

Thurston Internal
Medicine, PLLC
Exclusive Direct Primary Care Services
- Unlimited in person visits, virtual visits, emails, texts and calls
- Same day or next day appointments for sick visits during business hours
- Healthcare maintenance
- Annual physical exams
- Chronic disease management (COPD, asthma, CHF, diabetes, hypertension, hyperlipidemia, etc.)
- Minor in-office procedures
- Free EKGs and spirometry
- Heavily discounted labs through labcorp and discounted wholesale medications
- 10% discount for the comprehensive weight loss program
- $20 off each Seca 554 body composition analysis
- 10% discount for all aesthetic services
- We do not prescribe or manage chronic opioids/narcotics.
- Discounts for Employers available. Call office to inquire.
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Medical Aesthetics Services (coming soon!)
- Botox or Xeomin injections ($11/unit)
- Sclerotherapy
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Physician supervised 6-mo weight loss program
- Initial consultation with physician: You’ll receive an in-depth weight intake and history, including comprehensive lab work. This will allow us to create a tailored plan based on your unique needs and circumstances.
- Two-week follow-up with physician: We’ll conduct a BMI analysis along with a review of lab results, take body measurements, and discuss and set your health goals. If appropriate, we may initiate evidence-based medications to support your weight loss journey.
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- Monthly visits with physician: These in-person appointments will include a BMI analysis, Seca 554 body composition analysis, addressing medication efficacy, troubleshooting any struggles, and providing guidance on nutrition, exercise, and behavioral counseling.
- Weekly group coaching sessions with your health coach via Zoom: These interactive sessions will cover a range of topics, including obesity general principles, goal setting, nutrition counseling, exercise counseling, and behavioral considerations, providing you with valuable insights and knowledge.
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- Access to private Facebook group where we will foster a community of support and accountability by sharing our wins and overcoming our struggles.

Big Savings and
Better Health Outcomes
QLIANCE Data: Savings with Direct Primary Care (DPC) vs standard insurance model
59% less
emergency room visits
Accessible same day or next day appointments provide access to much needed urgent treatment like antibiotics, inhalers, etc. This prevents progression to severe illness and can keep you out of the ER.
115% more
primary care visits
Unlimited in person and virtual visits allow for ease of access to keep you healthy and out of the hospital.
30% less
hospitalization days
We have the time to spend and focus on care coordination for a smooth post-hospitalization transition and follow you closely upon discharge to prevent any re-admissions.
65% less
imaging exams
Extended appointments allow for enough time to obtain and perform a thorough history and examination in order to narrow down a diagnosis . This prevents costly imaging and unnecessary radiation exposure.
62% less
need for specialist referrals
We manage most primary care needs in-office to avoid unnecessary specialist referrals which can often times lead to fragmented care.
80% less
surgeries
Early detection and intervention can help prevent the progression of an illness and the potential need for surgery. We have the time and accessibility to achieve this.