Modern primary care has been compressed into the shortest viable medical encounter. Fifteen-minute appointments. Rushed conversations. Doctors typing into laptops while you describe your symptoms. Phone trees, portal messages that take days to answer, and a primary care relationship that feels more like an insurance transaction than a healthcare partnership. Most patients have stopped expecting anything different — they accept the rushed visits as the cost of modern healthcare.
Dr. Dubroff built Holistic Solutions specifically as an alternative to that model. Initial appointments are two hours. Follow-up visits are unhurried. Phone calls on existing topics are always free. House calls cover San Diego and Orange County — Dr. Dubroff comes to you. There's no waiting room, no rushed intake, no 15-minute timer running in the background while you try to remember what you came in for.
"Real medicine takes time to understand a patient. The fifteen-minute appointment is an economic model, not a medical one — and it's the reason so many people feel like their primary care doesn't actually know them."
The integrative naturopathic approach also looks at health differently than conventional primary care. Standard medicine is excellent at acute interventions — diagnosing serious illness, treating infections, managing acute conditions. But it's calibrated to detect disease, not to maintain function. Integrative medicine asks different questions: why are these symptoms appearing? What's driving them at a systems level? How do we restore underlying function rather than just suppress the symptom? It's a more comprehensive frame — particularly for the chronic, multi-system, hard-to-categorize concerns that conventional 15-minute appointments often can't address.
The differences from conventional primary care are concrete and structural, not just philosophical.
Dr. Dubroff sees patients at their homes throughout San Diego and Orange County. No traveling to a clinic, no waiting room, no parking, no scheduling around a clinic's availability. The medical visit comes to your living room. Particularly valuable for elderly patients, patients with mobility issues, busy professionals, parents with children at home, and anyone who finds clinic visits inconvenient.
The first visit is two hours, not fifteen minutes. There's time to actually take a complete medical history, understand your symptoms in context, discuss what you've tried, what's worked, what hasn't, and develop a thoughtful plan. The depth that two hours allows is fundamentally different from what a rushed appointment can produce.
If you've already established care for a topic and need to ask a follow-up question, adjust dosing, or check in on progress — that conversation is free. You're not paying for every dose adjustment or check-in. This removes the friction that often keeps patients from getting timely guidance on conditions they're actively managing.
Dr. Dubroff orders the comprehensive testing that conventional primary care often skips — full hormone panels, complete thyroid (with reverse T3), comprehensive metabolic markers, inflammation markers, gut testing when warranted. The protocol is built from what the data actually shows, not from a one-size template.
One physician covering integrative primary care, hormone optimization, peptide therapy, regenerative medicine, weight loss, and gut health under one practice. No referral cycles between disconnected specialists. Your full health picture lives with one doctor who actually knows the entire history.
You know what each visit costs before you book it. No insurance billing surprises, no "we'll send you the bill" mystery. Initial visit $375, follow-ups $125-$175, free phone calls on existing topics. Pricing accessible enough that comprehensive medical care doesn't have to be a luxury reserved for high-income patients.
Beyond the specialty areas (hormones, peptides, regenerative, weight loss, digestive), Dr. Dubroff manages the broader range of general medicine for patients who want their primary care delivered through the same integrative lens.
The pricing is what allows comprehensive integrative medicine to be available to more than just high-income patients. Compare these numbers to typical functional medicine clinic pricing.
Two-hour comprehensive intake at your home. Full medical history, exam, lab orders, and initial treatment plan.
In-home follow-up visit for ongoing care, lab review, treatment adjustment, and new concerns.
Shorter in-home visit for established patients on existing protocols who need a check-in.
If you've already established care for the topic, follow-up phone calls are free. No paywall on continuity.
Book a free consultation. Dr. Dubroff will tell you whether his practice is a good fit for your situation — and what comprehensive integrative care could look like for you.