When a patient walks through your front door, they’re hoping for the best. When you deliver on their expectations, you have a patient for life.

Choosing the right clinical protocols is critical to your reputation as a health care provider and to the success of your practice.

With an overwhelming number of protocols available to healthcare providers, selecting the right methods for your patients can be difficult. The Communication System Management™ (CSM) Clinical Model, developed by a group of integrative medicine practitioners and scientists, has been a trusted clinical integration method for thousands of providers all over the world.

CSM™ addresses the underlying causes of common health concerns with a proprietary system that analyzes neurotransmitter and hormone imbalances. The method incorporates non-drug therapies to help you manage the root causes of neuroendocrine dysfunctions — such as obesity, insomnia, fatigue, depression, and anxiety — along with a plethora of interconnected issues such as addiction, menopause, and poor focus.*

The Role of the HPA-T Axis

The neuroendocrine division of the Communication System is a dynamic, interactive and integrated network of neurotransmitters and hormones designed to maintain homeostasis in the body, as a response to our ever-changing external environment.

Neurotransmitters and hormones communicate and work together as one system, defining the essence of the brain/body connection and the emotional and physiological response to perceived stress.

The Communication System is our internal barometer that responds to the second-by-second changes in our environment, and thereby maintains a unique, internal homeostatic balance. It is the body’s way of gathering and interpreting stress as good or bad, perceiving the environment as safe or dangerous, and then generating a range of physiologic reactions appropriate to this perception.

Communication System balance directly affects the function of the immune, gastrointestinal, cardiac, neurologic, genitourinary, psychiatric and virtually all body systems. Nowhere, however, is that balance more needed than during the stress response.

What is Communication System Management?

Communication System Management (CSM™) involves three steps: AssessmentInterpretation, and Targeted Nutritional Therapy™ (TNT).
  • Non-invasive laboratory testing for neurotransmitter and adrenal hormone biomarkers (provides a clinical benchmark for key imbalances based on optimal ranges)- The initial test provides a measured baseline of the patient’s biochemistry, while follow-up testing helps in monitoring therapeutic treatment.

    What do we test for?

  • Patient-centered and personalized reporting correlating unique demographics, lifestyle factors, and 48 self-reported patient symptoms to laboratory values considers the biochemical individuality of each patient, and provides a window into the patient’s neuroendocrine system.

    Report Highlights

  • Individualized treatment plans using safe and effective, non-drug Targeted Nutritional Therapy formulas designed to restore function, targeting key imbalances affecting neuroendocrine function specific to each patient.

    View All Formulas Here

Your patient's unique biochemistry and health factors will best help determine the safest and most effective options

Balancing the Communication System is a pursuit of science, and it is also an art. Laboratory data from test reports is an important scientific tool. Data provides numbers, and is therefore useful for measurement and comparison, but it does not mirror the total picture that is available to the clinician.

The patient’s medical history, medications, lifestyle, and clinical symptomology all play a role in health. The symptoms questionnaire submitted by the patient provides invaluable subjective data.

Seeing the entire picture involves both art and science. It brings together the lab numbers and patient symptomology. It is the unique position of the clinician, placed between the laboratory and the patient, which requires developing the art of reading the entire picture – the art of interpretation.

Phases of Patient Monitoring and Therapeutic Adjustment

Week 1 | Initial Phase

  • Determine the baseline neurotransmitter and hormone imbalances with an initial HPA-T profile
  • Understand the correlation between imbalances found by the lab and common health conditions
  • Initiate a therapeutic approach to restore neuroendocrine balance

Week 9-12 | Restoration Phase

  • To initiate the Restoration Phase, retest each patient within 6-9 weeks after establishing baseline levels
  • Recurring periodic testing allows you to monitor and adjust therapy
  • Restore optimal levels in the patient, and achieve balance

Week 18-20 | Maintenance Phase

  • The Maintenance Phase begins when your patient’s optimal levels have been achieved


  • Targeted Nutritional Therapy may or may not be a component of your patient’s treatment plan during the maintenance phase


  • Our Clinical Advisory Board recommends retesting each patient once a year to ensure optimal balance

Cardiovascular Disease

Clinical Monograph
Download Here

Health in Balance

Dancing Hormones

Click here to view monograph

Formula Guide


Join us in clinical discovery, state-of-the-art testing, and targeted nutraceutical support for this our vital Communication System to help yourselves and your patients achieve true balance and health.

Interested in becoming a part of our Provider Network?

Click below to learn how to add the CSM™ Clinical Model to your growing practice.