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Table of Contents | 2021
Treating Bipolar Disorder: A Review of Evidence-Informed Naturopathic Treatment Options
SAM N. CLOUTHIER, BHSC, ND Bipolar disorder is a complex illness that affects approximately 2% of the Canadian population and affects males and females in equal numbers.1 Currently, typical treatment protocols for bipolar...
Our Bugs and Our Brains
JESSICA BRANDES, ND Abstract The human microbiome exerts profound influence on neurodevelopment, stress resilience, mood regulation, and cognitive aging. Evidence shows that early-life microbial exposures shape immune and brain maturation, while disruptions—such as...
Sceletium tortuosum: A South African Plant for Mood and Stress
JEREMY APPLETON, ND Sceletium tortuosum (aka Mesembryanthemum tortuosum) is a South African plant medicine with a centuries-long history of use. Not all Sceletium preparations are alike, owing to the presence or absence of standardization,...
Perimenopause: An Undertreated Phase in Women’s Reproductive Lives
LISA BRENT, ND, LAc Perimenopause is the time period in which women transition from premenopause (the reproductive years) into menopause. Typically, these changes occur between the ages of 40 and 51 and usually last about 4 years. Perimenopause...
The Reproductive Microbiome: Profound Implications of New Research
SARAH WYLIE, ND and JACLYN CHASSE-SMEATON, ND Once upon a time, I attended the birth of a patient in a teaching hospital in Vermont. The baby was born and crying healthfully at her mother’s breast, and it was time for the mother’s uterus to contract...
The Microbial Endocrine System
GUY CITRIN, ND I assume many of my colleagues have patients who present similarly. I myself have found that my non-serious chronically ill patients often present with similar symptoms. Clinical responses to...
Pregnenolone & Its Metabolites
CARRIE DECKER, ND When we speak of hormones, we often think of those that play a role in mediating sexual function: estrogen, testosterone, and progesterone. These hormones come from the common base molecule of cholesterol, and all 3 derive from the mother...
The ECS-Adrenal-Stress Axis
JAKE F. FELICE, ND, LMP The endocannabinoid system (ECS) responds not only to cannabis and cannabinoid molecules; it is also positively affected by diet, exercise, acupuncture, probiotics, prebiotics, acupuncture, osteopathic...
Treating Infertility: A Whole-Body Approach Including Mayan Uterine Massage & Seed Cycling
ANA LARA, NMD Fertility is a topic that many women have strong personal feelings about. I often hear my female patients say, “Having children is the one thing I am designed to do, yet I can’t get pregnant. I feel less of a...
Healthy Conception and Pregnancy: The Role of Nitric Oxide and Other Critical Factors
CHRIS D. MELETIS, ND Modern couples face many obstacles to becoming pregnant or giving birth to a healthy baby, and the distribution of contributing factors appears to be nearly equal between male and female. According to the Centers for Disease...
Healing Through Listening- Part 1
JAMES SENSENIG, ND RICK KIRSCHNER, ND, VNMI This article joins a series of articles in NDNR that are based on transcripts of the Naturopathic Medicine Institute (NMI)’s Wednesday morning call-in program, The Vital Conversation. The program is hosted by...
Notes from the Field: September, 2020
JARED L. ZEFF, ND, VNMI, LAC The following is not an article prepared for a medical journal. Not every statement of fact is cited or referenced. This is a commentary on the medicine, a running set of observations about practice in the field. It’s not meant to be...
Medicinal Mushrooms: Their Role in GI Cancers
MICHAEL TRAUB, ND, DHANP, FABNO Medicinal mushrooms play an essential role in the treatment of cancer. In the past decade, the use of mycotherapy has attracted much attention in the efforts to understand various benefits and the possible mechanisms through which...
Digestive, Skin, Immune Issues: A Complicated Case
MATTHEW STRICKLAND, ND LW, a 22-year-old female, presented to my office with a problem list that included digestive issues, skin issues, weak immune system, food/allergy sensitivities, and hormonal imbalance. LW reported that all of her health problems started at...
