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Center for Occupational and Environmental Medicine

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North Charleston, SC
Center for Occupational and Environmental Medicine

Our Philosophy: Care, Compassion, & Competency. WHAT IS ENVIRONMENTAL MEDICINE? It encompasses 4 important segments: Allergy, Toxins, Infections and Stress.

Occupational & Environmental Physicians specializing in Allergy & Immunology, Nutrition, and Toxicology for all ages. COEM specializes in Environmental, Functional, and Integrative Medicine - which are board-certified and evidence based fields of medicine. Our 3 MD’s offer patients the opportunity to find causes behind their signs & symptoms & the means for restoring health. We know how to help you & take the time to develop & monitor individualized treatment plans designed to heal the whole body - NOT just relieve symptoms. Environmental Medicine studies environmental inputs and the individual's physical, mental, and emotional responses to them. WHAT IS FUNCTIONAL MEDICINE? Functional Medicine is patient-centered rather than physician focused & disease centric. The goal is to address the whole person & not just treat symptoms. The physician focuses on genetics, environmental & lifestyle factors. WHAT IS INTEGRATIVE MEDICINE? Integrative Medicine is the combination of conventional allopathic medicine with evidence-based complementary and alternative medicine treatments using the best, scientifically validated therapies available. Dr. Allan Lieberman, our founder, the medical director and a former pediatrician, is board certified by the American Board of Environmental Medicine (ABEM) and a member in good standing of the American Academy of Environmental Medicine. He has been practicing medicine for over 50 years. Our In-House Services: Medical Laboratory, Allergy Testing Center, Allergy Extract Mixing Laboratory, Thermography, Bio-detoxification Center, IV Therapy, Oxygen Therapy and Licensed Professional Counselor. The Center is housed in 7,000 square feet of environmentally-safe medical offices, making it a restful experience for the chemically sensitive. We invite you to review our entire website and/or feel free to call us at (843) 572-1600 and ask questions. We welcome the opportunity to partner with you in gaining optimal health.

10/14/2025

Fall is here! See our seasonal flyer for new updates!

10/10/2025

Hormone Testing!

Just this year Vibrant Wellness released a new test called the Hormone Zoomer! This test is a simple urine test that provides a compressive picture of your hormone levels! Not only does it measure how your body processes, produces, and metabolizes hormones but it also looks at cortisol level to determine adrenal fatigue or imbalance.

Looking into hormones can shed some light on why you may be encountering symptoms such as fatigue, sleep issues, weight gain, mood swings, and overall long term health effects.

COEM now offers this test to help patients get answers on their overall hormone health! Call our office today for more information at 843-572-1600!

10/02/2025

Join us in our celebration as we acknowledge and commemorate our Visionary and Founder Dr. Allan D. Lieberman (Retired), on his 91st birthday. From the staff and team here at COEM, we thank you for your many years of service to your patients and your community. Your compassion, dedication and esteemed leadership, has pioneered the way we see Environmental Medicine today. What a true and honor and privilege it is to continue to honor your legacy and continue to build upon what you started over 50 years ago. We wish you many blessings. HAPPY BIRTHDAY DR. LIEBERMAN!

09/26/2025

MED MAPS Article: Continuing Our Discussion

The article that was discussed in the previous post had additional information the dives into the importance of GI health.

The Complex Interplay of Gut Health and Immune Function

“The gut plays a critical role in regulating immune function. The gut-associated lymphoid tissue (GALT) is an important part of the immune system, acting as an interface between the external environment (such as food, toxins, and microbes) and the immune system. The gut microbiota—trillions of microorganisms living in the gut—help modulate immune responses and maintain a balance between proinflammatory and anti-inflammatory cytokines. Dysbiosis, an imbalance in the gut microbiota, is linked to immune system dysfunction. When the gut microbiome is disrupted, it can lead to increased intestinal permeability, commonly referred to as “leaky gut.” This allows harmful substances, such as undigested food particles and toxins, to leak into the bloodstream, triggering inflammation and further disrupting the immune system. In individuals with Lyme disease and PANS/PANDAS, this dysregulation can exacerbate symptoms, as the gut and immune system are intricately connected. Supporting gut health through proper diet, probiotics, and reducing environmental stressors can help restore balance to the immune system.”

Here at COEM we have a handful of GI stool tests that do a deep dive into the complexities of the gut. Call our office at 843-572-1600 for more information!

09/05/2025

MED MAPS Article of the Week! Lyme Disease, PANS/PANDAS, and the Immune System: Understanding the Connection and Path to Healing

This article discusses the impact Lyme disease and PANS/PANDAS have on the body’s immune health and overall system.

