Complex Chronic Conditions Specialist in Atlanta
When Your Symptoms Don't Fit in One Box
You’ve seen specialists. You’ve had tests galore. Yet you still don’t feel right. This is where I do my best work; looking deeper, connecting the dots, and helping uncover the pieces that may have been missed.

I’m Alane Wincek, ND, CNC, a nutritionist who specializes in complex chronic conditions and persistent health concerns. Many of the people I work with are dealing with multiple or unexplained symptoms, overlapping conditions, or what they sometimes describe as a “mystery illness.”
Some of my clients come to me after months or even years of searching for answers. Others already have a diagnosis. And many arrive with a pretty good idea of what they think may be going on and want help deciding what to investigate next.
Whether you’re dealing with unexplained symptoms or wondering about something specific like dysautonomia or POTS, Ehlers-Danlos syndrome (EDS), Mast Cell Activation Syndrome (MCAS), Lyme disease, nutrient deficiencies, food intolerances, or another complex health concern, bring me what you know.
We’ll start there.
In-person appointments in Alpharetta, GA | Virtual appointments available
You Know Something Isn't Right
One of the things I hear all the time is:
“I’ve been to so many people, and nobody can tell me why I feel this way.”
You may have had blood work or other testing that came back within normal ranges. You may have been evaluated by several specialists, each looking at a different symptom or system. Maybe you’ve been told that nothing concerning showed up, but you’re still experiencing symptoms that affect your daily life.
That doesn’t mean I assume your previous providers missed something, and it doesn’t mean every persistent symptom points to an undiagnosed disease.
It means I want to hear the whole story.
I look at what has already been evaluated, what you’re experiencing now, how your symptoms may relate to one another, and whether nutritional, metabolic, digestive, environmental, or other factors may deserve a closer look.
Sometimes the next step is additional testing.
Sometimes it’s taking a closer look at results you already have.
And sometimes it’s finally putting information that has been scattered across different appointments into one bigger picture.
When Your Symptoms Seem Unrelated
Complex health concerns don’t always show up as one neat symptom.
You may experience several things at once, including:
- Persistent fatigue or exhaustion
- Brain fog or difficulty concentrating
- Dizziness or lightheadedness
- Heart palpitations or changes in heart rate
- Digestive problems, bloating, or nausea
- New or unexplained food reactions
- Joint pain, instability, or hypermobility
- Headaches
- Flushing, itching, or skin reactions
- Exercise intolerance
- Sleep problems
- Temperature sensitivity
- Muscle aches or weakness
- Tingling or other unusual sensations
- Symptoms that seem to flare without an obvious reason

One of my strengths is looking beyond each symptom individually.
Instead of asking only, “What causes fatigue?” I want to know what else happens with the fatigue.
Do you also become dizzy when you stand? Are you having digestive problems? Have foods suddenly become difficult to tolerate? Do your joints hurt? Did everything begin after an illness? Have your symptoms changed over time?
Those details can matter.
Complex Conditions I Frequently Work With
If you already have an MCAS diagnosis, or you're wondering whether mast-cell or histamine-related issues may deserve further investigation, I can help you look at your symptoms, nutrition, history, and available testing as part of the larger picture.
A Diagnosis Can Be a Starting Point, Not Always the Whole Picture
A diagnosis can be incredibly helpful, but sometimes it doesn't answer every question about why you still feel the way you do. That's where I like to dig deeper. I want to understand what else may be affecting how your body is functioning and what we can reasonably support through nutrition, testing and an individualized plan. Maybe you already know you have POTS, EDS, MCAS, Lyme disease or another condition, but you're still dealing with fatigue, digestive problems, food reactions, brain fog, pain or other symptoms that affect your daily life. I don't want to look only at the name of the condition. I want to look at you.
"I Think I Know What I Have. Can You Test Me?"
Yes! You can absolutely come to me with an idea of what you think may be going on.
