Dr. Nicole Hoff DMS, PA-C, Physician Assistant

Dr. Nicole Hoff DMS, PA-C, Physician Assistant Unapologetically changing they way healthcare is done. Your health is in your hands. I am here to help. www.DrHoffHealth.com
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Dr. Nicole Hoff, DMS, PA-C is a Board-Certified Physician Assistant (PA) and a proud graduate of Yale University School of Medicine’s PA Program (2023). Nicole’s approach to healthcare is deeply personal and family-focused. "I want to have a family-friendly practice and schedule so my kids can stop sharing their mom so much," Nicole shares. "But I also want to be able to pray for my patients and with my patients. I don’t want insurance dictating the care I give, and I want to ensure my services are affordable. I believe in prescribing lavender oil, vitamin d, and sunshine, just as much as I do metformin, ibuprofen, and antibiotics. I also want to empower my patients to make their own healthcare decisions, recognizing that God is the great physician." Before becoming a PA, Nicole earned a Bachelor of Arts in Maternal and Child Health, specializing in lactation. For over 15 years, she empowered families as a midwife assistant, doula, childbirth educator, and 10 years as an International Board Certified Lactation Consultant (IBCLC). She also spent time serving as a hospital chaplain that ignited a passion for supporting those navigating major life transitions, from welcoming their first child to experiencing loss or facing barriers to care. Nicole’s dedication to faith-based mental health care, especially for children and families, is at the core of her mission to provide affordable, accessible healthcare. In December 2023, Nicole completed her Doctorate of Medical Science from Shenandoah University. Her doctoral project focused on integrating Adverse Childhood Experiences (ACEs) screening into primary care as a standard of practice. Outside of work, Nicole cherishes time on their mini-farm in Magnolia with her husband and four children (born in ‘03, ‘05, ‘10, ‘13). Together, they strive to “Know Him and make Him known.” Whether in the North Houston area or her hometown community in the Rio Grande Valley, Nicole is passionate about making a difference. At Rife Pediatrics & Family Care, Nicole offers primary care for adults and children of all ages, faith-based mental healthcare services, and trauma-informed women’s health care. Her motto is: “Unapologetically changing the way healthcare is done. I am here to help.” You can reach her at 832-843-8246 for appointments or inquiries.

My pain had a purpose. 🙏 So does yours. 🫶Come see us. 👇
11/11/2025

My pain had a purpose. 🙏
So does yours. 🫶
Come see us. 👇

Follow us here …
11/08/2025

Follow us here …

🎓Tomorrow I start my next course toward earning my Personalized Medicine Certification — and I couldn’t be more excited ...
11/07/2025

🎓Tomorrow I start my next course toward earning my Personalized Medicine Certification — and I couldn’t be more excited (& maybe slightly worried of how little rest I’ll get this weekend 😅).

💭 Honestly, I almost passed on this course because the timing is soooo not ideal — I’m already swamped with transferring/enrolling patients into the new practice, and juggling all the needs at work & home. 🏡

But Wednesday, as I looked through my list, I saw names that whispered
“take the course now, we can’t wait”—

the dad with seizures,
the daughter with lyme,
the grandma with pots,
the one with BP 159/110,
the family remediating mold,
the mom with adhd & brain fog,
the one with bedridden fatigue,
the teen fighting dark thoughts,
the child with neurological symptoms I can’t yet explain. 💔

And I knew… this is exactly why I need to keep learning.

They don’t want mainstream medicine. They need personalized medicine.

So I enrolled in my 2nd course
— exhausted but expectant —
knowing that when I finish, I won’t be the same provider I was before.

Being obedient to what God calls us to do doesnt always feel good, (sometimes we just want a 3 day nap) but I’ll be better equipped to care for my patients even if right now it means pushing through a lotta tired. ❤️‍🔥

🤔 Why a Personalized Medicine Certificate instead of Functional Medicine?

Well… let’s be honest
— 💸 COST plays a big role!

Some functional medicine programs practically want a kidney for tuition, and I’m still using both of mine. 😝

Plus, I’m still sending monthly love notes to Yale’s student loan lender 💀 — so finding a respected university with a school of medicine program that’s both credible and financially survivable felt right.

🧬 What Makes This Program Special?

It’s taught by world-renowned physicians and PhDs — including Dr. Pamela Smith, Dr. Patricia Kane, and Dr. Barbara Fisher 👏

The curriculum dives deep into:
💊 Endocrinology + Hormone balance — Done ✅
🧠 Neurology, Psychiatry, Cardiology, & memory maintenance — this weekend 💟
🦠 GI health & toxicology✨ Autoimmune disease & dermatology— soon ⏯️
…and how to actually interpret functional medicine labs and apply them in real practice.

This is a “what to do Monday morning” kind of certification — practical, science-based, and immediately useful for patient care.