“The link between Lyme disease, other vector-borne diseases (VBDs), and PANS/PANDAS lies in immune system dysfunction. Infections like Borrelia (Lyme), Bartonella, Babesia, and Mycoplasma can cause an overactive immune response, leading to chronic inflammation and neuropsychiatric symptoms. The immune system becomes dysregulated, and the body’s normal response to infections is altered, causing an ongoing cycle of inflammation that can affect both the body and the brain.”

Immune System Dysregulation in PANS/PANDAS:

“In PANS and PANDAS, immune system dysfunction is central to the pathogenesis of the disease. Both conditions are characterized by an abrupt onset of neuropsychiatric symptoms, including OCD, anxiety, mood swings, and cognitive impairment. The immune system produces autoantibodies in response to infections, and these antibodies mistakenly target the brain, leading to neuroinflammation.”

Immune System Dysregulation in Lyme and VBDs

“In Lyme disease and other VBDs, the immune system becomes impaired by the pathogens themselves. Borrelia bacteria, for example, can evade the immune system through biofilm formation and immune suppression, allowing the infection to persist in the body. This chronic infection leads to a prolonged inflammatory response, with cytokines promoting systemic inflammation and immune dysfunction.”

Here at COEM we extensively test Lyme markers and test for PANDAS! Please call our office today at 843-562-1600 for more information about our practice and testing!

07/31/2025

MEDMAPS Article of the Week!

Please read this archive article from MEDMAPS. It discusses a pediatrician’s experiences on patients who have autism.

https://www.medmaps.org/you-can-teach-an-old-dog-new-tricks/

07/03/2025

MED MAPS Discussion! The Importance of GI Health!

Gastrointestinal health is one of the most important factors to consider when thinking about overall body health. Though commonly overlooked, the gastrointestinal system is the core center of emotions, immune health, and allergies.

For example, an article on MED MAPS titled “Understanding PANDAS in Pediatric Health” states “pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection or PANDAS is an abnormal immune response associated with strep infections.” Strep is a bacteria that can be found in the gut. If not eradicated from the gut or addressed reoccurring strep can be a possibility.

To assess your gastrointestinal health fully a comprehensive stool test is recommended. At COEM we have multiple gastrointestinal assessments that can help patients see their overall GI levels. Call our office at 843-572-1600 for more information!

06/26/2025

Post of the week! The importance of mitochondrial function!

As discussed in previous posts, people often look over or dismiss the importance of mitochondrial function. Mitochondria produce a molecule called ATP which gives the cells the energy they need to complete daily tasks. These task can be as little to as forming thoughts to something big like moving your limbs. Without the production of adequate ATP in the body, you can feel fatigued and tired even doing the simplest of tasks.

COEM provides comprehensive mitochondrial testing! We offer a cheek swab called Mitoswab which dives deep into the mitochondrial health. With results of the Mitoswab we know what to address and how to restore mitochondrial function.

Contact COEM to get more information on this testing at 843-572-1600!

06/09/2025

About MED MAPS!

If you have been following our page you have recently seen weekly articles by MED MAPS. MED MAPS is a group of professional who specializes in offering comprehensive education to medical professional in regards to the care of children with autism spectrum disorder or other complex chronic conditions.

Just this year, Dr. Elliott has become a MED MAPS provider. MED MAPS provides medical professionals the education they need to deliver the best possible care to children who have autism, chronic conditions, and neuro developmental disorders!

Along our feed you will see multiple posts talking about topics such as mitochondrial health, gut health, and folinic acid. All coming from the education of MED MAPS!

If you are interesting in learning more about Dr. Elliott and MED MAPS reach out to us today at 843-572-1600!

05/30/2025

Article of the Day! More about PANDAS in Pediatric Health!

PANDAS stands for Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infection. PANDAS is most commonly associated with step infections.

“In children who develop PANDAS the immune system goes awry, and the antibodies instead attack and inflame an area of the brain called the basal ganglia. This attack on a different area of the body, here a part of the brain responsible for mood, movement, and behavior is called molecular mimicry. This immune system attack is also facilitated by the breakdown of the blood brain barrier by toxic mediators, immune cells, and more.”

How are PANDAS treated?

“Treatment of PANDAS should be individualized to the child’s behavioral and medical needs.”

Supplements to support GI health and immune function are utilized for treating PANDAS. Here at COEM we are familiar with pediatric patients who have similar symptoms of PANDAS. We have in depth diagnostic testing such as GI tests and the Cunningham Panel to help patient see the bigger picture on their overall health.

More information will follow on this topic as it is very broad!

