Physician-led by Dr. Dalal Akoury, MD, MPH Board-Certified (Pediatrics) Fellowship-trained, St. Jude & Emory Published Author & International Speaker 40+ Years of Clinical Experience نتحدث العربية
Educational content only, not medical advice. Individual experiences vary. ☎ (423) 430-6170
Dr. Dalal Akoury, MD, MPH · 40+ Years of Clinical Experience

Hidden Stressors That May Affect Your Health: A Quiz from AWAREmed in Johnson City, TN

For adults who feel run down or stressed: some everyday stressors are easy to overlook. Take our short quiz to learn which ones may be worth discussing with your provider.

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The information provided on this website is for educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. Individual experiences vary. Please consult your licensed healthcare provider before making medical decisions.

Woman pausing thoughtfully while completing a wellness questionnaire at AWAREmed in Johnson City, Tennessee.Illustrative image; not an actual patient.
Overview

Chronic health challenges—such as high blood pressure, changes in cholesterol levels, prediabetes, or kidney concerns—can sometimes be influenced by hidden stressors beyond the obvious demands of work, family, or daily obligations.

Supportive and adjunctive care alongside conventional medical treatment.

Common Hidden Stressors Include

  • Blood sugar imbalances – fluctuations in glucose can affect energy, mood, and overall wellness.
  • Inadequate sleep – poor or insufficient rest can interfere with the body’s natural recovery and balance.
  • Chronic inflammation – low-level inflammation may contribute to discomfort and fatigue. Learn more about chronic inflammation.
  • Emotional or mental stress – ongoing worry or tension can amplify physical symptoms.

Why Hidden Stressors Matter

Many people focus on obvious stressors but may overlook these underlying factors. Addressing them may help support overall wellness and resilience, even if they are not the sole cause of a medical condition.

Take this short quiz to learn which hidden stressors may be worth discussing with your healthcare provider.

Take the Hidden Stressors Quiz

3 Misconceptions About Hidden Stressors

“My Labs Are Normal…” – But Are They Optimal?

Even if your standard lab tests appear normal, they may not fully reflect your overall wellness. Traditional tests often focus on general markers and may not measure stress, inflammation, or other factors that can affect how you feel day-to-day.

At AWAREmed Health and Wellness Resource Center, we take a more comprehensive approach. Our goal is to explore the possible factors behind fatigue, stress, or other wellness concerns—so you can better understand your body and take proactive steps toward your wellness goals.

Take the first step: Start with our short wellness quiz to learn which areas may be worth discussing with your healthcare provider.

Are Nutrient Deficiencies Affecting Your Stress?

Your body relies on key vitamins and minerals to function optimally. When nutrient levels are low, it can affect energy, mood, sleep, thyroid function, and overall wellness—potentially making it harder to cope with stress.

Many people may not realize they have nutrient deficiencies, which can contribute to a cycle of fatigue, disrupted sleep, and decreased resilience to daily stressors.

At AWAREmed Health and Wellness Resource Center, we take an integrative approach to assess nutrient status. When deficiencies are identified, physician-guided supplementation and lifestyle guidance may help support overall wellness and healthy stress management.

Beyond Cortisol – How Gut Health Affects Stress

Stress is influenced by many factors beyond cortisol levels, and gut health plays a key role. Chronic digestive issues—such as bloating, heartburn, or food sensitivities—can contribute to systemic inflammation, which may affect energy, mood, and overall wellness.

Sometimes, stealth infections or imbalances in the gut microbiome may also play a role in stress and burnout. Addressing these underlying issues with an integrative approach may help support the body’s natural ability to cope with stress, alongside other wellness strategies.

Meet Dr. Dalal Akoury

Dr. Dalal Akoury, MD, MPH, is the founder and medical director of AWAREmed Health and Wellness Resource Center. She is fellowship-trained and certified in integrative cancer therapy, anti-aging, regenerative medicine, metabolic, and functional medicine, and brings over 20 years of experience in emergency medicine and pediatrics. She also holds a Master’s degree in Public Health.

Dr. Akoury has completed fellowships in pediatric hematology/oncology and has conducted research on leukemia and the effects of smoking at Emory University in collaboration with the CDC.

In recent years, Dr. Akoury has focused her work on stress and its impact on aging, sexual health, cancer, and addiction, applying an integrative approach to help patients work toward better overall health and wellness. Learn more about functional medicine at AWAREmed.

Your Health + Wellness Is Our Passion

At AWAREmed Health and Wellness Resource Center, helping people live a more balanced and healthier life is more than our job—it’s our passion. We combine current scientific research with a dedication to providing personalized, high-quality care.

How We Approach Wellness

  • We focus on your individual needs, not what insurance mandates.
  • Our programs offer longer appointment times, more thorough communication, and advanced testing.
  • We provide guidance on lifestyle factors that affect your health, from nutrition and exercise to stress management and sleep.

We strive to be your trusted partner in wellness, supporting you every step of the way as you work toward your own goals for health, resilience, and vitality.

If you are still looking for answers, or if you feel unheard, we are here to listen. Take the first step toward understanding your wellness with our short quiz.

