Integrix Phase 3 · Functional medicine by video
Vitality by Design: A 90-Day Functional Medicine Program to Get Your Energy Back
By video from Integrix Health, 22 6th St N, Moorhead, MN 56560 · inside Downtown Health & Wellness
Written and reviewed by Dr. Paul M. Bekkum, DC, CCEP · Last reviewed: November 11, 2026
Key facts
- What: Vitality by Design is a 90-day functional medicine program, the third phase of Resilient Health by Design.
- Who leads it: Dr. Paul M. Bekkum, DC, CCEP, 34 years in practice (since 1992).
- How: by video, from the Integrix Health clinic in Moorhead, MN.
- Length: 90 days. Vitality Intensive (symptom score 100+) runs 26 weeks.
- Support levels: On Your Own, With Check-ins, Guided and Concierge (by invitation only, 5 seats).
- Included (Guided level): a 90-day plan built from your symptom score and labs, three 30-minute visits with Dr. Bekkum, a monthly symptom check, one habit a week by email, and portal messages answered within 1 business day.
- Not included: labs, supplements, prescriptions and primary care.
- Payment: self-pay. No prices are listed online; we go over them at your Root Cause Consultation.
- Where it counts as care: Minnesota and North Dakota. Elsewhere it's health coaching and education.
What is Vitality by Design?
Vitality by Design is Integrix Health's 90-day functional medicine program. Functional medicine looks for the root causes of symptoms like fatigue, poor sleep, bloating, brain fog and hormone changes, instead of treating each symptom alone.
"Normal" lab ranges are averages. They tell you you're not sick yet. They don't tell you you're well. Vitality by Design reads your labs against optimal targets and works on the body systems pulling you down most.
Who is Vitality by Design for?
It's for you if:
- You feel tired, foggy, bloated or run down, and you've been told your labs are "fine"
- Sleep, energy, digestion, mood or weight have slipped, and you want to know why
- Your whole-body symptom score (MSQ) is 30 to 99 (take the free symptom quiz)
It's not the right fit if:
- Your score is 100 or more. Start with Vitality Intensive, the same program over 26 weeks with more support.
- Your score is under 30 and you feel well. See Longevity by Design.
- Pain or an injury is your main problem. Start with chiropractic care in our Moorhead clinic: Relief by Design.
- You need emergency, primary or prescription care. Keep your regular doctor.
How does Vitality by Design work?
- Free Discovery Session (30 minutes). We talk about your health and whether this is a good fit. Nothing is sold on the call.
- Root Cause Consultation (60 minutes). You complete the full symptom questionnaire, and Dr. Bekkum reviews your health, lifestyle and history. He tells you whether Vitality or Longevity fits. Bring your most recent lab results from the last 90 days. Dr. Bekkum reviews them from a functional blood chemistry analysis perspective and checks for any missing labs that would help complete your conventional lab picture for functional medicine. If you join within 14 days, your consultation fee counts toward the program. The credit applies to the With Check-ins, Guided and Concierge levels.
- Baseline labs. A blood panel read against optimal ranges, or recent labs you already have from the last 90 days.
- Your plan. We pick the top two body systems to work on first.
- Weekly habits. One small change a week: food first, then movement, sleep, stress and environment.
- Monthly symptom check to track progress.
- Day 90 review. We re-check what was off and decide your next step together.
What's included at the Guided level?
- A 90-day plan built from your symptom score and labs
- Three 30-minute visits with Dr. Bekkum by video
- A symptom check every month
- One small habit to work on each week, by email
- Portal messages answered within 1 business day
Labs and supplements are separate. We tell you the cost before you buy anything.
Support levels
Which support level is right for you?
Your results, your way. The plan is built the same way at every level. What changes is how much support surrounds it. No prices are listed online; we go over them at your Root Cause Consultation.
Jump to a level: Vitality by Design – On Your Own · Vitality by Design – With Check-ins · Vitality by Design – Guided · Vitality by Design – Concierge
Vitality by Design – On Your Own
Take your results and plan, and do it yourself. You get a written 90-day plan built from your own recent labs (under 90 days old; we list any that are missing). Symptom checks at Days 30, 60 and 90, each with a short written response. No visits. Not offered if your symptom score is 100 or more or you have a red-flag symptom.
Vitality by Design – With Check-ins
Take your results and get light guidance. I review your progress in writing and adjust your plan. You get the same written plan, plus a full written follow-up report at Days 30, 60 and 90, each with a reply thread for your questions. No visits.