🩺 What This Means for YOU
— My Patients

This certification will bring even more personalized, evidence-based, whole-body care to every visit. 🙌

You’ll benefit from:
*️⃣ More precise and individualized treatment care plans
🧩 A deeper understanding of why your symptoms occur
🧠 New science on genetics, mood, inflammation, hormones & gut health
🙏 A continued blend of faith, holistic care, and medical science

In short — it’s about helping you heal better, faster — through care that’s truly root cause-centered. 💗

⛰️ This Weekend:
I’ll be “in class” (Mountain Time Zone) Friday–Sunday, soaking it all in and probably surviving on coffee ☕️ — so thank you in advance for your patience with slower reply times!

Here’s to lifelong learning, faith, & keeping both kidneys intact while unapologetically changing the way healthcare is done one patient at a time. 😉💪

11/02/2025

🌿 Now Hiring: Licensed Family Counselor 💜

Dr. Hoff Holistic Health & Wellness is growing — we’re looking for a compassionate, faith-aligned Licensed Family Counselor (LPC, LMFT, or LCSW) to join our integrative primary care team.

We believe in caring for the whole person — body, mind, and spirit — and we’re seeking someone who shares that heart for helping families heal, grow, & thrive. 💚 Not just “survive.”

Position Details:
• Flexible schedule (part-time)
• In-clinic counseling and/or hybrid telehealth options
• Family-focused caseload: children, teens, adults, & whole lotta parents
• Start Date: Dec to Early 2026
📍 Magnolia, TX (“Old Magnolia” – west of 249)

Ideal Candidate:
• Licensed in Texas
• Experienced with family systems, child/adolescent therapy, healthcare ptsd, & trauma-informed care
• Open to blending traditional & holistic approaches
• Rooted in faith & passionate about emotional wellness
• Professional, dependable, & relational

Already have your own business? That’s great! You can maintain your independence while being part of our supportive, faith-rooted team as an independent contractor.

Why Join Us:
• Collaborative, purpose-driven environment
• Flexibility, autonomy, & opportunity for growth
• Integration of holistic tools and spiritual care
• Likeminded P*P able to prescribe as needed

📩 To Apply:
Send your resume, faith background, & a short statement about your counseling philosophy to: Hello@drhoffhealth.com

Let’s bring hope and healing to families — together.

Kindly,
Dr. Nicole Hoff, DMS, PA-C
Dr. Hoff Holistic Health & Wellnessess

🍼💩 Funny (but real!) clinic request! 💩🍼Hey friends — I have a funny but serious request! 😂 The next time you’re in clini...
11/02/2025

🍼💩 Funny (but real!) clinic request! 💩🍼

Hey friends — I have a funny but serious request! 😂 The next time you’re in clinic, could you please consider donating a diaper or two in whatever size your baby/toddler wears?

Sometimes we have little ones come in sick… & well, let’s just say the diaper situation goes south FAST. 🚨 We’ve had a few pukes or blowouts so epic that kiddos have gone home nakey 😅👶💨!! I just can’t keep a stash of boxes of all sizes of diapers in my small space when we only need a few !

Parenting is NOT for the faint of ❤️!

Also, if you’ve got extra wipes, balms, creams, formula, snacks, pacis, sippies, blankies, bibs, breast pumps & pads, or remedies that didn’t work out for your kiddo — we’d love to give them a second life with families who need them. 💕

Thanks for helping keep our tiny patients clean, comfy, & clothed (mostly)! 🙏🧷👕

Kindly,
PA Nicole

📸: my now 15yo who we used to say “lucky she is cute” because she spit up on me due to pretty bad reflux, almost every nursing session…. this was on a Sunday right before church of course!

Happy Sunday to any parents that made it out of the door to Church dry today! 

🎃 I haven’t gotten nearly enough texted pics of your kiddos all dressed up! Where’s all my little newborn patient pumpki...
11/01/2025

🎃 I haven’t gotten nearly enough texted pics of your kiddos all dressed up! Where’s all my little newborn patient pumpkins at?
🍭 But thankfully, no texts about tummy aches, post-sugar overdload!!!
📸 Here’s my 12yo. If you have preteens, you know.  😂

Please note ….🙏 I don’t wanna miss anyone!!
10/30/2025

Please note ….🙏 I don’t wanna miss anyone!!

10/29/2025

🐂 What I think about during my quiet cow time… For so long, medicine has been built around “pathogenesis” — the study of how disease takes root + unfolds.

It’s a valuable framework, I suppose, especially when someone is in crisis — when infection strikes, when trauma happens, when emergencies arise. In those moments, we need precision, protocols, & fast answers. I mean, that’s what Yale and a whole lotta tuition taught me right, Right?

But what about when it comes to chronic illness, a purely pathogenesis mindset keeps us circling the question 🙋🏼 :

What went wrong? ….. rather than how can we make it right again?

