Autoimmune & Inflammatory Disease

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What Is Autoimmune & Inflammatory Disease Treatment in NYC?

Autoimmune and inflammatory diseases occur when the immune system becomes chronically overactive and begins attacking healthy tissue. This process often develops years before a formal diagnosis, which is why many patients experience fatigue, pain, brain fog, digestive symptoms, or hormone imbalance despite “normal” lab results.
Effective treatment focuses on immune balance, inflammation reduction, gut repair, hormonal regulation, and trigger identification, not just immune suppression.
At Patients Medical in NYC, physician-led integrative care focuses on identifying immune triggers, inflammation drivers, gut-immune dysfunction, and hormonal imbalance—not just suppressing symptoms. Dr. Rashmi Gulati, MD, provides hysician-led, integrative autoimmune care designed for patients seeking root-cause solutions.

Autoimmune & Inflammatory Disease — Root-Cause Treatment in NYC

Autoimmune and inflammatory diseases are among the most misunderstood and poorly treated conditions in modern medicine.

Patients across New York City and the NY Metro area frequently experience:

  • Chronic fatigue
  • Joint and muscle pain
  • Brain fog
  • Digestive problems
  • Skin rashes
  • Hormonal imbalance
  • Weight gain
  • Symptoms despite “normal” lab results

Many are told:

“Your tests are normal.”
“This is stress or aging.”
“We can only manage symptoms.”

Yet autoimmune disease is not random—and inflammation is not inevitable.

This education hub explains what autoimmune and inflammatory disease really are, why standard treatment often fails, and how physician-led integrative care under Dr. Rashmi Gulati addresses the root causes safely and effectively.

WHY THIS MATTERS TO YOU

If you’ve been experiencing persistent fatigue, joint pain, brain fog, digestive issues, rashes, or hormone problems, and you’ve been told:

  • “Your labs are normal”
  • “It’s stress or aging”
  • “There’s nothing else to test”
  • “We can only manage symptoms”

You are not alone—and you are not imagining this.

Many autoimmune and inflammatory diseases begin long before standard tests turn abnormal. By the time a formal diagnosis is made, immune damage has often been active for years.

At Patients Medical, Dr. Rashmi Gulati, MD, evaluates autoimmune disease as a system-wide immune imbalance, not a single-organ problem.

What Is Autoimmune & Inflammatory Disease?

Autoimmune disease occurs when the immune system:

  • Loses tolerance to self-tissue
  • Becomes chronically activated
  • Produces ongoing inflammation

Inflammatory disease represents a state where immune signaling remains persistently “on”, even without infection or injury.

Key point:

Autoimmune disease is immune dysregulation, not immune strength.

Common Symptoms Patients Experience

Autoimmune and inflammatory disease rarely presents with just one symptom.

Patients often experience clusters, including:

Physical Symptoms

  • Chronic fatigue
  • Joint or muscle pain
  • Morning stiffness
  • Headaches
  • Unexplained weight changes

Cognitive & Neurologic

  • Brain fog
  • Poor memory
  • Difficulty concentrating
  • Dizziness or disequilibrium

Digestive & Immune

  • Bloating or IBS-like symptoms
  • Food sensitivities
  • Autoimmune flares after illness
  • Frequent infections

Hormonal & Systemic

  • Thyroid symptoms
  • Menstrual irregularities
  • Low testosterone
  • Sleep disruption
  • Anxiety or mood changes

These patterns often point to immune dysregulation, even when labs appear “normal.”

Why Autoimmune Disease Is Often Missed

Root Causes We Commonly Identify

Autoimmune disease almost never has a single cause.

At Patients Medical, we commonly evaluate overlapping contributors such as:

Treating only one factor rarely leads to lasting improvement.

How Autoimmune Disease Is Evaluated at Patients Medical

Step 1: Physician Consultation

Dr. Gulati performs a detailed review of:

  • Symptom history
  • Flare patterns
  • Past testing and treatments
  • Lifestyle and environmental exposures

Step 2: Targeted Advanced Testing

May include:

  • Autoimmune marker panels
  • Inflammatory markers
  • Gut health testing
  • Hormonal and metabolic assessment

Step 3: Root-Cause Analysis

Results are interpreted together, not in isolation.

