Medical evaluation
Symptoms, bowel habits, medications, surgeries, family history, previous testing, and warning signs.
ABIM Board-Certified Internal Medicine
Digestive + metabolic evaluation
Same physician throughout care
Gut Health & Metabolic Care
Is your gut really the problem— or is something else being missed?
Bloating, reflux, bowel changes, fatigue, cravings, and abnormal labs can overlap.
What is actually worth investigating first?
Get a physician review before buying another supplement, restrictive diet, specialty panel, or “gut reset.” The goal is a clearer explanation and a practical next step.
- $65 initial video consultation
- 20-minute review with Dr. Antonatos
- No required supplement package or long-term contract
- Testing recommended only when it may change management
You do not need to know which test, supplement, or diagnosis to ask for before booking.
About to buy another supplement stack or specialty test?
Get the medical review first—especially if symptoms keep returning or are affecting daily life.
★★★★★
Verified Text2MD patient reviews
$65
Initial physician video consultation
Same Physician
No rotating-provider model
No Supplement Bundle
Pay for evaluation—not a package
Patient Experience
Trust the physician before you trust the protocol.
See what patients say about Text2MD physician access, communication, continuity, and overall care.
★★★★★
TEXT2MD PATIENT REVIEWS
The Real Goal
Your goal isn't to become obsessed with your gut. It's to live normally again.
Eat without second-guessing every bite. Sleep, work, travel, and enjoy life without your digestion constantly running the show.
Less uncertainty about what is going on
Fewer random supplements, food rules, and restrictions
A clearer physician-guided plan you can actually follow
Does Any Of This Sound Familiar?
Different symptoms. Sometimes overlapping causes.
You do not need to decide whether this is “dysbiosis,” food intolerance, insulin resistance, or something else before booking.
Bring the symptoms. We'll sort out what deserves attention first.
Bloating & gas
Reflux & indigestion
Constipation / diarrhea
Food-related symptoms
Fatigue & cravings
Prediabetes / A1c concerns
Triglycerides / fatty-liver risk
Abdominal weight gain
The key question is not “Which supplement should I take?” It is what is most likely,
what should not be missed, and what the next useful step is.
Why A Broader Review Matters
Your symptoms may be connected—just not always for the reason the internet says.
Digestive symptoms can overlap with nutrition, medications, sleep, glucose, liver health, and metabolic risk. Looking at the full picture helps avoid chasing one fashionable explanation.
What Will $65 Actually Answer?
Four questions worth answering before buying another protocol.
Leave with a clearer idea of what is likely, what should not be missed, and what to do next.
1
What are the most likely explanations?
Use symptom pattern, history, medications, bowel habits, and existing data to narrow the possibilities.
2
Are there warning signs I should not ignore?
Identify symptoms that need in-person assessment, imaging, endoscopy, or specialist care.
3
Which tests could actually change management?
Choose testing for a reason rather than ordering every available panel.
4
What is the simplest reasonable next step?
Nutrition, medication review, targeted treatment, monitoring, referral, or additional evaluation.
The Text2MD Approach
A structured plan—not a generic “gut reset.”
Start with the likely causes. Use the simplest reasonable intervention first.
Digestive strategy
Match treatment to constipation, diarrhea, reflux, bloating, or food-related symptoms rather than defaulting to probiotics.
Metabolic review
Glucose, blood pressure, triglycerides, HDL, liver health, sleep, activity, nutrition, and weight trajectory.
Follow-up
Review response, tolerability, adherence, new symptoms, and results—then adjust the plan.
Evidence Before Expensive Testing
More data does not automatically mean a better answer.
Test when the result could change the plan—not because a panel looks comprehensive.
Testing may make sense when it changes the decision
- Recent standard labs can clarify metabolic risk
- Celiac testing may be appropriate for selected symptoms
- Stool or breath testing may fit particular clinical questions
- Imaging or endoscopy may be needed when symptoms or warning signs warrant it
- Specialist referral may be the most useful “test” when the problem exceeds telemedicine
What is not automatically necessary
- Broad microbiome panels for every patient
- “Leaky gut” markers as a default explanation
- Large supplement bundles before diagnosis
- Permanent restrictive diets based on symptoms alone
- Repeated testing that will not change treatment
Why Text2MD
Physician-first care—not a supplement sales funnel.
A useful consultation may end with treatment—or with avoiding something you did not need.
