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The Functional Nutrition Alliance Clinic

Started and directed by acclaimed Functional Nutritionist Andrea Nakayama, the FxNA Clinic is an online nutrition clinic that can help you no matter how complicated your health issues are and no matter where you’re located.




We specialize in helping people who’ve tried everything and still aren’t at the level of health they desire. If you’re ready to do what it takes to get well, we can help you.


Learn more about how we work – and how it’s different!

You are an individual

At FxNA, we know that you are unique, and we’ve developed the tools and frameworks to meet you where you are in order to help you heal.

we know that one size does not fit all

We recognize that your insides are as unique as your fingerprint.

an in-depth intake sets you up for success

We tease apart what’s true for YOU, so you can feel better – even when nothing else has worked.

we meet you where you are, every step of the way

Our tools and frameworks help you no matter where you are on your journey.

How we approach your health

At FxNA, we’ve taken the teachings of Functional Medicine and customized them for nutrition and lifestyle counseling. Our unique approach allows us to reveal the source of your suffering and create a customized nutrition and lifestyle solution for you.

full body systems body map

We work from two foundational truths:


1. You are unique.

Your physiology, and your symptoms, are the way they are today because of myriad factors which are singular to you. You do not fit into a formula. You are not a statistic. You are an individual with a particular history, body and lifestyle. You also have goals and dreams that are unique to you. We work with all of these factors to create a custom-made plan for you.

2. There are likely many root causes to your symptoms.

Alzheimer’s researcher Dr. Dale Bredesen coined the term “36 holes in the roof” to describe chronic illness. There are many factors to your suffering, and you need to address them all. There is no single pill or protocol that will help you get well. We need to help you find all the holes in your particular roof, and plug as many of them as we’re able. This is our commitment to you.

What makes our therapeutic plans so successful?

We have created a unique approach that looks at all aspects of your history and your health, and our process gives us a deep, intimate understanding of what makes you, you.


There are four steps in our unique process:

1. We help you remove the top inflammatory culprits in your diet and lifestyle.

We call this “clearing the muddy waters.” This step aims to reduce systemic inflammation (the cause of so many symptoms) and helps you see what is going on in your body that is unique to you. We consider this a “non-negotiable.” Without taking this step, it’s hard to go to the next level of care.


2. After we clear the muddy waters, we focus on the symptoms that still remain.

We take a careful history, listening to all aspects of your story, in order to identify triggers and root causes in your past and present life. Through this process we also aim to address any deficiencies that might be getting in the way of your healing. These may be nutrient or lifestyle deficiencies.


3. We work with you

We take into consideration your current situation, life demands, preferences and unique history so that we can create a custom plan that feels right to you and evolves with your progress and your needs. We check in along the way and work with you to adjust as necessary.


4. We’re with you every step of the way!

That means partnering with you and any other providers on your healthcare team that understand the need for a collaborative approach. We ultimately believe that today’s health challenges are best served by practitioners and patients working together. You shouldn’t have to go through this alone!


Note: Our work is most successful with people who are willing to make significant changes in their diet and lifestyle in order to get better. For more information and details, you can read answers to common questions about the FxNA approach.
Read our FAQs

Meet the Functional Nutrition Alliance Faculty

You’ll learn from our team of skilled and compassionate healers, who use our signature systems and tools to support complex clients daily in the Functional Nutrition Alliance Clinic.

Andrea Nakayama Founder and Lead Instructor

Andrea Nakayama
Founder and Clinical Director

Andrea Nakayama is the founder and heart of the Functional Nutrition Alliance! Andrea is a Functional Medicine Nutritionist and educator, leading thousands of clients, students and practitioners around the world in a revolution to reclaim ownership over their own health.

Andrea is celebrated as a leader in the field of Functional Nutrition because of her unique ability to teach and inspire practitioners and patients alike. Andrea synthesizes art and science, empathy and physiology, intuition and problem solving, into a system that truly helps people get to the root causes of their illnesses, create a path towards wellness, and find their way back to life.

Meet Andrea

Our Nutrition Experts

Sandra Brougher functional nutrition alliance faculty

Sandra Brougher

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Brandin Roa functional nutrition alliance faculty

Brandin Roa

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Amber Robertson functional nutrition alliance instructor

Amber Robertson

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Katie Pugh

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Reviews from Past Clients

The FxNA nutritionists draw from a variety of different diets, tailoring them to the individual’s needs. This healing journey has been life changing for every member of our family!


I was sick for many years before I found FxNA. They stripped down my diet and built it up again with so much care. I’m as close to remission as is possible for my diagnosis.


