Client Case Study: AB Medication Transformation

From Overwhelmed & Exhausted to Confident & Controlled

Client: AB (Name changed for privacy)
Age: 42
Occupation: Working Mother of Three
Primary Conditions: Crohn’s Disease, Anxiety, Hypertension, Chronic Migraines, Iron-Deficiency Anemia, Insomnia

The Challenge

When AB came to HoffMed Consulting, she was managing nine prescription medications prescribed by four different specialists. Despite doing “everything right,” she still felt:

• Constantly exhausted and foggy

• Anxious about side effects

• Confused about which medications were helping—or harming

• Afraid to stop medications, but overwhelmed by taking so many

• Frustrated that no one was looking at her health as a whole

She shared:

“I take pills all day and I still feel awful. I don’t even know what’s helping anymore.”

Medications at Intake

AB was taking the following 9 medications daily:

• Adalimumab (Humira) – Crohn’s Disease (every other week)

• Prednisone – Crohn’s flares

• Pantoprazole – GERD / steroid protection

• Sertraline (Zoloft) – Anxiety

• Propranolol – Migraines + Anxiety

• Lisinopril – High Blood Pressure

• Ferrous Sulfate – Iron Deficiency

• Sumatriptan – Migraine Attacks

• Zolpidem (Ambien) – Insomnia

How HoffMed Helped

During her 90-minute comprehensive medication consultation, HoffMed performed a full:

• Medication reconciliation

• Drug–drug interaction review

• Side effect analysis

• Medication timing optimization

• Adherence assessment

• Lifestyle and symptom correlation

• Provider coordination review

Key Problems Identified:

• Reduced iron absorption from improper timing with acid-suppressing medication

• Steroid use worsening anxiety, sleep, and blood pressure

• Increased infection risk from overlapping immunosuppressive therapies

• Long-term sleep medication dependency risk

• No structured medication schedule

• Overlapping side effects mimicking disease progression

AB’s Personalized HoffMed Plan

AB received a fully customized Medication Optimization Plan that included:

• A simplified, easy-to-follow daily medication schedule

• A side-effect management strategy

• Infection risk monitoring guidance

• Provider communication sheets for her GI, PCP, and psychiatrist

• Evidence-based supplement support for:

  • Energy and fatigue

  • Gut health

  • Anxiety

  • Sleep quality

• A physician-guided sleep medication step-down strategy

• Blood pressure stabilization guidance during steroid treatment