Nutritional Genomics Institute


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Introduction to the Practice Package


Before your initial appointment, our health coach will schedule a free 30-minute consultation to acquaint you with our NGI package options and to set up your patient portal.


All patients begin with a 3-appointment assessment process. This process begins with a 1-hour appointment with our health coach who will assess environmental and emotional triggers. The health coach may offer first line of defense strategies that assist in the reduction of environmental exposures and guidance on mind-body techniques to help manage stress.


A second 1-hour appointment with our nutritionist will assess current dietary intake and gastrointestinal symptoms. This appointment will allow for an analysis of total caloric intake, vitamin and mineral status, possible dietary triggers, bowel function and overall wellness. These appointments are designed to obtain accurate health information to be relayed to the primary provider and are not designed to execute a complete health care plan.


The final, two-hour intake appointment will be with your primary provider (either Dr. Christy Williamson, MS, CNS, DCN or Dr. Jessica Pizano, MS, CNS, DCN) and will synthesize findings from the first two appointments, explore possible root causes of the illness, review laboratory findings and begin the framework for a plan of action. The total cost of this service is $700 divided over 2 equal monthly payments of $350/month.

Monthly Packages and Pricing

Compare our service packages and find the best fit for you. 


Genome Package


6 Total Appointments

One-Hour Sessions

6 monthly payments of  $333/month

Does not require the Introduction to the Practice package 

 In this package, there are 6 total appointments. In each appointment, there will be a detailed evaluation, explanation and written report of your genomic material followed by specific actions and interventions. Topics covered include pharmacogenetics, detoxification, mitochondrial function, Celiac risk, immune function, clotting factors/risk, autoimmune thyroid risk, nutrition focused and methylation. The total cost for this package is $2000. Payment plans are available. 

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Functional Nutrition Package

Pathway


6 Total Appointments

One-Hour Sessions

4 monthly payments of $381.25/month

Includes 2 hour of billable hours

Includes 2 Health Coaching Session

Includes 2  Nutrition Sessions

Includes  2 Practitioner  Sessions 

 Patients must complete the  Introduction to the Practice Package before beginning this package.  The patient stays with the primary provider seen in the intake package,  either Dr. Christy Williamson, MS, CNS, DCN or Dr.  Jessica Pizano MS, CNS, DCN.


This package includes a series of 6 appointments, 2 of which are with your practitioner, 2 with our health coach and 2 with our nutritionist. Patients must have completed the Introduction to the Practice Package before beginning this package.

You will typically begin this package with a nutrition appointment after seeing the primary practitioner at the end of the intake package. This is to execute on the plan set forth by the DCN.  You will then have a follow up appointment with your primary provider for laboratory review and check-up followed by a 1-hour appointment with the health coach. The next 1-hour follow up appointment will again be for nutrition for follow up. At the following appointment with the primary provider  you will then discuss salient genomics  with your practitioner and she will set you up with an after-care plan for the long term. The last appointment is  a 1-hour appointment with the health coach.  This package includes 2 hours of billable hours. The total cost of this package is $1525 divided over 4 equal monthly payments of $381.25.

 Functional Nutrition/Wellness Add-On Maintenance Package:

Package includes 3 additional appointments with your practitioner and 3 appointments with the nutritionist and/or health coach over the course of 8 months. This package includes 4 hours of billable hours. The total cost of the package is $2000 divided over 8 equal payments of $250/month. 


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Mast Cell Activation Disorder Pathway


Multiple Appointments 

One-Hour Sessions

 Due to the complexities of mast cell activation disorders, NGI has created a personalized approach to managing and treating this disease. NGI will work closely with your medical providers or assist in appropriate referrals to such providers. The packages are divided to keep overall costs manageable and to allow for flexible, personalized, precision care. Some patients may require all of the options below while others may only require a portion.


Phase 1: All  patients will begin with the Introduction to the Practice Package. After the final appointment with either Jessica Pizano, MS, CNS, DCN or Christy Williamson, MS, CNS, DCN, a follow up package will be suggested.


