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Dr. Julia Buchkina, MD, MPH, family medicine physician at Upstream Functional Medicine in Iowa City
Photo: Upstream Functional Medicine
Functional Medicine

Dr. Julia BuchkinaMD, MPH · Family Medicine Physician · Functional Medicine

Looks for the root cause instead of a one-size-fits-all protocol, takes two hours for a first visit, and is upfront that functional medicine is slow medicine.

Functional medicineFamily medicineNutrition plansWhen labs come back normal but you don't feel well
01

The conversation

16 minutes with host Joe Brown. Start anywhere: chapters on the right.

What Functional Medicine Really Is & What Happens at Your First Visit, with Dr. Julia Buchkina, MD, MPH
Play episodeFull video · with host Joe Brown
16:16
What Functional Medicine Really Is & What Happens at Your First Visit
Oct 23, 2026 · 16:16 · Episode notes
Chapters
  1. 0:00Functional medicine: getting to the root cause
  2. 0:39Welcome & meet Dr. Julia Buchkina
  3. 1:16What to look for in a functional medicine doctor
  4. 2:02Green flags & red flags
  5. 4:16What functional medicine is (and isn't)
  6. 5:53What happens at your first appointment
  7. 8:07When your labs keep coming back normal
  8. 9:39The first food change: alcohol & sugar
  9. 10:58Why she avoids the word "diet"
  10. 12:29Working with a health coach
  11. 14:18Why it's "slow medicine"
  12. 15:22Wrap-up

For general information, not a substitute for advice from your own doctor.

02

How she thinks
about care

Education
MD and MPH, University of Iowa
Residency
Family medicine, University of Iowa Hospitals & Clinics
Certification
Functional medicine certification, Institute for Functional Medicine
Practice
Founder, Upstream Functional Medicine, Iowa City

Background from upstreamfm.com.

Dr. Julia Buchkina, MD, MPH, is a family medicine physician who practices functional medicine and the founder of Upstream Functional Medicine in downtown Iowa City. She earned her medical degree and master's in public health at the University of Iowa, completed her family medicine residency at University of Iowa Hospitals & Clinics, and earned her functional medicine certification from the Institute for Functional Medicine. Before starting Upstream, she worked as an academic family doctor.

Her practice looks for the root causes of what's making a patient feel unwell. First visits run about two hours, after detailed intake paperwork covering personal and family history. As a physician she can prescribe medication when it's appropriate, and she builds nutrition plans with a health coach who helps patients put them into practice day to day.

Summary written by Top Providers from her podcast interview and her practice website.

03

In her words

Verbatim from her podcast interview.

from her podcast interview
Functional medicine is getting to the root causes of what is making you sick.
Dr. Julia Buchkina, Top Providers Podcast
from her podcast interview
One green flag is that they don't use the same protocol on everybody.
Dr. Julia Buchkina, Top Providers Podcast
from her podcast interview
I try to avoid the word diet, because there's so much stigma with just the word diet.
Dr. Julia Buchkina, Top Providers Podcast
from her podcast interview
It's really important that people know that functional medicine is not a quick fix.
Dr. Julia Buchkina, Top Providers Podcast
04

Clips

Under a minute each, cut straight from the interview.

Shorts0:36

What functional medicine actually is

Her plain-English definition of functional medicine, and her answer to a common question: isn't that what all doctors are trying to do? General information, not medical advice.

Shorts0:30

Green flag: no one-size-fits-all plan

Why the same diagnosis can have different causes in different people, and why she sees one plan for everyone as something to notice.

Shorts0:23

Labs normal, but you still don't feel well?

She hears this often and calls it legitimately frustrating. How you feel is worth talking through with a doctor who listens, even when your results look fine.

Shorts0:43

Why she avoids the word "diet"

Why she talks about a long-term nutrition plan instead of a short-term diet that feels like punishment.

Shorts0:28

Not a quick fix

Why she calls functional medicine "slow medicine," and why she wants patients to know that before a first visit. Everyone is different.

05

The practice

Details checked against upstreamfm.com.

Upstream Functional Medicine

Serves Iowa City, Coralville, North Liberty, Cedar Rapids and Eastern Iowa.

Address
221 E College St, Suite 211, Iowa City, IA 52240
Hours
Monday–Friday9 AM – 7 PM
Practice websiteupstreamfm.com
Upstream Functional Medicine221 E College St, Suite 211Iowa City, IA 52240
06

Keep listening

Top Providers Podcast
Episode notesWhat Functional Medicine Really Is & What Happens at Your First Visit
Functional Medicine Doctors in Iowa City, IAFunctional Medicine Doctors in Iowa City, IA we've interviewed on the Top Providers Podcast.