Terrain Proactive is designed for adults who want to take a proactive approach to reducing modifiable cancer risk and optimizing long-term health. It may be appropriate if you:

• Have a strong family history of cancer

• Carry a hereditary cancer-related genetic mutation

• Are in remission and want to support long-term wellness

• Want to better understand your individual risk factors

• Are interested in functional medicine and personalized prevention strategies

Your primary care provider plays an important role in your health. They focus on preventive screenings, diagnosing and treating illness, managing chronic conditions, and coordinating your overall medical care.

Terrain Proactive complements—not replaces—that relationship.

Rather than asking, "Do you have disease?" we ask, "What biological factors may be influencing your long-term health?"

We take an in-depth look at areas that are not typically explored during a routine primary care visit, including:

• Advanced nutritional status

• Gut health and the microbiome

• Inflammation and immune function

• Environmental toxicant exposure

• Genetic SNPs that influence detoxification and metabolism

• Mineral balance

• Lifestyle factors that influence long-term health

Our goal is to identify opportunities to optimize your internal terrain and create a personalized plan that supports resilience and reduces modifiable risk factors over time. Terrain Proactive is designed to work alongside your primary care physician—not replace them.

No. Terrain Proactive is not a cancer screening or diagnostic program, and no program can guarantee cancer prevention.

Instead, we focus on identifying and improving the many biological factors that influence health—including inflammation, immune function, metabolism, gut health, toxic burden, nutrient status, and genetics—to help create an internal environment that supports long-term wellness. This approach reflects the terrain-based philosophy that guides all of our care.

Your Initial Consultation takes place over two visits.

During the first visit, your provider will review your medical history, family history, lifestyle, and health goals before recommending foundational laboratory testing.

At your second visit, you'll review your results, discuss what they reveal about your terrain, and begin developing a personalized strategy. If Terrain Proactive is the right fit, you'll also discuss membership and next steps.

Your membership includes several advanced functional medicine assessments that help us understand how your body is functioning beneath the surface. Depending on your needs, testing may include:

• Comprehensive genetic SNP analysis

• Food sensitivity testing

• Environmental toxin assessment

• Hair mineral analysis

• Advanced functional laboratory testing

Additional testing may be recommended based on your individual health history and goals.

Improving your terrain isn't accomplished in a single visit.

Your biology changes over time as you implement nutrition, lifestyle, and therapeutic recommendations. Membership allows us to monitor your progress, interpret new findings, adjust your plan, and provide ongoing guidance as your health evolves.

Yes.

Terrain Proactive includes a 12-month membership commitment. Meaningful changes in metabolism, immune function, nutrient status, and lifestyle occur over months—not weeks. This timeframe allows us to establish a strong baseline, implement personalized recommendations, reassess your progress, and make thoughtful adjustments as needed.

Terrain Proactive membership is $499 per month.

Your Initial Consultation Package and any recommended laboratory testing are separate from the monthly membership fee.

Your provider will review all anticipated costs with you before beginning care so there are no surprises.

Many advanced functional medicine tests included in the membership are covered by the program.

Some laboratory testing and specialty diagnostics may have additional costs depending on your individual needs. We will always discuss recommendations and pricing before ordering testing.

No.

Terrain Proactive is a direct-pay functional medicine program and is not billed to insurance.

This allows our providers to spend significantly more time with patients, recommend advanced testing when appropriate, and develop highly individualized care plans without the restrictions often imposed by insurance companies.

Many patients are able to use Health Savings Account (HSA) or Flexible Spending Account (FSA) funds for eligible services. Because every plan is different, we recommend checking with your HSA or FSA administrator regarding your specific coverage.

No.

Terrain Proactive is specifically designed for individuals who do not have active cancer but want to better understand their health and reduce modifiable cancer risk.

If you have active cancer, our comprehensive Integrative Oncology program may be a more appropriate fit.

Possibly.

Many patients with hereditary cancer predisposition choose Terrain Proactive to better understand how nutrition, detoxification, inflammation, immune function, hormones, and lifestyle may influence their overall health alongside appropriate medical surveillance.

Many visits can be completed virtually, although some services, therapies, and in-office assessments require visits to our Blue Ash clinic.

We'll discuss what participation would look like based on your location during your Discovery Call.