Take the Hidden Stressors Quiz

What Patients Say About Their Experience

“Not only is she such an intelligent woman, she is very compassionate and loving... Something you don’t see today in doctors. I highly recommend Dr. Akoury!” – Serena

“Dr. Akoury is an amazing doctor with a compassion and love that she puts into everything she does and everyone that she meets. I have never met a doctor who works as hard as she does and is able to still take the time to invest herself completely in her patients.” – Bobby

“I am so happy to have found Dr. Akoury and her staff. The atmosphere at Awaremed is tranquil and accepting. You can almost feel the love in the air. Dr. Akoury’s philosophy embodies all that I have been searching for in a healthcare professional.” – Lynn

These testimonials reflect individual experiences. Results vary. No medical claims are being made.

Please note: The quiz is an educational tool. It does not diagnose, treat, or prevent any disease, and it does not replace care from your own physician.

Want to talk about your results? Call (423) 430-6170 or book a consultation. You can also read about chronic inflammation and functional medicine at AWAREmed.

Related reading from our Health Library: herbal adaptogens for stress relief and vitality and supporting your body's natural detoxification as you age.

Learn more about Dr. Akoury's background and integrative approach.

Frequently Asked Questions

Do you experience unexplained fatigue, brain fog, or joint pain?+
One part of our assessment explores common symptoms such as fatigue, brain fog, or joint pain, which some people associate with a high toxic burden. Under the supervision of Dr. Dalal Akoury, MD, MPH, we look at whether these persistent issues may be linked to environmental exposures, including heavy metals, alongside other possible causes.
How does precision medicine address toxicity and heavy metals?+
Precision medicine uses individualized assessments rather than generic detox trends. By reviewing your specific symptoms—such as cognitive "fog" or metabolic sluggishness—and your history, Dr. Akoury can help decide whether testing for exposure to metals like mercury, lead, or arsenic may be appropriate.
What are common symptoms of a high toxic burden?+
Symptoms often asked about in the quiz include chronic fatigue, unexplained skin rashes, and metallic tastes in the mouth. Some practitioners view these as possible signs that the body’s natural detoxification organs (liver, kidneys, and skin) are under strain, but they can have many other causes, which is why a medical evaluation matters.
Does the quiz provide a medical diagnosis?+
No, the quiz is an educational and supportive tool. It is not intended to diagnose or treat any disease. The results provide general insights to help determine if a physician-led consultation is appropriate for your wellness journey.
What is the role of Chelation Therapy in heavy metal support?+
Chelation therapy involves the use of specialized agents (like EDTA) that bind to heavy metals in the bloodstream so they can be excreted by the body. It is appropriate only for some people and only after a medical evaluation. Dr. Akoury provides evidence-informed education on how these protocols are used within a professional medical framework. Learn more about chelation and detox support.
How does AWAREmed approach safety during the detoxification process?+
Safety is our priority, which is why all detox protocols are physician-led. Dr. Akoury draws on over 40 years of medical experience to review your unique health history—including kidney and liver function—before any supportive services are recommended.
Should I continue seeing my regular doctor while addressing toxicity?+
Yes. Our integrative services are designed to be complementary and do not replace the care of your primary or specialty physicians. We encourage you to share your assessment results with your medical team.
Can lifestyle changes help reduce my toxic load?+
They may help. We provide education on "environmental hygiene," such as choosing organic foods and high-quality water filtration. These lifestyle shifts may help support physiological balance and limit further exposure.
What happens after I complete the quiz?+
Upon completing the quiz, you will receive a preliminary summary based on your answers. Based on these results, you may be invited for a clinical consultation with Dr. Dalal Akoury, MD, MPH, to create an individualized plan.
Why is medical oversight important for detoxification?+
"Detoxing" without medical supervision may cause additional stress to the body, especially for people with existing health conditions. Physician-led oversight helps make sure any detox support is suited to your health history and monitored carefully.
Why AWAREmed

Why Patients Choose AWAREmed in Johnson City, TN

Physician-Led Care

Every plan starts with an evaluation by Dr. Dalal Akoury, MD, MPH.

A Personalized Approach

Care is shaped around your health history, your goals and your daily life.

Works With Your Doctors

Integrative, supportive care alongside your primary and specialty physicians.

In Person or Virtual

Visits at our Johnson City office; consultations can also take place online where licensing rules allow.

Dr. Dalal Akoury, MD, MPH, integrative medicine physician in Johnson City, Tennessee

Meet Dr. Dalal Akoury, MD, MPH

Founder and Medical Director of AWAREmed Health and Wellness Resource Center.

Learn more about Dr. Akoury

Visit Us in Johnson City, Tennessee

AWAREmed Health and Wellness Resource Center
1604 Lamons Lane, Suite 202
Johnson City, TN 37604
(423) 430-6170

We welcome patients from Johnson City, Kingsport, Bristol, Greeneville and the surrounding Tri-Cities area, and we also offer virtual visits.

Ready to Begin?

Take the First Step Toward Personalized Care

Book an appointment with Dr. Dalal Akoury, MD, MPH to discuss a personalized, whole-person care plan.