Phase 2: Mast Cell Intensive Care: For patients too sick to work intensely on their nutrition status, we may suggest working exclusively with your primary provider until stable enough to work on implementing dietary changes. These patients will be seen every four to eight weeks as decided by the practitioner. All appointments, emails and phone calls will be billed on the quarter hour at the $225/hour rate. Once the patient has the appropriate medical team and support, their primary provider will “graduate” them to the Mast Cell Activation Package.


Phase 3: Mast Cell Activation Package: This package includes a series of 4 appointments over the course of 4 months. You will begin with a follow-up consultation with either Jessica Pizano, MS, CNS, DCN or Christy Williamson, MS, CNS, DCN followed by a 1-hour appointment with the nutritionist to implement food and/or supplement changes. The next 1-hour follow up appointment will be with the nutritionist or the health coach depending on patient needs. A final appointment will be with the primary provider to discuss next steps and decide if additional appointments are necessary. This package also includes 2 hours of billable hours to address patient questions via email or phone as required. All additional emails and phone calls will be billed on the quarter hour at the $225/hour rate. The total cost of this package is $1200 divided over 4 equal monthly payments of $300/month.


Phase 4: Mast Cell Maintenance Package: Once the patient has reached a sustainable improvement in health, they will be offered the Mast Cell Maintenance Package. This package includes 4 appointments with your practitioner and 2 appointments with the health coach or nutritionist over the course of 12 months. This package includes 6 hours of billable hours. Billable hours may be used to address additional questions in the format of email, phone call, or scheduled appointment. This package is $215/month for 12 months.

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All communication is subject to billable hours.

Additional Services


Patient Advocacy/Billable Hours

Introduction the Practice Package is required. This service includes a detailed explanation and overview of medical records, followed by recommendations and follow up questions for medical service providers. $225/hour.  Clients will be given detailed notes and resources. 


  • Attendance to 1 hour physician appointments is $350/ visit in the Richmond metro area only. 
  • If you are not part of any other option, all hours are billable hours. 
  • Billable hours includes any and all medical or nutrition related correspondence including but not limited to phone calls, emails and appointments. 

Nutrition Focused: Grocery Shopping Assistant

This service includes 1 hour of assistance navigating through the aisles, discussing what you would normally buy and giving direction to healthier alternatives. 48- hour notice is needed for stores that are not “home” stores (Grocery stores on the 360 corridor or Ellwood Thompson’s). $350, including travel. These appointments are only available on Friday’s. 

Nutritionist Add-On appointments

If you require additional nutrition appointments with the CNS, the cost is $150/hour. 

Nutrition Focused: Family Consultation and Pantry Analysis

A detailed scientific explanation of exactly what is in the food you are eating! Includes cooking techniques, recipe ideas and continued education about changing landscape of “health”. $350

Health Coach Add-On appointments

If you require additional health coaching, the cost is $100/hour. 

24-Hour Cancellation Fee

$100. If you need to cancel or reschedule, please contact us at least 24-hours prior to your scheduled appointment.

Nutritional Genomics Concierge Package

 Analysis of genomic material through registered companies in the U.S. Processing time of 6-8 weeks. Previous lab work is required. Nutrigenomics is the process of identifying certain SNPs (single nucleotide polymorphisms) that are associated with increased risk of certain conditions and outcomes and actively intervening by altering ones’ diet and possibly adding very specific supplements. Detoxification profiles (pharmacogenomics) are included which help identify impaired SNPs that can lead to adverse drug reactions and build-up of environmental toxins. Methylation panels indicate a wide variety of conditions including impaired metabolism, depression, anxiety, cancer, autism spectrum disorders and cardiovascular disease. This service includes a handbook to be presented to your physician with laboratory recommendations and 2, 1-hour follow up appointments. Initial consultation, biochemical evaluation with family history, processing of genetic material and 30-day access to the practitioner for questions including a 3-hour retainer are included. Cost of this package is $3000.


• A streamlined methylation and pharmacogenetics (detoxification) panel is available for $975 including a 1-hour appointment. Additional targeted disease panel investigations are $75 per panel.


• Billable hours outside of the retainer and any additional lab work is an additional fee. A $500 down payment is required to secure service. Previous V3-V4, 23andme genomic tests are acceptable. Other relevant genetic testing will be assessed by the practitioner.

© 2018 Nutritional Genomics Institute, LLC