Sooo as providers … we end up managing disease (dis-ease) instead of cultivating health. 🙈 

And if we look honestly at where that has brought us, the statistics are sobering:

📊 Over three-quarters of adults live with a chronic illness.
👧 Four in ten children already face chronic disease.
👵 Nearly all adults over 65 manage at least one chronic condition.
❤️ Seventy percent of all deaths are linked to chronic disease.
🧬 And perhaps most revealing — 93% of adults are metabolically unhealthy.

Even more striking is that so much of this burden — between 40% and 80%, depending on the condition — can be traced back to “modifiable lifestyle choices.”

Pathogenesis can name the problem, but it cannot teach us how to restore wholeness. It points out the brokenness but not the rebuilding. And I believe — that we were created with the ability to heal.

This is where “salugenesis” comes in — the study of how the body is designed to return to health. It’s the divine rhythm of repair, the natural healing cycle God wove into every cell.

When the body faces an insult — infection, toxin, trauma, or stress — it activates a sacred sequence of renewal, orchestrated by the mitochondria, the little powerhouses that give life to our cells.

True healing moves through 3 seasons: inflammation,
proliferation,
and differentiation.

Each one necessary,
each one sacred in its purpose.

But when the mitochondria are hindered — by infection, poor oxygen flow, nutrient deficiencies, or chronic stress (yes that includes your lack of sleep, and possibly your mother-in-law) — the body can’t move forward in its healing story.

It gets “stuck” in survival mode. That’s when symptoms linger and chronic illness takes hold.

The work, then, is to uncover and gently remove what’s blocking that natural progression — to restore the conditions that allow the body to “”””remember”””” how to heal.

All that to say … that means there is hope.
It means our daily rhythms — how we eat, rest, move, and think — are not trivial; they’re sacred levers of healing. ❤️‍🩹

4 Ways to Begin Healing Today (Even Before Stepping Into My Clinic)

😱 Stress:
Begin and end your day with stillness. Even two minutes of deep breathing, prayer, or gratitude can shift your nervous system from fight or flight into rest and restore. Peace isn’t something that happens when life quiets down — it’s something you practice right in the middle of the noise. Open up YouTube and see what you think about some vagus nerve stimulation, exercises.

🌙 Sleep:
Protect your rest like it’s medicine, please pretty please — because it is. Dim the lights, silence the noise, and let your body unwind. Aim for 7–9 hours of deep, restorative sleep. Consoder red light at night. Use a sleep app to see what may be going on. It’s in those quiet hours that your body repairs, your mind resets, and your hormones find balance again. If you might like the dude, google Huberman lab and see his thoughts on sleep, caffeine, alcohol & the brain. 

🥗 Diet:
Choose foods that come from the earth, not a factory. Whole, colorful, living foods remind your body how to heal. Eat the rainbow 🌈 each week. Eat slowly. Bless your meal. Gratitude itself is anti-inflammatory. Every bite is a chance to nourish not just your body, but your soul. Every 7 days have a very intentional, family dinner or date with your partner in the home. 

🏃‍♀️ Movement:
Move daily in a way that brings joy — not guilt (or shin splints.) Walk outside, stretch, dance, breathe. If able, work your way up to lifting some weights. Find a walking buddy. Walk around target without your wallet! The goal isn’t perfection; it’s connection. When you move, you remind your cells that life is still flowing through them — that healing is still possible. A wise chiropractor once told me motion is lotion.

In short, health is not something we force back into being — it’s something we baby step into and allow to unfold when the obstacles are lifted and the body, mind, and spirit are aligned again.

🤷‍♀️ And full transparency… I’m working on these things, too….
I need to sit with my cows more often 🐄, have a bedtime, eat less carbs like my mexican sweet bread 🍞🙈, and finally get that last bit of mold out of my house 🏡😅.

Don’t expect perfection — none of us can be perfect.

But one baby step at a time, one small act of alignment, moves us closer to the health and peace we were designed for. Just think 🤔 if you do 1 positive change every day ( more water, less salt, sleep hygeine, self care, vit d, stroller walk, etc ) at the end of the year, that’s a 365% positive change for your health!

Kindly,
Dr. Hoff
Dr. Hoff Holistic Health & Wellness

📸:  Highland cows this summer. Tempted to try to sell their pics to Hobby lobby cuz mine are the cutest.

4 years ago today, I was 47 lbs more than I am right now. Next time you see me, if you need support … Ask me how I did i...
10/28/2025

4 years ago today, I was 47 lbs more than I am right now. Next time you see me, if you need support … Ask me how I did it. 

Ps. Also … they must have photoshopped my gray hair out or I was much less gray! Shame on them if they edited it out, I love my grays. I earned those !

