Where it starts
The process often starts in the gut or immune system.
Food, toxins, stress, and your environment can all play a role.
Understand what may actually be driving your exhaustion, brain fog, and unexplained weight gain.
A 60-minute consultation with our clinical team to explore what may be keeping you stuck and identify a clear next step.
Book Your Recovery Map
Your labs come back normal. Your doctor says you’re fine — maybe it’s stress.
But you’re exhausted. You can’t think straight. The weight won’t budge.
You’ve tried the diet changes. The supplements. The dose adjustments.
Some things help for a while. Nothing lasts.
Your symptoms aren’t just a thyroid problem.
Your immune system, gut, hormones, and thyroid are all connected.
That’s what Coherence was built to understand.
But the symptoms keep coming back.
The thyroid medication. The gluten free diet. The supplements.
Some things help for a while. Nothing lasts.
The reason may be that the thyroid is downstream of something deeper.
The idea is simple: when your body senses danger, it can shift from healing to protection.
The process often starts in the gut or immune system.
Food, toxins, stress, and your environment can all play a role.
The gut and immune system send signals to the brain.
When the brain senses danger, it puts the body on high alert.
This can affect mood, sleep, and energy.
Your thyroid, metabolism, and cells can all start making less energy.

Clinical Cofounder
30+ years in functional medicine. Cofounder of Cleveland Clinic’s Center for Functional Medicine.
He has cared for thousands of patients, published peer-reviewed research on patient outcomes, and helped train a generation of functional medicine clinicians.

Cofounder
Harvard-trained scientist and healthcare entrepreneur.
Kush studied Computer Science at Harvard and began his career in biotech, working on gene therapies and becoming an inventor on multiple patents.

Clinical Lead
Former Mayo Clinic clinician with deep experience in complex chronic disease.
She also brings advanced training in genomics, gut-immune health, and functional medicine.

Clinician
10 years in functional medicine. The first nurse practitioner at Parsley Health.
She is now on the faculty of the Institute for Functional Nursing.
Her own experience with unexplained exhaustion led her to functional medicine and shapes how she cares for patients today.

Health Coach
Cleveland Clinic trained. Part of the first national cohort of Board-Certified Health & Wellness Coaches.
Karen trained at Duke Integrative Medicine and later worked at Cleveland Clinic’s Center for Functional Medicine.
Today, her work focuses on helping patients turn what they know into changes they can actually sustain.
You may have hypothyroidism or Hashimoto’s — but you don’t need a diagnosis to start.
Not sure? Complete the intake when you book.
We’ll review it before your session. If we’re not the right fit, we’ll refund your consultation in full.
Reserve your consultation, then choose a time that works for you.
Complete your Health History Form and Danger Signal Assessment before your consultation.
Spend 60 minutes with Dr. Patrick Hanaway or Dr. Lauren Bachman to understand your patterns and possible next steps.
Revisit the Danger Signal Map, First Moves, and What a 15-Minute Visit Can’t Cover after your consultation.
Keep your form, assessment, and guides whether or not you continue with Coherence.
This is an educational session, not clinical care. We do not diagnose, prescribe, or provide medical treatment during this session.
Hear why he built Coherence and what makes this approach different.
Optional deeper context · 15 minutes$37 one-time payment
Your Health History Form and guided Danger Signal Assessment
Meet with Dr. Patrick Hanaway or Dr. Lauren Bachman
Danger Signal Map, First Moves, and What a 15-Minute Visit Can’t Cover
Open checkout in a separate page
Attend your Thyroid Recovery Map consultation. If you don’t find it valuable, let us know and we’ll refund your payment.
Your 60-minute Thyroid Recovery Map consultation is with either Dr. Patrick Hanaway, MD, or Dr. Lauren Bachman, DNP.
The session draws on Dr. Hanaway’s Danger Signal approach to explore what may be driving your symptoms and identify a clear next step.
If you’re a good fit and want to continue after your session, Coherence’s full program is $4,000 for six months, including standard labs.
There are no hidden program fees. We don’t sell or mark up supplements. Most patients who use supplements spend around $100/month, purchased separately.
We know how frustrating it is to get on a call only to find out there’s a $12,000 program on the other side. We want you to know the cost before you book.
Coherence does not accept insurance.
You can usually use HSA or FSA funds to pay for eligible Coherence services. Eligibility depends on your plan, so we recommend confirming with your HSA/FSA provider.
No.
Your Thyroid Recovery Map stands on its own. Your form, assessment, and three guides are yours to keep whether or not you continue with Coherence.
If we think you’re a good fit for ongoing care, we’ll explain what that looks like. The decision is yours.
Yes. Coherence was founded in 2026. The medicine behind it is not new.
Coherence was founded by Dr. Patrick Hanaway and Kush Sharma to make Dr. Hanaway’s approach available to more people.
Dr. Hanaway has spent decades practicing functional medicine, helped build Cleveland Clinic’s Center for Functional Medicine, and has trained thousands of clinicians.
Our clinical team brings decades of combined experience from institutions including Cleveland Clinic, Mayo Clinic, and Duke.
Depth of experience — and a clear methodology for understanding why your symptoms belong together.
Coherence’s clinical approach is led by Dr. Patrick Hanaway, one of the early leaders in functional medicine and a cofounder of Cleveland Clinic’s Center for Functional Medicine.
Our team combines experience across functional medicine, academic medicine, complex chronic illness, health coaching, and biotech.
And rather than starting with a long list of supplements, we start by asking where your danger signals may be coming from.
No.
Many of the women we work with have hypothyroidism or Hashimoto’s. Others have the same pattern of exhaustion, brain fog, weight gain, and other symptoms without a diagnosis.
We’ll use your intake to determine whether Coherence is likely to be a good fit for you.
We review your intake before your session.
If your health history falls outside the conditions we currently specialize in, we’ll let you know and refund your consultation in full.
No. The Thyroid Recovery Map is an educational consultation.
We do not diagnose, prescribe medication, change your treatment, or provide medical care during this session.
Your consultation is backed by a 100% money-back guarantee.
If you attend your Thyroid Recovery Map consultation and don’t feel it was valuable, let us know and we’ll refund your payment.