Wellness doesn’t have to feel like a full time job.
I help you figure out what matters.
Hormonal changes can affect much more than your reproductive system.
They can influence metabolism, sleep, mood, digestion, immune function, and how your nervous system responds to stress.
That’s why symptoms often show up together.
I look at how these connected systems interact—so we can understand what's changing, what's most important, and where to start.
All without making wellness feel like a full-time job.
How I think about your health
01/03
1. Start with the story
What changed? When did it change? What happened around that time? Your symptoms don't exist in isolation.
I want to understand the timeline, your health history, medications, lifestyle, reproductive history, sleep, stress, digestion, previous attempts at treatment, and—most importantly—how these changes are affecting your life.
2. Look at the pattern
What systems might be involved?
I look across areas such as:
metabolic health
hormones
sleep and circadian health
stress and nervous-system regulation
digestion
nutrition and nutrient status
physical activity and capacity
other medical factors that may need investigation
The important point:
I don't assume every symptom has the same cause.
3. Connect the physiology
How might these findings be related?
For example, changes in sleep, metabolic health, hormones and stress physiology can influence one another.
The goal isn't to find the one cause.
It's to understand the most clinically meaningful drivers of your particular pattern.
4. Decide what matters
Not every symptom needs treatment.
And not every “normal” result tells us everything we need to know.
I consider your symptoms, history and objective data together to determine:
what is reassuring
what needs further investigation
what may be contributing
what is most actionable
what we can leave alone for now
5. Start with what is most likely to help
We don't have to change everything at once.
We identify the highest-leverage opportunities, make a focused plan, and monitor the response.
6. Reassess
Your response gives us information.
If something works, we build on it.
If it doesn't, we reconsider the hypothesis.
If new information emerges, we change course.
01/06
So, what does a naturopathic doctor actually do?
Initial Assessment
A comprehensive review of your health history, symptoms, timeline, goals, current care, medications/supplements and available laboratory data.
Clinical Analysis
I integrate information across physiological systems and identify the most relevant hypotheses, information gaps, and priorities for investigation or treatment.
Individualized Plan
We develop a focused plan based on your biology, goals, circumstances and preferences.
Follow-Up & Reassessment
We track meaningful outcomes and use your response to determine what to continue, change, investigate or stop.
"“Welcome to getting older.”
I’m not available for that.
Neither are my patients.
We can do better than that."
Dr. Stefania Tiveron