Many of my clients have already done a tremendous amount of research before we meet.
Maybe you’ve been reading about POTS and recognize yourself in the symptoms.
Maybe you wonder about Lyme disease.
Maybe you’ve started connecting the dots between hypermobility, food reactions, dizziness, and fatigue and have questions about EDS or MCAS.
Or maybe you suspect a food intolerance, nutrient deficiency, digestive problem, or another issue.
Tell me what you’re thinking.
I won’t automatically assume your suspicion is correct, but I won’t dismiss it either.
We’ll look at your symptoms, history, previous testing, and what you’ve already tried. If additional lab testing makes sense, I can help you determine which tests may actually be useful and order the appropriate labs for you. When possible, we can use conventional labs such as Labcorp or Quest, including insurance when applicable, or specialized testing when we need to look deeper.
And if what you’re experiencing needs evaluation or diagnosis by another type of healthcare professional, I’ll tell you that too.
Testing: What Are We Actually Trying to Find Out?
I can order both conventional blood work and more specialized testing when appropriate, but I don’t believe in ordering labs simply for the sake of testing. Every test should help us answer a question about what may be contributing to your symptoms.
Every test should answer a question.
Depending on your symptoms and history, testing may provide additional information about areas such as:
- Nutrient and vitamin status
- Digestive and gut health
- Food intolerances
- Gluten-related concerns
- Metabolic health
- Hormonal patterns
- Lyme and related concerns
- Other specialized areas when appropriate
Before deciding what makes sense, I want to understand what you’re experiencing and what information we already have.
Already Know Which Test You’re Looking For?
If you already know what type of testing you’re interested in, you can explore my available testing and health resources.
Not Sure Where to Start?
That’s completely fine.
Start with me.
During your initial consultation, we’ll review your symptoms, concerns, health history, and any previous testing. From there, I can help determine which labs may actually be useful and order testing for you when appropriate. You don’t need to figure out which tests you need before you come in.
Need Labs? I Can Help With That!
I can order conventional blood work through Labcorp or Quest when appropriate, as well as more specialized testing when we need to look deeper. We'll decide what makes sense based on your symptoms, history, previous results, and the questions we're trying to answer.
When POTS, EDS, MCAS & Other Conditions Overlap
This is one of the reasons complex cases can become so confusing.
POTS/dysautonomia, Ehlers-Danlos syndrome, and mast-cell-related symptoms can occur in the same person.
Someone may be dealing with joint hypermobility and pain while also experiencing dizziness, heart-rate changes, fatigue, digestive symptoms, flushing, food reactions, or brain fog.
That doesn’t mean that having one of these conditions automatically means you have the others. And researchers are still learning about exactly how these conditions may be related.
But when symptoms cross multiple systems, looking at the complete picture becomes especially important.
I also work with clients whose histories include Lyme or other infections, post-infectious symptoms, digestive dysfunction, food sensitivities, nutrient deficiencies, inflammatory concerns, and other factors that may further complicate the picture.
My goal isn’t to force every symptom into one diagnosis.
My goal is to understand your individual pattern.
Want to Better Understand the Connections?
I’ve created an introductory guide specifically about the relationship between these complex conditions:
Connecting MCAS, EDS, Lyme & Dysautonomia
Learn more about why symptoms can overlap and what questions may be worth exploring.
You Don't Have to Have a Diagnosis Before You See Me
I want to make this especially clear.
You don’t need to know what’s wrong before you schedule an appointment with me.
You also don’t need to arrive with perfectly organized records or know exactly which test you need.
That’s what our initial conversation is for.
Some people come to me saying:
“I don’t know what’s wrong. I just know I don’t feel right.”
Others arrive saying:
“I’m almost positive I have POTS. Can we talk about it?”
Both are perfectly reasonable places to begin.
What to Expect at Your Initial Consultation
First, I want to hear your story.
