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THRIVE is a collaborative platform of conventional, integrative, & functional medicine practitioners coming together in one setting to provide personalized healthcare to clients.
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Dr. Fletcher discussing thyroid disease

What You Need to Know About Thyroid Health

Motivation with Dr. Fletcher Fatigue, brain fog, weight changes, or feeling “off”? Your thyroid could be part of the story. In this week's Motivation, Dr. Fletcher discusses thyroid disease and how testing for hypothyroidism can help uncover what’s really going on beneath the surface. The thyroid may be small, but it has a major impact on your body, affecting energy, metabolism, mood, temperature regulation, and more. When thyroid hormones fall out of balance, symptoms can be subtle, confusing, and often overlooked. Learn More about our upcoming Thyroid Health Yoga & Learn Workshop.  This session is designed to help you better understand your body and what to do when something feels off. Reserve Your Spot What You’ll Learn How the thyroid regulates energy, metabolism, and overall health Common signs and symptoms of...

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Warm asparagus salad with arugula, chopped eggs, and champagne vinaigrette on a serving platter

Warm Asparagus Salad on Arugula or Spinach with Champagne Vinaigrette and Hard-Boiled Eggs

This warm asparagus salad is a simple but elevated dish that works beautifully as a light dinner or a fresh side for a spring gathering. Peppery arugula, tender asparagus, bright champagne vinaigrette, and chopped hard-boiled eggs come together in a way that feels both nourishing and celebratory.Serve it as written over arugula, or swap in baby spinach for a softer, milder base. Ingredients 1 large shallot, finely diced 1 1/2 tablespoons champagne vinegar or white wine vinegar 1/2 teaspoon honey 1/2 teaspoon Dijon mustard 1 teaspoon lemon zest 1 tablespoon lemon juice 3 1/2 tablespoons olive oil 1 pound thin asparagus, trimmed 3–4 handfuls of arugula or baby spinach 3 hard-boiled eggs, chopped Salt, to taste Directions In a small bowl, combine the diced shallot, vinegar, and...

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Motivation: Mediterranean Diet Cooking

In this week's Motivation, Dr. Fletcher discusses the Mediterranean Diet and its impact on gut health. A healthy gut plays a central role in digestion, immune function, inflammation, metabolism, and overall well-being. The Mediterranean Diet is one of the most well-studied eating patterns in the world because it is both effective and sustainable. It emphasizes real food, healthy fats, fiber-rich produce, quality proteins, and flavorful ingredients that support the body over time. If you have ever wondered how to eat healthier without feeling restricted, this event is for you. Mediterranean Diet Cooking Demonstration Learn how to eat for gut health, energy, and long-term wellness, without sacrificing flavor. Join Thrive Carolinas on March 31 from 6:00–7:30 PM for an engaging evening centered around one of the world’s most respected and research-backed...

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Mediterranean bolognese with lamb, harissa, mushrooms, and goat cheese served over pasta

Bolognese with Harissa Sauce

Mediterranean cooking continues to evolve, drawing inspiration from regions like North Africa, where bold spices and layered sauces are part of everyday cooking. This bolognese takes the comfort of a classic meat sauce and gives it a deeper, spicier edge with harissa, a North African chile paste made from roasted peppers, garlic, and warming spices.Harissa adds instant complexity to sauces, skillet meals, and roasted proteins. Here, it transforms a traditional bolognese into something richer, brighter, and a little more unexpected. Serve it over pasta for a hearty dinner, or spoon it over spaghetti squash for a lighter option. Ingredients 2 tablespoons olive oil 1 cup chopped shallots 3 garlic cloves, chopped 1 teaspoon red pepper flakes 1 cup chopped shiitake mushrooms 1 pound ground lamb 1/2...

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Butternut Squash and Pear Soup

This Thriver original soup is a favorite around the office! You can easily substitute apples for pears if you have them on hand. Ingredients: 2 lbs. cut up butternut squash (about 12 cups) 1 T olive oil 4 pears, cored and cut up, skin left on ¾ cup thinly sliced leeks 1 large onion and 2 cloves garlic 1/8 tsp salt 1 T olive oil 1 t sea salt of Himalayan salt ½ t cayenne pepper 2 cups of vegetable or chicken broth 2 cups cashew milk Directions: Toss squash, pears, onion, and garlic with olive oil and salt. Roast in the oven for 30 minutes. Put roasted vegetables in the slow cooker and add broth. Cook on high for 4 hours or low for 8 hours....

