Naturopathic medicine is the future of healing, and personalized nutrition is the future of naturopathic medicine. An individualized approach to the patient is a key to unlocking many of the latent healing powers of the body. It allows the physician the ability to treat the patient, not the disease, a tenet of healing wisdom as ancient as its source, the great physician Hippocrates. Welcome to the official website of the Center of Excellence in Generative Medicine, (COE) where Dr. Peter D'Adamo and his staff of expert physicians use a blend of unique cutting-edge technologies and time-honored healing wisdom to help each patient achieve their ultimate health goals. Be it the management of complex diseases, metabolic and weight-loss support, anti-aging strategies, or general health optimization and prevention; the COE, a recognized world-leader in naturopathic medicine is here to help.

Meet The People of The COE

At the Center of Excellence Dr. Peter D'Adamo has assembled a team of some of the brightest minds in natural medicine. All staff physicians have been thoroughly trained by Dr. D'Adamo and have completed or are completing a rigorous two year residency.

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Scheduling An Appointment

An individualized approach to the patient is a key to unlocking many of the latent healing powers of the body. Under the guidance of Dr. D'Adamo COE patients enjoy the benefits of cost effective and cutting-edge treatment while also one-to-one care and support.

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Learn More About The COE

The Center of Excellence uses software, treatments and formulations that have been programmed and custom-designed by Dr. D'Adamo. These tools are unique to the COE and insure a truly personalized, one-of-a-kind patient experience.

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Urine Indican: A Sensitive Test for Malabsorption

Indican levels are determined via a simple urine test.

Indican levels are determined via a simple urine test.

Robert Brody, ND

Indican testing can be a useful tool for monitoring degeneration or improvement in digestive efficiency of your system in dealing with protein. Indican is formed by an abnormal metabolism of tryptophan. Indican is a by-product of putrefaction (protein degradation), usually in the intestine, but possibly in other locations as well. Putrefaction is the anaerobic bacterial decomposition of proteins – not ideally the healthy way for your body to deal with proteins.

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Breath Hydrogen Testing

bacteria2by Robert Brody, ND

Here at the Center of Excellence, we routinely perform an hour-long Hydrogen Breath Test. Though this isn’t a new test, few physicians perform it. During all visits, we have each patient blow once into a hydrogen breath machine to get a baseline hydrogen breath measurement. What we look for is an uneven distribution of good bacteria versus bad bacteria. When there is an abundance of bad bacteria, it is called dysbiosis. Common symptoms of dysbiosis include gas, bloating, diarrhea, constipation, heart burn, fatigue and nausea. If a patient blows a score of 20 parts per million (PPM) or above, we ask them to come back for another office visit to do the full hour-long Hydrogen Breath Test.

How does a Hydrogen Breath Test work?

The test works by monitoring the amount of hydrogen gas that is exhaled during the course of 12 seconds. If the result is in the range of 20-30 PPM, it indicates an excessive amount of “bad” bacteria in the digestive tract. While there are bacteria all over the body from the skin to the digestive tract, they are usually beneficial. When the system gets disrupted, the digestive tract changes and non-commensal bacteria (aka bad bugs) take up residence. These non-commensal bacteria start “stealing” food and supplies and wreaking havoc on the body. While these cells are stealing supplies, they start producing hydrogen gas as a waste product.

What do the results mean?

If the test comes back low, it means one of two things:

  • You are healthy and do not have dysbiosis
  • You have dysbiosis and might have a strain of bacteria that produce methane instead of hydrogen (very few patients fall under this category

If the test comes back elevated, it can mean a couple things:

  • You have dysbiosis
  • You have just recently consumed food

Depending on how high your hydrogen level is, we may recommend coming back for a full hydrogen test. A full hydrogen test includes fasting for 12 or more hours followed by taking a baseline hydrogen blow. After we take the baseline blow, the patient drinks a sugary liquid called lactulose. We then take hydrogen breath readings every 15 minutes for the next hour. Lactulose is an undigestible synthetic sugar which bad bacteria love to eat. When the bad bacteria consume the lactulose, they produce hydrogen as they try to digest this undigestible sugar.

