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Integrative care that treats causes, not just symptoms

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Room to Thrive.

Let's Start with the Whole Story

Fatigue that sleep doesn't fix. Weight that won't move no matter what you change. Anxiety or low mood with no obvious source, brain fog that makes familiar work feel hard, hormones that seem to have shifted overnight. And lab results that keep coming back "normal." Maybe you've seen more than one provider and left each time with a prescription but not an explanation.

None of this is a character flaw or a failure of willpower. These are signals, and signals have sources. Inflammation, hormones, gut health, nutrient status, thyroid function, and blood sugar regulation all shape how you feel, often well before they show up on routine screening. At MarBell Integrative Wellness, that's exactly where we look.

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Our Approach

We start with your whole history. Your first visit is up to 90 minutes. We cover your health history, family patterns, genetics, nutrition, sleep, stress, and what you've already tried. Nothing gets rushed.

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We test rather than guess. Advanced functional labs, including hormone, gut, nutrient, metabolic, and inflammatory panels, along with GeneSight pharmacogenomic testing, help us understand what's driving your symptoms and which treatments are likely to work for you.

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We use medication thoughtfully. Prescription medication is often part of the plan, and so are nutrition, supplements, sleep, and lifestyle changes. We choose what fits you, not a one-size-fits-all protocol.

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We build one plan, not two. Mental and physical health are addressed together, because they were never separate to begin with.

Meet Marianna Diloyan, DNP

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Marianna is a board-certified Adult-Gerontology Primary Care Nurse Practitioner with more than 14 years of experience across primary care, psychiatry, neurology, cardiology, and gerontology, as well as clinical research in dementia and neurodegenerative disease. Her own experience with later-in-life motherhood shaped her belief that your best years aren't behind you. They're waiting to be built.


She sees patients in English, Russian, Ukrainian, and Armenian.​

Services

Functional Medicine: Root-cause care for chronic and unexplained symptoms, built around your biology.


Mental Health: Evaluation and treatment for anxiety, depression, ADHD, sleep, and mood, with a whole-body lens.


Hormone Health: Bioidentical hormone and thyroid therapy for perimenopause, menopause, low testosterone, and more.


Weight & Metabolic Health: GLP-1 medications within a complete plan for nutrition, hormones, and metabolism.
Advanced Labs & Testing: Functional labs and GeneSight testing to find what routine screening misses.


Medication Management: Personalized, closely monitored care for blood pressure, cholesterol, blood sugar, thyroid, and more.


Immune Health & Longevity: Support for inflammation, autoimmunity, and healthy aging, including LDN and rapamycin where appropriate.​

Conditions we treat

Mental health: anxiety, depression, ADHD, mood instability, stress and burnout, sleep problems


Energy & focus: brain fog, persistent fatigue, difficulty concentrating, unrefreshing sleep


Hormonal: perimenopause and menopause, low testosterone, thyroid conditions including Hashimoto's, PCOS


Metabolic: insulin resistance, prediabetes, high cholesterol, weight that won't move


Immune & inflammation: autoimmune conditions, chronic pain and fibromyalgia, gut symptoms, long COVID


Prevention & longevity: cardiovascular risk, cognitive health, and healthy aging

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Telehealth Care from Anywhere in Pennsylvania

Some of the best conversations happen when you're somewhere you feel safe. Every visit here takes place by secure video, so you can meet from your own home, on your own terms.

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  • No travel, no waiting room. Appointments start on time, and you spend your time in the visit rather than getting to it.

  • Easier to keep consistent. Regular follow-up matters in psychiatric care, and a fifteen-minute check-in is far more manageable when it doesn't require half a day off work.

  • More scheduling flexibility, including options that fit around work, childcare, and school hours.

  • Privacy. No shared waiting room, no chance of running into someone you know.

  • Secure and HIPAA-compliant video platform — no special software or technical experience needed.

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