Your First Visit

Do I need a referral?

No. You do not need a referral. As a primary care internist, we are a direct point of contact — for both statutory and private insurance holders as well as self-pay patients. You can book an appointment directly via Doctolib or by phone.

What should you bring?

• Insurance card (eGK) or private insurance documentation
• Previous medical records — discharge letters, lab results, imaging reports. The more we know in advance, the more targeted our approach.
• Current medication list — ideally with dosages and timing
• Food diary — particularly relevant for diabetes, obesity, and nutritional counselling. Ideally a 3- to 7-day log that includes: meals and drinks with approximate portions, times of day, and snacks between meals.
• Vaccination record — if available
• Preventive care booklet — if available

What happens at the first appointment?

The first visit begins with a focused medical history — targeted to your specific concern. Background, current symptoms, medications, and goals form the basis for further diagnostics:

• Blood draw and laboratory screening (blood sugar, lipids, liver and kidney values, thyroid, and where appropriate HOMA index and adiponectin)
• Blood pressure measurement and, if indicated, 24-hour blood pressure monitoring
• Review of your dietary habits based on your food diary
• Planning of further diagnostics (ultrasound, sleep screening, BIA) as needed

Possible self-pay services

Depending on the clinical question, additional self-pay services may be relevant — beyond regular statutory services. We discuss these individually and without pressure during the initial consultation and perform them within the extended internal medicine consultation on Thursdays:

• BIA measurement (body composition analysis): BIA shows what your weight is made of — muscle, fat, water. In obesity therapy and nutritional medicine, it makes treatment progress objectively measurable.
• CGM screening (glucose sensor): Continuous glucose monitoring as a metabolic screening — even without known diabetes. It reveals blood sugar spikes that routine lab work misses.
• Extended ultrasound diagnostics: Duplex sonography of the carotid arteries to assess cardiovascular risk.

Billing follows the GOÄ. Scope and costs are discussed transparently in advance; before the service is provided, we conclude a written agreement in accordance with § 18 (8) BMV-Ä. There are no unexpected charges, and you have time to consider at any point.

What does treatment include?

Treatment in our practice goes beyond simply prescribing medication. Depending on the diagnosis, it includes:

• Nutritional counselling by a specialist with additional qualification in nutritional medicine — tailored to your lab values and BIA results
• Regular follow-up appointments with lab work, BIA, and physician consultation
• Treatment adjustments — if something isn't working, we change the plan
• Coordination with specialists and cooperation partners for further investigations