Patient Interest Form
Thank you for your interest. Please take a few minutes to answer these questions thoughtfully.
This helps us understand if Dr. Beata Lewis is the right fit for you and allows us to serve you better.
Thank you for your interest. Please take a few minutes to answer these questions thoughtfully.
This helps us understand if Dr. Beata Lewis is the right fit for you and allows us to serve you better.
Let’s start with data. Through comprehensive bloodwork and functional labs, we uncover the root causes behind your mental health concerns such as metabolic issues, inflammation, hormones, gut health, nutrients, toxins and more. This gives us the foundation for a truly personalized treatment plan.
A focused conversation about your health goals and the best path forward.
A focused conversation about your health goals and the best path forward.
Deep healing and sustained mental wellness
through integrated care.
Total Sessions: 38
Deep healing and sustained mental wellness
through integrated care.
Let’s start with data! We will start with a comprehensive assessment of your history, current concerns, bloodwork, and functional labs.
Designed for self-starters who are ready to take action with expert guidance, structured coaching, and a supportive community.
A focused conversation about your health goals and the best path forward.
Advanced testing to uncover root causes of health concerns.
66+ biomarkers analyzed. 45 min consultation to review your results. Written summary and recommendations.
| Amount Per % DV | |
|---|---|
| Vitamin B6 (as pyridoxal 5’-phosphate) | 5.00 mg - 294% |
| Vitamin B6 (as pyridoxine HCl) | 25.00 mg - 1470% |
| Folate (as [6S]-5-methyltetrahydrofolic acid, glucosamine salt) | 170.00 mcg - 42% |
| Vitamin B12 (as methylcobalamin) | 1,100.00 mcg - 45833% |
| Pantothenic Acid (as d-calcium pantothenate) | 50.00 mg - 1000% |
| Magnesium (Mg Taurinate, Mg Glycinate, Mg Malate) | 150.00 mg - 35% |
| Magnesium (as magnesium L-threonate) | 0.50 mg - ** |
| Magnesium L-threonate | 35.00 mg - ** |
| N-Acetyl-L-Cysteine | 175.00 mg - ** |
| PABA (para-aminobenzoic acid) | 25.00 mg - ** |
| Phosphatidylserine | 15.00 mg - ** |
| Phosphatidylserine (Sharp•PS®) | 50.00 mg - ** |
| Rhodiola Extract (Rhodiola rosea)(root)(3% rosavins and 2% salidroside) | 100.00 mg - ** |
| Theacrine | 100.00 mg - ** |
| trans-Resveratrol (from Polygonum cuspidatum root extract) | 1.00 mg - ** |
| Ginkgo Extract (Ginkgo biloba)(leaf) (20% ginkgoflavonglycosides and 5% terpene lactones) | 60.00 mg - ** |
| Glucoraphanin (from broccoli extract)(Brassica oleracea italica)(seed)(truebroc™) | 7.50 mg - ** |
| Huperzine A (from Huperzia serrata)(whole plant) | 100.00 mg - 5% |
| L-Ergothioneine | 12.50 mg - ** |
| Acetyl-L-Carnitine (as acetyl-L-carnitine HCl) | 450.00 mg - ** |
| Alpha Lipoic Acid | 50.00 mg - ** |
| Asian Ginseng Extract (Panax ginseng)(root)(5% ginsenosides) | 20.00 mg - ** |
| Bacopa Extract (Bacopa monnieri)(whole plant)(8% bacosides) | 50.00 mg - ** |
| Coenzyme Q10 (as ubiquinone) | 50.00 mg - ** |
| Cordyceps (Cordyceps militaris)(mycelium) | 400.00 mg - ** |
| Amount Per % DV | |
|---|---|
| Vitamin C, buffered (as calcium ascorbate) | 166.67 mg - 185% |
| Calcium (as calcium ascorbate) | 19.00 mg - 1% |
| Calcium (as Calcium Carbonate) | 85.00 mg - 6% |
| Vitamin B6 (as pyridoxal 5’-phosphate) | 16.67 mg - 980% |
| Vitamin B5 (as calcium pantothenate) | 33.33 mg - 666% |
| Magnesium (as di-magnesium malate) | 56.25 mg - 13% |
| Magnesium (as magnesium bisglycinate chelate) | 16.67 mg - 3% |
