Introducing: Your Personalized, Root Cause Solution To Transform Your Health & Your Life
 THE ESSENTIALS PROGRAM
A 6-month transformational health and personal optimization program to help you eliminate symptom overwhelm, uncover hidden causes of health problems, and provide you with a step-by-step process to reclaim your life and own your future.
You're not built to feel bad.
In fact every cell in your body is programmed to restore and maintain health if we provide the right conditions and instructions.

Instead of focusing on the limitations of disease, we create a comprehensive and personalized plan so you can restore health and benefit from longterm resilience.
Tired of feeling dismissed and unheard?
We provide an education, a partnership, and a plan 
to get to your root cause(s) so you can restore your health!
If you've experienced the frustration and hopelessness of being told "everything looks fine" when you don't feel fine or run into a dead end with your current health plan - it's time for a smarter approach.

You are not a diagnosis, disease, or lab result. You are a person, with a unqiue story and health history. So to get the results you want, your plan needs to be a personalized strategy, customized to meet your needs.

At Thriving Force, we begin by listening to understand your journey. Your experience combined with your health history and discussion of major life events helps us identify the causes of your health concerns.

Next, we recommend the right root cause lab testing to eliminate blind spots and personalize your treatment from a cellular level up. 
Introducing... The Thriving Force Method
The Thriving Force Method is a step-by-step process that combines a root cause approach, health creating habits, and a personalized plan to help you maximize your health.
Can Thriving Force Help Me With ________?
It is never our intention to "treat" any condition that our patients present with. It is our goal to reverse engineer a patient's presentation by removing whatever is interfering with their health and add what is missing. 

We do not replace medical interventions but instead help our patients become their own health advocates. Our goal is always centered around restoring vitality. We believe that a diagnosis can never paint the full picture of what is going on and only limit intervention options. 

While is not our intention to treat a diagnosis, patients with the below issues have reported significant improvements: 
  •  Brain Health & Mood Disorders (Anxiety, Panic Attacks, Depression)
  •  Cognitive Decline (Brain Fog, Poor Memory, ADD/ADHD)
  •  Digestive disorders (IBS, SIBO, Crohn’s, Colitis, Heartburn)
  •  Autoimmune disease (MS, RA, Celiac, Type 1 Diabetes, Hashimoto’s, Psoriasis, Etc)
  •  Difficulty Losing Weight
  •  Hormone & Endocrine Imbalances (Thyroid Disease, PMS, PCOS, Hot Flashes)
  •  Infertility & Irregular Menstrual Cycles
  •  Joint Pain & Stiffness
  •  Diabetes & Metabolic Syndrome
  •  Chronic Fatigue & Fibromyalgia
  •  Poor Energy & Adrenal Imbalances
  •  Health Optimization & Resiliency
Your personalized plan to restore and maximize your health so you can take charge of your life & your future.
Our approach is centered around identifying and resolving the root cause(s) of your health concerns instead of treating symptoms alone. This requires a comprehensive approach and investigating hidden triggers for dysfunction (nutrient deficiencies, poor digestive health, hormonal imbalances, and chronic infections to name a few) as well as providing the nutrition and lifestyle education you need to create a solid foundation to rebuild your health stronger.

We start by listening to understand your story. Your experience combined with your health history, timeline, and physical exam help us identify the causes of your health concerns.

In addition, we use functional lab testing to identify root causes that cannot be identified from a thorough history and physical exam alone. The results of these specialized tests help us eliminate blind spots and personalize your treatment.

This approach, paired with health skill building, education, and support puts you in charge of your health so you can say goodbye to the limitations of annoying and painful health problems.
The Essentials Program Includes
  •  8 Comprehensive Consultations
  •  An Investigative Approach To Your Case
  •  Personalized Lab Interpretation Videos
  •  Customized Nutrition & Lifestyle Design
  •  Personalized Root Cause Plan
  •  Direct Lab & VIP Supplement Pricing
  •  Educational & Development Workshops
Your consultations include clinical appointments, lifestyle and nutrition consultations, acupuncture treatments, and lab results reviews. The type of appointments will be customized to your personalized plan.

Your program length will vary from 6 – 8 months. Continuing care options are available after you have completed your Essentials Program.