Article: https://www.medmaps.org/understanding-pandas-in-pediatric-health/

05/23/2025

Article of the day: “Biomarkers of mitochondrial dysfunction in autism spectrum disorder: A systemic review and meta-analysis”

Today we are diving in a topic that is coming into popularity, mitochondrial dysfunction. As mentioned in our past post cell health often gets looked over and not considered on a day to day basis. This article discusses the importance of mitochondrial function and health and the impact it has on patients on the autism spectrum disorder.

Important notes:

“Autism spectrum disorder (ASD) is a neurodevelopmental disorder affecting 1 in 36 children and is associated with physiological abnormalities, most notably mitochondrial dysfunction, at least in a subset of individuals.”

“Several studies have reported alterations in mitochondrial metabolism in mother of children with ASD and in neonates who develop ASD. Treatments targeting mitochondria, particularly carnitine and ubiquinol, appear beneficial in ASD. The link between mitochondrial dysfunction in ASD and common physiological abnormalities in individuals with ASD including GI disorders, oxidative stress, and immune dysfunction is outlined.”

“Several subtypes of mitochondrial dysfunction in ASD are discussed, including one related to neurodevelopmental regression, another related to alternations in microbiome metabolites, and another related to elevations in acyl-carnitines.”

Mitochondrial health is very important and is a crucial backbone to a good working system. Here at COEM we have options for mitochondrial testing that gives us a good look into you body’s mitochondrial function!

Contact us today for more information at 843-572-1600!

Article: https://www.medmaps.org/biomarkers-of-mitochondrial-dysfunction-in-autism-spectrum-disorder-a-systematic-review-and-meta-analysis/

05/16/2025

MED MAPS Article of the Day! “A Comprehensive Approach to Managing Seasonal Allergies and Mast Cell Activation in Pediatric Patients”

Today we are shedding light on an article MED MAPS released April of last year! It addresses the correlation between seasonal allergies and mast cell activation and how it can impact pediatric patients.

Important key points from the article:

“ Seasonal allergies and mast cell activation represent significant challenges for pediatric patients, impacting their daily lives and necessitating effective management strategies. Patients with asthma, autism, PANS/PANDAS, and other autoimmune conditions are especially vulnerable to having “flare ups” this time of year. “

“The gut microbiome also plays a crucial role in shaping immune development and regulation with alterations in its composition implicated in the pathogenesis of allergic diseases in children. Research suggests that a diverse and balanced gut microbiota promotes immune tolerance and helps mitigate allergic sensitization. Probiotic supplementation, prebiotic fibers, and a diet rich in fruits,vegetables, and fiber can foster a favorable gut microbiota profile, enhancing immune homeostasis and reducing the risk of allergic conditions.”

COEM provides service such as stool testing, allergy testing, and comprehensive tests to indicate PANS/PANDAS.

Address

7510 North Forest Drive
North Charleston, SC
29420

Opening Hours

Monday	8am - 4pm
Tuesday	8am - 4pm
Wednesday	8am - 4pm
Thursday	8am - 4pm
Friday	8am - 4pm

Telephone

+18435721600

Website

https://www.coem.com/

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Our Story

COEM specializes in Environmental, Functional, and Integrative Medicine. Our board-certified MD’s offer patients the opportunity to find the root causes behind their signs & symptoms & the practice itself provides patients with the means for restoring health. We know how to help you & we take the time to develop & monitor individualized treatment plans designed to heal the whole body - NOT just relieve your symptoms. WHAT IS ENVIRONMENTAL MEDICINE? Environmental Medicine is the incorporation of three distinct fields of medicine; Allergy and Immunology, Toxicology, and Nutrition.

WHAT IS FUNCTIONAL MEDICINE? Functional Medicine is patient-centered rather than physician focused & disease-centric. The goal is to address the whole person & not just treat symptoms. The physician focuses on genetics, environmental & lifestyle factors, as well as assessing for emotional stress. WHAT IS INTEGRATIVE MEDICINE? Integrative Medicine is the combination of conventional allopathic medicine with evidence-based complementary and alternative medicine treatments using the best, scientifically validated therapies available. Dr. Allan Lieberman, our founder, the medical director and a former pediatrician, is board certified by the American Board of Environmental Medicine (ABEM) and a member in good standing of the American Academy of Environmental Medicine. He has been practicing medicine for over 50 years. Our In-House Services: Medical Laboratory, Allergy Testing Center, Allergy Extract Mixing Laboratory, Thermography, Bio-detoxification Center including three in-house Finnish saunas, IV Therapy, Oxygen Therapy and Licensed Professional Counselor, and much more. The Center is housed in 7,000 square feet of environmentally-safe medical offices, making it a restful experience for the chemically sensitive. We invite you to review our entire website and/or feel free to call us at (843) 572-1600 and ask questions. We welcome the opportunity to partner with you in gaining optimal health.