I saw Dr. Kruse through The Back Door at his office in Nashville for advice on degenerative disc issues and osteoarthritis in general. He zeroed in on hormonal and nutritional issues while specifically stating very early on that I did not have a leptin issue (despite having 15 stubborn pounds that do not want to come off).
Smart, it was clear he coukd glance at a stack of test results and see the big picture immediately. I felt like he was standing in my Krebs Cycle. Personable. Not an asshole. Very willing to take the time with me, spent more than an hour. Did not have all of the answers, recommended additional tests. Referred me to a local doctor in Atlanta for hormonal followup. Identified some very key issues that had been overlooked by 3 GPs, 1 sports medicine doc, 2 orthopedic surgeons, 1 neurosurgeon, 1 rheumatologist and 1 functional medicine doc. Is serious about wanting to prevent surgery, a pretty radical concept for a surgeon.
Has been very responsive with emails and follow-up phone calls after the office visit.
He is an MD so he can write prescriptions and order tests, something other non-MD gurus cannnot do.
He is every bit as passionate and intense in person as he is online.
Appointment process is a bit complicated and confusing, especially if you want metabolic consult. Absolutely requires a physician's referral regardless of your insurance requirements. He only books 2 slots a week at his regular office for metabolic issues at the end of the day, but if you don't know this you could easily be booked incorrectly and not have the right amount of time. If you had driven 4 hours to get there and did not have sufficient time, it could be a problem.
Not clear what he will do under insurance and what he won't, it appears optimization is 100% out of pocket, not sure about metabolic?
Before becoming a patient, not particularly good at answering emails sent from his own web site, I suggest you CALL his office to request an appointment.
Rattled off supplements and treatment recommendations verbally, I had to ask him to write it down for me. I suggest he structure his recommendations in a written treatment plan.
Locating all of the supplements - I suggest a written handout for patients.
Locating recommended tests was also diffcult, if possible get them done in Nashville, or walk out the door with a written prescription or have the exact name of the test and lab that performs it. In my case, bone density of the wrist was surprisingly difficult to obtain, as was the Omega 3:6 index as the local doc in Atlanta did not know where to send me for them.
Have my issues been improved? Yes, my daily need for NSAIDs has been eliminated. I still have occasional back pain but it is nowhere near as intense or frequent as before and I rarely resort to NSAIDs. H. Pylori that was identified has been resolved. It has been less than 6 months and I will be talking to him this week to review follow-up tests and revise the approach to address remaining cholesterol, gut issues, blood glucose and stubborn weight issues. For now, nobody needs to cut into my spine and I am very happy about that.
Would I go back again? Yes. Would I do a paid phone consultation if I was not within driving distance? Absolutely.