The Chiropractic Internist approach is based on natural, functional, and preventative medicine as a wellness model that treats dysfunction before disease develops. The goal of the Chiropractic Internist is to evaluate conditions as early as possible, in order to avert disease outcomes and their secondary consequences. Imbalances in the patient's immune system, energy production, gastrointestinal, hormonal, structural, psychological, and neurological health are all examined, resulting in a truly holistic approach. Treatment includes an in-depth medical history, review of prior laboratory findings, physical examination, additional diagnostic laboratory studies that go beyond standard conventional testing, use of pharmaceutical-grade supplementation, nutritional recommendations, and lifestyle modification.