Our Services

    • Management of a wide variety of chronic diseases including diabetes, hypertension, COPD, Asthma, Coronary Artery Disease, Heart Failure and more

  • Diagnostic & Assessment Services

    • Comprehensive health history intake (lifestyle, genetics, environment)

    • Functional blood testing (expanded panels beyond conventional labs)

    • Stool analysis (gut microbiome, digestion, pathogens)

    • Organic acids test (metabolic function and nutrient status)

    • Hormone testing (DUTCH test, saliva, serum, urine)

    • Food sensitivity and allergy testing

    • Heavy metal and toxin testing

    • Nutrigenomics / genetic testing (e.g., MTHFR, APOE, COMT)

    • Cardiometabolic risk assessments

    • Immune function panels

    • Adrenal stress index / cortisol rhythm testing

    Nutrition & Lifestyle Services

    • Personalized nutrition planning (anti-inflammatory, elimination diets, etc.)

    • Therapeutic diets (cardiometabolic, Detox, Mito, Low FODMAP, etc.)

    • Nutrient repletion protocols (e.g., magnesium, B12, iron)

    • Detoxification support (natural detox pathways, not “fad” cleanses)

    • Weight optimization programs

    • Intermittent fasting guidance

    • Gut healing protocols (e.g., 4R or 5R program: Remove, Replace, Reinoculate, Repair, Rebalance)

    • Functional culinary education or coaching

    Supplement & Botanical Support

    • Individualized supplement protocols

    • Herbal medicine (adaptogens, antimicrobials, liver support, etc.)

    • Medical-grade nutraceuticals

    • Mitochondrial and cellular energy support

    • Immune modulation support

    Mind-Body & Lifestyle Therapies

    • Stress management programs

    • Sleep optimization counseling

    • Movement & exercise prescriptions

    • Mindfulness, meditation, and nervous system regulation

    • Trauma-informed care (ACES, somatic therapies, etc.)

    • Health behavior change support

    Chronic Illness & Special Condition Programs

    • Autoimmune disease reversal support

    • Digestive disorders (IBS, SIBO, IBD)

    • Thyroid optimization (Hashimoto’s, hypothyroid)

    • Hormone balancing (PMS, PCOS, perimenopause, andropause)

    • Cardiometabolic disease reversal (HTN, diabetes, dyslipidemia)

    • Brain health (anxiety, depression, cognition, ADHD)

    • Environmental illness (mold, Lyme, toxin overload)

    • Long COVID / post-viral syndrome support

    • Fertility optimization (men & women)

  • InBody Scan:

    • Provides a comprehensive body composition analysis, including skeletal muscle mass, body fat percentage, and total body water distribution.

    • Utilizes segmental analysis to evaluate muscle and fat distribution in each limb and trunk for more precise assessment.

    • Measures visceral fat levels, an important indicator for cardiometabolic and chronic disease risk.

    • Calculates basal metabolic rate (BMR) to support the development of evidence-based nutrition and treatment plans.

    • Assesses muscle–fat balance to help identify sarcopenia, obesity, or other health-related concerns.

    • Enables longitudinal tracking of body composition changes to monitor patient progress and treatment effectiveness.

    • Generates standardized, detailed reports to guide clinical decision-making and patient education.

    InBody Grip Strength Measurement:

    • Serves as a reliable indicator of overall muscle strength and function, often correlated with mobility and independence.

    • Provides a validated biomarker for sarcopenia and frailty, useful in early detection and risk assessment.

    • Assists in evaluating nutritional status and recovery potential in both preventive and therapeutic settings.

    • Offers a quick, non-invasive screening tool that complements body composition analysis.

    • Helps track functional improvements over time, supporting the effectiveness of rehabilitation, fitness, or treatment programs.

    • Associated with long-term health outcomes, including cardiovascular health, bone strength, and reduced risk of disability.

    • Generates objective, reproducible data that can guide clinical decisions and patient education.

  • Personalized Weight Management with GLP-1/GIP Medications

    At Raphael Direct Primary Care, we take a personalized approach to weight management that goes beyond the number on the scale. Our program combines medical evaluation, metabolic assessment, nutrition and lifestyle support, and—when medically appropriate—prescription medications to help patients achieve meaningful and sustainable improvements in their health.

