Endometriosis Care in Menlo Park and Mountain View
Whole-Body Support for a Condition That Deserves More Than Band-Aids.
“Enfometriosis is a whol-body disease, it could affect every organ of the body” said Dr. Camran Nezhat
You Deserve to Be Believed
If you have spent years being told your pain is normal, that your symptoms are exaggerated, or that nothing more can be done, we want you to know something before you read another word. We see you. We believe you. And at Foreviva Medical, we are here to help you reclaim your health, your energy, and the quality of life you deserve.
Endometriosis affects an estimated one in ten women of reproductive age worldwide, yet the average time to diagnosis still stretches between seven and ten years. During those years, many women endure a cycle of emergency room visits, inconclusive imaging, dismissed symptoms, and prescriptions that mask pain without addressing its cause. That experience is exhausting, demoralizing, and medically unacceptable.
At Foreviva, we take a fundamentally different approach. Under the care of Dr. Joelle Osias, MD, Gynecologist and Medical Director, our clinic treats endometriosis as a complex, systemic, whole-body disease that requires far more than a single pill or procedure. We work closely with world renowned Endometriosis surgeon Camran Nezhat brothers through the EndoMarch organization and the Camran Nezhat Institute, minimally Invasive & Robotic Surgery to provide comprehensive pre-operative optimization and long-term post-surgical care that extends well beyond the operating room taking back control of your symptoms.
Understanding Endometriosis as a Whole-Body Condition
While often described simply as a reproductive issue involving tissue similar to the uterine lining growing abnormally outside the uterus, endometriosis is far more complex than this technical definition suggests.
Endometriosis is an inflammatory, immunologic, and metabolic condition that affects multiple organ systems simultaneously. The endometrial-like tissue found outside the uterus triggers chronic inflammatory cascades that influence far more than the pelvis. Research has increasingly shown that endometriosis is associated with elevated levels of pro-inflammatory cytokines, altered immune surveillance, disrupted insulin signaling, impaired gut microbiome composition, and heightened nervous system sensitivity. These cascading effects explain why so many women with endometriosis experience symptoms that extend well beyond pelvic pain.
Fatigue, “endo belly” bloating, brain fog, digestive issues, joint/muscle pain, anxiety, and mood changes are interconnected, systemic symptoms of endometriosis, not isolated problems. Standard (hormonal birth control, pain meds) often fails because it only suppresses symptoms. Endometriosis requires a comprehensive, whole-person approach that addresses the underlying drivers to achieve control.
That is the foundation of everything we do at Foreviva.
How We Treat Endometriosis Differently
We focus on integrating traditional medications and repurposed drugs with a more holistic medicine. Instead of simply treating isolated symptoms, our approach is to identify and address the interconnected pathways that cause inflammation, hormonal imbalance, metabolic dysfunction, and immune dysregulation.
Our goal is to shift the internal environment that sustains and fuels disease, moving beyond mere pain management to helping the body to heal.
Comprehensive Lab Testing and Personalized Assessment
Inflammation Reduction
Hormonal Optimization
Our process starts with a comprehensive understanding of your current physical state. Dr. Osias initiates this with an in-depth consultation, covering your complete history: symptoms, previous treatments, surgeries, medications, lifestyle, and personal wellness goals. Following this, we order extensive lab panels, to evaluate your hormones, stool,test to look for dysbiosis and imbalances. We pride ourselves on being significantly more thorough than those typical labs requested by most clinicians.
We assess inflammatory markers, hormonal profiles including estrogen, progesterone, testosterone, and thyroid function, metabolic indicators such as insulin and glucose regulation, gut health markers, and longevity-related biomarkers that reveal how chronic inflammation may be affecting your long-term wellbeing. These labs give us a detailed, objective map of what is happening inside your body, and they guide every decision we make from that point forward.
Chronic inflammation is the engine that drives endometriosis progression. Elevated cytokines such as interleukin-6 and tumor necrosis factor-alpha perpetuate tissue damage, adhesion formation, and pain signaling. Reducing this inflammatory burden is central to our treatment approach.
We use targeted supplementation, dietary guidance, and advanced therapies to calm inflammatory pathways. Peptide therapy plays a particularly important role here. Peptides like BPC-157 (for tissue healing and inflammation regulation) and Thymosin Alpha-1 (for T-cell function and immune modulation) can significantly lessen chronic inflammation that exacerbates endometriosis. Other protocol peptides, including TB-500 and GHK-Cu, aid in cellular repair, tissue remodeling, and antioxidant protection.
By addressing inflammation at the cellular level, we help create an internal environment that is less hospitable to disease progression and more conducive to healing.
Endometriosis is an estrogen-dependent condition, which means that hormonal balance is critical to managing symptoms and slowing progression. However, hormonal optimization for endometriosis is not as simple as suppressing estrogen. It requires a nuanced understanding of how estrogen, progesterone, testosterone, cortisol, and thyroid hormones interact within a body already under inflammatory stress.
