Areas of practice

Conditions investigated.

Four areas of investigation that frequently overlap in the same patient and are therefore assessed together.

Areas of practice

Conditions investigated.

Four areas of investigation that frequently overlap in the same patient and are therefore assessed together.

Mast Cell Activation Syndrome

Reactions involving skin, digestive tract, cardiovascular and nervous systems at once, without allergy testing explaining the picture.

Situations investigated: Flushing · reactions to foods and medications · symptoms triggered by heat, exertion or stress

Ehlers-Danlos Syndrome

Connective tissue alterations with joint, cutaneous and systemic repercussions, assessed against current international criteria.

Situations investigated: Joint hypermobility · chronic pain · recurrent dislocations · fatigue

Long COVID

Symptoms persisting months after infection, with multisystem mechanisms under active investigation in the scientific literature.

Situations investigated: Persistent fatigue · post-exertional malaise · cognitive changes · non-restorative sleep

Sleep Medicine

Assessment of sleep architecture and quality as a structural axis, frequently the element that reorganizes the understanding of a complex case.

Situations investigated: Non-restorative sleep · apnea · chronic insomnia · excessive daytime sleepiness

Approach

How the investigation is conducted.

A defined path, with stages that build on one another. Each consultation begins where the previous one ended.

  1. Listening and clinical timeline

    Reconstructing the trajectory: when each symptom appeared, what preceded it, how it evolved and what has already been investigated. The order of events often points to the mechanism.

  2. Integrating symptoms and systems

    Joint analysis of skin, digestive tract, cardiovascular system, sleep and cognition. Symptoms treated as separate fragments rarely reveal what they share.

  3. Hypotheses and targeted testing

    Tests chosen from defined hypotheses, with attention to the correct moment of collection. In some conditions, the result depends on when the sample is taken.

  4. Plan, follow-up and referrals

    Reasoned direction, with follow-up of the response and, when the presentation calls for another specialty, the appropriate referral.

Common questions

Before requesting a consultation.

When does an assessment like this make sense?

When persistent symptoms involve more than one body system without an explanation that integrates the whole, particularly after previous assessments that did not reach a clear direction.

How should I organize my test results?

In chronological order, with visible dates, including complete results rather than only the final report. Unremarkable results are relevant clinical information too.

Are patients from other regions seen?

Yes. The practice is in Brasília and receives patients from other locations. The team advises on scheduling at first contact.

What if my case belongs to another specialty?

Referral is part of clinical conduct. Recognizing that a presentation belongs to another field is part of medical responsibility, not a failure of the investigation.

What happens after I submit a request?

The team gets in touch to understand the case and provide guidance on the investigation and scheduling options.

If you recognize your history here, the first step is a conversation.

Send your information and the team will get in touch with guidance on the investigation and scheduling.

Request information about the consultation

The team responds on business days.

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