autoimmune Archives

12Mar

March 12, 2020

COVID-19 & Other Viruses: Preventative Measures for Virus & Flu Season

A Note From Richmond Natural Medicine:

The preventative measures shared in this article are not meant to replace the medical care and recommendations provided by your PCP, pediatrician, health department, or any other healthcare provider. As the COVID-19 Coronavirus situation is rapidly changing, we are continuing to monitor the guidelines and updates provided by the Centers for Disease Control (CDC) and the Virginia Department of Health. RNM will share new information with its patients and the public as it becomes available.

Richmond Natural Medicine is committed to providing the best care possible to each patient. At this time our office remains open during regular hours, 9:00 am – 5:30 pm, Monday through Friday. We are taking extensive steps to sanitize our office several times per day in addition to the daily cleaning services provided by the building management.

If you have a fever, are coughing, or suspect you have a serious illness, please call our office to reschedule or adjust any upcoming appointments as we will be unable to see you in person. This decision has been made to support the health of our entire community and those that are at greatest risk. Remember, phone consultations are always an option for existing RNM patients who cannot be physically present for appointments. Our goal is to make sure you have the best support and care while also promoting the health and well-being of others.

Cold, Flu & Virus Season

We are currently at the tail end of Winter and during this seasonal time we may find ourselves needing extra immune support as colds, flu, and viral bugs continue to spread. With recent events, our collective diligence in preventing viral spread is important.

Not everyone has the same risk of catching a virus, and our ability to mount an appropriate immune reaction varies on several circumstances including our past medical history, family history, and general lifestyle. The variability of weather, increased stress, poor diet, and lack of exercise all contribute to our immune function as well as our ability to respond when exposed to a virus or bacteria.

The most basic actions you can take to reduce your risk of exposure are:

Wash your hands frequently using soap and water for at least 20-30 seconds
Cover your mouth when coughing or sneezing, or use a tissue and dispose of it in a wastebasket immediately
Stay home from work or school if you are sick. Individuals over 60 or those with compromised immune systems should limit their exposure to large groups during times of viral outbreak.

There are additional lifestyle and daily hygiene tips that make a difference. Incorporating simple daily practices can have a big impact on our seasonal and lifelong immune function, and most can be easily incorporated into our daily routines.

Immune Health is a Daily Practice

Our immune system is always working. It is affected by the same internal and external factors that every other body system responds to, including weather, stress, diet, exercise, sleep, travel, environmental toxins, and even antibiotic use. Each day, we make decisions that can either enhance or deplete our immune function. In order to enhance our immune function, we need to practice daily habits that encourage internal homeostasis (balance) and give all of our organ systems—including the immune system—the best chance to support us.

Here are a few of these daily practices to follow:

Good sleep hygiene: Getting at least 7+ hours of restful sleep each night so the body can repair and rejuvenate. Avoid screens prior to bed and be intentional about sleep hygiene.
Practice stress management: When stress is present in our lives it impacts every body system and puts a strain on both our gut health and immune function. Studies have found that stress impacts the immune system by lowering its responsiveness to the environments around us. A daily habit and tool that supports stress reduction is practicing mindfulness.
Get daily exercise and movement: It has been consistently shown that moderate, daily exercise enhances immune function and may even delay the degeneration of the immune system. Even as little as 20-30 minutes of movement a day is beneficial! Being in nature and breathing fresh air is extremely therapeutic and has been shown to increase the function of natural killer (NK) cells against viruses.
Eat a healthy, balanced, and whole foods-based diet that limits sugar consumption, including alcohol (more on this below).
It is important to stay informed during times of stress, viral outbreak, and illness. Too much worrying, however, can have a negative effect on our immune system. Be mindful of over-triggering your fear response, which can cause additional stress for your vagus nerve. Remember, the vagus nerve plays a huge role in your mood, immune system, stress response, cardiovascular function, and digestion.
Hydrotherapy can be therapeutic during times of stress or illness. The easiest form of hydrotherapy is to end your showers in cool or cold water for 20 seconds. Similarly, warming socks treatment can be beneficial if you have a cold, sinus or lung congestion or fever.
Keep your mucus membranes moist by using a humidifier in the house, rinsing your sinuses daily with a saline rinse such as a neti pot, or gargling with saltwater. Consider gargling salt water or rinsing your nasal passages. Saline rinsing or gargling is an effective practice that keeps the nasal passages moisturized and clear, as well as decreases the risk of transmission to other viruses.

Herbal Virus and Flu Prevention

Elderberry is one of the most popular herbal antivirals on the market today. This herb has been used for hundreds of years to support the immune system and is still used today for seasonal immune support and prevention. Due to its high flavonoid and antioxidant content, elderberry is a great seasonal choice to supplement with during winter months. Elderberry has the ability to reduce adherence of viruses to the mucous membranes and inhibits the enzyme found in viruses, called sialidase. For people traveling, elderberry has been found to successfully reduce the duration of viral illness when compared to placebo therapy. It has also been useful against influenza A and B infections. You can take elderberry as a tea, syrup, and through some over-the-counter products that are pleasant in taste and relatively easy to administer.

Goldenseal is an herb that contains many different constituents including one in particular known as berberine. As an herb, goldenseal (or berberine) has been used in medical practice for a variety of illnesses including infections ranging from upper respiratory to bladder infections. More specifically, goldenseal and the constituent of berberine is known to decrease viral growth in influenza A. Goldenseal is best taken as a liquid extract but can also be successful as a powder or capsule. When taking it as a liquid extract, be prepared for its bitter taste. Taste aside, the medical properties of goldenseal are known to decrease viral growth or replication, not just for influenza A but also for other viruses such as CMV (cytomegalovirus), hepatitis C, and even Zika virus.

Licorice has been used for centuries in various ways against viruses. It has a number of anti-viral constituents including glycyrrhizic acid, glycyrrhizin, and glycyrrhetinic acid. These constituents are known as triterpenoids which have shown effects against herpes, HIV, hepatitis virus, SARS coronavirus, and influenza viruses. Within licorice, the specific component known as glycyrrhizic acid has been shown to inhibit the influenza virus growth and replication. Licorice is a relatively popular herb that comes in many different forms including teas, syrups and combination products.

