Recognized by
total membership amanda lober

A great option for anyone near or far looking for a functional medicine approach to primary care, the Optima Membership allows you to see a functional medicine nurse practitioner in-person or virtually for concierge primary care and treatment of generalized symptoms.

The Optima Membership might be a good fit if you…

  • Are generally well and looking to optimize your health
  • Struggle with women’s hormone conditions and cycle- and menopause-related symptoms
  • Experience stress-related symptoms like fatigue, brain fog, and anxiety
  • Deal with digestive and gut-related conditions such as IBS, food sensitivities, or nutritional deficiencies
  • Are looking to treat pediatric and adolescent health issues
  • Need support for other mild health conditions

What’s Included in Your Optima Membership

  • All Concierge Primary Care and Functional Medicine visits (in-person, telehealth, or phone call)
  • Comprehensive Annual Preventive Visit
  • Same- or next-day visits for urgent issues with a nurse practitioner or physician’s assistant
  • Messaging with your medical provider through the PALM Health Portal
  • Direct phone access to the on-call medical provider on nights, weekends, and holidays
  • On-site lab draws in St. Louis, Missouri
  • Coordination of care with your medical providers outside of PALM
  • Ongoing support from our team of advisers (Navigators) to guide you through our selection of services and providers
  • A choice of 6 wellness services from our Choice Pack options:
    • Acupuncture, chiropractic care, nutrition, massages, facials, personal training, and more
  • A choice of 12 Vitality Sessions:
    • Cryotherapy, salt room, infrared sauna and steam room, BioMat, PEMF mat, Sound Focus, fitness and meditation classes
  • Educational seminars and webinars addressing the latest topics in health and wellness
  • Wellness Rewards and Loyalty Program so you can earn points to put towards your product and service purchases
  • Our library of webinars and one-minute wellness tips videos
  • Neurology visits, as recommended
  • Specialty labs and advanced testing, as recommended
  • Additional wellness services
  • Prescriptive wellness programs (i.e. Medical Weight Loss Program, Bredesen Program)
  • Choice Packs and Day Spa Packages
  • Café access for nutritious meals, snacks, and beverages
functional medicine total
Balanced Living Program

Schedule an introductory call with one of our wellness-trained advisers to learn more about the Optima Membership.


“I felt better within a few weeks of working with my medical team at PALM.”

Amanda is a team player — in fact, all the professionals here work as a team. They really concentrate on getting to the root cause: what’s going on behind the scenes that’s causing the problem. They do an excellent job of that in my estimation.

– Rebecca P. · Optima Member · St. Louis, Missouri

Meet Our Optima Membership Providers

Amanda Lober

Amanda Lober, NP-C, IFMCP

Family Nurse Practitioner

Amanda received her Bachelor’s of Science in Nursing from St. John’s College in Springfield, Illinois and later went on to obtain her Master’s of Science in Nursing from Southern Illinois University Edwardsville. During her 13 years working in Emergency Departments, she became skilled in a wide variety of simple and complex ailments, treatments, and procedures. With an approach focused on patient education and collaboration, Amanda is passionate about developing and fostering a trusting relationship between patient and provider. She uses her expertise to aid members in reaching their goals, avoiding preventable illness, and achieving well-being.

“The relationship we have with Amanda is a big reason why we continue to renew our membership. Amanda is very knowledgeable and thorough, and she serves us in the best way possible. I appreciate Amanda and her collaboration more than anything else!” – Melissa L.

Sarah Bird

Sarah Bird, DNP, IFMCP

Functional Medicine Nurse Practitioner

With a strong foundation in integrative person-centered care, Sarah works to support her patients’ innate capacity for healing. She enjoys using a variety of tools including functional medicine, mind-body practices, coaching, and integrative therapies to empower patients. Sarah earned her doctorate in Integrative Health and Healing at the University of Minnesota’s Center for Spirituality for Healing, where her doctoral project entailed building programs to help patients build resilience and well-being. Sarah is certified in functional medicine  through the Institute of Functional Medicine and is trained as a Well-Being Coach through the Anthropedia Foundation.

“I always feel listened to and nothing I say is ever dismissed — Sarah goes further to understand and find a solution. She is empathetic and extremely smart. I trust her completely and know that I am in excellent hands with Sarah.”  – Matt R.

Not sure if the Optima Membership is right for you?

Compare our functional medicine-based membership plans to find the right fit.

Optima Membership

Optima Membership
(you are here)

Work on generalized symptoms and health optimization with virtual or in-person primary care from a functional medicine-certified provider.


Total Membership

Total Membership

Take a whole-person approach with functional medicine and primary care plus healthy lifestyle support.


Restore Membership

Restore Membership

Support chronic illness healing and restore your health with this year-long intensive and multidisciplinary healing plan.


Executive Membership

Executive Membership

From preventive medicine to stress management to concierge care, high-level executive health starts here.


Get a complete breakdown of each of our membership plans.

personalized medicine + wellness