    For appropriate patients, we may prescribe semaglutide or tirzepatide, medications that work through GLP-1-based pathways to help regulate appetite, increase satiety, and support weight management.

    Medications We May Prescribe

    Semaglutide
    A GLP-1 receptor agonist that can help regulate appetite, increase feelings of fullness, and support weight loss and metabolic health.

    Tirzepatide
    A GIP/GLP-1 receptor agonist that can help regulate appetite and food intake and support weight loss and metabolic health.

    Treatment is individualized based on your medical history, current medications, health goals, laboratory findings, and clinical needs.

    Our Approach Includes

    • Comprehensive medical evaluation

    • Individualized medication selection and dosing

    • Provider-guided dose adjustments

    • Ongoing monitoring and follow-up

    • Nutrition and lifestyle support

    • Metabolic health assessment

    • Monitoring for potential side effects and medication interactions

    • Regular reassessment of treatment goals and progress

    Where Your Medication Comes From

    Raphael DPC does not sell, stock, or directly dispense prescription medications.

    When medication is medically appropriate, Dr. Dunn writes an individual prescription. The prescription is sent to a licensed pharmacy or, when appropriate, a licensed compounding pharmacy for fulfillment. The pharmacy dispenses and ships the medication directly to the patient.

    Compounded Medications

    In certain circumstances, a compounded formulation may be prescribed when determined to be medically appropriate. Compounded medications are prepared by a licensed compounding pharmacy and are not FDA-approved. The FDA does not review or approve compounded medications for safety, effectiveness, or quality before marketing.

    The decision to use a compounded medication is made on an individualized basis after discussing the potential benefits, risks, alternatives, and available treatment options.Item description

    • Annual Physical Exam

    • Well Woman Exam/Paps

    • Pre-Op Exams

    • Sports Physicals

  • Joint Injections

    Trigger Point Injections

    Trigger Finger Injections

    Abscess Incision and Drainage

    Laceration Repairs

    Skin Lesion Biopsy

    Mole/Skin Tag Removal

    Wart Removal

    Toenail removal

    Earwax Removal

    Foreign Body Removal

  • Individualized Peptide-Based Treatment

    Peptides are naturally occurring or synthetic compounds that can act as signaling molecules in the body. Certain peptide therapies are being studied or used in clinical settings for a variety of purposes, including tissue support, recovery, body composition, metabolic health, and healthy aging.

    At Raphael DPC, peptide therapy is approached as an individualized medical treatment. We consider your medical history, health goals, medications, laboratory findings, and overall clinical picture before determining whether a particular therapy may be appropriate.

    Peptide Therapies We May Consider

    Depending on your individual circumstances, treatment may include consideration of peptides such as:

    Recovery & Tissue Support

    • BPC-157

    • TB-500

    • GHK-Cu

    Body Composition & Metabolic Health

    • Tesamorelin

    • Ipamorelin

    • IGF-1 LR3

    Healthy Aging & Cellular Support

    • Epithalon

    • NAD+

    • GHK-Cu

    Hormonal & Reproductive Support

    • Gonadorelin

    • Kisspeptin

    Not every peptide is appropriate for every patient, and availability and prescribing options may change based on current evidence, regulations, pharmacy availability, and individual clinical circumstances.

    Prescribed Through a Licensed Pharmacy

    Raphael DPC does not sell, stock, or directly dispense peptide medications.

    When peptide therapy is determined to be medically appropriate, Dr. Dunn writes an individual prescription that is sent to a licensed compounding pharmacy. The pharmacy prepares, dispenses, and ships the prescribed medication directly to the patient.

    Patients purchase their prescribed medication directly through the dispensing pharmacy; Raphael DPC does not sell the medication or mark up the pharmacy's medication cost.

    An Evidence-Informed Approach

    Peptide therapy should be approached thoughtfully and with appropriate medical oversight. Before prescribing, we consider potential benefits, risks, contraindications, drug interactions, available evidence, and the patient's individual health circumstances.

    Many peptide products used in clinical practice are compounded and are not FDA-approved. Compounded medications are not reviewed or approved by the FDA for safety, effectiveness, or quality before marketing.

    Our goal is to provide individualized medical guidance and to use these therapies responsibly as one potential component of a comprehensive approach to health.