Reishi is a popular medicinal mushroom that comes in a variety of forms including tablets, capsules, tinctures, and teas. This special mushroom also has anti-viral properties that have been used to decrease the viral replication or load in a number of viruses including HPV, Hand foot & mouth disease, and other skin manifestations of herpes viruses. Reishi is also helpful for the reduction of pain associated with shingles.

Lemon Balm is a classic antiviral that may be effective in supporting some infections such as influenza when taken at appropriate doses and times. Some research has shown that lemon balm is useful for resistant herpes infections where typical antiviral drug therapy is no longer useful. Lemon balm can be found as a liquid extract, tea, and often in other combination products. It also has a pleasant smell and taste and can easily grow in a home garden.

Vitamin D has been found to impact our innate (born with) and our adaptive (maturing) immune system to engage in an appropriate response when we are sick. It is recommended that you regularly assess Vitamin D levels through lab testing to ensure proper function of the immune system. For example, a 2019 study found that children with low Vitamin D levels were at greater risk for certain viral infections leading to hospitalization. The researchers noted that having normal levels of Vitamin D “appears to have some beneficial influence on the incidence and severity of some, but not all, types of these infections”. Additionally, Vitamin D has been found to support the immune response of children who received a flu vaccine. In elderly patients, Vitamin D was also found to have a positive response to the immune system after receiving the flu vaccine. Before supplementing with Vitamin D, it is ideal to know where your internal levels stand. Vitamin D is a fat-soluble vitamin that, under rare circumstances, can build up in the body. Staying current with your labs helps your medical team discern the best dosage if needed. In dietary form, Vitamin D can be consumed freely in foods including mushrooms, fish, liver, cheese, eggs, and butter.

Vitamin C has been shown to be helpful when the immune system is compromised, such as when we are actively sick or in recovery. There is some research that supports the practice of taking Vitamin C as a preventative or for immune upregulation. The results of three controlled trials found that Vitamin C was successful in preventing pneumonia, and an additional two controlled studies found Vitamin C to be a helpful treatment for subjects who currently had pneumonia. The dosages within these studies varied between 3-8g. Vitamin C is readily found in various foods including citrus, fruit juice, and green vegetables such as broccoli and kale.

Nutrition-Focused Virus & Flu Prevention

Aim to eat five different colors of whole foods each day. The more color you consume, the more vitamins, minerals, antioxidants and nutrients your body can utilize to support body systems as a whole. Colorful fruits and vegetables also strongly support liver detoxification, which plays a big role in maintaining a healthy immune system.
Drink plenty of water. A good baseline for water consumption is half of your body weight in ounces (not to exceed 100 oz). For example, if you weigh 140 lb aim for 70 oz of water per day. Staying hydrated supports cellular health, elimination pathways, bowel function, liver detoxification, kidney function, and blood health.
Avoid processed sugars and artificial sweeteners. These sugar are some of the most pro-inflammatory foods we can consume. Pay attention to food labels and avoid ingredients like aspartame, sucralose, Splenda, Equal, high fructose corn syrup, and white sugar. Instead, sweeten foods with honey, maple syrup, dates, coconut sugar or natural fruits if necessary. People also tend to forget that high sugar content is found in certain alcoholic drinks, such as wine. Alcohol is one of the first things that should be avoided when the immune system is lowered or at risk.
Consume probiotic-rich foods daily. Probiotics are an essential part of a healthy immune system. Trillions of probiotics make up a large part of our immune system in the gut. Consuming foods rich in natural probiotics helps to repopulate and support our natural defense system. Fermented foods such as sauerkraut, kimchi, yogurt, kefir, miso, and pickles are all great choices.

If you are seeking preventative immune system support during cold, flu, and virus season consider scheduling an appointment with one of our naturopathic doctors. If you are actively sick or suspect you have a serious illness, please seek immediate support from your PCP. Have questions? Call our office, (804) 977-2634.

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22Aug

August 22, 2019

By Richmond Natural Medicine

RNM Blog

A Naturopathic Perspective on Lyme Disease

Every year, some 30,000 cases of Lyme disease are reported by state health departments to the CDC, and this number has only increased steadily in the past 20 years.

What is Lyme Disease?

Lyme disease (most commonly from Borrelia burgdorferi, miyamotoi, hermsii and turicatae) are complex organisms that are transmitted to humans (and animals) via a tick bite. It has only recently, within the past 25 years, been under extensive study and clinical examination, as the number of those diagnosed with this disease increases every year. But the actual numbers of cases remain underreported meaning that there are more individuals who have Lyme disease without knowing it. This is because Lyme disease can disguise as other illnesses. According to the CDC, Lyme disease is the fastest-growing vector-borne disease in the United States and with more accurate research and projections is believed to be closer to 300,000 new cases diagnosed annually. The most concentrated population of those diagnosed with Lyme disease are in the Northeastern region of the US, however, every state has reported cases of Lyme disease. All along the East Coast, we find thousands of chronic cases of Lyme disease. With extremely complicated pathophysiology and varied presentations of symptoms, Lyme disease is one of the most challenging health issues facing us today.

The Borrelia species, as a whole, are extremely intelligent organisms known as spirochetes. These bacteria have a spiral shape which allows them to burrow or transport themselves more easily than other bacteria. There are over 100 strains of Borrelia in the US and 300 worldwide. Lyme disease is most commonly spread from the bite of an infected tick, specifically deer ticks in the Northeastern US, or the black-legged tick on the West Coast. Once the tick has bitten any area of the body, most officials believe it must be attached for 36-48 hours for the bacterium to infect the human body. However, in some cases research has shown transmission to occur within as little as 6-8 hours. This is why it is extremely important to check yourself for ticks every day, especially if you have been outdoors in woods, grasslands, fields or even your backyard, as a preventative measure.

