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Chronic Disease Management
Expert, Ongoing Care for Chronic Conditions
Internal Medicine and Family Medicine That Keeps You Ahead of Your Health
Living with a chronic condition requires more than a prescription — it requires a partner. Our internal medicine and family medicine providers specialize in the long-term, coordinated management of complex chronic diseases, helping you maintain the highest possible quality of life while preventing complications before they occur.
Conditions We Manage
We provide comprehensive, ongoing management for a wide range of chronic conditions across all adult age groups:
Cardiovascular Conditions
- Hypertension (high blood pressure)
- Hyperlipidemia (high cholesterol)
- Coronary artery disease (CAD)
- Heart failure (in coordination with cardiology)
- Peripheral artery disease
- Atrial fibrillation (in coordination with cardiology)
Metabolic & Endocrine Conditions
- Type 2 diabetes mellitus
- Type 1 diabetes (in coordination with endocrinology)
- Prediabetes and metabolic syndrome
- Thyroid disorders (hypothyroidism, hyperthyroidism)
- Obesity and weight-related metabolic dysfunction
- Adrenal insufficiency (in coordination with endocrinology)
Pulmonary Conditions
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Obstructive sleep apnea management and CPAP compliance (in coordination with pulmonology)
Gastrointestinal Conditions
- Gastroesophageal reflux disease (GERD)
- Irritable bowel syndrome (IBS)
- Inflammatory bowel disease (IBD) management (in coordination with gastroenterology)
- Chronic constipation and GI motility disorders
Renal & Urological Conditions
- Chronic kidney disease (CKD) monitoring and management
- Recurrent urinary tract infections
- Benign prostatic hyperplasia (BPH)
Musculoskeletal Conditions
- Osteoarthritis
- Osteoporosis and bone health management
- Gout and hyperuricemia
- Rheumatoid arthritis management (in coordination with rheumatology)
- Fibromyalgia
Neurological Conditions
- Migraine and headache management
- Peripheral neuropathy
- Memory concerns and cognitive health (in coordination with neurology)
Mental & Behavioral Health Conditions
- Depression
- Generalized anxiety disorder
- ADHD (adult)
- Insomnia and sleep disorders
Hematological Conditions
- Iron deficiency anemia
- B12 and folate deficiency anemia
- Anticoagulation management (warfarin / Coumadin monitoring)
Metabolic & Endocrine Conditions
MAT is not trading one addiction for another. It is medicine — proven, effective, and life-saving.
Our Approach to Chronic Disease Management
Coordinated, Whole-Person Care
Chronic conditions rarely exist in isolation. Our providers are trained to see the full picture — managing multiple conditions simultaneously while understanding how each medication and treatment decision affects your overall health.
Evidence-Based Treatment Protocols
We follow current clinical guidelines from organizations such as the AHA, ADA, AAFP, and USPSTF, while always personalizing care to your individual circumstances, values, and goals.
Specialist Coordination
When your condition warrants specialist involvement, we don’t simply hand you a referral and send you on your way. We actively coordinate with cardiologists, endocrinologists, pulmonologists, nephrologists, and other specialists to ensure seamless, well-communicated care.
Regular Monitoring & Lab Management
Chronic disease management depends on consistent tracking. We establish individualized monitoring schedules — lab work, vitals, imaging — and proactively follow up on results to adjust your treatment plan as needed.
Patient Education & Self-Management Support
Understanding your condition is one of the most powerful tools you have. We take the time to explain your diagnosis, your medications, and practical steps you can take at home to reduce your disease burden and live better.
Managing Multiple Conditions
Many of our patients come to us managing two, three, or more chronic conditions at once. Our internal medicine training equips us to think through the complex interactions between conditions and medications — minimizing side effects, avoiding dangerous drug interactions, and developing treatment strategies that address your health as a whole.
Schedule a Chronic Care Appointment
We accept most major insurance plans. New patients welcome.