Bonus: Return visits include acupuncture treatment as recommended so you can leave the office rested and refreshed.
Personalized Lifestyle & Nutrition Design

A significant part of your clinical outcome is based on your nutrition and lifestyle strategy. Because we realize the value of this and the impact it has on you and your family, we emphasize lifestyle and nutrition throughout the process. By taking better care of yourself, you can lead your family to better health.
Functional Lab Testing

Functional lab testing helps evaluate health on a cellular level. This testing is different from conventional testing because it helps evaluate the root cause(s) of your health challenges instead of just diagnosing you. This testing is done through urine, stool, saliva, and/or blood.
Video Lab Interpretations

Each lab test provides us with detailed clinical data and insight into your cellular function. We want to make sure that you fully understand your lab results and that you can easily share them with your healthcare team if necessary.

Most importantly, the video lab interpretation allows you to become more involved and engaged in your own care. We believe that an informed patient gets much better long-term outcomes and becomes an active participant in their health and wellness.
Smart Supplements & Personalized Plan

After thoroughly evaluating your case, we create your personalized plan. It's important that we do the right things in the right order to help you achieve the best results.  

You will receive personalized treatment plans at each phase of your healing journey. Treatment phases are typically 30-60 days long and consist of specific nutrition, lifestyle, and supplement protocols for that phase of healing. Then we will move on to the next phase with a new plan. 
Direct Lab Pricing

To provide the most affordable care possible, Thriving Force has made special arrangements with all of our lab vendors to provide you with direct lab pricing. This ensures that you will get the lowest price possible on all lab testing. 

Conventional blood tests may be covered by your insurance provider or ordered through our direct pay partner at up to 80% off standard lab prices. Direct pricing on functional lab tests.
Customized Supplement Program & VIP Pricing

After reviewing your lab results and evaluating your mineral and nutrient demands, we will recommend a personalized supplement program. Our recommendations will include only the highest quality products to create more predictable outcomes.

Premium, medical-grade supplements and natural medicines at up to 25% off retail pricing.
Refill recommended supplements online and have them shipped directly to your door.
Facebook Community Group

Our private Facebook group allows you to stay connected with our Thriving Force community. This group consists of current and past patients along with other health seekers. In this group, we provide live Q&A every week along with exclusive content that we share with our most devoted followers.

This group provides a deeper level of engagement and helps you stay motivated and connected along the way.
Workshops, webinars, and web resources

Community and education are paramount to your long-term success. We offer LIVE workshops, LIVE Q&A, and a growing a library of online resources.
The Thriving Force Essentials Program is personalized for you to ensure that you get the results that you are looking for. Our promise is to do whatever it takes to help you find an answer. We promise to be cost conscious without compromising your outcomes.

With this approach you can get results much faster than you think possible, save time and money by taking the fastest path to your health goals, and create sustainable results and resiliency that you will benefit from longterm.

Our Essentials program starts at $2999. Testing and supplements are customized based on your history and findings. To learn about flexible payment options for those on a budget, please visit our frequently asked questions page.
The Essentials Program
Starting at:
$2999
Apply To Work With Us And Find Out If The Essentials Program Is Right For You
Success Stories
Kirby
Possibly the best decision I've
ever made.
Could not be happier. Possibly the best decision I've ever made.
Michelle
I have had such a positive experience working with Dr. Sara...
I have had such a positive experience working with Dr. Sara. She recommended a series of lab tests that helped me find my root cause, and then started me on a regime of supplements to start the cleansing and healing. We also changed my thyroid medicine, and I have seen huge improvements with energy and clarity. Thank you Dr. Sara DeFrancesco!
Amy
When modern medicine
failed me...
When modern medicine failed me, Dr. Sara came to the rescue! Her tests, diagnosis, and treatment were 100% accurate. I was completely healed and fully restored in 6 months.
5 Myths About Root Cause Medicine Debunked
Myth # 1 - I've tried "everything"

Many patients who work with us have been to multiple doctors, specialists, and even Naturopathic Doctors. For many getting the answers and care they deserve is a long road and it can feel like you've tried everything, but we guarantee you haven't. Your body wants to heal, it just needs the right conditions and instructions.

When a person submits to the thought of having "tried everything" they subconsciously submit to the idea that nothing more can be done. Most people we speak to have never had a root cause approach to their case, functional lab testing, smart supplements, and a personalized plan that makes sure they are taking the right steps in the right order - all of which can be fundamental to the healing process. Chances are there are many aspects of your health that have not yet been fully explored. 
Myth # 2 - If this worked, my doctor would know about it

Conventional medicine is designed for acute care, emergency interventions, and advanced disease states. The focus in conventional care is on the disease name and a one-size-fits-all pharmaceutical approach to manage symptoms. This is often necessary for acute care or emergency interventions to help you feel better in a traumatic or life-threatening situation. However this is an ineffective method for addressing chronic conditions which often worsen when the focus is managing symptoms instead of resolving causes and rebuilding health.