Reasons for the Spread of Lyme Disease

Increase in tick populations
Decrease in natural habitats of tick-carrying animals (deer in particular)
Climate changes (potentially)
Epigenetics

Some medical treatments for Lyme disease have been built upon our understanding and treatment of another spirochete called Treponema pallidum, which is known to cause the disease we know as syphilis. This is because their replication and systemic involvement can be similar. But Borrelia can hide and have more nebulous or convoluted symptoms. The Borrelia organism is pleomorphic and evasive. It can cross the blood-brain barrier and “hide” in the central nervous system and in other tissues for weeks, months, or even years before activating a symptomatic reaction. Thus, the symptoms can show up slowly for some individuals whereas for others it can occur suddenly.

Some people are at higher risk of Lyme disease based upon their epigenetics. And in fact, spirochetes like Borrelia can upregulate nearly 350 genes within 24 hours. There are a number of immune enzymes or proteins that we inherit from our ancestors that serve as checkpoints to infectious diseases that enter our bodies such as syphilis or Borrelia. Some inherited immune proteins that can assist in watching over Borrelia include IL-10, TLR1, TLR2, CD40, MMP9, and TRAF1. This is important because based upon our environment, stressors, inheritance or what we call epigenetics we may be more or less likely to manifest Lyme disease. If these immune proteins decide to take a nap or they are less active due to inheritance or stressors, we may see that we are unable to fight bacteria like Borrelia. Thus, we could be more susceptible to Lyme disease.

Common Symptoms of Lyme Disease

The clinical presentation of Lyme disease is varied, and many people can experience some symptoms with the absence of others. Lyme disease can affect multiple body systems from the neurological system where we could see hearing changes or mental confusion to impacting the musculoskeletal system where we may see aches and pains.

Initial/Acute Infection

Upon infection, there can be an immediate response where there can be changes in the immune system. For some people, they may present with a fever or chills while the immune system and the inflammatory response initially respond to the pathogen. Others may see a red, inflamed area on the tick bite, surrounded by what some term a “bulls-eye” rash that may spread. The timing of the rash can vary where most show up within 2-30 days. But in other cases, this visual reaction on the skin may be completely absent. In this situation, a person may not even know they were exposed to a tick bite. Hence why Lyme disease can be elusive. In some of these cases, if the immune proteins do not engage appropriately there could be a suppression of the immune system, allowing for the infection to hide out where it can slowly take over the system or at some point could occur with a quick onset at a later time.

Systemic Inflammation

When the body experiences a foreign invader (viral, bacterial, etc), it stimulates a cascade of pro-inflammatory cytokines to address the invader, and this immune response also activates inflammatory pathways. In the case of the Borrelia organism, there is an increased response in inflammatory markers. The complexity of the infecting organism actually tweaks the immune system upregulating or heightening the symptoms of the body. It’s an unfortunate feed-forward cycle that mimics the presentation of many auto-immune diseases. The point is that if active it upregulates and makes symptoms worse and heightens the damage done with time.

Lyme can affect the nervous system causing severe headaches, joint and neck pain (arthritic presentation) with intermittent pain in tendons, joints, muscles and bones, result in loss of muscle tone in facial muscles (facial palsy), cause heart arrhythmias and rapid heartbeat (known as Lyme carditis), and in severe cases cause inflammation in the brain and spinal cord.

Connective Tissue Degradation

Borrelia travels through the body via collagen-based connective tissue, and can eventually cause connective tissue remodeling. This can affect the synovium and the myelin sheath of our nerves. Symptoms of this degradation include decreased muscle capacity, muscle weakness, hearing loss, facial palsy, and problems with memory.

Cardiovascular Symptoms

People with chronic Lyme seem to have poor blood circulation resulting in poor blood flow to the extremities (cold hands and feet). There may also be symptoms of heart arrhythmias and rapid heartbeat (known as Lyme carditis).

Secondary Symptoms of Lyme Disease

Liver detoxification issues
HPA Axis dysregulation & endocrine disorders which can impact sleep and hormones
Thyroid irregularities
Exercise intolerance
Weight gain or loss (most commonly weight gain)
Increase food sensitivities/allergies
Autoimmune issues

Our Approach to Lyme Disease

Lyme is a great mimicker. It can be misdiagnosed as other diseases that are very similar to rheumatoid arthritis, fibromyalgia, mold or toxic exposures, or multiple sclerosis. And in some cases, there can be what is known as “co-infection” which is where you may get more than one tick-borne illnesses from one tick bite. In many cases, whether it is Borrelia alone or a co-infection (such as Babesia or Bartonella), people live with undiagnosed tick-borne illness for years until their doctor finally lands on the right diagnosis. In any such case, our approach is always going to begin by listening to your story and learning about your symptoms – with or without a present diagnosis. We want to know when the first symptoms began and also learn more about how your body has responded to illnesses in the past.

The symptoms experienced from a case of Lyme disease can vary from person to person. There is no standard clinical presentation, therefore the response to medical therapies such as antibiotics and other treatments even including herbal medicine for Lyme is also variable. This makes an individualized approach essential in helping those with Lyme disease. Some people are responsive to antibiotics and others are not. Some do best with a combined Lyme regimen of pharmaceuticals and botanical medicine (pharmacognosy). Again, each person is different. Sometimes preparing and stabilizing a person with Lyme is first required before any specific Lyme protocols are initiated. This is because some people can get far worse if their body is in a depleted state. Many people struggle with proper detoxification such as phase I and phase II detoxification and this must be improved first. Thus, identifying what is best for you is imperative.

At this time there is no perfect test for Lyme disease. However, research has found the best option to be the Western Blot. This is because it has the lowest rate of false-negative test results. Even if you have been prescribed antibiotics by your PCP or specialist or if for some reason you have failed antibiotics it is important to know there are additional options to help those with Lyme disease. In fact, there are additional therapies including supplements and pharmacognosy that can support the central nervous system, connective tissue, immune system, gut and digestion, cardiovascular, inflammation pathways, and pain management.