Vitalism as the Standard of Care- Part 2
JAMES SENSENIG, ND LETITIA DICK, ND, VNMI This article joins a series of articles in NDNR that are based on transcripts of the Naturopathic Medicine Institute (NMI)’s Wednesday morning call-in program, The Vital Conversation. The program is hosted by...
Archived Case Studies and Featured Content
Naturopathic Medical Education: A Comprehensive Curriculum
Colleen Huber, NMD April 9 2026 The following is a comparison of my conventional medical education and subsequent naturopathic medical education. I wrote this in 2015, and now update it in April 2026, only with updated curriculum links and screenshots from the various...
The Secret History Of Western Medicine & Big Pharma – W/ Advocate Razi Ann Berry
On the Shannon Joy radio show, Razi traced the history of medical education and the naturopathic medicine profession, and she examined the recent veto of the Florida naturopathic licensure bill, CS/SB 688. She explained how the Flexner Report and the funding...
The Missing Question: How Occupational Heavy Metal Exposure Contributed to Severe Testosterone Deficiency in a Young Male
Glenn B. Gero, ND, DSc, M.E.S., R.H. (AHG), EndoANP Kareem Kandil, MD, ND A case study demonstrating how a simple occupational history uncovered chronic heavy metal exposure as a likely contributor to severe hypogonadism, highlighting the critical role of...
Reduction of Thyroid Antibodies with Tirzepatide in Hashimoto’s Thyroiditis: A Metabolic-Immune Case Report
Dr. Valerie Gettings, NMD A case report exploring how low-dose tirzepatide improved insulin resistance, thyroid function, and thyroid autoantibody levels in a patient with Hashimoto’s thyroiditis, highlighting the emerging role of metabolic therapies in...
Thymosin Alpha-1 Restored Immune Function Across Five Organ Systems
ARCADIA TALLMAN The thymus peptide upregulated 1,198 genes tied to energy metabolism, DNA repair, and cell cycle regulation. The Thymus Shrinks With Age and Takes Immune Function With It The thymus gland loses 95% of its immature immune cells with age, and the peptide...
Fluoxetine During Development Damaged Hearing and the Brainstem
ARCADIA TALLMAN Fluoxetine exposure during early auditory development drove 91 gene expression changes in the brainstem, reduced the stability of mature neural circuits, and left lasting hair-cell damage in the inner ear. Fluoxetine Changed the Developing...
Eight Communities You Never Thought of That Can Be a Goldmine for Finding New Patients
Advancing Public Health Through Community Alignment Valuing self-reliance and freedom, certain enthusiast groups are naturally drawn to holistic, naturopathic, and integrative care because it aligns with their ethos of personal autonomy and preparedness. These are...
Overcoming Objections to Pay Cash for Doctor’s Visits: Scripts Your Staff Can Use
Razi Berry Handling Objections Handling objections to paying cash for doctor’s visits can be a delicate task. It requires empathy, clear communication, and an understanding of the patient's concerns. Here are some effective scripts that your staff can use to address...
Fifteen Questions to Get Patient Commitment
Razi Berry A practical tool for doctors, practice managers, and staff to support patient decision-making and follow-through Practitioners often say they do not want to be salespeople. In practice, sales are simply a decision and a transaction between two people. One...
The Gut-Heart-Prostate Connection: The Link between Intestinal, Cardiovascular, and Prostate Health in Men
By Lina Mockus, ND How the gut microbiome, systemic inflammation, and metabolic health link cardiovascular disease and prostate disorders—and what integrative care can do about it. This article explores the shared metabolic, inflammatory, and microbiome-driven...
Arterial Plaque Regression: A Case-Based, Integrative Approach to Cardiovascular Risk Reduction
Dr. Stephen Parcell, ND A preventive cardiology case demonstrates how advanced imaging, aggressive lipid optimization, and integrative therapies can reduce coronary plaque burden in a high-risk patient. This case report examines the regression of coronary...
Resolution of Exercise-Induced Asthma with Individualized Homeopathic Treatment: A Case Report
Dr. Michael Knapp, ND, DHANP A case demonstrating sustained remission of exercise-induced asthma, allergic oropharyngeal symptoms, and recurrent respiratory infections in an adolescent following constitutional homeopathic care. This case report describes the...
