About
Dr. Charles Rismyhr is a board-certified Family Medicine physician and the founder of AlereMD in Houston's Heights neighborhood. His father's career in international shipping took the family through Singapore, China, Panama, and the United States, giving Dr. Rismyhr a cross-cultural fluency that shapes how he sees patients. He speaks English and Spanish fluently and holds proficiency in Mandarin. His grandfather, Carlos Pedreschi, a small-town physician and cattle rancher in Panama, first drew him toward medicine and deepened his understanding of the link between food sources and human health.
Dr. Rismyhr completed his medical training on a Caribbean island and then in England before finishing his residency in Brooklyn. He began his licensed career in rural Gatesville, Texas and has practiced in Houston since 2022. His clinical interests include lifestyle medicine, metabolic health, polypharmacy and deprescribing, weight management, nutrition, sleep health, and preventive care. He applies the six pillars of lifestyle medicine, covering nutrition, physical activity, sleep, stress, connectedness, and substance avoidance, to every patient relationship. Away from the clinic, Dr. Rismyhr bakes sourdough bread and grissini weekly, runs farmer's market outings for members, and stays active as a runner. He lives in the Houston Heights with his wife Ana and their daughter.
Education & Training
Medical School
Caribbean island medical school (specific institution not named); additional training in England
Residency
Residency completed in Brooklyn (specific program/institution not named)
Additional Training
Began career in Gatesville, Texas; practicing in Houston since 2022
Certifications
Languages
English, Spanish, Mandarin
Conditions Treated
Who is Dr. Rismyhr right for?
Dr. Rismyhr suits adults who want a physician focused on root causes rather than symptom management. Patients managing obesity, type 2 diabetes, hypertension, or metabolic syndrome benefit from his lifestyle medicine approach. He works especially well with people who want food and nutrition integrated into their care plan. Food and hospitality industry workers, who need flexible appointment hours, find a natural home at AlereMD. Patients on multiple medications also benefit from his thorough polypharmacy review and deprescribing program.
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Frequently Asked Questions
Dr. Rismyhr treats obesity, type 2 diabetes, hypertension, cardiovascular risk, metabolic syndrome, sleep disorders, chronic stress, and polypharmacy. He also manages preventive care and general primary care needs for adults. His lifestyle medicine training allows him to address the root causes behind many of these conditions rather than relying solely on medication management.
Dr. Rismyhr applies a whole-person, lifestyle medicine framework to every patient. He builds care plans around the six pillars of lifestyle medicine: optimal nutrition, physical activity, restorative sleep, stress management, social connectedness, and risky substance avoidance. He combines careful history-taking and in-depth physical exams with thorough labs, high-tech imaging, and AI as a reference tool.
Yes. Dr. Rismyhr holds board certification in Family Medicine. He completed his residency in Brooklyn after training on a Caribbean island and in England. He began his career as a licensed physician in rural Gatesville, Texas before moving to Houston in 2022.
Dr. Rismyhr speaks English and Spanish fluently. He also holds proficiency in Mandarin. Patients who prefer to conduct visits in Spanish or Mandarin are welcome to do so.
Dr. Rismyhr treats food as a core clinical tool, not an afterthought. He conducts home food assessments for members and leads Food Field Trips to Houston farmer's markets, cheese shops, and butchers. He shares food-related books with members and sends monthly e-newsletters covering nutrition and food culture. His passion for food grew from his relationship with his grandfather, a physician-rancher in Panama.
Yes. Dr. Rismyhr applies a careful polypharmacy assessment and deprescribing review to every patient. He evaluates whether each medication remains appropriate and works with patients to reduce unnecessary prescriptions where clinically sound. This process is included as part of membership care, not a separate fee.
Dr. Rismyhr includes comprehensive weight loss planning as part of every membership. He offers guidance on lifestyle-based interventions and stays current on the latest medical weight loss treatments. His metabolic health focus means weight management connects to broader goals around nutrition, activity, and chronic disease prevention.
Yes, and he has built specific programming around their needs. Dr. Rismyhr hosts Industry Tune Up events for chefs, bartenders, farmers, butchers, and others in the food and hospitality sector. He offers atypical appointment hours and a special membership rate of $100 per month for workers in that industry.
Dr. Rismyhr uses Spruce, a HIPAA-compliant encrypted messaging platform, as his primary communication tool. Patients can also reach him directly by call or text. He responds to non-urgent questions through the platform and makes himself available for after-hours urgent matters.
Doctor profile last updated August 16, 2026