Working with Sunjya Schweig and Ramzi Asfour

The way that Dr. Schweig and Dr. Asfour work with patients differs considerably from the conventional medical model you may be accustomed to. Please read the following information thoroughly to familiarize yourself with the process. The fee structure is described at the end.

As a new patient, your treatment is broken into two phases:

Each phase is described in more detail below.

Phase One: The Case Review

The Case Review is the first step for all new patients. The Case Review is designed to save money and time in the long-term by performing the appropriate diagnostic testing and evaluation before treatment begins. A cornerstone of our approach is “test, don’t guess.” Identifying the underlying patterns contributing to disease is the key to a successful and lasting outcome.

The Case Review serves several purposes. It enables us to more accurately estimate how long your treatment program will last, what it will include and how much it will cost. It gives you the chance to ask any questions you may have about your condition and what you should expect. Finally, it provides an opportunity for us to get to know each other and determine if our clinic is a good fit for you over the long-term.

The initial Case Review and new patient evaluation at our center is comprised of two appointments:

Case review step one: Initial consultation

This initial 90-minute appointment is for us to make sure that we have all of the information needed to gain a comprehensive understanding of many of the factors affecting your health.

As part of the Case Review, a Patient Care Coordinator will provide you with the Case Review health history paperwork to complete. It is important that you spend time and energy completing these intake forms, as they are vital in helping us understand your case. This paperwork includes:

  • A detailed health and medical history questionnaire
  • A survey of your chief complaints and most important health goals
  • An assessment of your most troubling and frequently experienced symptoms
  • A diet survey and questionnaire
  • A survey of your current supplements and medications
  • Detailed body assessments regarding metabolic and neurological function

Note: We do feel that it is important for us to review previous labs and records. Please provide these to our office in advance of your appointment via the patient portal. The doctor will review these at the time of your appointment, however, if the records are extensive, the doctor will need additional time to complete his review of the records. This will be billed at an additional cost.

After your initial intake, the doctor will:

It is critical that you implement the 30-day Reset diet to the best of your ability. Your experience with the diet will be as important as any lab findings in guiding the next steps in your care plan.

Once you complete your labs and we have received the lab results you will move on to Step Two: the Report of Findings. This typically occurs between 45 and 60 days after the Initial Consultation, because some of the labs we use take up to 4 weeks to deliver the results to us after receiving your sample. While you wait for your labs to come back, you will be implementing the 30-day Reset diet and initial supplement and lifestyle recommendations, and making forward progress.

Case review step two: Report of Findings

The Case Review Report of Findings visit is a 60-minute appointment. Dr. Schweig and Dr. Asfour prefer that this visit is done in person, however it can be done by phone or Chiron video when necessary.

At the Report of Findings visit, the doctor will:

  • Integrate data from your history and intake with the new laboratory data from testing.
  • Discuss the underlying patterns and triggers that are contributing to your symptoms.
  • Outline the suggested treatment plan, including dietary, supplement and lifestyle recommendations.
  • Recommend further testing (this will typically be minimal, if necessary at all, because of the completeness of the Case Review initial assessment).
  • Answer any questions you have about the findings or the treatment plan.

Phase Two: Ongoing Treatment

Once the Case Review is complete, you will have follow-up appointments on an as-needed basis. In general, Dr. Schweig and Dr. Asfour recommend that regular follow-up visits be scheduled every 6-8 weeks, depending on your health needs. At these visits, he will review your progress with the treatment plan, along with any follow-up test results, and make additional recommendations as necessary.

You may schedule follow-up appointments in person in our office or by phone or Chiron video. If you live outside of the San Francisco Bay Area, we ask that you return for an in person visit at least once per year.

Fees

Fee schedule for visits

The Case Review is the fastest and most efficient way to determine the underlying causes of your health problems and design an effective treatment plan. While a Case Review may cost more than a typical initial visit to a physician, it is designed to save you money and time over the long-term by performing the appropriate diagnostic testing and evaluation before treatment begins.

Here is a breakdown of the costs involved in the Case Review and follow up visits so you can plan accordingly. All of these are billed at the conclusion of the appointment.

Sunjya Schweig

Initial Consult: $795. Includes the 90-minute in office appointment, Dietary Guidelines and Case Review preparation.

Case Review: $480. Includes the Report of Findings and a 60-minute office, phone or Chiron appointment with Dr. Schweig.

Regular Follow-ups: $360 for 45 minutes and $480 for 60 minutes.

Dr. Ramzi Asfour

Initial Consult: $795. Includes the 90-minute in office appointment, Dietary Guidelines and Case Review preparation.

Case Review: $480. Includes the Report of Findings and a 60-minute office, phone or Chiron appointment with Dr. Asfour.

Regular Follow-ups: $360 for 45 minutes and $480 for 60 minutes.

Laboratory tests estimated costs for case review

The cost of laboratory tests recommended during the case review process is typically $600–$2000 depending on complexity of condition and level of diagnostics required. The cost of some testing includes an administration and interpretation fee.

The exact lab testing ordered after the Initial Case Review depends on your individual circumstances, but may include:

  • Blood tests for specific conditions, such as high cholesterol, hypothyroidism, vitamin markers, autoimmune disease, gluten and food sensitivity and stealth infections.
  • Advanced stool testing to screen for parasites, fungal overgrowth, bacterial infections, intestinal inflammation, dysbiosis and a deficiency of beneficial gut bacteria.
  • Breath testing for gastrointestinal bacterial imbalances.
  • Urine organic acids testing to screen for small intestinal bacterial overgrowth, fungal overgrowth, problems metabolizing fat or carbohydrates, B-vitamin status, methylation issues, detoxification capacity, oxidative stress and neurotransmitter metabolism.
  • Saliva or serum hormone testing for adrenal and sex hormone status.
  • Genetic testing for methylation and mold susceptibility.
Supplements

The fee for supplements that are prescribed as part of your treatment plan after the Case Review is typically $150–$300.

Grand total of Case Review fees

On average, the total you should expect to pay for the entire Case Review process with Dr. Schweig is roughly $1,500–$3,500. This includes the first two visits, lab studies and initial supplements.

Please note that you will have the opportunity to decide which of the laboratory and supplement recommendations you wish to proceed with, and you will only pay for those that you approve. The only fee that you commit to is the fee for the visit.

Estimated Costs for Laboratory Tests for Ongoing Treatment

Ongoing lab fees vary considerably depending on the patient and treatment plan, but average approximately $200–400/month.

Estimated Costs for Supplements for Ongoing Treatment

Ongoing supplement fees vary considerably depending on the patient and treatment plan, but average approximately $150–$350/month.

Miscellaneous fees

Service Fee
Portal messages Simple clarifications from recent visits and/or management of side effects of recently prescribed therapy are included in the visit price. More complex, detailed responses or questions outside of a recent visit are billed at $35 minimum, prorated by the time it takes to read the question and respond.
Letter writing and forms Minimum $95, additional prorated for time greater than 15 minutes.