The sooner, the better! We prefer to start puppies on our protocols before vaccines begin to help maximize immunity and minimize adverse events. These are the most pivotal months of your puppy's development, and we want to support them from the very beginning.

However, we can start anytime during your puppy's first 2 years of life – when the foundation of health is established.

We work with your primary vet, not instead of them. Think of your general practice vet as your first responder - they handle vaccines, emergencies, and immediate needs. Dr. Pam focuses on the bigger picture: nutrition, immune health, gut balance, and prevention. Together, they create a well-rounded circle of care for your puppy.

Typical wellness plans check boxes – weight, vaccines, deworming. The Power to the Puppy Plan™ looks deeper. Dr. Pam combines nutrition,  fecal testing analysis, and holistic medicine to understand your puppy’s unique needs and build a personalized plan for long-term vitality. It’s proactive, not reactive - the difference between “fine” and thriving.

Occasionally, functional testing reveals areas that need closer attention – even in puppies who appear perfectly healthy. If this happens, Dr. Pam will explain what the results mean and map out a clear, compassionate plan for next steps. Some puppies stay on annual wellness maintenance; others move into a different care plan for more focused healing. Either way, you’ll always know exactly where you stand and what to do next.

That's totally fine – we can jump in anytime during your puppy's first two years of life to help set their health trajectory on the right path.

The plan complements your primary vet's early care and helps you make thoughtful decisions about immune support, nutrition, and prevention moving forward. You'll get a clear, coordinated plan so everything works together.

Not at all. Dr. Pam meets you where you are and takes your puppy where they need to be. If you're currently feeding processed food, that's okay - but plan on making the shift to whole food nutrition as part of this program.

She'll work with you to find the approach that best fits your puppy's breed, age, and lifestyle – whether that's gently cooked, raw, air-dried, or a hybrid whole food diet.

The goal is supporting you through the transition while giving your puppy the foundation they need to thrive.

The Power to the Puppy Plan™ covers your puppy’s first year. You’ll begin with one in-clinic foundation session, then use your three virtual milestone calls throughout the following 12 months as your puppy grows and develops.

Each plan is designed specifically for one dog. Every puppy has their own genetics, temperament, and environment – which means their nutrition and prevention plan is customized too.

If you have more than one puppy, we’ll help you set up an appropriate plan for each so everyone gets the care they need.

Ideally, but it's not necessary. If you're not local and can travel to our Coppell, Texas clinic for the in-person Foundation Session, we can absolutely work together.

That initial exam allows us to continue via telehealth for your scheduled Milestone calls throughout the year – vaccine planning, surgery prep, and growth transitions. But there can be some limitations.

If new health issues arise between our scheduled calls, Dr. Pam's hands-on modalities –and Texas law – require in-person evaluation for accurate assessment and treatment.

She can provide guidance and coaching over the phone, but cannot diagnose or prescribe treatment for conditions she hasn't personally examined.

The scheduled Milestone calls work beautifully remotely, but for comprehensive ongoing care, being local to the Dallas area gives you the full benefit of Dr. Pam's approach

Telehealth calls are amazing... but there can be some limitations.

If new health issues arise between our scheduled calls, Dr. Pam's hands-on modalities – and Texas law – require in-person evaluation for accurate assessment and treatment.

While she can provide guidance and coaching over the phone, she can't prescribe treatment for conditions she hasn't personally examined.

You may need to work with a local veterinarian for diagnostics and/or urgent issues that develop.

You’ll have the option to transition into ongoing wellness care with Dr. Pam through the Whole Dog Wellness Plan – her proactive, annual wellness plan for adult dogs. It builds on everything you’ve started here so your dog’s great first year becomes a lifetime of health and balance.

The plan is designed to be used within the first year of your puppy’s life to stay aligned with their development and milestones. Unused sessions don’t roll over, so we encourage you to schedule them in advance – it keeps both you and your puppy on track and supported.

Life happens! We just ask for at least 24 business hours' notice so we can adjust your spot and maintain flow for other clients. Missed or last-minute cancellations may be forfeited to protect our limited appointment availability.

For example, to cancel an appointment scheduled for Monday at 9am, we need confirmation by 9am Thursday, since we're not in the office Friday. You'll receive three reminders before each appointment: an email 5 days out, a text 3 days out, and a text the day before - so you'll have plenty of time to make any needed changes.

View our Clinic Policies for more information.

Dr. Pam's approach integrates natural therapeutics with functional medicine and diagnostic science. Rather than conventional pharmaceuticals, she uses herbs, supplements, nutraceuticals, and her specialized treatment modalities to support your puppy's health. When appropriate, she may prescribe select functional medicine medications that align with her holistic approach.

This isn't about rejecting science – it's about using different, more natural tools to achieve deep, lasting health. Every recommendation is thoughtful, evidence-informed, and designed to work with your puppy's body, not against it.

We don't prescribe traditional pharmaceuticals. Our prescriptions are limited to select functional medicine medications – such as fenbendazole and ivermectin – that align with our holistic protocols.

Heartworm prevention prescriptions (sent to Chewy) are available for patients enrolled in our wellness programs who have completed heartworm DNA testing. Cancer protocol prescriptions are filled through a compounding pharmacy.

Our plans reserve time, clinical attention, and ongoing support for your pet throughout the duration of their care. Because holistic medicine works best with consistency and follow-through, Care Plans keep us fully aligned and engaged in your pet’s progress.

We’ve found pets make the biggest improvements when their families commit to the full process, which is why plans are paid in full and non-refundable.