Vitality by Design – Guided
Take your results and get full guidance. We meet by video at each step, and I coach you through it. Most people choose this. Three 30-minute video visits with Dr. Bekkum, a monthly symptom check, scheduled labs and portal messages answered within 1 business day. Vitality Intensive (symptom score 100 or more, 26 weeks) is offered at this level.
Vitality by Design – Concierge
Everything is provided for you, and I hold you accountable. I arrange your tests, supplements and schedule, and I stay on you between visits. By invitation only. 5 seats. Everything in Guided, plus same-business-day replies from Dr. Bekkum, hands-on help with scheduling and supplement autoship, and a monthly wearable review.
If your symptom score is 100 or more, or you have a red-flag symptom, the Guided level is the starting point.
What is the root-cause approach?
Seven body systems, two at a time
Functional medicine looks at seven systems: digestion, defense and repair (inflammation and immunity), energy, detox, circulation and blood sugar, hormones and stress, and structure. Your symptom score and labs show which ones are pulling you down most. We work on the top two at a time. How the Integrix Method works →
Food first, then the rest
The order is food, then movement, then sleep, then stress, then your home and environment. A targeted supplement comes only after the basics are in place. If you need care outside our scope, we refer you.
Labs read for "optimal," not just "normal"
A baseline blood panel looks at markers like blood sugar and insulin, inflammation, cholesterol particles, thyroid, iron and vitamin D. We re-check what was off at Day 90. Already had labs done? Bring results from the last 90 days to your Root Cause Consultation, and we'll check for any that are missing. If your results point to a specific problem, we may suggest a focused stool, hormone or organic acids test. These are separate, and we always ask first.
Where does chiropractic care fit in Vitality by Design?
Vitality by Design is functional medicine, but your body's structure still matters.
- Many people come to Vitality after Relief by Design and Rehabilitation by Design at our Moorhead clinic, and keep their strength routine going.
- If new pain shows up or your movement slips, we bring you in for an in-clinic chiropractic visit in Moorhead.
- Poor sleep and inflammation raise pain, and pain wrecks sleep. Working on both breaks the loop.
What happens after Day 90?
- Score under 30 and labs on target: you graduate to Longevity by Design. Graduates who join within 14 days of their Day-90 results get a graduate credit.
- Choosing to stop: you leave with a written plan to follow on your own.
Important information about Vitality by Design
- Where you are matters. Vitality by Design is delivered by video. If you are located in Minnesota or North Dakota at the time of a session, it is chiropractic and functional medicine care within the scope of Dr. Bekkum's chiropractic license. If you are located anywhere else, it is health coaching and education only. It is not medical or chiropractic care, does not diagnose or treat any disease, and does not create a doctor-patient relationship.
- Keep your doctor. This program doesn't replace your primary care provider. Don't stop or change any medication without talking to the person who prescribed it.
- Testing and supplements. Outside Minnesota and North Dakota, lab results are reviewed for education only, not to diagnose disease. Supplement statements have not been evaluated by the Food and Drug Administration; supplements are not intended to diagnose, treat, cure or prevent any disease.
- Results vary. No specific result is guaranteed.
- Self-pay. Integrix Health does not bill insurance or submit claims. You get a receipt for every payment.
- Stories. Client stories reflect individual experiences, not typical results.
- Emergencies. This program is not for emergencies. If you think you are having a medical emergency, call 911.
Is Vitality by Design covered by insurance?
No. Vitality by Design is self-pay at every support level. We go over the cost with you at your Root Cause Consultation, before you commit. In-clinic chiropractic care at Downtown Health & Wellness is billed to insurance separately.
Watch: 9 minutes
How functional medicine finds the root cause
Dr. Bekkum explains the three clues behind most chronic symptoms, why your story matters, and how Vitality by Design™ builds a plan that fits your life.
