Sarah Piestrup & the Care Team
Sarah Piestrup, FNP, EAMP, Dipl. OM, IFMCP
Founder & Clinical Lead
Family Nurse Practitioner | East Asian Medicine Practitioner | Functional Medicine Practitioner | Herbalist
Sarah Piestrup has spent more than two decades building a clinical practice around one fundamental idea: the body makes more sense when you look at the whole of it.
Her training spans conventional medicine, Traditional East Asian Medicine and functional medicine. She began her career as a registered nurse working in hospitals and emergency departments, then earned a master’s degree in Traditional Chinese Medicine from Five Branches University. She later became a board-certified Family Nurse Practitioner and completed certification through the Institute for Functional Medicine while continuing advanced study in acupuncture and East Asian medicine.
That combination allows Sarah to move between medical traditions rather than asking patients to choose one. She can look at laboratory data and medication needs, then bring in the pattern recognition of East Asian medicine, acupuncture, herbal medicine, nutrition, movement assessment and regenerative therapies when they are appropriate.
Sarah has also pursued advanced study in neurological acupuncture, Classical Chinese Medicine, sports acupuncture and Qi Gong with teachers including Ming-Qing Zhu, Shi Xue-Min, Jeffrey Yuen and Frank He. Those influences continue to shape how she assesses the body and how she uses newer technologies and treatments within a much older clinical framework.
How Care Works
Your care begins with Sarah.
Sarah conducts the initial clinical assessment, reviews your history and determines the direction of care. She may use laboratory testing, physical and movement assessment, imaging or other tools when they can help answer a specific clinical question.
From there, your care plan may include treatments or services provided by other members of the Adaptive Longevity team or trusted practitioners. Sarah remains the clinical point of reference, while the people around her bring focused skills to different parts of the plan.
The goal is to give patients the benefit of Sarah’s clinical perspective without requiring Sarah personally to perform every part of treatment.
The Adaptive Longevity Care Team
Julian
StemWave Practitioner + Barbra Brennan School of Energy Healing
Julian brings intuitive sensitivity to her work alongside Sarah Piestrup, supported by four years of professional training at the Barbara Brennan School of Healing. Her exploration of breathwork and energy healing began in her teens and grew into a dedicated practice grounded in self-awareness and respect for each person’s boundaries.
That attentive presence shapes her approach to StemWave treatments, with close attention to your comfort and response. In individual energy healing sessions, Julian offers space to turn inward and reconnect with yourself. Her own experience of serious illness and recovery informs her understanding of the vulnerability involved in seeking care. She honors that trust by listening without imposing an agenda and allowing the work to unfold at your pace.
If you feel drawn to energy healing, Julian welcomes you to explore it with her.
Book with Julian
Denise
[Role / Credentials]
[Short bio and specific role in patient care to be added.]
Chalane
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[Short bio and specific role in patient care to be added.]
Nina
Licensed Esthetician + SteamWave Practitioner
Nina wants women to look in the mirror and feel beautiful on their own terms. At Adaptive Longevity Medicine in Leavenworth, her approach to skin care centers on honoring your natural features and giving you ownership of the choices you make for your face. Her personalized facials and gentle lymphatic drainage massage offer a restorative alternative to invasive med-spa treatments, with care shaped around what makes you feel comfortable and confident in your skin.
Microneedling with exosomes takes a focused approach to skin renewal, with the goal of smoother texture and a naturally refreshed appearance. Microneedling stimulates the skin’s repair response, and exosome-containing formulations are being studied for their potential to enhance improvements in fine lines and hydration. This emerging approach places skin quality at the center of treatment. Sarah can also discuss whether facial acupuncture would complement your care, bringing her extensive training in Traditional Chinese Medicine into your treatment plan.
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Future: Adaptive Longevity Institute Practitioners
Sarah’s work has also begun to evolve beyond the treatment room.
The future Adaptive Longevity Institute is being developed as the education and practitioner-training arm of Adaptive Longevity. Its purpose will be to identify and teach the clinical reasoning, assessment framework and specific techniques Sarah has developed through decades of practice, while allowing qualified practitioners to apply that training within their own professional scope.
As that work develops, Institute-trained practitioners can become another level of the Adaptive Longevity care model, expanding access to Sarah’s approach without turning individualized medicine into a fixed protocol.
If you are interested in discussing a carer in wholistic wellness or internship, please contact us.