Dr. Sandra GarredMD

Internal Medicine

at Sandra M. Garred, MD — Fredericksburg, TX

About

Sandra Garred, MD has practiced internal medicine for more than 25 years and still counts it among her greatest professional joys. She earned her Bachelor of Arts in Biological Basis of Behavior from the University of Pennsylvania in 1992. She then completed her medical degree at Wayne State University School of Medicine in Detroit in 1996. Her internship and residency in internal medicine both took place at Maricopa Medical Center in Phoenix, Arizona. She holds board certification from the American Board of Internal Medicine and carries active licenses in Texas and Arizona.

Dr. Garred centers her clinical work on identifying the root causes of disease rather than treating numbers and symptoms with medication alone. She draws on functional medicine principles and pursues lifestyle, dietary, and nutraceutical approaches before turning to prescription therapies. Her integrative framework rests on three pillars: current evidence-based medicine, alternative and holistic medicine, and her Christian faith. She practices what she recommends, lifting weights, running, and following nutritional medicine principles herself. Outside the clinic, she enjoys travel, cooking, reading, journaling, and spending time with her husband and two daughters. She has served on the Board of Directors of the Raphael Community Free Clinic since 2014.

Education & Training

Undergraduate

University of Pennsylvania, Philadelphia, PA - Bachelor of Arts, Biological Basis of Behavior, 1992

Medical School

Wayne State University School of Medicine, Detroit, MI - Doctorate of Medicine, 1996

Residency

Maricopa Medical Center, Phoenix, AZ - Internal Medicine, 1997-1999

Additional Training

Internship: Maricopa Medical Center, Phoenix, AZ, 1996-1997

Certifications

American Board of Internal Medicine

Conditions Treated

chronic disease
metabolic conditions
hypertension
diabetes
preventive health

Who is Dr. Garred right for?

Dr. Garred is a strong fit for adults who want to understand the root causes behind their health concerns. Patients frustrated with symptom-only treatment find her functional and integrative approach refreshing. She works especially well with those open to lifestyle, dietary, and nutraceutical strategies. Adults managing chronic conditions or seeking comprehensive preventive screenings benefit from her thorough, evidence-based care. Her faith-informed, whole-person philosophy resonates with patients who value that perspective.

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Frequently Asked Questions

Dr. Garred treats a broad range of adult medical conditions through her internal medicine practice. Her focus includes chronic disease management, metabolic concerns, and conditions that respond well to lifestyle and nutritional interventions. She also provides comprehensive preventive screenings to catch problems early.

Dr. Garred looks for root causes of disease rather than relying solely on medication to manage symptoms. She draws on functional medicine principles and prioritizes lifestyle, dietary, and nutraceutical strategies first. Prescription therapies remain an option, but she reaches for them after exploring integrative approaches.

Yes, Dr. Garred holds board certification from the American Board of Internal Medicine. She also carries active medical licenses in both Texas and Arizona.

Dr. Garred earned her medical degree from Wayne State University School of Medicine in Detroit in 1996. She completed both her internship and her internal medicine residency at Maricopa Medical Center in Phoenix, Arizona. Before medical school, she studied Biological Basis of Behavior at the University of Pennsylvania.

Dr. Garred has practiced internal medicine for more than 25 years. She describes it as one of her greatest professional joys.

Yes, Dr. Garred's integrative framework rests on three pillars: evidence-based medicine, holistic and alternative medicine, and her Christian faith. She brings this whole-person perspective to every patient relationship.

Lifestyle medicine is central to Dr. Garred's approach. She pursues lifestyle interventions, nutritional medicine, and nutraceuticals as front-line strategies. She also practices these principles herself, running and lifting weights as part of her own routine.

Yes, Dr. Garred has served on the Board of Directors of the Raphael Community Free Clinic since 2014. This involvement reflects her commitment to accessible, relationship-driven care beyond her concierge practice.

Doctor profile last updated March 21, 2026