This case study represents a common problem for integrative-care physicians. Where do you start with a patient with multiple symptoms that may be complicated by previous drug therapies. “One of the many challenges for any physician is determining the correct course of treatment for patients with more than 1 area of complaint. Should the physician treat the symptoms or the underlying cause of a condition?,” writes Christopher Wellwood MS, DC and Sean Rardin, MD. This case study of a 49-year old patient with multiple symptoms, including a goiter, as well as hyperlipidemia; multiple joint pains; alopecia; fatigue; bilateral, lowerextremity edema; and severe gastric disruption with bloating and acid reflux. By Wellwood, Rardin, published in Integrative Medicine a Clinicians Journal, June 2014.