Through our Bio-Identical Hormone Therapy program, we carefully restore hormonal equilibrium using plant-derived hormones that are molecularly identical to those produced by your body. This approach supports mood stability, sleep quality, energy levels, and metabolic function while helping to modulate the estrogen dominance that frequently accompanies endometriosis.
Metabolic Support and GLP-1 Therapy
Gut Health and the Endo-Microbiome Connection
Nervous System Regulation
Insulin resistance and metabolic dysfunction are common in women with endometriosis, and these issues compound both the inflammatory burden and the difficulty of managing weight, energy, and overall health. Many women with endometriosis also carry a concurrent diagnosis of polycystic ovary syndrome, which further complicates metabolic regulation.
Our medical weight loss program incorporates GLP-1 medications for regulating appetite and glucose levels. For endometriosis patients, GLP-1 therapy can improve insulin sensitivity, reduce visceral fat that produces inflammatory estrogen, stabilize blood sugar fluctuations that worsen fatigue and mood swings, and support a healthier metabolic baseline.
We approach metabolic health not as a cosmetic concern but as a foundational pillar of disease management. When your metabolism is stable, your hormones function better, your inflammation decreases, and your body has more resources available for healing and recovery.
The relationship between endometriosis and the gut microbiome has become one of the most active areas of research in recent years. Studies suggest that an imbalanced microbiome can increase circulating estrogen levels and amplify inflammatory signaling. Many women with endometriosis experience significant gastrointestinal symptoms including bloating, constipation, diarrhea, and nausea, which are often misdiagnosed as irritable bowel syndrome.
At Foreviva, we evaluate gut health as part of our comprehensive workup and incorporate targeted strategies to restore microbial balance. These may include specific probiotic protocols, dietary modifications that reduce inflammatory triggers, and supportive therapies such as BPC-157 peptide, which has been studied for its protective effects on the gastrointestinal lining.
Healing the gut is not a side project in endometriosis care. It is a central element of reducing systemic inflammation and restoring the body’s ability to regulate estrogen effectively.
Chronic pain rewires the nervous system. Chronic inflammation from endometriosis can cause central sensitization, where the nervous system amplifies minor pain signals. This is why many women with endometriosis experience pain that seems disproportionate to what imaging reveals, and why pain can persist even after successful surgery.
Our team addresses nervous system regulation as part of every treatment plan. Through a combination of targeted supplementation, lifestyle counseling, and therapies that support vagal tone and parasympathetic function, we help patients shift out of a chronic fight-or-flight state and into a calmer baseline where healing can occur more effectively.
Pre-Surgical Optimization and Post-Surgical Recovery
While surgery is often a necessary and life-changing intervention, we believe that what happens before and after the operating room is just as important as what happens during your surgery..
Preparing Your Body for Surgery
In the weeks and months leading up to excision surgery, we work to reduce your inflammatory burden, stabilize your hormonal environment, optimize your nutritional status, and support your immune function. This preparation helps your body enter surgery in the strongest possible condition, which has been associated with improved surgical outcomes, reduced post-operative complications, and faster recovery.
Our pre-surgical protocols may include peptide therapy, IV therapy for deep hydration and nutrient replenishment, vitamin injections to correct deficiencies that impair healing, hormone balancing, and anti-inflammatory dietary strategies.
Long-Term Post-Surgical Care
Surgery removes the visible disease, but it does not address the underlying inflammatory and immunologic patterns that allowed endometriosis to develop in the first place. Without ongoing support, recurrence rates remain significant.
After surgery, Foreviva serves as your long-term maintenance and recovery partner. We guide you through healing with continued anti-inflammatory support, hormonal optimization, gut restoration, and metabolic stability. Our goal is to help your body maintain the progress achieved through surgery and prevent the conditions that lead to recurrence.
This is not a six-week follow-up plan. It is a sustained partnership in your long-term health.
Your Journey at Foreviva
We have designed every step of the patient experience to feel supportive, clear, and personal.
Within twenty-four to forty-eight hours of your referral or direct inquiry, our concierge manager will personally contact you to schedule a virtual or in-person consultation with Dr. Osias. You will receive a detailed welcome packet outlining the process from start to finish, so you feel informed and confident before your first appointment.
During your consultation, Dr. Osias conducts a thorough review of your history, symptoms, prior treatments, and goals. Necessary labs are ordered to assess inflammatory, hormonal, metabolic, and longevity markers. Once your results are reviewed, you receive a personalized treatment plan tailored specifically to your needs.
We partner with a specialized pharmacy network that automates delivery of GLP-1 medications and peptide therapies directly to your door. We also maintain exclusive partnerships with premium supplement brands to ensure quality, safety, and effectiveness in every product we recommend.
Complementary Therapies for Endometriosis Patients
Endometriosis affects the whole body, and our treatment approach reflects that reality. Depending on your individual needs, your care plan may include any of the following supportive therapies available at Foreviva.
IV Therapy delivers deep hydration, antioxidants, and essential nutrients directly into the bloodstream for immediate cellular support.