Resilient Health by Design
How do the four Integrix programs compare?
| Relief by Design | Rehabilitation by Design | Vitality by Design | Longevity by Design | |
|---|---|---|---|---|
| Phase | 1 | 2 | 3 | 4 |
| Mainly | Chiropractic care (some functional medicine) | Chiropractic rehab (some functional medicine) | Functional medicine (some chiropractic) | Functional medicine (some chiropractic) |
| Goal | Calm pain | Fix what set the pain off, so it stays gone | Get energy, sleep and digestion back | Measure and slow biological aging |
| Best for | Back pain, neck pain, neck-related headaches, joint pain | Recurring pain, sports injuries, post-Relief | Symptom score 30–99 | Symptom score under 30, Vitality graduates |
| Where | In clinic, Moorhead, MN | In clinic, Moorhead, MN | By video | By video |
| Length | Until your scores say you're ready | Three stages, each passed by a rescan | 90 days (Intensive: 26 weeks) | One year |
| Measured by | Pain score, function questionnaire | 3D movement scan (scored out of 100) | Monthly symptom score, labs | TruAge + TruHealth at day 0, month 6, month 12 |
| Support levels | None: one in-clinic plan | None: one in-clinic plan | Vitality by Design – On Your Own · Vitality by Design – With Check-ins · Vitality by Design – Guided · Vitality by Design – Concierge | Longevity by Design – On Your Own · Longevity by Design – With Check-ins · Longevity by Design – Guided · Longevity by Design – Concierge |
| Payment | Covered services billed to insurance by Downtown Health & Wellness | Covered services billed to insurance by Downtown Health & Wellness | Self-pay (Integrix Health) | Self-pay (Integrix Health) |
| Page | Relief by Design: chiropractic pain relief | Rehabilitation by Design: chiropractic rehab | Vitality by Design: 90-day functional medicine | Longevity by Design: one-year longevity program |
Common questions
Frequently asked questions about Vitality by Design
What is Vitality by Design?
Vitality by Design is a 90-day functional medicine program from Integrix Health in Moorhead, MN. It finds what is draining your energy across seven body systems and fixes it step by step, by video.
Who is Vitality by Design for?
Adults who feel tired, foggy, bloated or run down, often with labs called normal, and whose whole-body symptom score (MSQ) is between 30 and 99. A score of 100 or more starts with Vitality Intensive.
How is functional medicine different from a regular checkup?
A checkup asks whether you are sick. Functional medicine asks why you do not feel well. We look at seven body systems, read labs against optimal targets, and track your symptom score every month.
How do I start?
Book a free 30-minute Discovery Session. If it is a good fit, you have a 60-minute Root Cause Consultation, where Dr. Bekkum reviews your history and symptom score and tells you whether Vitality or Longevity fits you.
Are labs and supplements included?
No. Labs and supplements are separate, and we tell you the cost before you buy anything. You choose whether to buy them.
What if my symptom score is 100 or higher?
We start with Vitality Intensive, the same program over 26 weeks with more support.
Can I join if I don't live in Minnesota or North Dakota?
Yes, by video. For clients in Minnesota and North Dakota, it is care from a licensed Doctor of Chiropractic. Everywhere else, it is health coaching and education, not medical or chiropractic care.
What support levels does Vitality by Design have?
Four: On Your Own — Take your results and plan, and do it yourself. With Check-ins — Take your results and get light guidance. I review your progress in writing and adjust your plan. Guided — Take your results and get full guidance. We meet by video at each step, and I coach you through it. Most people choose this. Concierge — Everything is provided for you, and I hold you accountable. I arrange your tests, supplements and schedule, and I stay on you between visits. By invitation only. The clinical plan is the same at every level.
Can I bring my own labs?
Yes. Bring your most recent lab results from the last 90 days to your Root Cause Consultation. Dr. Bekkum reviews them from a functional blood chemistry analysis perspective and checks for any missing labs that would help complete your conventional lab picture for functional medicine.
Your doctor
About Dr. Paul M. Bekkum, DC, CCEP
Dr. Paul M. Bekkum is a Doctor of Chiropractic (DC) and Certified Chiropractic Extremity Practitioner (CCEP) with 34 years in practice (since 1992). He earned his Doctor of Chiropractic degree from Northwestern College of Chiropractic (now Northwestern Health Sciences University) in 1992. He founded Integrix Health, a chiropractic and functional medicine clinic at 22 6th St N, Moorhead, MN 56560, inside Downtown Health & Wellness, serving Fargo-Moorhead. He is licensed in Minnesota and North Dakota. Read more about Dr. Bekkum →
Integrix Health · 22 6th St N, Moorhead, MN 56560 (inside Downtown Health & Wellness) · 701-347-1968 · Mon–Fri 9–5, Wed 9–6
Normal isn't optimal. Let's find out what's draining you.
Book a Free Discovery Session, take the free symptom quiz, or call 701-347-1968.