About
Dr. Gray Erlacher is a board-certified Family Physician with over 30 years of experience spanning family, emergency, and hospital-based medicine. S. in Biology and Chemistry from Western Carolina University in 1987 and his medical degree from Wake Forest University School of Medicine in 1992. He completed his internship at the University of Wisconsin-Madison and his Family Medicine residency at the Medical College of Wisconsin-Milwaukee in 1996.
Immediately after residency, Dr. Erlacher trained at the Beijing International Acupuncture Training Centre in China, grounding his practice in Traditional Chinese Medicine principles. He holds board certification from both the American Board of Family Medicine and the American Board of Holistic Medicine, the latter earned in 1999. That same year, he became one of the earliest cosmetic Botox injectors in the country. His work with bioidentical hormones began even earlier, in the 1990s, making him among the first physicians in the United States to adopt that approach. Over his career, he has served as a former ER Director and Chief of Medicine, delivered 850 babies, provided care through the Indian Health Service in remote Alaska and Cherokee, and worked inside several North Carolina maximum-security correctional facilities. He is passionate about metabolic health, hormone optimization, anti-aging medicine, and integrative approaches to behavioral health. Outside the clinic, he enjoys music, fishing, the North Carolina mountains and coast, and spending time with family.
Education & Training
Undergraduate
Western Carolina University, B.S. Biology and Chemistry, 1987
Medical School
Wake Forest University School of Medicine, 1992
Residency
Family Medicine, Medical College of Wisconsin-Milwaukee, 1996
Fellowship
Beijing International Acupuncture Training Centre, Beijing, China, 1996
Additional Training
Internship – University of Wisconsin-Madison, 1993; American Board of Holistic Medicine certification, 1999
Certifications
Conditions Treated
Who is Dr. Erlacher right for?
Dr. Erlacher works well with adults seeking a physician who combines conventional medicine with integrative tools. Patients managing diabetes, insulin resistance, thyroid disorders, or cardiovascular risk benefit from his metabolic focus. Women navigating perimenopause, menopause, PCOS, or genitourinary symptoms find strong support in his long experience with bioidentical hormone therapy. He also treats behavioral health conditions including anxiety, depression, insomnia, and ADD. Patients of all ages are welcome, including those looking for affordable, direct access to a seasoned family physician.
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Frequently Asked Questions
Dr. Erlacher treats a broad range of conditions including diabetes, hypertension, insulin resistance, obesity, thyroid disorders, and dyslipidemia. He also manages menopause, andropause, PCOS, and osteoporosis. On the behavioral health side, he treats anxiety, depression, insomnia, bipolar disorder, and ADD. He provides referrals for counseling when appropriate and does not treat chronic pain with opiates.
Yes. Dr. Erlacher holds board certification from both the American Board of Family Medicine, earned in 1996, and the American Board of Holistic Medicine, earned in 1999. He trained at the Medical College of Wisconsin-Milwaukee for his Family Medicine residency and completed acupuncture fellowship training in Beijing, China.
Dr. Erlacher has over 30 years of clinical experience. His career has included roles as an ER Director and Chief of Medicine, work with the Indian Health Service in Alaska and Cherokee, and medical care for the North Carolina Department of Corrections. He founded Erlacher Medical Services to focus on direct, relationship-based primary care.
Dr. Erlacher began using bioidentical hormone replacement therapy in the 1990s, making him one of the earliest adopters of that approach in the country. He offers multiple BHRT modalities including topical hormones, pellets, injections, and oral supplementation. He tailors treatment based on comprehensive hormone lab panels reviewed in detail at each visit.
Yes. Dr. Erlacher trained at the Beijing International Acupuncture Training Centre in Beijing, China, directly after his residency in 1996. He practices acupuncture using Traditional Chinese Medicine principles and integrates it into his broader approach to patient care.
Dr. Erlacher treats nutrition and physical activity as equally important to medical testing and prescriptions. He takes an integrative, open-minded approach to care. His goal is to help patients feel better, gain more energy, sleep well, and build physical strength. When possible, he works with patients to reduce or eliminate medications.
Yes. Dr. Erlacher has offered cosmetic medicine since 1999, when he became one of the first physicians in the country to perform cosmetic Botox injections. He currently offers Botox, lip and cheek filler, PDO thread-lift, IPL, radiofrequency, and microneedling. His wife Kimberly, a Licensed Esthetician, operates Kimberly Med Esthetics within the practice for advanced skincare treatments.
Dr. Erlacher offers comprehensive metabolic and hormone lab panels through Quest Labs. Testing options include A1c, cholesterol, thyroid, fasting insulin, and full hormone panels. He reviews every result in detail and provides individualized recommendations. Panel options range from a basic primary care essentials panel to executive-level metabolic and hormone optimization panels for both men and women.
Dr. Erlacher offers a full range of diabetes management tools. He prescribes GLP-1 medications including Ozempic and Wegovy, continuous glucose monitors, and long-acting insulin. He also focuses on root causes like insulin resistance through metabolic lab testing, nutrition guidance, and lifestyle-based interventions.
Doctor profile last updated June 11, 2026