More Time, More Detail: Raynaud's Phenomenon Care for New Hampshire
Telehealth Service Area
Video visits from Boulder, Colorado for Raynaud's phenomenon, with lab coordination near Manchester and the rest of New Hampshire.
Not everyone in New Hampshire has an autoimmune specialist down the road. A telehealth practice changes that equation for conversation time, if not for hands-on exams. Dr. Autoimmune offers video-based functional medicine from Boulder, Colorado, for people exploring Raynaud's phenomenon from places like Manchester, Nashua, and Concord.
Raynaud's phenomenon is more than cold fingers, and sometimes it is an early clue to a broader autoimmune picture. New Hampshire has the White Mountains in the north, the Lakes Region in the middle, and just a short stretch of Atlantic coast. Manchester is the largest city, Nashua sits near the Massachusetts line, and Concord is the capital.
Care is led by Dr. Ian Hollaman, DC, MSc, FMCP, and it is designed to sit alongside your specialists. No page can tell you whether the practice is available to a patient in New Hampshire, so the office should confirm that for you, by phone at (303) 882-8447 or through a discovery call.
How Raynaud's Phenomenon Works in the Body
Clinicians distinguish two forms. Primary Raynaud's occurs on its own and is usually milder, often beginning earlier in life. Secondary Raynaud's occurs alongside another condition, frequently an autoimmune disease such as lupus, scleroderma, or Sjögren's syndrome, and it tends to need closer medical attention.
Symptoms and What Patients Notice
Many people also notice tingling, aching, or clumsiness in their hands during and after episodes. Fine tasks like buttoning a shirt or typing can be difficult. These daily frustrations are real, even when the condition is considered mild, and it is reasonable to ask for help with them.
Small details that add up over a few weeks:
Testing and Labs
If symptoms are severe, asymmetric, or accompanied by ulcers, a physician may order additional studies, such as vascular imaging or further autoimmune workup. These steps are directed by the treating clinician, and a telehealth visit can help you organize records to bring to that appointment.
Possible entries on a testing conversation, none of them automatic:
Getting Care at a Distance in New Hampshire
A telehealth visit for Raynaud's phenomenon needs little more than a private room, a camera, and a reliable connection. You can be in Concord or in a town with one stoplight. What matters is that you can speak freely and have your records and medication list nearby.
New Hampshire is on Eastern Time for the whole state. New Hampshire is on Eastern Time, two hours ahead of Boulder. Patients in the north woods can plan for weather-related connection issues by sharing a phone number.
Our comprehensive testing can include an 83+ marker blood panel, which gives broad context on inflammation, nutrients, metabolism, and immune patterns. Drawing it happens at a lab site close to you in New Hampshire, and the interpretation takes place during a follow-up video visit. Manchester, Nashua, and Concord have commercial draw sites, and White Mountain or north-country patients may drive longer. The office helps confirm a lab that works for you, including a plan if winter weather interferes.
Local Context for New Hampshire Patients
From coastal harbors to inland hills, Northeastern states move through crisp falls, snowy winters, damp springs, and humid summers. Frequent seasonal transitions can disrupt sleep and routines, so patients often benefit from noticing how symptoms track with the calendar.
Cold weather is the classic Raynaud's trigger, so long winters mean more planning. Layers, insulated gloves or mittens, warm socks, and chemical hand warmers are common tools, and warming the core often helps the fingers more than covering the hands alone. Pre-warming the car and limiting handling of cold items help too. Quick seasonal swings in temperature, such as warm days followed by sharp cold snaps, can surprise your circulation. Keeping gloves and a warm layer accessible year-round, and watching how episodes track with weather, gives you a personal pattern to share with your clinicians.
Treat these as practical prompts rather than medical rules. What matters for you in New Hampshire is your own pattern, which a symptom log and a clinician can help clarify.
Food, Habits, and Daily Routines
Anemia and low iron can add to cold intolerance, so testing before supplementing is reasonable. Iron in excess can cause problems, so taking it without evidence of a need is not advisable. Clinicians use ferritin and related markers to decide whether replacement fits your situation.
Ideas to discuss with your clinician before adopting:
How a Functional Approach Fits In
Plans are practical. Strategies often include layered clothing and warming habits, stress-management routines, review of triggering substances, and attention to nutrient status. Nothing new is added without checking for interactions with your current medicines.
What to Expect From the Process
Raynaud's varies, and no one can promise that episodes will stop. What a plan offers is a clear look at the whole picture, practical steps you can measure, and a steady partner between specialist appointments.
Things to ask when you sit down with your care team:
Keep Exploring
Autoimmune conditions often travel together, so it is common to look at neighboring topics. Below are links to the main Raynaud's phenomenon guide, the 7 other condition pages for New Hampshire, the nationwide hub, and the page where you can book a discovery call.
Start Your Telehealth Evaluation
Book a Discovery Call to see if our root-cause, 100% telehealth approach is right for you — wherever you're located.
Book your Discovery CallFrequently Asked Questions
A video visit can add time for history, labs, medication and trigger review, and lifestyle planning. It cannot examine your fingertips or capillaries, so an in-person exam with a local physician is important, especially for severe or one-sided symptoms.
This page is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk with your own physician or qualified healthcare provider about your specific symptoms and health history.