A personalized approach to chronic conditions and health optimization allows us to focus on the root causes of your health concerns and provide a plan designed specifically for you to remove your obstacles to healing, support optimum function of your body's systems, and strengthen your health and resiliency. We also believe that there is a time and place for intelligent use of conventional methods, and will recommend them accordingly if we feel it’s necessary. 
Myth # 3 - I don't have time

We are all allotted the same amount of time in a day, and that time passes whether you’re healthy or sick. Few things are more wasteful than time spent managing an illness or disease. Think of all the hours spent online researching your illness or sitting in a doctor’s waiting room for a 15-minute visit. When you don’t feel well, you’re also less productive at work and that can impact your finances - which leads to more time wasted spent worrying about your bottom line. 

We believe that being healthy is one of the best ways to free up more time for you to do the things you enjoy the most with the people you love the most. In order to help you make the most of your time, we offer the option and convenience of video consultations to provide you with clear, concise directions on how to finally take control of your health and your life. The next 24 hours are going to pass regardless of what you do. Why not spend them pursuing better health?
Myth # 4 - Functional medicine is expensive

This is the biggest misconception about functional medicine - primarily because we’ve been conditioned to expect insurance to pay for everything. In doing so, we have unwittingly ceded control of our wellness over to the lowest bidder - at the expense of our own health. In reality, functional medicine is the most affordable form of healthcare on the planet, especially when you consider that the average person spends more much money in their lifetime in the allopathic model managing a disease or illness without ever truly healing. 

Thankfully, some forward-thinking insurance companies and governments are now running pilot-projects to demonstrate the significant cost savings to both patients and healthcare systems using a functional medicine model, while at the same time helping participants achieve increased positive health outcomes.  

Sometimes the true cost of services being rendered isn’t just measured in dollars and cents, and just because something is covered by your insurance company does not make it cheaper. We’re proud of the fact that the average Thriving autoimmune patient saves thousands of dollars each year in medical expenses, while at the same time learning a liberating life skill that can be taught to their own children and loved ones. When choosing a healthcare provider, it’s important to look beyond the cost of something and instead consider it’s value. From the longterm perspective, functional medicine wins every time. 
Myth # 5 - I can figure this out on my own

We live in the era of information and the entirety of the world’s knowledge is available at your fingertips. Yet the most valuable information you need for healing is to know what’s going on inside your body and specifically the personalized plan that will work for you. 

Our process is focused on your story, medical timeline, game-changing functional lab testing (for example the health of your cells and gut bacteria which we cannot know from your history and physical exam alone), thorough analysis of your case, and support to provide you with a deeper insight into your personal health challenges and how to overcome them. 

Our goal is to partner with you to help identify the root cause of your health problems, teach you the life skills you need to remedy them, and support you in your transformation. Self-navigating through the sea of conflicting information ends up costing you both your health and your sanity, because general information may not be relevant to you and your case. We don’t recommend it.
Apply To Work With Us And Find Out If The Essentials Program Is Right For You
Frequently Asked Questions
What should I expect at my initial consultation?

At your initial consultation Dr. DeFrancesco will listen to your story, review your medical history, and perform physical exams. If you are a good candidate for our services, Dr. DeFrancesco will discuss the necessary lab tests and schedule your Nutrition and Lifestyle Consultation for the following week.
What should I bring to my initial consultation?

To get the most value from the initial consultation complete and return your intake form 24 hours in advance. Bring any pertinent medical records, test results, and current supplements.
How much does the initial consultation cost?

The initial consultation is $299.
How long is the initial consultation?

The initial consultation is 75-90 minutes.
What is included in the Essentials Program?

The Essentials Program includes:

- 8 Comprehensive Consultations
- An Investigative Approach To Your Case
- Personalized Lab Interpretation Videos
- Customized Nutrition & Lifestyle Design
- Personalized Root Cause Plan
- Direct Lab & VIP Supplement Pricing
- Online & In Person Educational & Development Workshops
How do I know if I qualify for the Essentials Program?

