At North Coast Family Medical Group in Encinitas, Sagar Shah practices evidence-based family medicine with an integrative medicine fellowship and a Master of Public Health in prevention, joining the physician-owned group at North Coast Health Center on El Camino Real in 2022. Lifestyle-medicine interventions including dietary counseling, manual manipulation, and clinical hypnosis for chronic-pain management operate alongside conventional pharmacotherapy, with prescription coordination routed through North Coast Medical Pharmacy on the same medical campus. Prior clinical rotations at Kaiser Permanente Honolulu, the Department of Veterans Affairs, and a Federally Qualified Health Center built a patient-population range spanning military veterans, underserved communities, and academic teaching environments. North Coast Family Medical Group has operated as a physician-owned practice in North County San Diego since the mid-1980s, providing pediatric, adult, geriatric, and sports medicine services across the El Camino Real corridor. Elimination-diet protocols for inflammatory conditions and gut-health optimization draw on functional nutrition frameworks, with structured macronutrient and micronutrient counseling coordinated through Nurture & Flow Nutrition for elimination-diet implementation and dietary-trigger identification. The integrative clinical model supports shared decision-making through extended-visit formats that incorporate motivational interviewing, biometric tracking, and salivary cortisol testing for HPA-axis dysfunction assessment.