Often, the symptoms of Lyme disease shift and change, and your naturopathic doctor may want to see you routinely, perhaps twice a month, to continually check on your health. Weather, stress and other illnesses can also impact Lyme disease. Secondary areas of support that can be addressed can include weight management support, nutritional recommendations, energy and stamina support, liver detoxification, and supporting any side effects caused by current medications or treatments. We also work with your other health care providers to have a collaborative and supportive plan. When you have an active or chronic diagnosis of Lyme disease, the bacteria can be so variable where you may need different support at different times. In fact, there can be seasonal and hormonal shifts that can improve or exacerbate one’s Lyme disease. Thus, we will work with you if you have seen such seasonal or endocrine trends like this in the past. The goal of naturopathic medicine in these cases is to work collaboratively as a team to enhance your quality of life, address your unique symptoms and to find the strengths and weaknesses of your body that can allow the immune system to engage differently.

If you or a family member suspect the presence of Lyme disease, or have an active or even chronic diagnosis of Lyme disease, and are looking for comprehensive, holistic support, consider scheduling an appointment with one of our naturopathic doctors at Richmond Natural Medicine by calling our office at 804-977-2634 or filling out an Appointment Request Form here.

Our Naturopaths That Work With Lyme

References

Centers for Disease Control and Prevention

Educational Materials on Lyme Disease

Harvard Health: Lyme Disease Presentation, Prevention, and Diagnosis

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232652/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2827415/

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11Jun

June 11, 2019

By Richmond Natural Medicine

RNM Blog

Supporting Autoimmune Conditions Through Naturopathic Care

Functions of the Immune System

The human immune system is a highly complex and intelligent system that is constantly protecting us from pathogens, viruses, and diseases. It has the ability to recall past pathogens and vigilantly protect us again and again, as well as fight off multiple new external attacks at once. The immune system serves several functions, including:

Protecting against antigens (small proteins that can lead to an immune response, like pollen)
Fighting off viruses and parasites
Flushing the body of damaged or dead cells
Detecting cancerous or precancerous cells

Recognizing the Internal vs. External

For the immune system to function properly, it must be able to identify between a cell that belongs to the body and external foreign pathogens. Cells inside the body include our own organs, tissues, lymphatic system, blood, bacteria, and microbiome. The immune system works in harmony with our body to protect and maintain the balance of everything within us.

The body typically recognizes foreign pathogens as anything outside of us, including viruses, antigens, parasites, infections, and allergens. When the immune system recognizes these invaders, it works quickly to flag and attack them. During minor attacks, we hardly notice this is happening. But when our immune system is working hard to fight off an invasion, we may experience flu-like symptoms or redness and inflammation at the site of an injury. We may also notice an increase in body temperature and symptoms of intense fatigue that require bed rest. Ideally, the immune system should respond to foreign attacks only when dealing with an acute issue, not on a regular basis. Thus, when the immune response becomes uncontrolled within the body, it can easily trigger an autoimmune condition.

A Triggered Immune Response

Autoimmune conditions develop when the immune system is unable to distinguish between the internal and the external. It begins to attack our own healthy cells and then becomes an uncontrolled response. Although the specific cause of autoimmune conditions is not fully clear, we know that they can develop in any part of the body. Some of the most common culprits of autoimmune disease include our genes, viruses, bacteria, toxic chemicals, certain pharmaceutical drugs, childhood trauma, poor mental health, chronic stress, and even elevated levels of histamines or estrogen. More often, the development of any autoimmune disease is caused by multiple factors. Because we do not yet understand the single causes of autoimmune disease, it is important to first identify the triggers that contribute to a patient’s heightened autoimmune response and work to decrease the burden on the body.

Naturopathic Approach to Autoimmune Conditions

Here at Richmond Natural Medicine, we believe that your history and experience with an autoimmune condition is unique and worthy of a personalized approach. First, your naturopathic doctor will assess both your family and complete health history, all the way back to your first illnesses. Your early health history can provide insight into your past immune system function. Your naturopath will take great care to hear about your symptoms and develop a timeline of their presentation. They will also inquire about your lifestyle, stress levels, allergies, sleep cycles, and current dietary intake.

Our diet plays a huge role in impacting the function of the immune system and therefore is a significant part of re-balancing any autoimmune disease in the body. Consuming foods that are unsuitable with your ancestry or are highly inflammatory could be worsening the presence or impact of any symptoms you are experiencing. Your naturopath may make suggestions for lowering or removing the inflammatory habits in your diet and lifestyle, as well as implementing supplemental, herbal, or homeopathic supports along the way.

True Healing Takes Time

Following a holistic approach to any autoimmune condition often requires balancing multiple body systems at once for long periods of time. There is rarely a quick fix for any autoimmune condition because rewiring the immune system to stop attacking the body takes time. Through a naturopathic approach, we gently teach the immune system how to properly engage with the body again. Your naturopathic doctor is here to empower you in your health, and to be part of your care team for a truly comprehensive, safe and personalized approach. Some examples of the autoimmune conditions supported at Richmond Natural Medicine include:

Lupus
Hashimoto’s thyroiditis
Rheumatoid arthritis
Psoriasis
Celiac Disease
Endometriosis
PANDA’s
Ulcerative Colitis
Inflammatory Bowel Disease (IBD)
Type-1 diabetes
Multiple Sclerosis
POTS

If you are struggling with an autoimmune condition and would like to layer in a comprehensive, personalized, and holistic approach to balancing your immune system, call our office at (804) 977-2634 or visit our website here to schedule an appointment with one of our Naturopathic Doctors specializing in this area.

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4.8

Based on 148 reviews

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14:59 03 May 24

I received more answers on questions I had for years. I believe I came to the right place to get the solutions I have been hoping to find!

14:00 03 Apr 24

These are the smartest and kindest women I know. I am always blown away by the care I receive and feel amazing after each appointment. Thank you for always being the right place for my care and the most important member of my medical team!

16:43 21 Mar 24

I've been very pleased with Richmond Natural Medicine. Dr. Alexander has been a great help in guiding me towards being a healthier person. I truly believe this is a great option for those who want additional support beyond what traditional medicine can offer. I highly recommend Richmond Natural Medicine.

