Where it starts
The process often starts in the gut or immune system.
Food, toxins, stress, and your environment can all play a role.
It’s Not Just the Thyroid.It’s the Hidden Danger Signal.
Understand what may actually be driving your exhaustion, brain fog, and unexplained weight gain.
A personalized assessment and one-on-one consultation using Dr. Patrick Hanaway’s Danger Signal methodology.
Book Your Consultation
There’s a Reason Nothing’s Worked.
Your labs come back normal. Your doctor says you’re fine — maybe it’s stress.
But you’re exhausted. You can’t think straight. The weight won’t budge.
You’ve tried the diet changes. The supplements. The dose adjustments.
Some things help for a while. Nothing lasts.
Your symptoms aren’t just a thyroid problem.
Your immune system, gut, hormones, and thyroid are all connected.
That’s what Coherence was built to understand.
You’ve tried to fix the symptoms.
But the symptoms keep coming back.
The thyroid medication. The gluten free diet. The supplements.
Some things help for a while. Nothing lasts.
The reason may be that the thyroid is downstream of something deeper.
Unearth the Hidden Driver Causing Thyroid Symptoms
Addressing the Danger Signal, not just symptoms
The idea is simple: when your body senses danger, it can shift from healing to protection.
The body goes into protection
The gut and immune system send signals to the brain.
When the brain senses danger, it puts the body on high alert.
This can affect mood, sleep, and energy.
The engine slows down
Your thyroid, metabolism, and cells can all start making less energy.
Built by people who’ve seen what works
Dr. Patrick Hanaway, MD
Clinical Cofounder
30+ years in functional medicine. Cofounder of Cleveland Clinic’s Center for Functional Medicine.
He has cared for thousands of patients, published peer-reviewed research on patient outcomes, and helped train a generation of functional medicine clinicians.
Kush Sharma
Cofounder
Harvard-trained scientist and healthcare entrepreneur.
Kush studied Computer Science at Harvard and began his career in biotech, working on gene therapies and becoming an inventor on multiple patents.
Lauren Bachman, DNP, IFMCP
Clinical Lead
Former Mayo Clinic clinician with deep experience in complex chronic disease.
She also brings advanced training in genomics, gut-immune health, and functional medicine.
Jamie Kyei-Frimpong, DNP, FNP-BC
Clinician
10 years in functional medicine. The first nurse practitioner at Parsley Health.
She is now on the faculty of the Institute for Functional Nursing.
Her own experience with unexplained exhaustion led her to functional medicine and shapes how she cares for patients today.
Karen Bush, MA, NBC-HWC
Health Coach
Cleveland Clinic trained. Part of the first national cohort of Board-Certified Health & Wellness Coaches.
Karen trained at Duke Integrative Medicine and later worked at Cleveland Clinic’s Center for Functional Medicine.
Today, her work focuses on helping patients turn what they know into changes they can actually sustain.
This was built for women like you.
This may be a fit if:
- Exhaustion or low energy
- Brain fog or trouble focusing
- Unexplained weight gain
- Symptoms that have persisted despite trying to fix them
You may have hypothyroidism or Hashimoto’s — but you don’t need a diagnosis to start.
This may not be a fit if:
- You have another diagnosed autoimmune condition
- You have a complex multi-system illness
- You take biologic or immune-modulating medications
Not sure? Complete the intake when you book.
We’ll review it before your session. If we’re not the right fit, we’ll refund your consultation in full.
The Danger Signal Analysis
Reserve your session
Choose a time that works for you.
Complete your assessment
50–75 questions about your symptoms and health history.
Attend your analysis
Review your results one-on-one with a member of the Coherence team.
Your 14-Day Jumpstart
A 14-day plan you can use right away to begin feeling better - specifically built for the patients we specialize in.
Yours to keep whether or not you continue with Coherence.
This is an educational session, not clinical care. We do not diagnose, prescribe, or provide medical treatment during this session.
Want to hear more from Dr. Hanaway?
Hear why he built Coherence and what makes this approach different.
Optional deeper context · 15 minutesReady to Understand What May Be Driving Your Symptoms?
THE DANGER SIGNAL ANALYSIS
$37 one-time payment
Personalized Danger Signal Assessment
60-Minute One-on-One Analysis
Review your results with a member of the Coherence team
14-Day Jumpstart
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100% money-back guarantee
If you complete your Danger Signal Analysis and don’t feel it was valuable, let us know and we’ll refund your consultation.
Frequently Asked Questions
Who will I meet with? Is it Dr. Hanaway?
Your session will be with a member of the Coherence team trained in Dr. Hanaway’s methodology.
Dr. Hanaway leads Coherence’s clinical team and oversees the approach behind your Danger Signal Analysis.
What does Coherence’s ongoing program cost?
If you’re a good fit and want to continue after your session, Coherence’s full program is $4,000 for six months, including standard labs.
There are no hidden program fees. We don’t sell or mark up supplements. Most patients who use supplements spend around $100/month, purchased separately.
We know how frustrating it is to get on a call only to find out there’s a $12,000 program on the other side. We want you to know the cost before you book.
Do you accept insurance? Can I use HSA or FSA?
Coherence does not accept insurance.
You can usually use HSA or FSA funds to pay for eligible Coherence services. Eligibility depends on your plan, so we recommend confirming with your HSA/FSA provider.
Do I have to join the full Coherence program?
No.
Your Danger Signal Analysis stands on its own. You’ll receive your assessment results and 14-Day Jumpstart whether or not you continue with Coherence.
If we think you’re a good fit for ongoing care, we’ll explain what that looks like. The decision is yours.
Is Coherence new? Why can’t I find much about it?
Yes. Coherence was founded in 2026. The medicine behind it is not new.
Coherence was founded by Dr. Patrick Hanaway and Kush Sharma to make Dr. Hanaway’s approach available to more people.
Dr. Hanaway has spent decades practicing functional medicine, helped build Cleveland Clinic’s Center for Functional Medicine, and has trained thousands of clinicians.
Our clinical team brings decades of combined experience from institutions including Cleveland Clinic, Mayo Clinic, and Duke.
What makes Coherence different from other functional medicine programs?
Depth of experience — and a clear methodology for understanding why your symptoms belong together.
Coherence’s clinical approach is led by Dr. Patrick Hanaway, one of the early leaders in functional medicine and a cofounder of Cleveland Clinic’s Center for Functional Medicine.
Our team combines experience across functional medicine, academic medicine, complex chronic illness, health coaching, and biotech.
And rather than starting with a long list of supplements, we start by asking where your danger signals may be coming from.
Do I need to have Hashimoto’s or hypothyroidism?
No.
Many of the women we work with have hypothyroidism or Hashimoto’s. Others have the same pattern of exhaustion, brain fog, weight gain, and other symptoms without a diagnosis.
We’ll use your intake to determine whether Coherence is likely to be a good fit for you.
What if Coherence isn’t a good fit for me?
We review your intake before your session.
If your health history falls outside the conditions we currently specialize in, we’ll let you know and refund your consultation in full.
Is the Danger Signal Analysis medical care?
No. The Danger Signal Analysis is an educational session.
We do not diagnose, prescribe medication, change your treatment, or provide medical care during this session.
What if I don’t find the session valuable?
Your consultation is backed by a 100% money-back guarantee.
If you complete your Danger Signal Analysis and don’t feel it was valuable, let us know and we’ll refund your consultation.