Primary Care


Chronic Diseases

Dr. Streff performs the full scope of primary care, but places a special focus on expanding lifespan and healthspan through emphasizing prevention and reversal of cardiometabolic diseases. For many people chronic diseases like high blood pressure, high cholesterol, obesity, insulin resistance, diabetes, and certain cancers are being driven by our diseased Western lifestyle. He firmly believes that interventions in nutrition, activity, sleep, and distress can help combat these diseases.


Patient Education

He believes treatments should be precise and nuanced, specific for each patient, and that each person should understand their medical conditions and the reason for treatment. To this, he is a proponent of quality patient education and attempts to provide information at a personalized level of understanding. This knowledge will help empower his patients and guide the treatment decisions they make together.


Labs, Testing, and Treatments

He will go over lab and diagnostic results in appropriate detail and explain the impact of various markers and values on health and lifespan. He will use this information to supplement the history and physical exam findings, which guide treatment regimens.


Evidence Based

He practices evidence based medicine (EBM) for matters where high quality Randomized Control Trials (RTCs) exist, he otherwise relies upon society guidelines, expert opinion, and knowledge of anatomy, physiology, and pharmacology.

Not a Pill Pusher

His goal is for patients to be on the the fewest medications at the lowest dose for the shortest time to control their diseases. If there is an adequate way to treat a disease without medication, he is willing to try it. Sometimes, however, medications are needed and he will work with you to try and find the right one at the right dose.


Osteopathic Medicine

Doctors of Osteopathic Medicine (DOs) are medical doctors like Doctors of Allopathic Medicine (MDs), but with extra training in the musculoskeletal system during their first two years of medical school. DOs and MDs otherwise train together during medical school and now go through the same residency programs. While this merger has made the DO moniker lose some of its uniqueness, it's overall benefited the medical profession with each perspective imparting their strengths on the new trainees. Now being practiced by many allopaths, the osteopathic tradition places an emphasis on treating patients through a holistic approach. Meaning, understanding that the body is a single unit made up of smaller parts with intricate connections between structure and function. The prescribed therapies should then be nuanced to treat the individual patient and not just a single symptom or organ. You can learn more about the osteopathic philosophy on the American Osteopathic Association website: