Dear Litvinova Medical patients! We are experiencing extremely high call volume now. Please use Contact Us form to request a callback. If you like to schedule an appointment, please use the blue "Book an Appointment" button on top or click here. To obtain your test results or to leave a message for Dr. Litvinova, please log in to our Patient Portal. Thank you for understanding.
A pragmatic, diagnostic-first approach to fatigue, sleep disruption, and brain fog, at‑home testing, and targeted plans to get you back to doing what matters
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We diagnose first, treat second
- We prioritize targeted testing: thyroid, iron, B12, metabolic labs, validated at‑home sleep studies, so treatments are precise and results are measurable
- Practical plans you can follow
- Short-term fixes and long-term strategies tailored to your schedule: sleep hygiene, device therapy (CPAP) when needed, medication adjustments, and focused follow-ups
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What we evaluate
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Lab work
- CBC, iron studies, B12, TSH/T4, HbA1c, CMP, inflammatory markers
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Sleep testing
- At‑home sleep apnea testing (HSAT) with prompt interpretation and CPAP coordination when indicated
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Cognitive screening
- Targeted cognitive checks, post‑infectious follow-up (including Lyme disease screening), and referral pathways
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Typical visit flow
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Intake & screening
- Complete a concise pre-visit form, so we prioritize tests and concerns
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Focused visit (15-20 minutes)
- Comprehensive history, exam, and same-day lab or HSAT ordering as needed
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Personalized action plan
- Clear next steps, device or med coordination, and short-interval follow-up
Outcomes & member benefits
- Faster diagnosis and fewer trial‑and‑error treatments
- Measurable improvements in sleep and daytime energy
- Coordinated device setup (CPAP) and timely follow-up
- Clear plan that fits a busy life, fewer missed moments
Prefer faster access and longer follow‑ups? Our DPC members receive prioritized scheduling and direct messaging during diagnostic workups and titration. We’ll walk you through whether membership makes sense for your needs
Fast FAQ
- Q: How soon can I get an at‑home sleep test ordered?
- A: Often the same day — we prioritize HSAT ordering and review results promptly to begin treatment quickly
- Q: Will insurance cover sleep testing and CPAP?
- A: Coverage varies. We assist with insurance claims and prior authorizations; DPC members receive the same coordination support
- Q: What if my fatigue is related to thyroid or Lyme disease?
- A: We screen for thyroid dysfunction, Lyme disease, and other common contributors, and coordinate specialist referrals when needed


