About
Dr. Lesley James built her career around a single guiding question: how could this have been prevented? Her path began in obstetrics and gynecology, where she found herself thinking past the surgery to the conditions that made it necessary. That conviction led her to family medicine, and eventually to a Fellowship in Integrative Medicine through the University of Arizona's program with Dr. Andrew Weil. She holds board certifications from both the American Board of Family Medicine and the American Board of Integrative Medicine, and she is a member of the AAFP.
Dr. James treats a broad range of conditions, including hypertension, diabetes, heart disease, thyroid disorders, PCOS, fibroids, endometriosis, perimenopause, menopause, and cardiometabolic disease. She is passionate about nutrition, gut health, hormone therapy, and correcting health misinformation that spreads through social media. A mother, gardener, and longtime western New York resident, she lives the lifestyle she counsels her patients to follow. Her practice has earned both the Best of Pittsford and Best Doc awards. She sees patients of all genders ages 18 and above, with a particular focus on women's health at every stage of life.
Education & Training
Residency
Obstetrics and Gynecology (switched to Family Medicine)
Fellowship
Fellowship in Integrative Medicine, University of Arizona (Andrew Weil program)
Additional Training
AAFP member; Board certifications in Family Medicine (ABOFM) and Integrative Medicine (ABOIM) referenced on site
Certifications
Conditions Treated
Who is Dr. James right for?
Dr. James is a strong fit for adults who want a physician focused on prevention and root causes. Women navigating perimenopause, menopause, hormonal imbalances, or cardiometabolic concerns benefit especially from her depth of training. Patients managing chronic conditions like diabetes, hypertension, thyroid disorders, or PCOS find her integrative approach well-suited to their needs. She also works well with patients who prioritize nutrition, lifestyle change, and evidence-based guidance over reactive treatment.
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Frequently Asked Questions
Dr. James treats a wide range of adult conditions, including hypertension, heart disease, diabetes, obesity, thyroid disorders, and cardiometabolic disease. She also specializes in women's health concerns such as PCOS, fibroids, endometriosis, perimenopause, and menopause. Seasonal allergies and breast cancer screening guidance are also part of her clinical scope.
Dr. James practices preventive integrative medicine, combining evidence-based prevention strategies with integrative and lifestyle approaches. She focuses on root causes rather than symptom management. Her goal is to help patients build lasting wellness through personalized nutrition guidance, hormone therapy, and proactive health planning.
Yes. Dr. James holds board certifications from the American Board of Family Medicine and the American Board of Integrative Medicine. She also completed a Fellowship in Integrative Medicine through the University of Arizona's program, studying directly with Dr. Andrew Weil.
Yes. Women's health is a central focus of her practice. Dr. James has deep expertise in perimenopause, menopause, hormonal health, PCOS, endometriosis, and breast cancer screening guidance. Her practice is women-focused, though she welcomes patients of all genders ages 18 and above.
Nutrition is central to Dr. James's clinical approach. She provides personalized nutrition counseling and is passionate about the role of diet in preventing and managing chronic disease. She has particular expertise in fiber, gut health, cardiometabolic nutrition, and evidence-based dietary strategies.
Yes. Dr. James offers hormone therapy as part of her integrative approach to women's health. She works with patients on hormonal health concerns including perimenopause, menopause, and related conditions.
Dr. James is committed to health literacy and evidence-based medicine. She actively works to counter misinformation spread through social media and wellness influencers. She addresses topics like thermography, estrogen dominance, and unproven health trends directly with her patients.
Yes. Dr. James offers continuous glucose monitoring as part of her cardiometabolic health services. This tool helps patients track glucose patterns and make informed decisions about diet, lifestyle, and metabolic health.
Doctor profile last updated June 11, 2026