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.

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

10/24/2025

🧐🫣😯💩

— A Note of Gratitude & Transition 🤸🏻‍♀️—Dear Patients, I wanted to share some important news — Rife Pediatrics & Family...
10/20/2025

— A Note of Gratitude & Transition 🤸🏻‍♀️—
Dear Patients, I wanted to share some important news — Rife Pediatrics & Family Care sent out an email today announcing my upcoming transition from their clinic.

My last in-person clinic day with Rife Pediatrics & Family Care will be end of October. 🏠 I’ll continue seeing Rife patients via TeleMed throughout November. 💻📱

If you’d like to continue seeing me, which would be an honor, you need to transfer care to my new practice — Dr. Hoff Holistic Health & Wellness — by November 30th.
Enroll at: 🌐 www.DrHoffHealth.com

➡️ To transfer care, please contact Rife Pediatrics & Family Care (281-729-4414) & follow their emailed instructions.

📲 For my new practice enrollments, telemed memberships, and scheduling, contact us at 832-861-0615 (Matt or Jordan will gladly help!).

Before I close this chapter, I want to say a huge thank you to the incredible team at Rife Pediatrics & Family Care. 💐 Their wisdom, grace, and support have shaped not only my career but my heart. And a big thank you to Dr. Rife, especially, who gave me a chance, believed in me, and allowed me to provide care in a way that served my patients well!

To my amazing patients—thank you for trusting me, sharing your stories, and letting me walk alongside your families— I truly hope to see you as part of my new practice. I’m so grateful for each of you and look forward to continuing this journey together, rooted in faith, hope, and gratitude. 🌿💫

With love & appreciation.

Kindly,
PA Nicole 💙
www.DrHoffHealth.com

Accepting New Patients! In Tx & thinking about joining?  Now’s the perfect time — our $49 enrollment fee discount for me...
10/18/2025

Accepting New Patients! In Tx & thinking about joining? Now’s the perfect time — our $49 enrollment fee discount for members is active through October 31st! 🎉 AND this includes your 1st visit!

✨ Already under my care & transferring? No enrollment fee will be charged — we’ll make your transition smooth and simple.

www.drhoffhealth.com

Dear Patient, (a poem + plea) to whom I lent my sleep study tool, I’ve searched my notes and played the fool.My brain—pe...
10/18/2025

Dear Patient, (a poem + plea) to whom I lent my sleep study tool, I’ve searched my notes and played the fool.

My brain—perimenopausal, kind—
Has misplaced your name somewhere behind.

Please forgive this foggy state,
And kindly help before it’s late.
Just send a note, both kind and quick,
So our next tired soul gets their pick.

With gratitude (and a touch of plea),
Return the tool back home to me.

💤 Kindly,
—PA Nicole

🌿 Exciting News! Guess what?! 🎉 If you were on my waitlist — I have great news for you… I’m now officially accepting new...
10/15/2025

🌿 Exciting News! Guess what?! 🎉
If you were on my waitlist — I have great news for you… I’m now officially accepting new patients within my new practice,
Dr. Hoff Holistic Health & Wellness! 🌿

You can find all the information you need
(+ enroll with a limited time discount!)
right here 👉 www.DrHoffHealth.com

I also recommend you follow me at Dr. Hoff Holistic Health & Wellness

I can’t wait to walk alongside you & your family on your holistic health journey. 🌸💫

Kindly,
PA Nicole

Remember how I swore after finishing my doctorate that I was done with school forever… unless I was the one doing the te...
10/13/2025

Remember how I swore after finishing my doctorate that I was done with school forever… unless I was the one doing the teaching? 😅

Well… turns out the Lord has a sense of humor. 😂 Never say never.

💻 I. Am. Back. In. School !

I’ve officially started working toward my Personalized Medicine Certification through the University of South Florida Morsani College of Medicine and USF’s Office of Corporate Training and Professional Education. 🎓💊

… 3 universities in 5 years …

But I am doing it because my heart is always to serve my patients in the best and most informed way possible!

This fall semester starts this week & is all about Endocrinology! 🩸🦋

This course dives deep into clinical endocrinology through a functional medicine lens — exploring how hormones like thyroid, estrogen, progesterone, testosterone, DHEA, cortisol, melatonin, and pregnenolone work together to influence health and healing. 🌿

I can’t wait to bring even more personalized, root-cause insights into my patient care. 💚

Here’s to being a lifelong learner — and trusting that God’s plans are always bigger (and often more fun 😄) than our own! 🙌

Kindly,
PA Nicole

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Magnolia, TX

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