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    Health Coaching

    The Approach

    The functional approach to health coaching is a transformative team approach. Whether you are working with Dr. Julia, or with another doctor who has recommended specific lifestyle adjustments, our nurse coach, Tammy Rich, RN, BSN, FMCHC, is here to provide support and guidance as you implement your doctor’s recommendations.

    Our health coaching services are open to everyone. If you are not an established medical patient of Dr. Julia and have not received a specific lifestyle prescription from your primary doctor, you will be coached on healthy lifestyle behaviors according to research-based recommendations for the general population – eating a nutrient-dense diet free of added sugars and processed foods, implementing an appropriate therapeutic exercise routine, managing stress, relationships, and good sleep hygiene.

    Please note – your coach will NOT be able to provide medical advice or order lab testing. If you desire either of these, we recommend starting with one of our medical patient programs. Your doctor (either Dr. Julia, or another doctor if she is not your doctor) must provide the initial prescription for lifestyle change based on your medical history and lab results, while the coach works with you to implement the initial changes – and then helps you maintain good habits over the long-term.

    Specific coaching services can include but are not limited to: strategy and goal-setting sessions in the office, over video, or by phone; pantry assessment and clean-out; grocery store tours with attention to your recommended nutrition plan; in-home meal preparation*.

    *Pantry assessments, grocery store tours and in-home meal preparation are currently only available within a 30-mile radius of Kalona, Iowa.

    Meet the Health Coach

    TAMMY RICH, BSN, RN, FMCHC

    Tammy Rich, BSN, RN, NBC-HWC, FMCHC is a registered nurse and certified functional medicine health coach. She completed her coaching certification in 2019 through the Functional Medicine Coaching Academy (FMCA). This is the only program that works in collaboration with the Institute for Functional Medicine to certify health coaches. Tammy integrates the best of both conventional medicine and functional medicine in her work as a nurse coach.

    Tammy’s passion is helping families to be healthy. She believes a lifetime of wellness starts in the home and enjoys seeing the entire household benefit from the lifestyle changes made by just 1 or 2 family members. She brings her own passion for healthy living to her practice. Formerly a minister, she is an excellent listener and is skilled in nurturing the whole person. Her professional toolkit includes a wealth of techniques for implementing lifestyle change, pushing past limiting beliefs, and breaking through long-standing barriers — all with an emphasis on the implementation of specialized healing diets and mindfulness practices. Her expertise will help you level-up to your best self!

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