Functional & Integrative Medicine · Fredericksburg, VA

Where your health journey is as unique as you are

A boutique, cash-based practice founded by Brian C. Hoff, MD. We limit our patient panel on purpose — so we have the time to test thoroughly, listen closely, and build a plan around the root cause. Start with an initial appointment.

Book an appointment Call (540) 701-0407

Rated 4.7 from 46 Google reviews

Trusted across Virginia

What our patients say

4.7★

From 46 Google reviews

20 yrs

Georgetown-trained MD

60-min

Initial appointment

Cash-based

No insurance limits

“The people at True You helped save my life . They have been so supportive from the very first call. Dr. Hoff found the underlying issue that was affecting my health. I had bounced from one primary care office to another and from specialist to specialist, wasting money on copays along the way! I walked into their office with genuine concern about where my health was headed and what the rest of my life would look like. I now feel better than I have in over 20 years! I take any health concern to Dr. Hoff first. My biggest concern used to be whether I would be able to live well enough to remain an active part of my family. Now, my only concern is whether they can keep up with me! Thank you, Dr. Hoff and Tina Hoff! Not only will I get to enjoy watching my grandkids grow up, but I'll also be able to get around and chase them down, too! God bless you both!”

Michael Harris in the last week

“Dr Hoff goes above and beyond to listen to you and respond with a program that can truly change your life. He’s very down to earth, easy to talk to, a wealth of knowledge, and genuinely cares about improving your life experience. I wish I would’ve found him and his staff sooner. I would give six stars if it were possible, thank you!”

nicholas puzzuoli 3 months ago

“Dr. Hoff has truly changed my life in less than six months. I went from waking up every morning feeling miserable and constantly bloated to now feeling healthy, energized, and excited to take on each new day and experience life again. More importantly, I genuinely believe he is helping save my life in the long run by focusing not only on treating symptoms, but on improving my overall health and quality of life. Dr. Hoff is exceptionally knowledgeable and highly skilled in his field, but what truly sets him apart is the genuine care and compassion he shows his patients — something that has become far too rare in healthcare today. I’m also incredibly grateful for the entire staff and everyone there for creating an environment where patients feel heard, supported, cared for, and truly valued.”

T R 5 months ago

Reviews shown as published on our Google Business Profile.

Told your labs are “normal” — but you still don’t feel like yourself?

Fatigue that coffee can’t fix. Weight that won’t move no matter what you try. Brain fog, low mood, lost drive, restless sleep. Too often you’re handed a clean lab report and sent home — still feeling far from your best.

At True You, “normal” isn’t the goal. We look deeper — at the hormones, metabolism, and root causes a rushed visit misses — and build a plan to get you back to feeling like you.

Meet Brian C. Hoff, MD

Dr. Hoff graduated from Georgetown University School of Medicine, where he served as Chief Resident, and is board-certified in Emergency Medicine with 20 years of practice.

He founded True You to practice the kind of medicine that the insurance model rarely allows: unhurried, deeply personalized, and focused on root cause. He intentionally limits the number of patients he sees so that your goals — not a billing code — set the agenda.

Read Dr. Hoff’s story

A boutique practice, on purpose

True You is a cash-based, direct-care practice. That means no insurance gatekeeping, no rushed 7-minute visits, and no one-size-fits-all protocols. You get direct access to your physician and a plan that adapts as your labs and your life change.

It is a different kind of relationship with your doctor — and for our patients, it is the difference between managing symptoms and actually feeling like themselves again.

What makes us different

Personalized programs

Personalized programs, built around you

Not a one-size protocol. After comprehensive testing, Dr. Hoff designs a plan for your goals — then partners with you over time as a member of the practice.