Meet The Staff



One of my life’s passions is to motivate others to realize their potential so they may experience a life of health, vitality, and freedom from disease.

I spent many years working in a surgical setting, watching patients go through surgeries that could have been prevented with lifestyle measures. This inspired me to learn about Functional Medicine. 
Working alongside experts in the field gave me the confidence to open The Metabolic Institute.  It’s amazing the impact that healthy nutrition, exercise, and positive lifestyle habits can have on one’s metabolism…it can be that simple.

I enjoy the outdoors and all of the activities that it provides which nurtures my sense of adventure and desire to be fit. Juggling a career, family and the business presents its challenges; spending time with my husband, three sons and grandchildren reminds me of the importance of balance in life. This motivates me to stay focused on my life’s mission, which I hope will also become your life mission…being all that you can be and having everything you ever dreamed of!

Treating hormone imbalances, adrenal dysregulation, gastro-intestinal health, mold toxicity, and chronic disease are some of my favorites.

Education & Professional Certifications

  • Master’s in Science, Nurse Practitioner– Gonzaga University
  • Fellow certification in Functional, Nutritional, and Regenerative Medicine through The Metabolic Medicine Institute, 2009 & 2020
  • Advanced certification in Endocrinology through The Metabolic Medicine Institute
  • AFMPC Institute of Functional Medicine
  • FAARFM= Fellow in Anti-Aging Regenerative Functional Medicine
  • ABAAHP= American Board of Anti-Aging Healthcare Practitioners
  • Peptide Therapist certified through George Washington University
  • American Academy of Anti-Aging Medicine
  • Institute of Functional Medicine
  • American Academy of Nurse Practitioners
  • International Peptide Society

Jana Pederson, DNP

I enjoy helping others find the tools and resources that fit their unique needs for health and wellness with an emphasis on prevention. 

I started my health career journey as a personal trainer and quickly realized I wanted a deeper understanding of the body so I could help others reach their health goals. 

I became a registered nurse and worked with adults and children in a variety of settings for over a decade before pursuing advanced education as a nurse practitioner. 

I enjoy many outdoor activities including hiking, biking, snow skiing, yoga and traveling with my family which includes 6 children and 4 grandchildren. 

Education & Professional Certifications

  • Doctor of Nursing Practice, Family Nurse Practitioner, Gonzaga University
  • American Academy of Nurse Practitioners Certified
  • AFMCP, Institute for Functional Medicine
  • Kresser Institute ADAPT Practitioner student (expected graduation December 2021)

Karmen Gregg, M.S

I am a nutritionist trained in integrative and functional nutrition with a passion for providing the highest level of evidence-based nutrition counseling to the Inland Northwest through collaborative and patient-centered care. I have 7+ years of clinical and community nutrition experience in functional medicine and teach collegiately for Great Northern University. I hope to prepare you to confidently engage with your food, show you the “whys” behind your care, and encourage and celebrate you through every step of your health journey!

I genuinely believe that nutrition should not be a modality of shame, guilt, or control. Nutrition is a modality where we point people towards nourishment, empowerment, and healing on the deepest of levels. In my free time, I enjoy spending as much time adventuring in the woods and being on the water in my hometown of Coeur d’Alene, ID. I adore my family, friends, and curating recipes that nourish both the mind and the body.

Education & Professional Certifications

University of Idaho – B.S. in Food and Nutrition

  • Areas of Concentration: Global Nutrition, Public Health
  • Minor: Sociology

Saybrook University – M.S. in Integrative and Functional Nutrition

  • Practicum Concentration: Endocrinology

Saybrook University: Graduate Certification in Health and Wellness Coaching (2018-2019)

Saybrook University – Ph.D. in Integrative and Functional Nutrition (Currently enrolled – estimated graduation date is 2022)

  • Dissertation: “A Women’s Body Image During Pregnancy’s Influence on Dietary Decisions and Nutritional Status”

Academic Experience

  • Great Northern University: Adjunct Instructor – Courses: “Community Healthcare” and “General Health” (2018- Current)
  • Moody Bible Institute: Adjunct Instructor – Courses: “Principles of Lifetime Fitness” and “Wellness Seminar” (2018-2017)
  • Dinner with a Dr. – Nonprofit Organization: Nutrition Lecturer (2016-Current)
  • Whitworth University – Guest Lecturer for the Athletic Department (2017-Current)
  • Early Head Start – Guest Lecturer (2017-Current)
  • Coeur d’Alene Hockey Academy – Consulting Nutritionist (2018-2019)


  • American Nutrition Association
  • National Board for Health & Wellness Coaching

Tricia Hansen, Infusion Nurse

I am a North Idaho native with 12 years of registered nursing experience. As a military spouse and family, I have had the opportunity of working in varied nursing specialties and environments throughout the country. This allowed me a wide variety of patient care experiences which broadened my scope.

Hired as the infusion nurse for The Metabolic Institute is the best experience I could have asked for. This position will allow me to expand my Functional Medicine knowledge. Working in a clinic where the providers and staff are passionate about the care they deliver to their patients, makes me grateful to have this opportunity.

When not at work, I enjoy bicycling, nature, gardening and spending time with my husband, sons and pets.


  • Wayne Community College, Registered Nurse
  • Lewis-Clark State College, Associate in Behavioral Science

Elke Ward, Patient Care Coordinator

I have always enjoyed helping people. My extensive customer service experience has brought me a lot of joy as I help people solve problems.  Since coming to work at The Metabolic Institute, I love that I can use that experience to help people get to the root of their health problems through functional medicine.  While I am still learning a lot about functional medicine myself, I love that it provides the basic foundation for getting back to the basics of a natural, toxin-free diet and lifestyle. This is something that I am striving for in my personal and family life.

I have a BS in business administration/finance and another in agroecology. I have been a Navy wife, am a mother to two wonderful teens, and have an energetic rescue dog. We love to spend time together as a family and particularly enjoy spending time at our property in the country. My dream is to move to this property and raise as much of our own food as possible.


DK Sylvester, Patient Care Coordinator

My relationship with The Metabolic Institute began many years ago as a patient. This allows me to relate to our patients with each interaction, as they search for answers to their health questions. I’ve always thought of Functional Medicine as a bridge, connecting the most valuable aspects of conventional and homeopathic approaches. It’s science with a heart, where every symptom is addressed and each patient is treated individually. When patients reach out to us for help, it’s an honor to connect with them, knowing that for many, they have been through a lot before they ever find us.

Health and nutrition have always been a passion of mine. My professional life has included nutrition consulting and working with patients in a surgical clinic. I’m so grateful to be a new member of the staff at The Metabolic Institute, where I have an opportunity to continue to learn, stay on course with my own health and support others in their journey.

Spending quality time with my family is a priority and even more so since my husband and I have recently become grandparents. Having grandchildren inspires a whole new incentive to stay active and healthy!


Brynn Delong, Patient Care Coordinator

I was introduced to Debbie and the Metabolic Institute several years ago when my mom became a patient; since then I've also become a patient and have had a growing interest in functional medicine.

I graduated with a BA in Business Management from Whitworth University and have 7 years experience in the medical field as a patient coordinator at both a veterinary hospital and most recently an oncology practice.

I love the outdoors, playing rec volleyball and spending time with my family.