Live Clinical Webinar | Monday, July 27, 2026 at 12:00 PM EST. Presented by Dr. Tonya Cramer, MD. A live virtual session with Q&A.
Clinicians who manage complex, chronically ill patients run into the same wall: clean labs, persistent symptoms, and a differential that has already been narrowed to nothing. This session is about building that differential back out.
In this clinical webinar, Dr. Tonya Cramer, MD, MPH, a functional medicine physician specializing in metabolic optimization, complex unresolved chronic conditions, and precision longevity, walks through her framework for building a differential out instead of narrowing it down.
From a five-step life history intake to reading a negative Bartonella, Borrelia or Babesia result, to working through three real cases from her own practice, this session gives clinicians a repeatable approach to finding tick-borne illness in patients everyone else has stopped looking at.
Using her Pull the Thread framework and cases drawn directly from her practice, this webinar bridges the gap between standard diagnostic training and what complex chronic patients actually need.
How to build a differential out instead of narrowing it down, and how to decide which thread to pull first
A five-step life history intake for surfacing tick-borne illness in patients already labeled with fibromyalgia, MCAS, dysautonomia, or post-COVID
How to read a negative Bartonella or Borrelia result, and what it does and does not tell you
Three cases from Dr. Cramer’s own practice, including a misdiagnosis correction
Why standard two-tier testing misses acute infection – and which specialty labs to use instead.
Live Q&A following the presentation
✔ Integrative and functional medicine clinicians
✔ Naturopathic physicians
✔ Primary care providers managing complex chronic patients.
✔Any licensed clinician who has seen a patient where the standard workup came back clean and nothing changed
This session is intended for clinicians and licensed healthcare providers only.
Dr. Tonya Cramer, MD, MPH is a board-certified physician specializing in metabolic health, complex chronic disease, and precision longevity. She practices at Concierge Longevity and Preventive Medicine, with locations in Cary, NC and Las Vegas, NV.
Her approach centers on evaluating the interconnected systems driving illness rather than managing symptoms in isolation. She develops individualized interventions to restore health at a foundational level, with care that is deliberate, data-driven, and continuously refined over time.
Dr. Cramer is a member of Alpha Omega Alpha and the Gold Humanism Honor Society, recognizing academic excellence and a commitment to compassionate, patient-centered care. She was the first woman and youngest physician recognized as a Clinical Intensivist in Lifestyle Medicine, played a key role in developing the world’s first inpatient Lifestyle Medicine service, and served as Project Director for a residency curriculum now used in over 400 training programs nationwide.
Access to the live 40-minute webinar session
Reminder emails and the live event link
On-demand replay following the session.
Downloadable presentation slides
Two-page chairside reference guide
Additional Galaxy testing resources
Galaxy Diagnostics advances the detection of elusive vector-borne pathogens through transparent, evidence-driven science, empowering clinicians to diagnose confidently in complex or uncertain presentations.
