Evidence Based
Metabolic Healthcare
at its BEST.
Essence Health & Research (EH&R) is a 501c healthcare nonprofit that provides evidence-based metabolic healthcare for the entire family at all stages of life to manage chronic disease, mental health conditions, and general health goals to achieve optimal health outcomes. EH&R also helps to lead legislative efforts to improve the scope of practice for Doctors of Clinical Nutrition (DCN) at the state and federal level.
EH&R can serve patients in Washington state and is based in Sammamish, WA.
TO MAKE YOUR APPOINTMENT:
Call: 425.505.3090
Email: drcoomes@essencehealthandresearch.com
Clinical Excellence • Evidence-Based Research • Medical Nutrition Therapy • Lifestyle Management • Metabolic Healthcare

The EH&R Approach: Your Health is not a Guessing Game.
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Root Cause and Evidence Based Care
Mechanisms (causes) of disease are identified through patient assessment, evidence-based research, and a systems biology analysis of the patient case to provide targeted and sustainable solutions for long-term optimal health. Finding the right cause of a patient's symptoms or medical condition is key to creating the right solution for medical care to create lasting results.
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Medical Nutrition Therapy Programs
Medical nutrition therapy (MNT) programs address root causes of metabolic conditions as a first line of defense to prevent or reduce the need for pharmaceutical (drug) interventions for major medical conditions and health goals. Matching the right MNT solution to the correct root cause helps to improve function in the body to restore long term health and reduce unnecessary drug use.
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Optimal Health Outcomes & Longevity
Patients are empowered with knowledge and practical tools to achieve optimal results. This is accomplished through accountability, collaboration with the patient's healthcare team, metabolic health education, mentorship, and lifestyle management. When patients are educated and understand the correct action to take with commitment, they can own their health transformation.
Specialized Care for Complex Medical Conditions
We provide evidence-based metabolic healthcare and root cause management for many chronic diseases, mental health conditions, and general healthcare needs for prevention. Here are just a few examples of where EH&R can help:
Women's Health
children's health
Longevity & Optimal Health
Diabetes / obesity
metabolic syndrome
Gastrointestinal conditions
Kidney & Liver Diseases
cardiovascular disease
Thyroid Diseases
Thyroid Diseases
Depression & Grief
pregnancy / INFertility
Menopause
chronic fatigue & brain fog
Food sensitivities & Testing
Osteopenia / osteoporosis
ANXiety & PTSD
Migraines & Brain Health
post partum depression
Autoimmune disease
Food sensitivities & allergens
Addiction
Chronic Pain
Chronic inflammatory disease
CANCER & Prevention
Histamine Intolerance
nervous system dysfunction
Genetic dysfunction & testing
Endocrine dysfunction
environmental toxicities
....And more!
Most Medical Insurances Accepted