Product-First Model
Start with a branded gut protocol or supplement bundle
Broad testing can become part of the package
“Dysbiosis” or “leaky gut” may become the default explanation
The encounter may be structured around selling the next product
Text2MD Model
Start with symptoms, risk, history, and likely diagnoses
Order testing when it may change management
Consider medications, sleep, metabolic health, and standard GI causes
The outcome may be treatment, referral, monitoring, or no supplement at all
How It Works
From “something feels off” to a plan you understand.
Four steps from symptoms to a practical plan.
Step 1
Intake
Share digestive symptoms, bowel pattern, metabolic concerns, medications, supplements, and prior testing.
Secure online intake
Step 2
Physician consultation
Review symptom patterns, possible causes, existing records, and whether telemedicine is appropriate.
20-minute video visit
Step 3
Choose the useful next step
Nutrition changes, medication review, targeted treatment, testing, or specialist referral.
No automatic supplement bundle
Step 4
Adjust the plan
Review symptom response, new results, tolerability, and whether the diagnosis or strategy needs to change.
Same physician for follow-up
Transparent Pricing
Pay for a physician evaluation—not a supplement package.
Pay for the physician review first. Testing, medication, imaging, and supplements are separate only when needed.
$65 initial video consultation
$35 established-patient text follow-up
No required supplement package
No long-term contract
Initial video visit
$65
20 minutes
Testing and treatment separate
Testing and treatment separate
When Telemedicine Is A Good Start—and When Not To Wait
Most symptoms deserve thoughtful evaluation. Some need urgent in-person care.
Telemedicine is a good starting point for many concerns—but not a substitute for urgent or necessary in-person care.
Common reasons to request a consultation
- Recurring bloating, gas, reflux, constipation, or diarrhea
- Food-related symptoms without a clear explanation
- Prediabetes, triglyceride abnormalities, or fatty-liver risk
- Need to review supplements, medications, or prior testing
- Questions about which testing is actually worth doing
- Need for a practical next-step plan before specialist referral
Symptoms that may need prompt in-person evaluation
- Blood in the stool or black stools
- Severe or worsening abdominal pain
- Persistent vomiting or inability to keep fluids down
- Progressive difficulty swallowing
- Unexplained significant weight loss, fainting, or severe dehydration
- Any medical emergency
Screening colonoscopy and other preventive care should continue according to age,
personal and family risk factors, and clinician recommendations. Telemedicine does not replace
necessary examination, imaging, endoscopy, colonoscopy, or emergency care.
Before You Book
Six quick answers.
Answers to the questions that often lead to unnecessary testing, supplements, or delay.
How is this different from seeing a gastroenterologist?
A gastroenterologist is the appropriate specialist for endoscopy, colonoscopy, inflammatory bowel disease,
gastrointestinal bleeding, significant swallowing problems, suspected structural disease, and many persistent
or complex digestive conditions. Text2MD can help with initial evaluation, metabolic-risk review, common symptom management,
record review, and deciding whether specialist testing is needed.
Do I need a microbiome or “leaky gut” panel?
Usually not as the first step. Testing should answer a specific clinical question and have a reasonable chance
of changing treatment. Standard laboratory testing, celiac screening, stool testing, breath testing, imaging,
or gastroenterology referral may be more appropriate depending on the symptom pattern.
Will you recommend probiotics?
Not automatically. Probiotic effects are condition- and strain-specific, and evidence is limited for many common
digestive complaints. A probiotic may be discussed in selected situations, but it should not substitute for evaluation
of constipation, medication effects, dietary triggers, celiac disease, infection, inflammatory disease, or other possible causes.
Can gut treatment make me lose weight?
Digestive treatment should not be marketed as a guaranteed weight-loss method.
Changes in nutrition, activity, sleep, medications, and metabolic-risk management may support weight improvement,
but persistent excess weight may require a dedicated obesity-medicine evaluation.
Do I need testing before the consultation?
Not necessarily. Existing records and recent standard laboratory results can be reviewed when relevant.
The consultation can help determine whether additional testing is likely to provide useful information.
Can all digestive care be handled through telemedicine?
No. Some conditions require abdominal examination, rectal examination, imaging, endoscopy, colonoscopy,
urgent testing, or specialist care. Telemedicine can help with initial assessment and referral decisions but cannot replace those services.
Before You Buy Another “Gut Fix”
What is actually worth investigating first?
Bring your symptoms, medications, supplements, and prior results. Leave with a clearer idea of what deserves attention first—and what may not be worth your money.
$65 Initial Video Visit
20 Minutes
Board-Certified Internal Medicine
No Supplement Bundle
Same Physician
Text2MD is not an emergency service. Consultation does not guarantee a diagnosis, prescription,
laboratory order, supplement recommendation, or specific treatment.