Your initial consultation is 45 minutes to one hour, and we’re not going to spend it looking at one symptom in isolation. I want to know what happened, what you’re feeling now, what you’ve already tried and what is bothering you most.
Bring your previous labs, testing, diagnoses, medications and supplements if you have them. We’ll also talk about your personal and family health history and look for patterns that may help us decide what deserves a closer look.
1. Tell Me the Whole Story
We'll talk about your symptoms, when they began, how they've changed, what you've already tried and what concerns you most.
2. We'll Look at the Whole Picture
I'll review your history, family patterns, previous labs and testing, nutrition, supplements and other information that may help us better understand what you're experiencing.
3. We'll Decide What to Investigate
If additional testing may be useful, I'll explain what I'm recommending and why. When possible, we can also discuss whether conventional labs through insurance or more specialized testing makes the most sense for you.
4. You'll Leave With a Plan
Based on what we discuss, I may recommend a personalized food plan, supplements or other nutritional strategies. I'll put your recommendations together so you know what your next steps are.
Initial Consultation – $225
45–60 minutes | In person in Alpharetta | Virtual appointments available
You don’t need to know exactly what’s wrong or which tests you need before you schedule.
Bring me what you know. We’ll start there.
Why I Specialize in Complex Cases
Complex cases don’t intimidate me. They’re where I do some of my best work.
I’ve spent years working with people whose symptoms don’t fit neatly into one category.
And I’ve learned that sometimes the most valuable thing I can do is simply slow down enough to hear the entire story.
I want to understand what you’ve experienced, what you’ve already tried, what your testing has shown, what it hasn’t shown, and what questions haven’t been answered yet.
I don’t promise that every symptom has one hidden cause.
I don’t promise that one test will give us “the answer.”
And I don’t believe in forcing you into a predetermined protocol.
I believe in looking at you.
Your history.
Your symptoms.
Your nutrition.
Your testing.
Your questions.
And then deciding together what makes sense next.
Not Ready to Schedule Yet?
Sometimes you want to understand a little more before you’re ready for an appointment.
I’ve created resources specifically for people trying to make sense of complex symptoms and conditions.
FREE: Root Cause Health Checklist
A starting point for organizing your health concerns and understanding what may be worth discussing or investigating.
Connecting MCAS, EDS, Lyme & Dysautonomia
Learn more about the ways these complex conditions and symptoms can overlap.
Understanding MCAS: Why Your Body May Be Reacting
For people trying to better understand mast-cell and reaction-related symptoms.
Understanding POTS & Dysautonomia
Learn more about POTS, dysautonomia, common symptom patterns, and questions you may want to explore.
Understanding Ehlers-Danlos Syndrome
An introductory resource for understanding EDS and the symptoms and concerns that may accompany it.

“Complex cases don't intimidate me. They're where I do some of my best work.”
Frequently Asked Questions About Complex & Chronic Conditions
The right specialist depends on your symptoms and what has already been evaluated. New, severe, or concerning symptoms should always be evaluated by an appropriate medical professional.
As a nutritionist specializing in complex cases, I look at nutrition, symptom patterns, health history, previous testing, supplements, lifestyle, metabolic health, and other factors that may provide useful information. Many of my clients continue working with physicians or other specialists while working with me.
Yes. A normal test result tells us that the particular markers tested were not identified as abnormal according to that test’s reference criteria. It does not evaluate every possible explanation for every symptom.
I don’t assume that a normal result means something was “missed.” Instead, I look at what has already been evaluated and whether your symptoms or history suggest that another area may be worth discussing with an appropriate healthcare professional.
Yes. POTS, Ehlers-Danlos syndrome—particularly hypermobile EDS or related hypermobility disorders—and MCAS or mast-cell-related symptoms can occur in the same person.
However, having one does not automatically mean you have the others, and researchers are still studying the relationship among these conditions. If your symptoms cross several systems, looking at the complete clinical picture with the appropriate healthcare professionals is important.
No.
