Every service we offer, organized by what brought you here.

POTS Treatment in Philadelphia

POTS (postural orthostatic tachycardia syndrome) is defined by a heart rate increase of 30+ bpm (40+ in adolescents) within 10 minutes of standing, in the absence of orthostatic hypotension, with chronic symptoms of orthostatic intolerance.

MCAS Treatment in Philadelphia

Mast cell activation syndrome (MCAS) is a condition of inappropriate mast cell release of histamine and other mediators, causing flushing, urticaria, GI symptoms, food sensitivities, fatigue, and sometimes anaphylaxis.

Long COVID Care in Philadelphia

Long COVID in Philadelphia is best managed in primary care with enough time to do the workup, screen for treatable comorbidities (POTS, MCAS, mast-cell activation, autonomic dysfunction, mood and sleep effects), and coordinate specialist care when needed.

Lyme Disease Care in Philadelphia

Lyme disease is endemic across the Delaware Valley and Philadelphia.

Chronic Fatigue Treatment in Philadelphia

Chronic fatigue in Philadelphia is usually mismanaged by the 12-minute primary care visit: TSH gets checked, ferritin sometimes, and patients are told their labs are normal.

Brain Fog Treatment in Philadelphia

Brain fog is rarely a single diagnosis.

TRT in Philadelphia

Testosterone replacement therapy (TRT) in Philadelphia is best done after a real workup: at least two morning total testosterone measurements, free testosterone, SHBG, LH and FSH, prolactin, estradiol, hematocrit, PSA, and a thoughtful conversation about symptoms, sleep, weight, alcohol, and stress.

Hormone Optimization in Philadelphia

Hormone optimization is a marketing term used by everyone from primary care to wellness clinics to peptide outfits.

Thyroid Treatment in Philadelphia

Thyroid disease in Philadelphia is most often diagnosed and missed at the same time, because the standard workup runs only TSH and stops there.

Perimenopause Care in Philadelphia

Perimenopause typically begins in the late 30s to mid 40s and can last 4 to 10 years.

Menopause Care in Philadelphia

Menopause is the day twelve months after your last period; the years that follow are post-menopause.

PCOS Care in Philadelphia

PCOS in Philadelphia is most often managed piecemeal: an OB-GYN for cycles and fertility, a dermatologist for acne and hair, an endocrinologist for insulin resistance if it gets escalated.

GLP-1 Weight Loss in Philadelphia

GLP-1 medications (semaglutide as Ozempic or Wegovy, tirzepatide as Mounjaro or Zepbound) are the most effective non-surgical weight-loss tools available, with average weight loss in trials of 15-22% over 12-18 months.

Metabolic Health in Philadelphia

Metabolic health in Philadelphia is best measured with fasting insulin, HbA1c, ApoB, a fasting lipid panel, blood pressure, and waist circumference.

Advanced Lipid Testing in Philadelphia

Advanced lipid testing in Philadelphia replaces or supplements the standard cholesterol panel with measurements that better predict cardiovascular risk: ApoB (the count of atherogenic particles), Lp(a) (a genetically-determined particle, once-in-a-lifetime test), and sometimes particle-size and inflammation markers.

CGM in Philadelphia

Continuous glucose monitors (CGMs) measure interstitial glucose every few minutes and stream the data to your phone.

Longevity Medicine in Philadelphia

Longevity medicine in Philadelphia is primary care reorganized around healthspan: the years you stay healthy and functional, not just alive.

Healthspan Optimization: Living Better, Longer

Healthspan optimization is the practice of extending the years of life spent in good health, free from disease and disability.

Preventive Care in Philadelphia

Preventive care in Philadelphia, when done well, looks like a 60 to 90 minute exam, advanced cardiovascular biomarkers (ApoB, Lp(a)) instead of a standard cholesterol panel, a personalized cancer-screening conversation rather than a generic age-based reminder, and a written plan you take home.

Why We Don't Sell an Executive Physical (And What We Do Instead)

: There is no "Fishtown Medicine Executive Physical" product.

The Deep Dive

The standard 15-minute annual physical was designed to catch acute illness, not optimize healthspan.

VO2 Max Testing in Philadelphia

VO2 max - the maximum oxygen your body can use during exercise - is the single best predictor of all-cause mortality after age.

DEXA Scan in Philadelphia

DEXA scans in Philadelphia measure bone mineral density (the standard medical use) or whole-body composition (the longevity use).

Functional Medicine: Finding the Root Cause

A good functional medicine doctor in Philadelphia treats the underlying system dysfunction (insulin resistance, inflammation, hormonal imbalance) instead of just stacking supplements.

Sleep Disorders Treatment in Philadelphia

Sleep disorders in Philadelphia primary care are usually under-evaluated.

Same-Day Sick Visits in Philadelphia

Same-day sick visits in Philadelphia are usually handled three ways: urgent care chains ($150 to $300 per visit, 1 to 3 hour waits), telehealth ($75 to $150, fast but no exam), and direct primary care practices like Fishtown Medicine, where members reach their physician directly and are usually seen same day.

UTI Treatment in Philadelphia

Uncomplicated UTIs in healthy young women with classic symptoms can often be treated empirically by telehealth or message without an in-person visit.

Strep Throat Treatment in Philadelphia

Strep throat is best diagnosed with a rapid antigen test or throat culture.

Sinus Infection Treatment in Philadelphia

Most sinus infections in Philadelphia are viral and resolve in 7-10 days without antibiotics.

STI Testing in Philadelphia

STI testing in Philadelphia is widely available through primary care, public health clinics, and direct-pay services.

Travel Medicine in Philadelphia

Travel medicine consultation in Philadelphia covers destination-specific vaccines, malaria and traveler's diarrhea prophylaxis, prescriptions to carry, and country-specific health guidance.

Pre-Op Clearance in Philadelphia

Pre-operative medical clearance in Philadelphia is required for most elective surgeries.

Direct Primary Care: No More Middlemen

Direct Primary Care (DPC) in Philadelphia is a flat-fee model that replaces insurance for primary care, with prices typically running $50 to $300 per month.

Concierge vs. DPC: Which Fits You?

Concierge medicine traditionally means you pay an annual access fee on top of insurance billing.

Is Concierge Medicine Worth It?

Concierge medicine in Philadelphia ranges from about $1,800 to $28,000 per year.

You Deliver the Ultimate Member Experience. Who is Caring for Your Team?

Fishtown Medicine partners with Philadelphia-area sports and country clubs to provide text-first, physician-led primary care for elite teaching pros, leadership, and operational staff.