Questions Worth Asking

Naturopathic doctors complete a four-year graduate-level program that includes core medical sciences alongside training in clinical nutrition, botanical medicine, and other naturopathic therapies. In British Columbia and California, NDs are licensed and regulated health professionals. My scope of practice includes physical examination, ordering and interpreting labs, diagnosis, and prescribing medications where applicable.

MSCP stands for Menopause Society Certified Practitioner. It's a designation awarded by The Menopause Society (formerly NAMS) to clinicians who demonstrate expertise in menopause care through a rigorous examination. It means this isn't a side interest — it's where my clinical focus is.

This practice sees patients in California via telehealth only. You must be physically located in California at the time of your appointment. If you're in British Columbia, I see patients there through a separate practice.

Yes. Where prescribing is within my scope and appropriate for your situation, I can prescribe — including hormone therapy. I also integrate non-prescriptive approaches and work collaboratively with other members of your care team when relevant.

Perimenopause is a clinical diagnosis, not a lab result. Many women are in perimenopause for years before they recognize it — irregular cycles, disrupted sleep, mood changes, and brain fog are common early signs. A single FSH or estradiol value is rarely diagnostic on its own. Part of an initial visit is making sense of your symptom picture in the context of where you are in this transition.

Yes, where it's appropriate. I can evaluate, prescribe, and manage menopausal hormone therapy (MHT) for eligible patients. This involves a thorough review of your symptoms, health history, and relevant labs — not a quick script. If you're already on MHT from another provider, I can also take over your management or offer a second opinion.

The evidence base for hormone therapy has evolved considerably since the early 2000s, and the conversation about risk is more nuanced than it's often presented. That said, MHT is not right for everyone. A big part of what I do is review the current evidence with you and help you understand your individual risk picture — so that whatever decision you make, it's an informed one. Non-hormonal options are also very much on the table.

No. Many of my patients are postmenopausal and come in because their symptoms were never adequately addressed, or because they have concerns about bone health, cardiovascular risk, or genitourinary changes that developed quietly over time. It is not too late to have a proper assessment and a thoughtful plan.

No. Many of my patients are postmenopausal and come in because their symptoms were never adequately addressed, or because they have concerns about bone health, cardiovascular risk, or genitourinary changes that developed quietly over time. It is not too late to have a proper assessment and a thoughtful plan.

Initial consultations are 60-75 minutes. Follow-up appointments are typically 30 minutes. If you have a lot of history, labs, or prior records to go through, it helps to send those ahead of time so we can use the visit time efficiently.

Yes, and I encourage it. Reviewing prior labs, imaging, or specialist notes before we meet means we spend the visit time on you — not on me reading documents. Instructions for sharing records are included in your booking confirmation.

This is a fee-for-service practice. I do not bill insurance directly. On request, I can provide a superbill you can submit to your insurer for potential out-of-network reimbursement, depending on your plan. If you have an HSA or FSA, those funds are typically eligible for this type of visit.

In most cases, yes. HSA and FSA funds can generally be used for medical visits with a licensed provider. I'd recommend confirming with your plan administrator, as rules can vary.

Cancellation and rescheduling policies are outlined during booking via OliHealth. Generally, cancellations with sufficient notice can be rescheduled without a fee. Late cancellations or no-shows may be subject to a fee.