Many people come to me precisely because they’re still trying to understand what may be contributing to their symptoms. Others already have one or more diagnoses and want help with nutrition, testing, or the functional pieces of their care.
Absolutely.
Tell me what you suspect and why. We’ll review your symptoms, history, and previous testing and discuss whether the test you’re considering may provide useful information or whether another approach makes more sense.
I am a nutritionist and complex conditions specialist, not a medical physician.
My role includes nutritional assessment and support, reviewing symptom patterns and available health information, and offering or recommending appropriate testing within my scope. When medical diagnosis, prescription medication, or physician management is necessary, I work collaboratively with medical professionals.
Yes, and in many complex cases, I prefer a collaborative approach.
Nutrition and functional testing can be one part of a much larger healthcare picture. If you’re already working with a physician or specialist, bring your available testing and information with you.
Bring whatever you have.
Previous labs, test results, diagnoses, medication and supplement lists, a symptom timeline, and notes about what you’ve already tried can all be helpful.
Don’t worry if everything isn’t perfectly organized.
We’ll start where you are.
Yes. I offer both in-person appointments in Alpharetta, Georgia, and virtual consultations.
My initial consultation is a 45-minute to one-hour appointment where I take the time to hear your story—not just look at one symptom.
We’ll talk about what you’re experiencing, your health history, family history, previous testing and what you’ve already tried. From there, I may recommend nutrition changes, supplements and additional lab testing when appropriate, and I’ll develop a personalized plan based on what we discuss.
I’ve kept my initial consultation at $225 because I want this level of individualized care to remain as accessible as I reasonably can.
First, I want to hear your story.
What happened? When did your symptoms begin? What are you feeling? What is bothering you the most? We’ll also talk about your family history and look for patterns that may be important.
I’ll review the information you bring with you and may recommend a personalized food plan, supplements and lab testing when appropriate. I’ll also put together a plan for you based on what we discuss.
I don’t believe a 10-minute introductory call gives me enough time to understand you, your symptoms or your health history.
I’d rather spend our time together actually beginning the work. My website explains how I work and what my appointments cost, and you can also read my Google reviews and learn more about me before deciding whether you’d like to schedule.
When we meet, I want to spend that time listening to you, not giving you a sales pitch.
No. The initial consultation and any laboratory testing are separate.
During your appointment, I’ll explain any testing I recommend, why I think it may be useful and what your options are. Lab pricing is reviewed during the appointment because costs can vary depending on what you need, and in some cases I may be able to bundle testing or recommend a more affordable option.
In many cases, yes.
I can use Labcorp or Quest when appropriate, which may allow you to use your insurance benefits. We are in-network with Labcorp and Quest for most insurance plans, with the exception of Kaiser. Coverage varies by plan and test, so I can’t guarantee that a particular test will be covered.
You still have options.
I also work with specialized laboratories when more comprehensive testing may be appropriate. These tests are generally self-pay, and I’ll discuss the options and costs with you before anything is ordered.
If cost is a concern, tell me. I want to look at what information we actually need and whether we can use insurance whenever possible.
Depending on what we’re investigating, I may use conventional laboratories such as Labcorp or Quest, or specialized laboratories when more comprehensive testing is appropriate.
At a follow-up, we’ll talk about how you’re feeling, what has changed and whether you’re seeing improvement. We’ll also review any new blood work or test results and adjust your plan based on what we’ve learned.
That may mean changes to your food plan, supplements or herbal recommendations. Follow-up timing varies, but I commonly see clients again in approximately three to five months.
Let's Look at the Whole Picture

If you’ve been searching for answers, managing several overlapping conditions, or simply trying to understand why you don’t feel like yourself, you don’t have to figure out the next step by yourself.
Bring me what you know.
Bring me what you’ve been told.
Bring me the questions you still have.
We’ll start there.
Initial Consultation – $225
Approximately 45–60 minutes
In person in Alpharetta, GA | Virtual appointments available