Dr. Fletcher discussing hormones and menopause at Thrive Carolinas

Understanding Hormones & Menopause

In this week's Motivation, Dr. Fletcher discusses hormones and menopause, and why this conversation is about much more than estrogen, progesterone, and testosterone alone. Hormonal health is complex and interconnected. In addition to sex hormones, we also examine key players such as cortisol, insulin, and thyroid hormones, all of which influence energy, mood, weight, sleep, inflammation, and overall well-being. When one system is out of balance, others are often affected as well. Understanding this bigger picture is essential to navigating menopause with clarity and confidence. A Closer Look at Hormone Replacement Therapy (HRT) To continue this important conversation, we invite you to: Yoga & Learn: Menopause and HRT – Part 1 This session will explore hormone replacement therapy (HRT) in an open, evidence-based, and supportive setting. We’ll cover: What HRT is...

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Colorful Mediterranean meal with olive oil, vegetables, legumes, fish, and whole foods arranged on a shared table.

The New Food Pyramid & the Mediterranean Diet: A Return to Real Food

By Nancy A. Palermo, MD The newly released 2025–2030 Dietary Guidelines represent one of the most meaningful shifts in federal nutrition policy we’ve seen in decades. For the first time in a long while, national guidance is beginning to align with what science and common sense have been telling us all along: real, whole foods support health, while highly processed foods drive disease. From a Functional Medicine perspective, this change is long overdue. The updated guidelines are illustrated using an upside-down food pyramid, emphasizing whole, nutrient-dense foods at the foundation, particularly protein, healthy fats, and lower-glycemic carbohydrates. While the recommendations are not perfect, they signal an important shift toward prevention, metabolic health, and longevity. At its core, this new pyramid closely mirrors the principles of the Mediterranean diet, one...

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Menopause Society Certified Provider logo

Why Menopause Requires a Whole-Body, Whole-Hormone Approach

By: Dr. Fletcher Menopause is finally getting the attention it deserves, and that’s a very good thing. After more than 25 years as a board-certified OB/GYN, I’ve watched the conversation around hormone replacement therapy swing dramatically: from overuse to fear-driven avoidance and now toward a more nuanced, evidence-informed understanding. This moment presents an important opportunity, not just to talk about estrogen, but to reframe menopause as what it truly is: a complex, whole-body physiologic transition. For women navigating perimenopause and menopause, narrow treatment approaches often lead to frustration, incomplete relief, and a sense that something is being missed. That’s because menopause is never just about one hormone. Menopause Is a Neuro-Endocrine-Metabolic Transition Most people associate menopause with declining estrogen and symptoms like hot flashes, night sweats, and irregular cycles. But menopause...

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Give the Gift of Wellness — Thrive Carolinas Holiday Specials

Holiday Gift Guide • Specialty Shops SouthPark Meaningful, health‑inspired gifts you'll actually use: organic self‑care, yoga & fitness class packs, InBody scans, and cookbook + cooking class bundles. Wellness Gifts & Packages Organic Essential Oil Diffusers by The Candle Brand UK $30 Bring nature indoors with a clean, subtle aroma, including a plantable label for a gift that keeps growing. Organic Clean‑Burning Coconut and Rapeseed Wax Candles by The Candle Brand UK $40 Eco‑friendly, essential‑oil scented candles to unwind and reset through the holidays. InBody Scans — Pack of 5 5 for $140 Precision body composition tracking muscle, fat, and hydration. A great kick‑start for the New Year. Yoga & Fitness Classes — Buy 10, Get 5 Free, $175 (15 classes for the price of 10, a $260 value) Balance the holiday hustle with movement and calm. Applies to...

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Finding a Functional Medicine Practitioner

By Nancy A. Palermo, MD Why Now is the Best Time for Functional Medicine Recent studies show a growing dissatisfaction with the conventional healthcare experience. In fact, trust in physicians has dropped from 71% to just 40% as of early 2024. Many patients are seeking a different kind of care, one that prioritizes empathy, collaboration, and prevention over prescriptions and procedures. This shift has led to rising interest in Functional Medicine, an approach that examines the root causes of illness and emphasizes long-term wellness rather than just symptom management. [mkdf_button size="" type="" text="Learn More About Our Functional Medicine Program" custom_class="" icon_pack="font_awesome" fa_icon="" link="https://thrivecarolinas.com/functional_intergrative_medicine/" target="_self" color="" hover_color="" background_color="" hover_background_color="" border_color="" hover_border_color="" font_size="" font_weight="" margin=""] What Is Functional Medicine? Functional Medicine is a patient-centered, systems-based model that views the body as an integrated whole. Practitioners focus on...

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