Vitamin Injections help correct common deficiencies in B12, vitamin D, and magnesium that are frequently seen in women with chronic inflammatory conditions and that contribute to fatigue, mood instability, and impaired healing.
Bio-Identical Hormone Therapy restores hormonal balance with precision, addressing the estrogen dominance and progesterone insufficiency that often accompany endometriosis.
Peptide Therapy and GLP1’s that targets cellular repair, immune modulation, and inflammation reduction at the molecular level.
Regular Gynecology and Well Woman Visits ensure ongoing monitoring of your reproductive health, hormonal status, and overall wellbeing within a practice that truly understands your condition.
Why Choose Foreviva for Endometriosis Care
Our commitment to you includes physician-led care rooted in both evidence and empathy, treatment plans that are truly individualized based on your labs, your symptoms, and your life, direct collaboration with world-renowned excision surgeons, access to advanced therapies including peptides, GLP-1 medications, and precision supplementation, a warm and supportive environment where you are never rushed or dismissed, and a long-term partnership that does not end after a single appointment.
At Foreviva, quality of life and long-term health are our highest priorities. You deserve to feel heard. You deserve thoughtful, comprehensive care. You deserve hope.
Frequently Asked Questions
What is endometriosis, and why is it so difficult to diagnose?
Endometriosis is when tissue similar to the uterine lining grows outside the uterus (e.g., on ovaries, fallopian tubes, bowel, bladder). Diagnosis is difficult due to overlapping symptoms, inconsistent imaging, and the typical need for laparoscopic surgery. The average diagnostic delay is 7–10 years, highlighting the need for early, attentive clinical evaluation.
How is your approach different from what I have experienced with other doctors?
Most providers treat endometriosis symptoms in isolation (hormones for pain, surgery). At Foreviva, we treat it systemically. We assess your hormones, inflammation, gut health, metabolism, and immune function to create a personalized plan that addresses the whole picture, not just individual symptoms.
Do I need surgery for endometriosis?
Not every patient requires surgery, and surgery alone does not cure the disease. However, for many women, expert excision surgery performed by a specialist such as Dr. Nezhat can provide significant and lasting relief. Our role at Foreviva is to ensure you are optimally prepared before surgery and thoroughly supported afterward, which research suggests improves both outcomes and recovery.
What is the connection between endometriosis and PCOS?
Endometriosis and polycystic ovary syndrome frequently coexist and share overlapping features including hormonal imbalance, insulin resistance, chronic inflammation, and metabolic dysfunction. At Foreviva, we address both conditions within the same integrated framework, recognizing that treating one often improves the other.
Can peptide therapy help with endometriosis?
Peptides such as BPC-157 and Thymosin Alpha-1 have been studied for their anti-inflammatory and immune-modulating properties. While peptide therapy does not treat endometriosis directly, it can meaningfully support the inflammatory and immune environment that influences disease activity, pain levels, and recovery from surgery. All peptide protocols at Foreviva are physician-guided and tailored to individual needs.
What role does gut health play in endometriosis?
The health of your gut microbiome is crucial, as it significantly impacts both estrogen metabolism and systemic inflammation. When the microbiome is imbalanced, it can lead to higher levels of circulating estrogen and heightened inflammatory responses. Because both of these factors exacerbate endometriosis, a core part of our treatment involves restoring gut health through targeted interventions.
How soon after contacting Foreviva can I expect to be seen?
Our concierge team will reach out within twenty-four to forty-eight hours of your inquiry or referral to schedule your consultation. We offer both virtual and in-person appointments to accommodate your needs and location.
Does your clinic offer virtual consultations?
Yes! We can schedule your preliminary consultation virtually. Our pharmacy partnership allows peptide and GLP-1 therapies to be shipped to all fifty states.
What does the EndoMarch partnership mean for my care?
Our partnership with EndoMarch and the Nezhat brothers means that your care is connected to the leading global network of endometriosis advocates, researchers, and surgical specialists. It ensures that our clinical protocols reflect the latest advances in the field and that patients who require surgery have access to the most skilled excision surgeons in the world.
How long will treatment take?
There is no single timeline that applies to everyone. Some patients notice meaningful improvements in energy, pain, and bloating within weeks of beginning their protocol. Others, particularly those preparing for or recovering from surgery, may follow a longer treatment arc. We work at the pace that is right for your body and your goals, adjusting as we go.
You Are Not Alone in This
Living with endometriosis can feel isolating. The invisible nature of the disease, the years of misdiagnosis, the skepticism from providers who should have listened, all of it takes a toll that goes beyond the physical.
At Foreviva Medical in Menlo Park and Mountain View, we exist to change that experience. We are here to offer the warmth, expertise, innovation, and partnership that women with endometriosis have been missing. Your pain is real. Your experience matters. And there is a path forward.
COMING SOON!
Foreviva Medical Clinique
60 Plaza St E STE 1F
Brooklyn, NY 11238