The interesting part about the full test is we can gauge where the dysbiosis is depending upon when the result appears. For example, if after the first 15 minutes of drinking lactulose, your hydrogen blow result is high, this indicates bacteria in your upper GI tract. If your hydrogen blow results are high after 45 minutes, it would indicate dysbiosis in the lower GI tract. When a Lactulose test comes back consistently high (20 or above), it can indicate a diagnosis of Small Intestinal Bacterial Overgrowth aka SIBO.

How do we treat dysbiosis?

While there are many different ways to treat someone with dysbiosis, we always use an individualized approach. We are all unique and thus should be treated as such. We usually first address Dysbiosis with diet. Changing your SWAMI Diet helps the good bugs proliferate. We will also use probiotics to help address repopulation of the GI tract. Dr. D’Adamo formulated a Probiotic line called Polyflora after 30 years of clinical practice. Polyflora is filled with the bacteria that normally populate individual blood type’s GI tracts. In 2013 Drs. Peter D’Adamo and Natalie Colicci did a small investigation to determine if the Blood Type diet can affect SIBO. They found that patients who followed the diet have a decreased amount of hydrogen levels. Click Here to See the Study

Although there are many symptoms associated with dysbiosis and SIBO, with the proper protocol, this is something that can be treated.

Seasonal Affective Disorder

By Dr Maria Zangara

Seasonal affective disorder (SAD) is a common disorder that occurs in the winter months, when days are shorter, darker and grayer. The lack of sunlight is thought to contribute to symptoms of SAD. People suffering from SAD undergo extreme changes in mood that fluctuate with the seasons, as if they were split between a ‘summer person’ and a ‘winter person.’ For most who suffer, the syndrome begins gradually in late August or early September, and corresponds with the diminishing light at this time of year. Discomfort continues through March or early April, when the symptoms begin to dissipate as the hours of daylight lengthen.

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SWAMI Diet Software

SWAMI provides you with a detailed diet report  and recipe collection, tailored to your unique needs.

SWAMI provides you with a detailed diet report and recipe collection, tailored to your unique needs.

The renowned author of a series of wildly successful nutrition books, including the New York Times bestseller Eat Right For Your Type, Dr. D’Adamo was beginning to see the limitations of the traditional static book format when it came to developing his brand of highly personalized diets. Now, books are OK when it comes to one-size-fits-all diets and even individualized diets based on single genes, like blood type. You just turn to one of the four chapters that describes your particular type and away you go. But what happens when we try to incorporate 5, 10 or even 20 different genetic markers? How could he ever capture biochemical individuality inherent in each of us with such an inflexible format?

Fortunately, Dr. D’Adamo has had a life-long interest in computer programming and it soon became apparent that his beloved hobby could provide the answer: Why not write a computer program that allowed each individual to develop their own one-of-a-kind diet? So four years ago, Dr. D’Adamo began to write computer code. Lots of it. What resulted is undoubtedly the most sophisticated, yet easy-to-use, dietary software available, called SWAMI.

SWAMI Mobile App

SWAMI Mobile App

Incorporating blood types, biometric measurements and fingerprint data SWAMI XP2 allows your COE physician to add an astounding amount of new detail to your dietary recommendations and supplies you with an incredibly detailed, reader friendly and versatile report. Swami XP2 enables your physician to generate an estimated 50-page personalized dietary report out of your printer after 12,600,000 individual calculations performed on 225 individual nutrient values found for each of 800 different foods, all matched to the results of your measurements and intake facts.