Managing Elevated Coronary Artery Calcium Scores: An Updated Clinical Guide
Dr. Joel Kahn, MD, FACC A step-by-step, evidence-informed framework for interpreting high coronary calcium CT results, refining cardiovascular risk, and implementing integrative prevention strategies. Abstract This article provides an updated, clinically...
Closing the Care Gap in Atrial Fibrillation: An Evidenced-Based Role for Naturopathic Doctors
Dr. Olivia Greenspan, ND RN Abstract Structured risk factor modification and longitudinal lifestyle care can improve atrial fibrillation outcomes beyond rate and rhythm control alone. This article examines atrial fibrillation as a progressive, risk...
The Gut-Heart-Prostate Connection: The Link between Intestinal, Cardiovascular, and Prostate Health in Men
By Lina Mockus, ND How the gut microbiome, systemic inflammation, and metabolic health link cardiovascular disease and prostate disorders—and what integrative care can do about it. This article explores the shared metabolic, inflammatory, and microbiome-driven...
Arterial Plaque Regression: A Case-Based, Integrative Approach to Cardiovascular Risk Reduction
Dr. Stephen Parcell, ND A preventive cardiology case demonstrates how advanced imaging, aggressive lipid optimization, and integrative therapies can reduce coronary plaque burden in a high-risk patient. This case report examines the regression of coronary...
Resolution of Exercise-Induced Asthma with Individualized Homeopathic Treatment: A Case Report
Dr. Michael Knapp, ND, DHANP A case demonstrating sustained remission of exercise-induced asthma, allergic oropharyngeal symptoms, and recurrent respiratory infections in an adolescent following constitutional homeopathic care. This case report describes the...
Managing Elevated Coronary Artery Calcium Scores: An Updated Clinical Guide
Dr. Joel Kahn, MD, FACC A step-by-step, evidence-informed framework for interpreting high coronary calcium CT results, refining cardiovascular risk, and implementing integrative prevention strategies. Abstract This article provides an updated, clinically...
Closing the Care Gap in Atrial Fibrillation: An Evidenced-Based Role for Naturopathic Doctors
Dr. Olivia Greenspan, ND RN Abstract Structured risk factor modification and longitudinal lifestyle care can improve atrial fibrillation outcomes beyond rate and rhythm control alone. This article examines atrial fibrillation as a progressive, risk...
IS TYLENOL SAFE DURING PREGNANCY?
Understanding Risk Factors, Not Causation Learn how much Tylenol pregnant women can safely take, what risk factors matter, and why glutathione status—not acetaminophen itself—determines safety during pregnancy. IN THIS ARTICLE • Key Takeaways: Tylenol Safety...
Functional Longevity Summit 2026 Sets Stage for Next Wave in Precision and Regenerative Medicine
Phoenix, Arizona — Healthcare practitioners across naturopathic, functional, regenerative, and precision medicine are gearing up for one of the most comprehensive clinical education events of the year. The 2026 Functional Longevity Summit, hosted in Phoenix from...
A Somatic Approach to Stage 5 Chronic Kidney Disease: Unbinding Fear and Grief from the Renal System
Dr. Erin Hayford, ND A naturopathic case exploring how structured somatic medicine can support nervous system regulation, emotional processing, and quality of life alongside conventional care in end-stage renal disease. This case report examines the integration...
Approaching Idiopathic Neuropathy: A Naturopathic Strategy Beyond Diabetes
Dr. Jason Porter, NMD A clinical overview of diagnosing and treating non-diabetic neuropathy through root-cause evaluation, including autoimmunity, infections, biotoxin exposure, and small fiber nerve pathology. Abstract This article explores a naturopathic...
Clinical Applications of Mind-Body Medicine: Somatic Awareness and the Wisdom of the Body
This article examines mind-body medicine as a clinical framework that bridges physical symptoms with lived experience through somatic awareness, interoception, and compassionate presence. Using theory, case illustration, and relational neuroscience, it highlights how nervous system regulation and authentic connection can facilitate deep, lasting healing.
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AHPA Leads Legislative Response to Protect Herbal Tinctures in New Hampshire
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FDA Removes Black Box Warnings from Hormone Replacement Therapy
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