Either way, I was wearing too many hats back then too. I suppose I do better under pressure?! 😝

10/26/2025

3 days. That’s all it took.
Just a little rain… and what looked dry, weary, & forgotten began to turn green again today. 🌳 🌱

It took 2 storms—storms that struck the soil & turned over trees—to bring growth.

….. Don’t let anyone tell you 3 days can’t make a difference …..

…. Don’t let them tell you water can’t bring life ….

….. Don’t let them tell you dry bones can’t rattle back to life ….

…. Don’t let them tell you that there’s only one way to do healthcare….

Because I’ve seen it — in lawns turned green again, in hearts reignited with hope, in bodies finding balance & breath where there once was none. 🌿💧

“Then He said to me, ‘Prophesy to these bones and say to them, dry bones, hear the word of the Lord! … & breath entered them; they came to life and stood up on their feet—a vast army.’”— Ezekiel 37:4-10

So if you’re standing in a place that no longer waters you …

….maybe it’s time to talk with your feet ….

Face the storm. Walk away from what’s draining you, & step toward where growth, truth, & care are still alive.

Because sometimes all it takes is a little nourishment — from heaven, from hope, from Him, & from a provider who believes all this — to remind you that renewal & health is always possible. 🌧️💚

I’ve seen what just a few days of nourishment, rest, & faith can do — in bodies, in minds, and in hearts that were weary.

Healing doesn’t always take months; sometimes it starts the moment you’re met with understanding, truth, & a touch of care that sees the whole person. 🤝

At Dr. Hoff Holistic Health & Wellness, we believe in watering what’s meant to grow — body, mind, & spirit.

Because, remember, even 3 days can change everything.✝️

Kindly,
Dr. Hoff

📸: my yard, making the point 😆

Big news friends!! Something exciting is blooming 🌸🫶🏼A note from Lactation Consultant, Karen :God is calling me to step ...
10/25/2025

Big news friends!! Something exciting is blooming 🌸🫶🏼

A note from Lactation Consultant, Karen :

God is calling me to step into a fresh new chapter that feels deeply rooted in purpose and guided by Faith. 🌿

I’m beyond thrilled to share that I’ve joined Dr. Hoff Holistic Health & Wellness, a space devoted to holistic lactation care, where mamas and babies are supported in every season. Comprehensive care that helps you feel rooted, nourished, and ready to flourish. 🫶🏼

We’re bringing together a direct primary care approach with a heart for uncovering the deeper roots of breastfeeding challenges.🌿

✨ What’s new:

💧 Monthly membership options
🤱🏽 Breastfeeding support groups + classes
🌸 Advanced holistic lactation care
💛 Curated appointment bundles available to meet the breastfeeding dyad’s individual needs

📱 Direct access to your IBCLC for ongoing encouragement, reassurance, and guidance—because support shouldn’t end when your visit does.
🩺 Care integrated for you & with your child’s pediatrician as part of the same practice!

✝️ Integrating clinical expertise with faith-led care to support the deeper needs of breastfeeding & motherhood.

🏡 In-office, home, and telehealth visits

Open for business and taking new patients to schedule for 1st week of November!!
🤱🏽🌺

🤍 Karen
Dr. Hoff Holistic Health & Wellness
www.drhoffhealth.com

🌿 Now Hiring: PA for Holistic Primary Care Clinic in Magnolia, TXI am seeking a compassionate and motivated Physician As...
10/25/2025

🌿 Now Hiring: PA for Holistic Primary Care Clinic in Magnolia, TX

I am seeking a compassionate and motivated Physician Assistant to join our growing team in Magnolia, Texas.

I am looking for someone who is like-minded yet comfortable leaning more toward traditional/conventional medicine for walk-in visits, in-clinic care.

Position Details
• Location: Magnolia, TX (“old magnolia“ west of 249)
• Schedule: 2–5 days per week, in-clinic only
• Role: Provide care for walk-in & scheduled visits seeking traditional medical care
• Patient Population: Family medicine, minor urgent care, sick or well walk-in care
• Start Date: Jan-Feb 2026

Ideal Candidate
• A mom that wants a flexible schedule with a good work-life-family balance
• Licensed PA-C in Texas
• Confident managing common primary care and urgent care conditions
• Open-minded toward holistic and personalized medicine principles
• Strong interpersonal skills and patient rapport
• Professional, reliable, and team-oriented

Why Join Us
• Collaborative, faith-rooted, patient-first environment
• Flexible scheduling with opportunity for growth
• Supportive team culture that blends holistic and conventional approaches
• Beautiful, peaceful clinic space in the heart of Magnolia

📩 To Apply:
Send your resume, faith background, and a short statement about your care philosophy to: Hello@drhoffhealth.com

Kindly,
Dr. Hoff
Dr. Hoff Holistic Health & Wellness

Address

Magnolia, TX

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