If SWAMI did nothing besides generate state-of-the-art nutrigenomic diets it would still be a landmark piece of nutritional software. But Dr. D’Adamo teaches and maintains a full clinical practice, so he knew from the start that simply giving his patients information about whether a certain food was good or bad would not be enough for many people. Most of us need a context in which to follow a diet: What to cook and how to meal-plan. This type of information is often critical to maintaining the program long enough to allow for the results to set in. As an added bonus, SWAMI come bundled with a complete online Mealplanner that can call upon a universe of over 2000 recipes that are prescreened for your needs. In addition to allowing you to plan your weekly meals, the Mealplanner will generate any of the recipes you select for printout and even provide you with a shopping list for all the necessary ingredients.

Use a smart phone? SWAMI will also provide you with a link to an app that allows you to check your diet values while shopping or eating at restaurants.

SWAMI is an integral part of the First Office With Full Nutritional Support visit and is available on both private practice rotations and the teaching shifts.



By Dr. Peter D’Adamo

At the Center of Excellence I teach a series of classes in “Generative Medicine,” a specialty that resulted from my work with computers and networks. In the class our focus is primarily biochemical and genetic networks, but in fact, networks surround us. From our friends on social media, to our family support systems, most relationships, however direct they may appear, are in fact webs of connections, interdependent upon one another.

Networks experience, gauge, and react. A cellular network might control how a microbe responds to a change in its environment, say a drop in its nutrient supply. The microbe might, for example, alter its gene expression to make a new protein that allows it to change its movement pattern and perhaps explore a different location. Our brain’s neural network processes inputs from our senses and converts the information into thought patterns that might put a grin on our face when a loved one comes into sight.

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Taming The Burn: How to Improve Your Lactic Acid Threshold


Dr. Natalie Colicci

We’ve all had that feeling. The sensation that our legs were on fire as we struggle to cycle to the top of a hill, or do those last two crunches. You know, the feeling that makes you say, “Wow! I must be out of shape!” or “I feel muscles hurt in places I didn’t even know I had them!”

Congratulations! You’ve hit your lactic acid threshold.

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Sweat It Out! The Benefits of Infrared Sauna

Saunas are a time-honored way of healing.

Saunas are a time-honored way of healing.

Our body naturally rids itself of toxins in several ways; through our kidneys, bowels, and through our skin when we sweat. Working up a sweat can be done through vigorous exercise or through Bikram-style yoga, but it can also be done in a less taxing way – with a treatment in an infrared sauna. At the COE, we employ this method of detoxification to eliminate environmental chemicals and release heavy metals like mercury and lead. But the benefits do not end there! Infrared sauna technology can also help you to lose weight, relieve joint discomfort, increase circulation, and purify your skin.

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Grilled Salmon FIllets with Lemon and Dill

Salmon and Dill.

Salmon and Dill.


Fresh salmon needs very little preparation to bring out its savory flavor. In this recipe, the bright essence of lemon is enhanced by the sweetness of dill making this dish nearly perfect. Serve it atop your favorite greens for a quick and tasty lunch or alongside your favorite steamed veggies for a light dinner.

4 6-ounce salmon fillets
4 tablespoons lemon juice
2 tablespoons olive oil
1 tablespoon lemon zest
2 teaspoons dried dill
2 cloves garlic, minced

Combine lemon juice, zest, oil, dill and garlic in a large re-sealable bag. Add salmon and turn to coat. Refrigerate for 2 hours. Preheat grill. Remove salmon from bag and place on hot grill. Brush salmon with marinade from the bag. Grill salmon for about 4 to 5 minutes per side. Remove when done. Salmon should be light in color and flake easily through the thickest part.

SkySaw – Laying a Foundation for Health

SkySaw on an iPad

SkySaw on an iPad

Dr. Robert Brody

As Dr. D’Adamo famously said, “If you want to build a bridge over a canyon, you can’t simply toss bricks into it and expect something to happen. First, you need to come up with a blueprint and lay a foundation.”

At the COE, we are building a rock-solid foundation for our patients based on the latest technically advanced approaches to health care. SkySaw is a computer program that is on the cutting edge of “bioinformatics” technology being developed by Dr. Peter J. D’Adamo as part of the Bioinformatics Initiative at the Center of Excellence in Generative Medicine that allows us to create a blueprint and build your foundation in health.

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