Metabolic Psychiatry & Integrative Mental Health

Metabolic psychiatry is an emerging field that examines the relationship between metabolic function and mental health.

Factors such as insulin resistance, hormonal function, gut health, inflammation, nutrition, and energy metabolism may influence brain function, mood, attention, and emotional regulation.

At Marathon Wellness, we explore these connections through personalized clinical assessments and evidence-informed interventions.

What Is Metabolic Psychiatry?

Mental health is not just about the mind. Increasing evidence highlights the important connections between brain function, metabolic health, nutrition, inflammation, hormones, sleep, and emotional well-being.

At Marathon Wellness, we integrate emerging insights from metabolic and nutritional psychiatry, integrative medicine, functional medicine, and lifestyle medicine to take a broader look at the biological and environmental factors that may contribute to mental health challenges.

Mental Health Concerns We Address

Our approach may also support individuals who have experienced an incomplete response to conventional treatment and are interested in complementary strategies.

Our integrative mental health services may benefit individuals experiencing: Depression, low mood, ADHD, and OCD

Looking Beyond Symptoms: A Root-Cause Approach

Mental health symptoms are often influenced by multiple interacting factors.

Our comprehensive assessment may explore:

• Metabolic health: Blood glucose regulation, insulin resistance, lipid status, and cardiometabolic function.

• Nutritional status: Vitamin B12, folate, iron, vitamin D, B6, zinc, magnesium, copper, nutritional lithium, omega fatty acids, and other nutrients when indicated.

• Hormonal influences: Thyroid function, reproductive hormone transitions, and other relevant endocrine factors.

• Inflammation and gut health: Potential associations between systemic inflammation, gastrointestinal health, and mental well-being.

• Genetic influences: Selected genomic and pharmacogenetic insights when clinically appropriate.

• Sleep and stress physiology: Sleep patterns, circadian rhythm, and nervous system regulation.

• Lifestyle and environmental factors: Nutrition, physical activity, substance exposures, relationships, and everyday stressors.

Advanced laboratory and genetic testing is individualized and is not required for every patient.

Why Choose Marathon Wellness? Personalized Integrative Mental Health Strategies

Based on your clinical history, testing, and goals, our team develops a personalized care plan with the following:

• Team-based support with nutritionist and health coaching care

• Treatment of modifiable metabolic, biological, lifestyle, and environmental factors that contribute to symptoms and chronic health concerns

• Breathwork, vagal regulation, and stress-management techniques

• Targeted high-quality supplementation when clinically appropriate

• Longitudinal monitoring of symptoms and relevant health measures.

For selected patients, specialized nutritional approaches, including ketogenic metabolic therapy, may be discussed when appropriate, with attention to the current evidence and necessary clinical supervision

Our recommendations are designed to work alongside, rather than replace, conventional psychiatric medications, psychotherapy, or other established mental health treatments.

Explore a More Comprehensive Approach to Mental Health

If you are interested in understanding how nutrition, metabolic health, genetics, and lifestyle factors may influence your emotional and cognitive well-being, we invite you to connect with Marathon Wellness. Led by triple board-certified physician Rachel Kermen, MD, our personalized approach is designed to complement conventional mental health treatment while helping individuals identify potentially modifiable contributors to their symptoms.

Our services complement conventional psychiatric and psychological care and do not replace urgent or specialized mental health treatment.