15:30 29 Feb 24

Dr Thompson and Richmond Natural Medicine as a practice are just the best. I feel listened to when I go and we address all of my symptoms in a way that my primary care and gastroenterologists pale in comparison to. I always leave hopeful and with a well defined plan of care.

13:21 22 Feb 24

Everyone at Richmond Natural Medicine is kind, helpful, and professional. From the ladies at the front desk, to Dr. Thompson, everyone has treated me with kindness and respect. I have spoken with them in person, over the phone, and done a virtual meeting. Dr. Thompson is respectful, listens, and offers feasible and achievable solutions for my issues. I trust her and appreciate her knowledge and care. The atmosphere in the office and waiting area is calming and peaceful. It is so reassuring to know there is a practice that offers this level of care and meets my needs in a practical and more natural way. I recommend this practice to anyone who is looking for alternative solutions outside of conventional medicine. 5 stars!

16:47 10 Feb 24

Dr. Jensen is an absolute professional that shares the same background in health care needs that I have. Having someone who understands how difficult this process is and has been for me is incredible and has helped me over the past 6 months I've been seeing her.I also have a history of head injuries and the craniosacral therapy treatments from her are extremely peaceful and the care with which she performs them is gentle and the impact is powerful. After a few treatments, I have felt the physical, and mental benefits of from them.And I say this all as a huge skeptic of everything. Some treatments haven't worked, some haven't been for me, but being open to the possibility of new treatments has seen real benefits.I say this part especially because Dr. Jensen treats without ego. If something does not work, or I am unsure of a treatment, she encourages me to research the treatment before making a treatment. If I've done my research and I choose not to have a treatment, she is supportive of my decision and we work together on an alternate treatment. She is an amazing person and truly cares and respects those who she heals.

03:26 25 Jan 24

After years of seeking answers from traditional doctors, we found Dr. Barranco, who listened kindly, provided thorough assessments, and found the root cause of a health concern in order to guide us to a care plan that works! So thankful for finding this practice!

16:13 17 Jan 24

19:14 05 Jan 24

This was the best experience i have ever had with a care provider. The diligence was immaculate!

14:54 04 Nov 23

Richmond Natural Medicine is the most welcoming space. The entire staff is kind. Rhe doctors are some of the most knowledgeable doctors I have ever experienced. I know when I enter RNM that I am going to receive thoughtful, thorough, quality care and insightful answers to my questions!

14:59 24 Oct 23

Dr. Franko is awesome. She recognizes that I have autonomy with my own body, and she listens to provide a holistic solution. She gives me options and allows me to choose.

15:10 19 Oct 23

My experience with Richmond Natural Medicine was fantastic! First impressions are everything and my expectations were surpassed! Dr. Thompson heard everything I said, acknowledged my concerns and my journey thus far, then came up with a multi-phased game plan to move my health forward! I had given up all hope with traditional medicine. Cannot wait to see where this journey takes me and my health!

11:04 06 Oct 23

What an amazing practice! I cannot saw enough wonderful things about everyone from the front desk to the doctors. The staff has always been kind and accommodating when making or rescheduling appointments and check-in/check-out. The practice always runs on time and I have never had to wait for an appointment. And even if you do, there is a separate, peaceful waiting room where you can drink tea as you wait for your doctor. A very calming environment!I have had experience, although not as a patient, with all of the doctors and can say confidently they are not only amazing providers, but also great people. I have numerous friends and family members that see multiple doctors at RNM and they share the same great experience that I do!Dr. Hollon cares for me and my entire family. Without a doubt, she is the most compassionate, kind, and knowledgeable provider we have ever seen. It is hard to describe this level of care, it is just something you feel when you are around her. She has helped us through numerous health situations, both routine and emergency, and I am beyond grateful for her care and support for me and my family.

22:19 31 Aug 23

They treated me awesome answered all my questions and concerns made me they were really trying to help me make a difference in my life and illness I just want to say thank you

18:30 22 Aug 23

Dr Franko is such a kind and caring doctor. She has helped my daughter and I feel our best selves. She takes so much time to make sure you are comfortable. I always feel so seen and understood. No question is ever unanswered and she takes so much time answering all my questions. I can’t say enough wonderful things about her and the office.

14:39 11 Aug 23

Dr. Thompson makes you feel like you are her only patient. I am very pleased with the treatment I have received. I am happy I found Richmond natural medicine since seen Dr. Thompson my condition has improve I no longer have to take prescription antibiotics. I highly recommend this practice. They don't rush or dismiss patients and truly listen. I've never felt so listened to in a medical setting. Dr. Thompson works hard to find the best solutions to improve your overall health. Thank you Richmond Natural Medicine.

18:49 09 Aug 23

Dr. Thompson is wonderful! In the past I have felt that doctors brushed off my concerns or wrote them off as “normal” when I didn’t feel they were. Dr. Thompson was so kind and thorough. I left feeling validated and like I finally had hope of feeling better. I would recommend Richmond Natural Medicine to anyone!

19:09 13 Jul 23

I’m so very happy I found you! I’ve been looking for this type of health care modality for quite some time. I am on the mend because of the focused care I am receiving. Some of my issues were helped almost immediately, and my others I’m seeing/feeling improvement in over time.I wish to express special thanks to Dr. Barranco.Your attention to how every aspect of who I am (mental, emotional, physical, psychological) is taken into account as you proceed to help me heal myself is simply awesome.I’m learning about modalities that have been around for ages that I wasn’t aware of, and they are working very well! I’m so pleased with my results. THIS is TRUE health care!To anyone searching I say: If what you’re doing isn’t working; If you’re tired of just medicating your symptoms and dealing with side affects; If you’ve been written off by other practitioners as having “phantom” ailments they can’t help you with, maybe even an illness deemed too far gone to mend, try Richmond Natural Medicine. Just try them. There is a list on their website of what they specialize in. Check it out. You might be pleasantly surprised by the results.