Making Your Appointment at EH&R: Easy as
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Be sure to have your medical insurance card (s), most recent blood labs, medication and supplementation lists, and medical diagnoses from your annual physical or recent primary care provider (PCP)/specialist appointment. Most HMO, Medicare, and Medicaid medical insurances will need a referral from a PCP to EH&R for medical nutrition therapy (MNT) services.
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Make your appointment at EH&R by reaching out to Dr. Jennifer Coomes at drcoomes@essencehealthandresearch.com or call/text 425.505.3090. If you are looking for insurance based services for medical nutrition therapy, please share a copy of the front and back of your insurance card for your primary and any supplemental medical insurance cards to verify insurance benefits.
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As a new patient, please fill out all new patient forms prior to your first appointment and be sure you understand any potential financial responsibility. If you need to pay out of pocket for your services, please check out the "self pay" prices by checking out the EH&R Store tab above.
Goals for Health 2026: Make a Yearly Commitment!
In the United States, preventive and wellness healthcare is provided to most adults and children on medical insurance to help assess current health states and prevent chronic disease. Preventive medical nutrition therapy (MNT) is often provided for those who are at a higher risk for chronic disease, which includes family history of disease or current health states that can progress into chronic disease.
Preventive and wellness healthcare services are often covered at no cost for those on medical insurance. Committing to these healthcare visits is the key for optimal health outcomes, identifying early signs of disease, reducing need for pharmaceutical medications, improving productivity and mental health, creating healthy pregnancies, families, and communities, and the prevention of many chronic diseases.
Let's work together to make preventive and wellness healthcare the FIRST LINE OF DEFENSE to heal the chronic disease and mental health epidemics in our country. Here are the steps to success!
sUCCESS!
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Commit to your Medical Nutrition Therapy (MNT) program to improve metabolic health, quality of life, and longevity. These programs are essential and critical to reduce chronic disease and mental health relapses while giving early education to make wiser choices for better self care.
MNT Programs help you educate you about nutrition deficiencies or excesses that can contribute to disease based on your genetics, what you eat, coping mechanisms, budget choices, lifestyle choices, and more. Choosing MNT first before a pharmaceutical drug could prevent unwanted or unintended drug addiction, medication interactions, and symptoms.
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Schedule your Medical Nutrition Therapy (MNT) Initial or Re-evaluation at EH&R with a Doctor of Clinical Nutrition (DCN) and bring all medical lab results, diagnoses, and lists for medications and supplementation. This is your metabolic health check up to help you use the info from your annual physical to build a program to reduce chronic disease, mental health conditions, and improve general health.
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Schedule your Annual Physical with your Primary Care Provider (PCP) and be sure to get a full comprehensive set of blood labs. This provides you your baseline for your current health state based on your age, gender, symptoms, and physiology.
LEARN MORE!
Click HERE to learn more about preventive healthcare benefits for adults, women, and children.
Preventing Medication Interactions & Unwanted Medication Use
EH&R is committed to helping to reduce unnecessary or unwanted medication use in patient care by educating patients about their medical conditions, the root causes of medical symptoms and conditions, and medical nutrition therapy (MNT) interventions that can help reduce unwanted medication use, interactions, and side effects. With the increased discovery of the dangerous impacts of increased medication use and medication interactions, it is imperative that healthcare providers use due diligence in patient care to discover the best medical intervention for medical symptoms and conditions according to evidence based research. EH&R cannot prescribe medications for patients at this time, but great care is used to help prevent unwanted medication use and potentially harmful medication interactions.
How can YOU reduce unwanted medication interactions?
Use a Drug Interaction or Drug Nutrient Interaction Checker!
These checkers can help you discover any harmful medication interactions with other drugs, supplements, or foods. Here are some examples:
Medscape (website)
Linus Pauling Institute (website)
LPI DNI (Mobile App)
Johns Hopkins University (website)
Schedule a visit with EH&R!
EH&R can help you discover medication interactions and alternatives to pharmaceutical medications to help achieve similar or equivalent outcomes based on discovery of the root cause of medical symptoms and conditions.
While necessary medications may not be able to be replaced, it is important to ensure that these medications are taken at optimal times of day for best absorption, effectiveness, and minimal negative side effects.
If you do not know how to discover medication interactions or do not understand the potential side effects of either overuse of medications or using medications at incorrect times or dosing, please make an appointment at EH&R for more information.
If EH&R discovers medication interactions or potentially harmful timing or dosing of medication, recommendations will be made to you and for your prescribing healthcare provider to make needed changes.
Advocacy & Research
EH&R is dedicated to advancing the Doctor of Clinical Nutrition (DCN) profession through legislative advocacy and evidence-based research. Our mission is to improve the scope of practice and insurance reimbursement for DCNs and metabolic healthcare.
By bridging the gap between clinical research and policy, EH&R ensures that patients receive the best possible care. Our work focuses on root cause metabolic healthcare and the integration of medical nutritional therapy (MNT) into mainstream medicine.
EH&R leads in improving relationships within the medical field and advocating for better health outcomes through comprehensive research and clinical excellence.

Dr. Jennifer Coomes (DCN)
Executive Director
Testimonial #1
Dr. Coomes has been a true game-changer in my life. Before I met her, I was caught in a whirlwind of mental disarray when it came to my health. I felt lost and overwhelmed, unsure of where to turn. Dr. Coomes possesses a multi-modal approach that is nothing short of remarkable. She goes above and beyond to understand her patients on a holistic level. From the very beginning, I felt truly seen, heard, and understood in her care. This level of empathy is something that sets her apart. What struck me the most about Dr. Coomes was her ability to connect the dots between physical and mental health. She helped me realize that well-being is not just about the body; it's about the mind and soul as well. Her guidance was instrumental in shifting my mindset about health and wellness. Thanks to Dr. Coomes, I have embarked on a healing journey I could never have imagined before. Her expertise, dedication, and genuine care have been a driving force in my progress. I can say without a doubt that I am in a much better place today, both mentally and physically, because of her guidance. I wholeheartedly recommend her services to anyone seeking a transformative experience in their health journey."
Testimonial #2
"I consulted with Dr. Coomes to help me better understand some health issues including being diagnosed pre-diabetic even though I have none of the risk factors for diabetes along with stomach and digestive issues, osteoporosis and increased anxiety. I was completely blown away by how thorough the initial examination and subsequent visits were. The questions she asked were so much more in-depth than any MD or naturopath I’ve ever seen. In addition to being thorough, she is also genuinely interested in helping her clients. She is extremely knowledgeable about nutrition and physiology, providing much more detailed information about my health than any doctor I have seen. Through her testing methods and analysis, she was able to give me some very concrete steps to take to improve my health. She is very understanding about an individual’s need to make changes in their own time and was in no way pushy about any of the recommendations. I never felt like I was being pressured to buy or do anything that I didn’t feel I was ready for. If you are searching for better health and a customized plan to improve how you feel, then I highly recommend Dr. Jennifer Coomes."