| Magnesium (as TRAACS® magnesium bisglycinate chelate and magnesium taurate) | 75.00 mg - 17% |
| Zinc | 3.33 mg - 30% |
| Potassium (as Albion® potassium glycinate complex) | 45.00 mg - ** |
| Proprietary blend Lactobacillus acidophilus, Bifidobacterium lactis, Lactobacillus casei, Lactobacillus plantarum, Lactobacillus rhamnosus, Bifidobacterium longum, Streptococcus thermophilus | 222.50 mg - ** |
| Rhodiola rosea root extract | 66.67 mg - ** |
| Schisandra (Schisandra chinensis) berry | 25.00 mg - ** |
| Sour Cherry (Prunus cerasus)(cherry) | 80.00 mg - ** |
| Taurine | 375.00 mg - ** |
| Valerian Extract (Valeriana officinalis)(root)(0.8% valerenic acids) | 200.00 mg - ** |
| myo-Inositol | 1500.00 mg - ** |
| Passion Flower Extract (Passiflora incarnata)(aerial part) | 60.00 mg - 5% |
| Eleutherococcus root extract (1.2% eleutherosides) | 16.67 mg - 5% |
| GABA (gamma-aminobutyric acid) | 75.00 mg - ** |
| Holy basil (Ocimum sanctum) leaf extract | 33.33 mg - ** |
| Hops Extract (Humulus lupulus)(strobulus)(0.3% rutin) | 30.00 mg - ** |
| L-Theanine | 37.50 mg - ** |
| Maca (Lepidium meyenii) root | 41.67 mg - ** |
| American Ginseng (Panax quinquefolius) root extract | 33.33 mg - ** |
| Ashwagandha (Withania somnifera) root extract | 33.33 mg - ** |
| Astragalus (Astragalus membranaceus) root | 50.00 mg - ** |
| Amount Per % DV | |
|---|---|
| Calcium (as dicalcium malate, calcium D-glucarate tetrahydrate, and calcium bisglycinate chelate) | 60.00 mg - 4% |
| Calcium (as tricalcium phosphate and calcium-d-glucarate) | 37.50 mg - 2% |
| Calcium D-Glucarate Tetrahydrate | 100.00 mg - 7% |
| Vitamin B6 (as pyridoxine HCl and pyridoxal 5'-phosphate) | 60.00 mg - 4% |
| Folate (as (6S)-5-methyltetrahydrofolic acid, glucosamine salt) | 15.00 mg - 882% |
| Folate (as (6S)-5-methyltetrahydrofolic acid, glucosamine salt) | 510.00 mcg -127% |
| Magnesium (as dimagnesium malate and magnesium lysinate glycinate) | 200.00 mcg - 8333% |
| Magnesium (as dimagnesium malate) | 125.00 mg -29% |
| Zinc (as TRAACS® zinc bisglycinate chelate) | 25.00 mg - 5% |
| Selenium (as methylselenocysteine) | 20.00 mg - 181% |
| trans-Pterostilbene | 7.50 mcg - 13% |
| trans-Resveratrol (as Polygonum cuspidatum root extract) | 7.75 mg - ** |
| Turmeric Extract (Curcuma longa)(root)(95% curcuminoids) | 9.25 mg - ** |
| Turmeric Extract (Curcuma longa)(root)(95% curcuminoids) | 20.00 mg - ** |
| Milk Thistle Extract (Silybum marianum)(seed)(80% silymarin) | 50.00 mg - ** |
| N-Acetyl-L-Cysteine | 50.00 mg - ** |
| Quercetin (as quercetin dihydrate)(from Dimorphandra mollis)(bud) | 50.00 mg - ** |
| Rosemary Extract (Rosmarinus officinalis)(leaf)(5% rosmarinic acid) | 25.00 mg - 5% |
| Glucoraphanin (from broccoli extract)(Brassica oleracea italica)(seed) | 25.00 mg - 5% |
| Grape Seed Extract (Vitis vinifera)(seeds)(5% monomers) | 12.00 mg - ** |
| Green Tea Aqueous Extract (Camellia sinensis)(leaf)(60% catechins, 30% EGCG, 6% caffeine) | 12.00 mg - ** |
| Green Tea Extract (Camellia sinensis)(leaf)(45% EGCG) | 125.00 mg - ** |
| Alpha Lipoic Acid | 50.00 mg - ** |
| Ashwagandha Extract (Withania somnifera)(roots and leaves) (35% withanolide glycosides) | 50.00 mg - ** |
| Black Cohosh Extract (Cimicifuga racemosa)(root and rhizome)(2.5% triterpene glycosides) | 120.00 mg - ** |
| Black Pepper Extract (Piper nigrum)(fruit) | 50.00 mg - ** |
| Calcium-D-Glucarate | 2.50 mg - ** |
| Chaste Tree Extract (Vitex agnus-castus)(berry)(0.6% aucubin and 0.5% agnuside) | 125.00 mg - ** |
| Dihydroquercetin | 50.00 mg - ** |
| Diindolylmethane (DIM) | 2.50 mg - ** |
| DIM (diindolylmethane) | 50.00 mg - ** |