18:50 09 Jun 23

Absolutely love coming here. The environment is restful, the time taken to get to know me and my needs is the best and the care plans have been very helpful.

21:32 31 May 23

Best time I've had at a doctor's in a long time. I felt like I was listened to and like they are actually trying to help me get better. Update: after spending 13+ years at a traditional doctor's, having test after test ran and being told that I was "fine and just needed counseling" I have been validated. In less than 4 visits a doctor here found out my issue and I've already begun treatments. I'm so happy I tried a natural medicine doctor and I will recommend ANYONE to come here and finally get your answers! I'm not even the only person I know who has had this experience (being gaslit by normal doctors then after a few visits at a natural, finally having answers)

13:05 27 Apr 23

I felt relaxed from the minute I walked in the door, warm reception, comfortable separate waiting room and always feel like I get exceptional care with Dr. Hollon!

14:56 06 Apr 23

I enjoyed my experience. From the time I walked into the office I felt very welcomed. The thoroughness of Dr. Barranco during my appointment truly made me feel that she was concerned for my overall health. I am truly grateful for the experience and look forward to future appointments.

16:04 23 Mar 23

Excellent very informative

02:16 18 Mar 23

I've never been treated with such care when seeing a physician. I am so pleased with the atmosphere, the staff, and the level of thoroughness that went into me and my health concerns. I'm so thankful to have found this practice and will encourage others to check them out as well. Thank you, by far the best treatment I've had around medical professionals.

16:15 30 Jan 23

All staff are kind and compassionate. Would highly recommend to anyone.

16:25 03 Dec 22

From the time I submitted a request online, to the prompt phone call the next morning, to the amazing friendly staff and lovely waiting room and most importantly the conversation my doctor and I had to understand my health, was the experience I expect from a health professional organization but haven't received in so long. From the moment I walked in, I knew this was the answer to taking charge of my life and my health with a practice that leads with compassion. This is what health care is "supposed" to be. I am hopeful...finally. I appreciate this group and their mission and I give them a huge A++++!

17:40 24 Nov 22

I’m a huge fan of Richmond Natural Medicine. These doctors really listen to patients offering solutions for real health. Their healing plan is specific for each patient, and is not suppression medicine. They excel in determining which foods work and don’t work for you. I’m so much healthier after I adopted their recommendations. I found vitality, so did my family. The best health investment I ever made!

02:05 25 Oct 22

Outstanding Doctor, who listens, who hears and then suggests real actions, supplements that make a change ! Gentle, skilled staff.

17:15 12 Aug 22

Helpful

21:37 22 Jul 22

I've maintaineda secure feeling with my practitioner with my health and well-being that was first and foremost. Along with having my best interest at heart. I'm very satisfied here.

13:13 15 May 22

I’ve been seeing Dr. Beliy for about 6 months. I’ve struggled with GI issues for over a decade and been taking various prescriptive meds to treat it.During my first appt, I almost cried with happiness when Dr. Beliy spent the time asking questions and listening to me. I was only used to quick 10-15 min check ups before my visit here. She put together a personalized plan for me and I received detailed notes after the appt.Since that first appt, I’ve continued my visits with Dr. Beliy and she’s not only helped my GI issues, but also sleep, nutrition, stress management, and more. I’ve never felt better in my life. I highly recommend to anyone who’s looking for a doctor that will invest the time and effort for each and every patient.

15:04 07 May 22

After my first appointment I feel very hopeful! The initial appointment was in depth, which made me feel like I was finally being listened to. Dr. Paskar also gave me options on which way I would like to go with my treatment options. I loved that it wasn’t one size fits all and that I felt like I had a say in my treatment plan!

20:18 19 Feb 22

17:51 03 Feb 22

Richmond Natural Medicine is hands on care with doctors that take time with patients. I'm a relatively new patient but have made good progress with an uber-difficult issue. ***Four months later I am impressed with the knowledge, care and enthusiasm shown by my doctor and though I am still on the mend, the main issue has been addressed thoroughly and I now have abilities I did not four months ago.

16:16 27 Jan 22

I really like Dr Gerep. I think I’m going to enjoy working with her. I felt like she heard me and understood where I was coming from at this point in my journey.

20:58 22 Jan 22

15:31 21 Dec 21

Wonderful. I am so grateful for the detailed plan to improve health. I'm going through it now and breaking it up to incorporate many of the components in my daily regiment. Really appreciate Dr. Gerep's extensive insight.

22:21 03 Dec 21

Dr. Gerep was super friendly and welcoming throughout the entirety of the appointment. I feel that I was genuinely cared for and she was actually interested in my health. She took my concerns seriously and worked with my lifestyle, preferences, and budget. This place is pricy and it's unfortunate they don't accept insurance (out of their control so no fault there) so I saved a bit before coming, but I feel it's very worth it. I love the approach here and it's exactly what I was looking for! I'm very pleased with my visit and am excited to continue treatment.

00:09 22 Oct 21

Dr. Ferreira is fantastic. She was focused on my individual care and shared a wealth of knowledge directly related to my concerns.

20:27 08 Oct 21

Loved the atmosphere and the wealth of knowledge that was given to me by Dr Gerep. Will definitely be returning!!!!

11:13 07 Sep 21

I was, and still am, extremely satisfied with my time with Dr. Paskar! I left my appointment excited about the plan she set forth for me and our plans in the near future when I return for a follow-up. I feel we addressed all my pressing issues and that Dr. Paskar listened to my concerns with intent and no judgement. She is absolutely amazing!! I recommend her to anyone and everyone in need of a doctor of this magnitude. A doctor who empowers patients to take control of their own health naturally is truly a doctor for the people. Thank you, Dr. Paskar!

15:48 26 Jul 21

I felt more understood by my provider here than I have with any other doctor. She took the time to provide me with additional resources and helped me understand the science behind my health. Thank you Richmond Natural Medicine!

19:16 08 Jul 21

I love it at Richmond Natural Medicine. I was in search for a place where I could receive preventative care for holistic health. The care Dr. Gerep gives is individualized and personalized to my needs. I appreciate the deep research that goes into my care and not a prescribed answer given immediately. She is always taking time to thoroughly find the best solutions for me.

