Resilient Health by Design
Your Path: From First Call to Feeling Your Best for Life
Everyone follows the same clear steps. You always know where you are, what comes next, and how you will know you are ready.
The path, step by step
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STEP 1 By phone or video · free
Discovery Session
A 30-minute call. You tell Dr. Bekkum what is going on. He tells you whether functional medicine is a good fit for your case. Nothing is sold on the call.
You are ready for Step 2 when: you both agree it is a fit.
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STEP 2 In Moorhead or by video
Root Cause Consultation
A 60-minute visit. You fill out your full Vitality Score and a health and lifestyle history before you come. Dr. Bekkum reviews any recent labs you already have, looks for what is driving your symptoms, and gives you a written plan.
You are ready for the next step when: you have your plan and you know which step you start on.
Where do you start? Your results decide. Pain, an injury, or a lot of symptoms means you start at Step 3 in the clinic. No pain, but you still do not feel your best, means you start at Step 5. Already feeling well and want to stay that way? You start at Step 6.
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STEP 3 In person · Moorhead clinic
Relief by Design
Calm the pain and symptoms first. Hands-on care for the spine and joints, gentle movement from day one, and standard labs when you need them.
You are ready for Step 4 when: your pain stays low and your function score has clearly improved.
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STEP 4 In person · Moorhead clinic
Rehabilitation by Design
Rebuild how you move. We track your progress with a Kinetisense 3D movement scan, then build mobility, stability, and strength in that order.
You are ready for Step 5 when: your movement scan is back in the normal range, both sides match, and you can do what you came in to get back to.
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STEP 5 By video · 90 days
Vitality by Design™
Go from “normal” to your best. We start with your labs and your first changes to food, sleep, and gut health. The 90 days begin when your lab results come back. Your plan covers the five things you control: sleep, movement, food, stress, and relationships.
You are ready for Step 6 when: your Vitality Score is in the healthy range and your labs are in the best range, not just normal.
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STEP 6 By video · yearly
Longevity by Design
Keep it. Your genes show what your body is built for. A biological age test shows how fast you are aging. Each year, we check that number and adjust your plan to keep it moving the right way.
Each year: you review your results with Dr. Bekkum and decide whether to renew.
At the end of every step: your results review
Every step ends with a visit to review your results. We schedule it when the step starts, so it is already on your calendar.
- You see your numbers. Where you started, where you are now, and what changed.
- Dr. Bekkum gives you his recommendation. Move to the next step, stay a little longer, or stop here.
- You decide. You can stop after any step. You leave with a plan either way.
What we measure along the way
| Measure | What it tells us | When |
|---|---|---|
| Vitality Score | How much your body is dealing with across 15 body systems | At the start, then monthly during care |
| Pain and function scores | How much pain limits your day, for your back, neck, arm, or leg | Clinic steps, at each re-check |
| 3D movement scan | How well you move, and whether both sides match | Start of Rehabilitation and at each re-check |
| Labs | Whether your blood work is normal, and then whether it is at its best | At the start of Relief or Vitality, then as needed |
| Biological age | How fast you are aging compared with your birthday age | Longevity by Design, at least once a year |
You move up when your results say so, not when the calendar says so.
Who pays for what
- Clinic steps (Relief and Rehabilitation). Downtown Health & Wellness bills your insurance for covered services. Some services, such as shockwave and custom orthotics, may not be covered.
- Vitality by Design™ and Longevity by Design. Not covered by insurance.
- Labs and supplements. Billed separately, at the lab or supplement price.
We go over the cost of each step with you before you start it. No surprises.
Common questions
Do I have to do every step?
No. Your results decide where you start. If you have no pain or injury, you may go straight to Vitality by Design™ or Longevity by Design. You can also stop after any step.
How long does each step take?
It depends on your results, not the calendar. Relief and Rehabilitation usually take a few weeks to a few months. Vitality by Design™ runs 90 days once your first lab results are back. Longevity by Design is a yearly program you can renew.
Can I do this by video?
The Discovery Session, Root Cause Consultation, Vitality by Design™ and Longevity by Design can all be done by video. Relief and Rehabilitation are hands-on, so they happen in person at the clinic in Moorhead, MN.
Does insurance pay for this?
In-clinic Relief and Rehabilitation visits are billed by Downtown Health & Wellness, which bills your insurance for covered services. Some services, such as shockwave and custom orthotics, may not be covered. Vitality by Design™ and Longevity by Design are not covered by insurance. Costs are reviewed with you before you start any step.
Start with Step 1.
The Discovery Session is free and takes 30 minutes. We find out if this fits you. Nothing is sold on the call.