The Essentials Program is for anyone who wants to maximize their health. If you have a condition which requires urgent medical attention or if you are not motivated to take responsibility for your health through significant nutrition and lifestyle changes, the Essentials Program is not a good fit for you.
Do I still need a Primary Care Physician?

Yes. We do not provide acute or urgent care services and we do not replace the services that your current medical team provides. We provide a stand-alone service focused on eliminating root causes and creating and advancing health.
Does the cost of the initial consultation apply to the cost of the Essentials Program?

Yes, your initial consultation is one of your eight appointments included in the Essentials Program. When you enroll in the Essentials Program your payment for the initial consult is credited to the total investment in the program.
What is the investment in the Essentials Program?

The Essentials Program is $2999. If you are looking for a financing option, click here to learn about Advance Care Card.

In addition, flexible payment plans are available by making a $299 at time of booking for the initial consultation and choosing one of the following options to complete payment:

- Pay In Full: $2700 (Best value. Save $100-150 compared to payment plans.)
- 2 Monthly Payments Of: $1400
- 3 Monthly Payments Of: $950
Does your office take insurance?

We strongly believe that third party payers shouldn’t interfere with the relationship between a patient and their doctor, influence medical decisions, or limit access to care. Therefore, we are a proud direct care provider.
We do not accept insurance or Medicare for our consulting services. Your case requires special attention, educational resources, communication, and time that is not covered by insurance companies.

However, we will provide you with a Superbill that you can submit to your insurance provider for out-of-network benefit reimbursement. You may also use your HSA or FSA account. Please check your with your insurance provider or Human Resources Department to find out.
Can I use my HSA or FSA account?

Yes. Please check with your HR department to be sure.
Are labs and supplements included?

Labs & supplements are not included in the Essentials Program and are an additional cost depending on what you need.

We offer direct lab pricing which means that you pay the lab directly and get the best prices on recommended lab tests. The labs we work with offer insurance coverage for PPO plans as well as cash discounts.

Supplements are provided at a 25% discount through our online retailers and in-house medicinary.
How much should I budget for Functional Lab Tests?

We’re committed to enhancing your access to the services, laboratory testing, and medicines you need through transparent and affordable pricing. We provide labs and supplements at our cost – no markup – and pass the savings on to you.

On average, you should budget between $500-$1000 for functional lab tests.
Is the Essentials Program and Functional Lab Testing covered by insurance?

The Essentials Program is not typically covered by insurance, however in many cases you can use your HSA or FSA for your visits.

Upon request we will provide a Superbill for your appointments that you can submit to your insurance provider to receive out-of-network benefit reimbursement if that is a part of your plan. We do not guarantee reimbursement.

The functional lab tests we use are often covered by PPO insurance plans or can be purchased directly from the lab.
How does the lab testing work?

Bloodwork is done either at your insurance provider’s prefered local laboratory or in the comfort of your home or office with a mobile phlebotomist who will come to you.

Functional labs tests are typically done at home with a kit and clear instructions we provide you with. Payment is made directly to the lab to ensure access to the lowest price possible.

PPO Insurance Plans, HSA, and FSA benefits may be used to cover labs costs depending on your program’s contract with the lab.
Do you work with patients outside of Oregon?

We are currently accepting patients who live in Oregon and nearby Washington and are able to travel to our office in Portland, Oregon for their initial consultation. Follow up visits can be done by secure video chat for your convenience.
What are your office hours?

Our office hours are Tuesday to Friday 10AM-5PM.
What happens after I complete the Essentials Program?

Once your health is on track, you won’t need us as much. At the conclusion of your program we will discuss next steps and create an annual plan for you to stay on track and follow up as needed.
Can my appointments be done over video chat?

Yes. Your first appointment must be done in person so we can meet you, establish care, and conduct physical exams. Follow up visits can be done via secure video chat.
I’m ready to get started, what are the next steps?

Apply to work with us by clicking the button below and filling out an application. We will review your application with care and compassion within 1-2 business days. 

If you qualify, the next step is a complimentary discovery call with Dr. DeFrancesco so we can determine if we are a good fit to work together.This is your chance to get all of your questions answered and find out if our program is the right solution for you.
Ready To Find Your Root Causes And Transform Your Health So You Can Make Your Future Years The Healthiest Of Your Life?

Apply To Work With Us And Find Out If The Essentials Program Is Right For You
We will review your application with care and compassion within 1-2 business days. If you qualify, the next step is a complimentary discovery call with Dr. DeFrancesco so we can determine if we are a good fit to work together.
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