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Thoughtful Care. Deeper Understanding.
When your labs are “normal” but you don’t feel your best - or when your labs are abnormal and you are still searching for answers...

How it Works

Wellness & Personalized Care

How I Can Help You Navigate Your Health

So You Can Thrive:

Understanding

Beginning with your story, your health, and what matters most to you.

Curiosity

Looking beyond the obvious with openness rather than assumptions.

Connection

Recognizing how your lifestyle, hormones, nutrition, environment, stress, and physiology influence one another.

Partnership

Working together to create care that reflects both the evidence and what matters most to you.

Alignment

Building care around your unique biology, goals, and life - not a one-size-fits-all approach.​

Progress

Supporting meaningful, sustainable improvements in your health over time.

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Our Doctors
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About Rebecca

Rebecca Pell, FNP-C

At Ascending Flow Integrative, I provide thoughtful, individualized care designed to help you feel your best- not just be told your labs are “within normal limits.”

I specialize in perimenopause and menopause, weight management, thyroid health, and more complex concerns such as mold and toxin exposure. My approach blends conventional medicine with integrative and functional medicine to better understand what’s really driving your symptoms.

Together, we create a clear, personalized plan that supports your health and helps you move forward and thrive.

Education & Training

​Master of Science in Nursing, Family Nurse Practitioner
Samuel Merritt University

 

School of Applied Functional Medicine
Training in integrative and functional medicine approaches to chronic disease, including gut health, metabolic dysfunction, and complex multi-system conditions

Certified Functional Nutrition Informed Professional (CFNIP)

Food as Medicine

 

The Academy for Advanced Women’s Health Medicine
Advanced training in perimenopause and menopause management, with a focus on evidence-based and FDA-approved therapies

 

BHRT Training Academy
Training in women’s and men’s hormone therapy, including perimenopause, menopause, sexual health, and conditions such as PMS and PCOS

Services

Services

Comprehensive Evaluation

 

Deep-dive initial visit

Review of your life story, history, labs, symptoms

Comprehensive labs and diagnostics

 

Create a foundation for your care plan

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Hormone & Metabolic Health

 

Perimenopause & Menopause

 

Thyroid disorders, PMOS, Fertility support, Sexual health

 

Insulin resistance, Pre-diabetes and Diabetes

 

Weight loss​

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Integrative & Functional Medicine

Gut health & Microbiome

 

Complex concerns

(mold, toxins, Long- COVID, chronic symptoms)

 

Culinary Medicine​​ & Nutrition

Follow up & Ongoing Care

Continued guidance and adjustments

Lab review and treatment refinement

Referrals to trusted practitioners

Long-term partnership in your care

 

Other Offerings

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Energy Healing

In addition to medical care, I offer separate, non-medical approaches that support your well-being. Learn more about these offerings below.

“Thank you again for all the education and care you’ve provided for me and my family. I’ve lost 40 lbs so far since I started seeing you 9 months ago. I’m so much more intentional and mindful of the things I choose to eat/drink. Working on more movement and keeping up with my protein. Seeing you gave me hope and validation that my symptoms/ health challenges weren’t just “all in my head” and not as simple as just “eating less and exercising.” For once, I feel empowered knowing what I need to continue doing and what to avoid so that I can be the healthiest  and best version of me. "

TW, 55 y/o Female, Oahu, HI

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