Step 4: Personalized Treatment Plan

Focused on immune balance, not blanket suppression.

Conditions We Commonly Evaluate

Hashimoto’s Disease

Lupus (SLE)

Rheumatoid Arthritis

Sjögren’s Syndrome

Undiagnosed Autoimmune Disease

Many patients do not fit neatly into one category—especially early on.

What Integrative Autoimmune Care Looks Like

Integrative autoimmune care combines:

  • Conventional medical oversight
  • Advanced diagnostic testing
  • Gut-immune repair strategies
  • Hormonal and metabolic support
  • Nervous system regulation
  • Ongoing monitoring and adjustment

The goal is immune balance, fewer flares, and improved quality of life.

NYC Patient Case Snapshot

Patient: 44-year-old Manhattan professional
Symptoms: Fatigue, joint pain, brain fog
Labs: Normal

Outcome:
Through integrative autoimmune evaluation, immune triggers were identified and inflammation stabilized. Energy, cognition, and daily function improved over time.

Why Patients Choose Patients Medical

Physician-led care (not coaching-only)

Board-certified internal medicine expertise

Advanced diagnostic capabilities

Whole-body, systems-based approach

Located in NYC

Clear guidance on out-of-network benefits

Many Patients Fall Between Diagnoses

If you suspect autoimmune or inflammatory disease but haven’t received clear answers, further evaluation may be needed.

What are Common Symptoms of Autoimmune & Inflammatory Disease?

Persistent fatigue

Joint stiffness or pain

Brain fog

Digestive issues

Skin rashes or eczema

Hair loss

Mood changes

Hormonal irregularities

Weight gain or loss

Symptoms often fluctuate, making diagnosis difficult.

Why Autoimmune Disease Is Often Missed?

Standard medicine focuses on:

  • Advanced disease markers
  • Organ-specific damage
  • Late-stage lab abnormalities

However:

  • Autoimmune disease begins years before labs turn abnormal
  • Functional inflammation is rarely measured
  • Gut-immune signaling is overlooked

This leads to delayed diagnosis and incomplete care.

What are Root Causes of Autoimmune & Inflammatory Disease?

Autoimmune disease develops from multiple overlapping triggers, including:

  • Gut dysfunction (leaky gut, dysbiosis)
  • Chronic stress & nervous system overload
  • Hormonal imbalance
  • Infections (past or present)
  • Environmental toxins
  • Nutrient deficiencies
  • Blood sugar instability

Treating only one factor rarely works.

What Is Integrative Autoimmune Care?

Integrative autoimmune care combines:

  • Conventional medical diagnostics
  • Functional medicine evaluation
  • Evidence-based lifestyle medicine
  • Targeted testing
  • Personalized treatment plans

The goal is immune balance, not immune suppression.

Physician-Led Autoimmune Care in NYC

At Patients Medical, autoimmune care is overseen by Dr. Rashmi Gulati, MD, ensuring:

  • Medical accountability
  • Safe, evidence-informed treatment
  • Coordinated care across systems

This model is ideal for cash-pay patients seeking depth, personalization, and long-term results.

What to Expect (Step-by-Step)

  • Comprehensive intake & history
  • Root-cause assessment
  • Targeted testing (as needed)
  • Inflammation stabilization
  • Gut & immune repair
  • Hormonal & metabolic support
  • Long-term immune regulation

Patient Experience (NYC)

Patients commonly report:

  • Improved energy
  • Reduced flares
  • Better digestion
  • Clearer thinking
  • Fewer medications
  • Improved quality of life

If you are struggling with autoimmune or inflammatory symptoms and want physician-led, root-cause care, Patients Medical in NYC offers comprehensive integrative evaluation under Dr. Rashmi Gulati, MD. Please call 1-212-794-8800 for an appointment.

Begin Your Journey with Patients Medical

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.

Request your consultation today!

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

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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