If your symptoms do not fit neatly into a box, you are in the right place.
Many patients find their way here after being told their labs are normal, their symptoms are unrelated, or that stress is the explanation for everything.
You may be experiencing:
- Hormone changes or imbalances that affect your mood, energy, cycles, or skin
- Anxiety, depression, irritability, fatigue, difficulty focusing, or brain fog
- Digestive symptoms that come and go without a clear trigger
- Autoimmune or inflammatory patterns that do not fully make sense
- A feeling that your body is constantly reacting instead of stabilizing
- Sleep disturbances that leave you feeling unrefreshed despite spending enough time in bed
If you have ever thought, something is off, but I cannot explain it, you are not alone.
I believe you, and I'm here to help.
How care unfolds
Map
We begin with an extended initial intake to start connecting the dots between your most pressing concerns and your health history, including early life patterns, stressors, infections, medications, diet, lifestyle, environmental exposures, and key turning points.
Measure
We add targeted testing, including standard and functional labs, which may include evaluation of hormones, thyroid and adrenal function, nutritional status, toxins and heavy metals, gut health, or genetic influences on key metabolic pathways. Testing is not ordered automatically and is used when it adds clarity rather than confusion.
Match
We match interventions to your specific patterns, rather than generic protocols. This can include nutrition, herbs and botanicals, supplements, injectable vitamins, lifestyle, bioidentical hormones, specialist referrals, medications, or other natural therapies.
Iterate
We reassess every few months, track how your body responds, and adjust as your body and life demands change. Then, depending on complexity, care shifts to periodic check-ins as needed.
Philosophy of Care

Patterns appear before pathology. Through listening and responding thoughtfully, we have a better chance of changing the trajectory.
Patient experiences
For the first time in my life, I feel emotionally and physically aligned... She looked at the maze and saw the patterns that actually connected how my mental, gut, and physical health were all being affected.”
— J.M.
She takes the time to understand your concerns and will formulate a treatment plan and will work relentlessly until she finds a solution for you... feeling validated is huge and Sarah has a great way of making you feel seen.”
— T.R.
Excellent doctor. I have seen several ND's and feel very lucky to have met Dr. Mumaw. She really cares about her patients and has a strong understanding of complex health issues.”
— A.M.
Is this the right fit for you?
This practice is best suited for individuals who are ready to engage in a collaborative, investigative process.
✓This is a good fit if you:
- Want a root-cause approach
- Value nuance and personalization
- Are open to gradual, sustainable change
×This may not be the right fit if you are looking for:
- A single supplement, medication, or band-aid solution
- Immediate symptom suppression
- A rushed or transactional model of care
Change the pattern, change the outcome.