12:27 06 Jun 21

I just had my first follow up visit and it was great. I really feel like I am being heard and all aspects of my health are taken into consideration. No matter how minor a concern, Dr. Vanessa always writes it down and has great suggestions and explanations for me. I finally feel I am headed on a path to understanding my health and taking control! Thank you!!

11:25 28 May 21

My experience has been amazing. Dr. Paskar is so patient and informative. She’s the best doctor and I’m already experiencing healing in my body from us working together for just 3 months. If you have IBD, I would highly recommend Dr. Paskar.

16:47 19 Apr 21

I feel like I have finally found a knowledgeable doctor who is taking the time to listen and learn all about me. Dr. Beliy is interested in treating the root issue instead of the symptoms and believes in the power of natural remedies. I couldn’t be happier with the progress made with her in such a short time. I’m learning how to implement important lifestyle changes, such as incorporating seeds into my diet to regulate hormones and to reduce stress with a lavender essential oils diffuser at my bedside. I feel great about the treatment plans because they are thoughtful, doable, specific to my individual needs, and not subjecting my body to experimental drugs or other questionable toxins. The results I have experienced have been pretty immediate and are evidence, in and of themself, that natural remedies work! I appreciate having Dr. Beliy guide me through my health journey, and having such a knowledgeable professional help keep me accountable for my lifestyle choices.

02:18 16 Apr 21

Hopeful. Dr. Reckers was understanding of how willing and able to change my teenager was at our first visit.

17:00 14 Apr 21

I talk about and recommend your practice to almost every single person I encounter! My life has been changed for the better and I cannot imagine not having this practice as an I integral part of my life.

15:28 14 Apr 21

When I moved to Richmond from the San Francisco Bay Area in 2019 I thought I would never find a naturopathic office like the one I left behind. BUT, then came along Dr Hollon and Richmond Natural Medicine! I feel like the reason I moved was to be under her care! Although my health is still not yet stable, I am on the path to it and with more knowledge of what My body has been and is going through. I love the staff and the service is unmatched! Thank you!!!

03:37 10 Apr 21

Dr. Reckers was super attentive, pleasant and very easy to talk to. She asked great questions & I sensed a sincere interest in my well-being and how to best help me feel better.

16:06 25 Mar 21

I feel like I am finally on the path to getting some answers to my chronic health issues that modern medicine has brushed aside or completely ignored over the years. I knew from my own research over the years that the holistic approach would provide the best results and from that I did implement some things into my life that did provide relief but ultimately you need someone knowledgeable to guide you through this. I have just begun my journey with this practice, but already I have found some answers and once my lab results are in I can't wait to begin the treatment plan because I know in my heart I will finally start to feel better.

16:03 25 Mar 21

Kind and compassionate are just two of the words to describe Richmond Natural Medicine. Would highly recommend them.

15:15 16 Mar 21

Life changing! This place is amazing and I highly recommend to anyone that struggles to find the right cure for them, naturopathy treats the natural way without side effect. You get a personalized plan that fits your needs and the doctors actually listen to you and go deep into your medical history, ask a ton of questions and follow-up with you constantly. I've been working with Dr. Paskar and Dr. Hollon trying to find a cure for my son's PANDA's Syndrome (that's one of his problems, he also has Autism and Tic Disorder) and I can say they're both AMAZING to work with!!! I joined this place in January and so far I can see 50% improvement in every area that he used to struggle, it's like a miracle! I've been fighting with this for almost 5 years, I mean this is HUGE!!! I will stay with them and continue my journey because I know I'm on the right path. My heart is smiling!

01:47 27 Feb 21

I felt very comfortable and at ease in talking with Dr. Reckers. I felt like she was listening intently and picking up on things I said that I might not have thought were significant. I felt that Dr. Reckers seemed genuinely interested in helping me to find a path to better overall health with less pain.Thank you very much.

15:59 18 Feb 21

I had the BEST experience with Dr. Viktoriya Beliy. She was super attentive, asked all the right questions, dug deeper where it was needed, and really EXPLAINED what I was going through and would could cause it. This was one of the most comfortable experiences I've had talking to a professional since I was diagnosed with DOR. Her personalized plan for me was so comprehensive and detailed - it focused on my mind and body, not just the issues I was having. I would highly recommend RNM and Dr. Beliy!

17:54 27 Jan 21

Service at Richmond Natural Medicine is great - the video appointment was easy. Uploading information into portal easy. Treats whole-body, as always happy with the service at Richmond Natural Medicine!

15:37 20 Jan 21

Such a great and thorough appointment. Dr Reckers was excellent and listened and I feel like we have a good starter plan

13:33 14 Jan 21

This was my third visit to RNM and I really enjoyed talking to Dr. Beliy. She was very knowledgable about my concerns and listened attentively during our conversation. Overall, it was a great experience and I am looking forward to moving forward with my natural health goals. Thank you RNM!

16:43 18 Nov 20

I just wanted to thank Dr. Beliy for taking the time to listen to me. There was a snafu with getting my online account set up and I was so afraid I would have to miss the appointment, but she saw me anyway and we got everything squared away. She took 2 hours to go over a metric butt ton of labs I had done and go over my medical history. I started out trying to talk so fast and get as much info out as I could because I was so used to doctors cutting me off and not listening, it was just really nice to be heard and understood. Best of all, it was great to finally have someone tell me what has been going on with me. Ladies, if you feel like something is wrong and you don't know what it is, and other docs have told you that you're perfectly fine or just crazy, contact these folks here and get another opinion from someone that will listen and care.

14:26 21 Oct 20

I love Richmond Natural Medicine. Dr. Reckers is my Doctor. I want holistic products for my health care and not a prescription that often treats the symptoms but not the source of the problem. I have found the products and health remedies that I desire at Richmond Natural Medicine. I have not given up on my traditional doctor but I prefer the Natural Route.