Andrea’s system of teaching – combined with recipes, healthful protocols, emotional support, and SO much specific, useful information – has brought enormous changes to my life.


After working with Sandra my headaches are essentially gone and I haven’t needed prescription drugs to control them in months! I am so thankful and so is my family.

Stacy H.

The FxNA nutritionists draw from a variety of different diets, tailoring them to the individual’s needs. This healing journey has been life changing for every member of our family!


Andrea is a great health provider because she combines expertise with profound respect for the individual. She does not impose dogma. Andrea’s work has changed my life.


It’s time to get to the root causes of your health concerns so you can finally feel better.

To ensure that functional nutrition is the next best step for you, please let us know how to reach you!
Our Clinic Concierge will be in touch via email with our next steps (no commitment necessary). We want you to be able to find the resolution that works best for you!


  • What Exactly Is Functional Nutrition?

    Functional Nutrition is a revolutionary way of looking at diet and lifestyle that truly treats you as an individual and works with your unique needs to help you improve your health. We work within the principles of Functional Medicine, but with a dedicated perspective on the diet and lifestyle modification upon which those principles rely for their success (and yours).

    Here are some of the ways in which our clinic is different:

    • We work towards root cause resolution, which means we are concerned with why you are experiencing symptoms. Our goal is not only to help relieve your symptoms, but to uncover the root cause of your health issues as best as we can to create more sustainable relief.
    • We work in partnership with any other healthcare providers you may be seeing.
    • Everyone benefits from strong, positive partnerships, and we believe in working together with your entire medical team to help you realize your goals.
    • We know that you are not just a collection of tissues and organs. Everything in your body is connected to everything else, and we recognize how each body system affects the whole. Furthermore, we know that other aspects of your life, including your history, your relationships, and your current environment also impact how you feel. This unique way of looking at the body is what allows us to make connections that others miss, and help you modify your diet and lifestyle in ways that will make positive changes for you in both the short and long term.
    • We give you your power back as a patient, because we work with the things you have control over each and every day – diet, supplements, sleep, exercise, relaxation and more. Once we help you figure out which lifestyle factors need to shift, you will have more control over your life and your health than you thought possible.


  • Can I work directly with Andrea?

    Andrea Nakayama, the founder and leader of the Functional Nutrition Alliance, will bring her insights and expertise to your case no matter which nutritionist you work with. Andrea does not see individual clients any longer, but she has personally trained all of the nutritionists on the Functional Nutrition Alliance Clinic team, so you are assured the highest quality care possible. She continues to meet with her Nutrition Team in dedicated Case Review Meetings twice per week, where you can trust your case is being reviewed by her and the rest of the team. You can meet all of our nutritionists here.

  • Can I order supplements or supplement refills?

    We do offer a selection of supplements that Andrea has handpicked for purity. You can order supplements through our online store at Fullscript.
    Additionally, during counseling, your nutritionist may recommend other specialty supplements that you can order directly through our office.

    Please know that you are not obligated to purchase recommended supplements from us. We carry them for your ease and for our concern about the storage methods in which supplements are kept before they arrive in your home.

  • Do you accept insurance?

    Your health and wellness are our priority. Our financial policy allows us to provide you with
    access to the best nutrition and lifestyle care that we can and we do not want to limit your care to what is covered by health insurance policies. Like many functional medicine practices, the Functional Nutrition Alliance Counseling services are an out-of-pocket expense. We’re unable to provide insurance billing codes or NPI numbers, which is outside of our scope of practice as nutrition and lifestyle professionals, but we are happy to partner with any other practitioners on your team. We do have clients who submit their Functional Nutrition Alliance invoice to their insurance directly for a percentage coverage, or work with their workplace health savings account to receive some compensation. We encourage you to explore these options.

  • Can you prescribe medications?

    As nutrition and lifestyle professionals, it is outside of our scope of practice to diagnose
    conditions or prescribe medication. As noted above, we will work with your medical
    practitioners to bring our perspective when appropriate.

  • You sound like you work with really sick people, I just need to lose a few pounds, should I move forward with counseling?

    We have learned over the years at the Functional Nutrition Alliance, working with thousands of clients, that we can best serve people who have a serious health condition, are working to make big changes in their life, and are ready for the challenge of taking on more. If you are looking to lose some weight or gain more energy, we absolutely support you and we have resources for you here. Simply sign up for our mailing list and we will notify you about our upcoming cleanses and detoxes that Andrea created specifically for your needs!

Still have questions?

Please email the team at