.
Acupuncture and physician-led pain management to ease joint and muscle pain while the underlying triggers are treated.
Your testing, plan and follow-up are directed by an MD. See Rashmi Gulati, MD and our physicians.
We add to your rheumatology, endocrine or GI care. We do not ask you to choose between them. Autoimmune doctor vs rheumatologist
We look past a single ANA result to gut, thyroid, hormone and nutrient findings. Autoimmune testing explained
One in three patients has more than one autoimmune condition. We treat them together through functional medicine.
Conventional specialist care is essential. When symptoms persist despite it, a fuller treatment approach can help.
| CONVENTIONAL CARE ALONE | OUR INTEGRATIVE TREATMENT | SELF-MANAGING AT HOME | |
|---|---|---|---|
| Testing | Antibodies and inflammation markers | Those, plus gut, thyroid, hormone and nutrient testing where indicated | None, or home test kits |
| First visit | Usually a short appointment | 60–90 minutes with a physician | None |
| Treatment focus | Quieting the immune attack | Quieting the attack and removing what provokes it | Symptom relief |
| Typical treatments | Steroids, DMARDs, biologics | Nutrition, gut repair, thyroid and hormone care, nutrient repletion, alongside your medication | Diets and supplements found online |
| Follow-up | Short, periodic visits | Regular visits with repeat labs and plan changes | None |
Your physician coordinates with your rheumatologist and other specialists whenever needed.
Fatigue is one of the most common autoimmune symptoms, and it often outlasts the flare. When it does, your treatment plan covers both. If tiredness 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 your condition, how long you have had it, and the medication you take.
Emily, 40, was diagnosed with rheumatoid arthritis and was living with joint pain and fatigue. After a comprehensive evaluation at Patients Medical she began a personalized plan that included functional medicine, nutritional counseling and acupuncture. Within months, Emily reported significant improvement in her symptoms and overall well-being.
“After years of unexplained symptoms, Patients Medical identified the root cause, an autoimmune condition. With their holistic treatment plan, I feel better than I have in years.”
S.N., 32 Brooklyn
“Thanks to their personalized approach, my autoimmune symptoms have drastically improved. I have more energy and fewer bad days.”
M.K., 50 Manhattan
“The integrative care I received addressed more than just the disease. It improved my digestion, mood and overall well-being.”
T.L., 41. Queens
Medical Director
Rashmi Gulati, MD, is a board-certified functional medicine doctor Manhattan and a leading holistic doctor in NYC.
Gynecologist & Obstetrician
Dr. Emine Cosar, MD has over 20 years of medical experience as a Gynecologist.
Most autoimmune diseases cannot be cured, but they can be controlled. The realistic goal is remission or low disease activity: fewer flares, less pain and fatigue, and protection of your joints and organs. Many patients reach that with the right combination of medication and trigger-focused care.
No. We work alongside your current treatment. For conditions such as rheumatoid arthritis, guidelines recommend disease-modifying drugs like methotrexate, and stopping them can cause lasting damage. Any change to a prescription is made with your prescribing doctor.
A rheumatologist diagnoses autoimmune disease and manages immune-modifying medication. Our physicians focus on what is driving the immune activity, such as gut health, hormones, nutrients and stress. Most patients do best with both. Autoimmune doctor vs rheumatologist
Yes. Antibodies and symptoms can appear years before a formal diagnosis, and standard panels do not check everything. A positive ANA alone does not confirm disease either: up to 15% of healthy people have one. We read your labs together with your symptoms and history. Why autoimmune labs are often normal
Depending on your symptoms: ANA and disease-specific antibodies, CRP and ESR, a full thyroid panel with antibodies, vitamin D, B12 and iron, a celiac screen, stool testing and hormone testing. We order only what will change your treatment. Testing overview
It depends on the condition and how long you have had it. Some patients notice better energy and less pain within a few weeks. Long-standing disease usually takes several months of steady treatment, and most patients need ongoing follow-up to stay well.
For celiac disease, a strict gluten-free diet is the treatment. For other conditions, anti-inflammatory and elimination diets have helped in small early studies, and results vary from person to person. We use food as one part of your plan, not a replacement for medical care. Anti-inflammatory nutrition
Low vitamin D is common in autoimmune disease. In a large five-year trial of adults over 50, taking 2,000 IU of vitamin D daily lowered the risk of developing an autoimmune disease by 22%. We test your level first and dose to your result.
IV therapy does not treat the disease itself. We use it to correct nutrient deficiencies found on testing, especially when gut absorption is poor. It supports your plan and is never a substitute for it. Autoimmune IV vitamin therapy
Cost depends on the tests and treatments your plan needs; we share an estimate before you begin.
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 diagnosis, flare history and medications, 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
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