00:09 13 Oct 20

12:23 07 Oct 20

14:25 18 Sep 20

I scheduled an appointment with Dr.Beliy for my acne concerns....and she was so amazing, I’ve never had a doctor before that took their time to understand and try to figure out the root cause of what’s going on rather than just prescribing a medicine and acting like you’re just another patient. She came up with a personalized plan for me and you could tell she put thought into everything she was telling me. I’m excited to finally get my acne under control!!! Natural medicine is the the way to go!

16:28 11 Sep 20

19:38 15 Aug 20

We were able to book an appointment within the same week with Dr. Beliy at a convenient time, great office location. First time seeing her as our old provider moved out of state. Dr. Beliy Spent 2 hrs with us and reviewed all my child’s health info and provided recommendations (nutrition, supplements, life style). All supplements available on site and was able to use my Health flex savings account.

20:53 05 Jul 20

I was extremely comfortable from the minute I walked in the door. Highly recommend this place especially if you want to heal yourself. A breathe of fresh air!

16:37 03 Jun 20

I am extremely hopeful that you have figured out the root cause of most of my issues & the plan in place will reduce symptoms that have been plaguing me for 30+ years. Dr. Hollon explained everything perfectly & I am thankful that she started RNM. I’m looking forward to getting my life back! Thank you!

18:16 09 May 20

17:17 24 Apr 20

We are super excited to work with Dr. Reckers! She was so kind and patient to listen to every symptom my daughter is having. Dr. Reckers truly wanted to understand everything that was going on that might be leading to our daughter's skin issues! We have hope for healing these issues without damaging conventional medicine!

14:54 12 Mar 20

15:20 29 Feb 20

I love love love Dr Beliy she always takes time and care to hear me. Her knowledge is vast. I really appreciate the explanations she gives for each action we’re taking. So happy to have found these doctors. My life is changed.

21:48 20 Feb 20

We're so grateful to have access to these knowledgeable, compassionate professionals! They're a terrific complement to our traditional physicians, in fact they've been able to accomplish a few things that have eluded other physicians. If you are feeling like just another drop in your practitioners' bucket or are not getting the results you need, give the folks at RNM a try - you'll be glad you did!

19:12 15 Feb 20

I felt like I have meet a kindred spirit in Mary Mielke, ND.I strongly believe I have found someone to help me in my quest of good health.

16:22 02 Feb 20

Dr Mike very empathetic, appeared to hear what I said. Suggested remedies to help with my problem,

18:34 24 Dec 19

Highly recommend. Dr. Biley was thorough and tailored a plan just for my daughter. We didn't feel rushed or pressured. Her enthusiasm for the task made us feel that she was excited to help! Very happy we found this provider.

03:33 16 Dec 19

I've met with two doctors from this practice (one before she moved out of state). Everyone from the receptionists to the doctors have been courteous, professional and NOT pushy (e.g. when making product recommendations).Dr. Mielke answered all of my questions and was professional, honest & straight forward - qualities I deeply appreciate in a person but particularly in a health care provider.I have nothing but praise for this practice and have already referred two people to them.

02:49 15 Dec 19

Dr. Deborah Nixdorf, of Richmond Natural Medicine, has been my naturopath for ten years. During that time, she helped bring me from surviving to thriving, by coaching me in the ways of natural medicine, acupuncture, an anti-inflammatory diet, discovering my food allergies, and dealing with the stress of life. Throughout my recovery, I participated with her in choosing my health priorities and goal setting. She is an excellent listener and care specialist who is able to zero in on her patients' needs. I recommend her highly.

17:55 16 Nov 19

When I got to my appointment I felt like the world was on my shoulders. I left the appointment with hope.

23:41 14 Nov 19

20:39 06 Nov 19

Richmond Natural Medicine is a group of very caring doctors who take time with their patients. I am a patient since few years and did lots of progress on my journey to recover my health. I highly recommend them.

13:33 01 Nov 19

23:22 12 Sep 19

Excellent care

12:25 06 Aug 19

For the first time in years I feel like I was heard. All of my health concerns are being addressed in a manner that does not include drugs with horrible side effects. I'm looking forward to feeling better.

17:14 03 Aug 19

It is wonderful seeing a doc and being listened to and feeling relaxed. And no conventional doc talks with you for an hour! I am looking forward to great results! Thank you Dr. Mielke! 🥰

11:00 13 Jul 19

I always enjoy my appts with Dr. Reckers. I love that she thinks out of the box about my health. I love that she wants to get to the root of my issues and not just go after the symptoms. I recommend RNM and her to everyone who will listen! I’ve even been so inspired by my experience with RNM that I’m taking my dog to a holistic dr now.

16:14 10 Jun 19

I received excellent results my first visit three years ago .. results that were so good I only went to a "medical" doctor for a broken bone and a spider bite .. my second visit was last week and I am already noticing great results .. the "natural way" is by far the best way when a knowledgeable staff is involved .. thanks again!

00:38 26 May 19

13:55 07 May 19

Caring environment and very professional.

15:33 23 Apr 19

Great office staff and Dr. Reckers is top notch. She has helped me a lot with my health concerns. Glad I found this Natural Medicine practice.

21:11 07 Apr 19

In depth appointments. The holistic approach truly has made a difference!

02:08 06 Apr 19

Every staff member we encountered was friendly, helpful, and genuinely cared. The atmosphere was serene and comforting. Dr. Pagano was extremely patient and thorough during our visit. I am so glad i chose this practice for guidance in the health and care of my special son. Wonderful experience.

14:15 05 Apr 19

14:42 25 Mar 19

Very helpful and thorough. Everyone was so nice and willing to help answer any questions. Dr. Mielke is great and works with you to understand your history so she can formulate a plan for a successful, healthy future.

17:59 11 Mar 19

I'm very satisfied with how thorough the exam is. My doctor really listens and takes what I say into consideration.

15:40 06 Feb 19

I always enjoy coming to RNM for maintenance to my health in every way. The environment is friendly and comfortable. The atmosphere has a nice energy...one of calmness and healing.

16:23 05 Feb 19

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