Bio-identical Hormone & Peptide Specialists

Autoimmune, Inflammatory & Chronic Care

Gut–Immune Testing & Treatment

Around 70% of immune function lives in the gut. When the barrier there is compromised, the consequences rarely stay in the gut — which is why so many unrelated-looking symptoms trace back to it.

Who this is for

Patients with digestive symptoms, and patients with none whose problem may still start there.

Bloating, irregular digestion or food reactions
Fatigue that sleep does not resolve
Brain fog, joint pain or skin changes alongside gut symptoms
Getting ill more often, or taking longer to recover
An autoimmune diagnosis or suspicion
Probiotics and elimination diets that helped a little and no further

Reactive management with restrictive diets and basic probiotics addresses discomfort without building lasting robustness. The aim here is a gut that withstands normal life, not one managed around.

What the program includes

GI-MAP comprehensive testing

Looks for root drivers — dysbiosis, hidden infections, inflammation and digestive deficiencies — rather than confirming that symptoms exist.

The barrier assessed

When the intestinal barrier fails, particles leak into the bloodstream and trigger immune reactions. Establishing whether that is happening changes the whole plan.

Immune markers alongside

Because the gut and immune system are the same conversation, inflammatory and immune testing is usually run with it.

Repair, not suppression

Oral BPC-157 is used to help rebuild the damaged digestive foundation rather than blocking a pain response — giving the body what it needs to repair tissue at a cellular level.

How this program runs

Foundational Assessment — $599

A full biological picture before anything is prescribed: symptoms, history, goals and comprehensive bloodwork, reviewed by Dr. Varano.

Membership — $279 / month

Ongoing clinical oversight, direct clinician messaging between visits, and protocol adjustments based on how you actually respond.

Your protocol

Built to your labs and your goals, then re-checked and adjusted as your numbers move. Nothing here is a fixed script.

Current program pricing is listed on the specialty treatment plans page.

What we track

Testing is repeated after a repair protocol so that healing is measured rather than inferred from symptom relief. Energy often returns as the immune load drops, since sustaining a chronic immune response consumes an enormous amount of metabolic energy.

Gut & Immune Testing in Conshohocken & Greater Philadelphia

GI-MAP and gut-immune testing is ordered and interpreted from our Conshohocken clinic, in Montgomery County just outside Philadelphia. Bloodwork is drawn locally and visits are available in person or by telehealth across Pennsylvania.

YoungerMeMD · 125 East Elm Street, Suite 201, Conshohocken, PA 19428 · (215) 892-1230

Questions patients ask us

How does the immune system drain energy through the gut?

About 70% of immune function lives in the gut, and when the lining is compromised, particles can escape into the bloodstream and trigger a chronic immune response that consumes enormous metabolic energy.

How can a damaged gut affect the rest of my body?

Leaked particles prompt an immune response and chronic inflammation that can spread beyond the gut, contributing to fatigue, mental fog, joint pain, and immune issues.

How is functional stool testing different from standard care?

Instead of just managing symptoms, tests like the GI-MAP look for root drivers such as dysbiosis, hidden infections, inflammation, and digestive deficiencies to inform a targeted plan.

How can testing help with recurrent illness?

Comprehensive testing like the GI-MAP can reveal bacterial imbalances, hidden infections, or a weakened gut barrier, guiding a targeted strategy to rebuild the gut and support immune resilience.

How does peptide-based gut healing differ from symptom management?

Instead of blocking a pain response, it focuses on giving the body what it needs to repair tissue at a cellular level. Oral BPC-157 is used to help rebuild the damaged digestive foundation.

Why focus on resilience instead of chasing symptoms?

Reactive symptom management with restrictive diets and basic probiotics addresses discomfort without building lasting robustness. Focusing on long-term resilience aims to help the gut withstand normal life.

Read more on this

This page covers how testing and treatment run. For the clinical detail, follow the guides below.

Test the gut before treating everything downstream of it

Every plan starts with the Foundational Assessment and a conversation about what you are actually trying to change.

This page is for general educational purposes and does not constitute medical advice. Individual results vary. Therapies are provided only after clinical evaluation and where medically appropriate. Speak with a YoungerMeMD provider about your specific needs.

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Peptide Consult







    Provocation agent administered prior to timed urine collection (<6hr). Reveals toxic metal burden that can block hormone and peptide response.

    Identifies gluten sensitivity, intestinal permeability (leaky gut), and wheat-related immune reactivity – distinct from standard celiac testing.

    DNA Based stool test detecting pathogens, bacterial imbalances, parasites, and digestive markers – a comprehensive gut microbiome assessment.

    Non-invasive carotid artery ultrasound measuring arterial wall thickness – a direct look at your cardiovascular age.

    Cardio Res-Q cardiac risk panel – inflammation markers and cardiovascular biomarkers beyond standard labs.

    Evaluates intracellular vitamin, mineral, and antioxidant status – foundational to optimizing cellular health and peptide efficacy.

    Full Sex hormone, thyroid and adrenal picture. Identifies imbalances that affect energy, recovery, cognition, and peptide response.

    Advanced testing for immune reactions to wheat, gluten, and intestinal permeability.

    What It Evaluates

    Heavy metals like mercury, lead, cadmium, arsenic, and aluminum can cause:

    Conditions We Identify