Metabolic Measured
Autoimmune Measured
Thyroid function Measured
Symptoms and history Mapped
Map the underlying root causes
We use a targeted whole-system lab panel combined with your symptoms and history to identify your specific root causes.
A thyroid condition shouldn't be a life sentence.
Coherence helps people with thyroid conditions get back to feeling like themselves: energetic, alive, and whole.
Exhaustion.Exhaustion.Brain fog.Brain fog.Weight gain.Weight gain.Hair loss.Hair loss.
They're happening for a reason. And we can find it.
It didn't start from nowhere
Finding the root causes underneath your symptoms
Thyroid dysfunction and the resulting symptoms have multiple underlying causes, different for each person.
- Brain. What we measure: Mood (PHQ-9), Anxiety (GAD-7), Brain fog and fatigue (ThyPRO).
- Thyroid. What we measure: TSH, Free T4, Free T3, TPO antibodies.
- Nervous System. What we measure: Sleep quality, Heart rate variability, Morning cortisol, Early-life stress (ACE).
- Inflammation. What we measure: hs-CRP, CBC with differential, ANA screen, Vitamin D.
- Metabolism. What we measure: Fasting insulin, HbA1c, Metabolic panel (CMP), Uric acid.
- Toxins. What we measure: GGT, Liver markers (CMP), Exposure history.
- Gut. What we measure: Food and symptom journal, Food reintroduction, Stool pattern (Bristol).
We synthesize across your symptoms, labs, diagnoses, and history to identify your specific underlying root drivers.
What we do about it
Addressing your underlying root causes
Based on your identified root causes, we apply proprietary protocols grounded in scientific literature and decades of clinical experience to reverse the underlying drivers.
Protocols
Systems they act on
- Gut
- Metabolism
- Thyroid
- Inflammation
- Brain
- Nervous System
- Toxins
Six protocols. Seven systems.
How it works
A 3-month program to return to optimal wellbeing
Coherence's 3-month program is designed to identify and address the underlying root causes of your symptoms, bringing you back to optimal health.
Apply personalized interventions
Our team guides you through the right interventions in the right order, designed to address your specific root causes and bring you back to health.
Maintain a state of peak health
Once your underlying drivers are addressed, we support you in maintaining your newfound vitality for the long term.
Within the first 30 days, expect a day that feels better than you have in months. And it will keep getting better from there.
Meet Dr. Hanaway
The doctor leading your care team
01 / 06
Dr. Patrick Hanaway is one of the pioneers of functional medicine.
02 / 06
Patrick was appointed directly by the Cleveland Clinic CEO to build its Center for Functional Medicine, and served as its founding medical director.
The Cleveland Clinic is consistently rated America's #1 or #2 hospital system.
03 / 06
He helped build the Institute for Functional Medicine's clinician training and served as its chief medical education officer.
04 / 06
He's trained tens of thousands of clinicians worldwide.
05 / 06
Nearly every functional medicine doctor currently practicing has trained with him.
06 / 06
He's the clinician that other clinicians go to to learn from, and his 40 years of experience inform every clinical decision made at Coherence.
See the program- Cofounder, Medical DirectorCleveland Clinic Center for Functional Medicine
- 10,000sof clinicians trained
- 40years of experience
The program
Coherence Thyroid Program
A three-month guided program working with our expert health coach to address the underlying root causes of your symptoms to bring you back to your natural state of wellbeing.
30-day money-back guarantee. Try it for 30 days. If it isn't right for you, we'll refund you in full.
Founding cohort pricing
Founding cohort price $999Regular price $1,250
3-month guided program
Includes
- Comprehensive lab panel to identify root causes
- Personalized root-cause whole-body care plan
- 1:1 health coaching sessions to implement your plan
- Followup lab panel for tracking and updates
- Everything you need to return to optimal wellbeing
Patrick Hanaway, MDCofounder, Cleveland Clinic Center for Functional MedicineCoherence's programs are not medical care and do not replace your physician. These programs are intended as health and wellness coaching and educational guidance to help uncover, understand, and address the root causes of your symptoms, not to diagnose or treat disease.
Who we are
Your care team
Patrick and Karen met at the Cleveland Clinic Center for Functional Medicine, where Patrick was the founding medical director and Karen was the head health coach. They came together at Coherence to make specialized care for people with thyroid dysfunction accessible to everyone.
Cofounder
Patrick Hanaway, MD
Patrick is one of the leading figures in the field of functional medicine, a set of tools and systems designed to reverse the underlying causes of chronic disease, not just treat them symptomatically.
More about Dr. Hanaway
Founding health coach
Karen Bush, MA, NBC-HWC
Karen was the head coach at the Cleveland Clinic Center for Functional Medicine and part of the first-ever cohort of board-certified health and wellness coaches. She trained at Duke Integrative Medicine and has seen patients and clients in collaboration with physicians and in her own private practice for the better part of a decade.
01How do I know Coherence is right for me?
Coherence may be right for you if you have diagnosed hypothyroidism, Hashimoto's thyroiditis, or subclinical hypothyroidism and are experiencing symptoms such as exhaustion, brain fog, unexplained weight gain, hair loss, skin dryness. These symptoms are impacting your life significantly enough that you want to make a change. Coherence can guide you through that process using whole system biology and targeted treatment plans designed to help you get back to a state of health.
02Where is Coherence available?
Coherence is available in all 50 states to adults 18 years or older.
03Is Coherence new? I can't find anything about it online.
Yes, Coherence as a company is new and was formed in 2026 by a clinical team with decades of experience that have worked together for years previously at the Cleveland Clinic Center for Functional Medicine. While this structure is new, the team is far from it, which is why you can't find much about us online yet.
04How does the 30-day guarantee work?
If the program isn't right for you, tell us within 30 days of starting and we'll refund you in full.
05Are there any additional costs?
Yes, Coherence has a minimal supplementation philosophy, and you'll spend around $100 per month on supplements not purchased through us, which we make no money on. There are no additional costs outside of that.
06Is this medical care?
No. Coherence coaching is educational. We don't diagnose, prescribe or change your medication. You keep your own doctor for medical care, and we help you act on what your labs and history are telling you.
07Will I still need thyroid medication?
Many people with a thyroid condition do need thyroid hormone, and that's appropriate care, not a failure. We work alongside your doctor on the daily factors medication alone doesn't touch, like food, sleep, stress and gut health. Our program may decrease the need for medication over the medium term.
08Do you accept insurance?
Not currently. The program is paid directly, but at a fraction of the cost of otherwise seeing a functional medicine doctor. The normal cost for functional medicine is $7-10k for a program. We're able to do this at much cheaper cost.
09How do sessions happen?
Everything happens by video and messaging, so you can join from home.