explore our services
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MCAS is more common than most people realize—and if you’ve been told your labs look fine while you feel far from well, this might be part of the picture. There’s no cure yet, but many people find real, lasting relief with the right support and a plan built around them.
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We understand how exhausting exhaustion can be. Sometimes it’s situational, but sometimes it can be nutrient insufficiency, hormone imbalance, thyroid dysfunction … we work with you to get to the bottom of it.
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We work with you to help restore balance—whether you're navigating fertility challenges, perimenopause, menopause, andropause, or something else hormone-related. Your hormones don't operate in isolation, so we look at the full picture around them, not just the numbers on a lab report.
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Your thyroid affects nearly every system in your body—energy, weight, mood, temperature, even your hair and skin. If your labs came back "normal" but you still don't feel like yourself, there may be more to the story. We look beyond a single number to understand how your thyroid is actually functioning, not just where it falls on a lab range.
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Your mind and body aren’t separate systems, so we don’t treat them that way. We look at nutrition, sleep, movement, and stress alongside any targeted support—always aiming at what’s actually driving things, not just managing symptoms.
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A diagnosis like Hashimoto’s or Lupus is a starting point, not the whole story. We look for what’s actually driving the dysfunction—infections, heavy metals, nutrient gaps, toxin exposure, lifestyle stressors—and work on those, rather than just quieting symptoms.
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Your gut affects nearly everything else—immunity, sleep, energy, even your mood. We work with you to calm inflammation and support lasting digestive health, one manageable step at a time.
our expertise
ready to get started?
care pathways (bundles)
pricing
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This includes your initial consultation plus two 60-minute follow-ups. Plan on a 3-month commitment.
Standard Patient: $575
Tier 1 NSFDP: $130
Tier 2 NSFDP: $321
Tier 3 NSFDP: $502
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This includes your initial consultation plus 5 follow-ups (4 @ 60 min; 1 @ 30 min). Plan on a 6-month commitment.
Standard Patient: $975
Tier 1 NSFDP: $230
Tier 2 NSFDP: $569
Tier 3 NSFDP: $889
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This includes three 45-minute follow-ups. Understanding the factors contributing to persistent symptoms and seeing how you respond to a plan can take time.
Standard Patient: $325
Tier 1 NSFDP: $75
Tier 2 NSFDP: $170
Tier 3 NSFDP: $255
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Contact us to work with you on a customized package. If you are facing economic challenges, please contact us about our Nouriva Sliding Fee Discount Program (NSFDP).
standard pricing (per visit)
First Visit (60+ min)
Follow-up, extended (60 min)
Follow-up, regular (45 min)
Follow-up, brief (30 min)
$250
$195
$125
$95
Our standard pricing is well below the national average for consultations by a licensed naturopathic doctor with expertise in functional medicine and nearly two decades of clinical experience. Typical costs are $400 to $950 for a new patient visit, and $200 to $450 per session for follow-ups. Nouriva believes that thoughtful, personalized care should be within reach for all humankind, which is why we also offer the Nouriva Sliding Fee Discount Program (NSFDP). Let us know how we can help you.
nouriva sliding fee discount program (NSFDP)
≤ 250% Federal Poverty Guidelines (FPG)
Pricing is for consultations only. Labs (blood work), supplements, and other items associated with your health journey at Nouriva are additional costs and vary per individual. Blood work is charged at the discounted rate we have negotiated with the lab; supplements are always 20% off retail; for individuals on NSFDP (Nouriva Sliding Fee Discount Program), thanks to our donors, our organization may be able to help cover some or all of these costs. Please contact us to join NSFDP.
If you would like to help our NSFDP community cover the costs of their healthcare journey at Nouriva, please consider donating. Nouriva is a registered 501(c)(3) organization; our tax ID is #41-5381453. We appreciate your support!
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Initial Visit (60 min) $50
Follow-Up (60 min) $40
Follow-Up (45 min) $25
Follow-Up (30 min) $20
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Initial Visit (60 min) $125
Follow-Up (60 min) $98
Follow-Up (45 min) $63
Follow-Up (30 min) $48
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Initial Visit (60 min) $188
Follow-Up (60 min) $146
Follow-Up (45 min) $94
Follow-Up (30 min) $71
what care looks like.
Before your first visit, you may be asked to complete a series of electronic questionnaires that will help us understand who you are and why you might be experiencing what you’re experiencing.
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first virtual visit
We’ll meet virtually using your computer's webcam or your smartphone's camera. Plan to spend 60 minutes together to discuss your symptoms, concerns, health history, and family history; identify your health goals; assess your readiness for change; and begin devising a plan to outline your health journey with Nouriva.
If you do not have a computer or Internet access, we will work with you to find a local library that has a private room for your visit.
2
lab analysis
We’ll order labs when testing can help answer meaningful questions. If you’ve had lab tests completed within 8 weeks of your visit with us, we can use those as a starting point. Depending on the nature of your symptoms, we may need you to get additional testing. Some laboratory tests may be restricted if you reside in New York, New Jersey, Rhode Island, or Maryland. We will work with you to ensure we have everything we need for a seamless journey.
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follow-up appointments
Every person is different, and the timeframe of each person’s health journey varies. Typically, your first two follow-ups will be within the first 3-4 weeks. After that, your visits may be biweekly, monthly, or bimonthly. Regular follow-ups are important for monitoring your progress and addressing any changes to your treatment plan, keeping you on track. If you have a complex, chronic, treatment-resistant condition, such as MCAS, it may take 6 to 18+ months to see results unfold, as it involves iterative protocol adjustments, lab interpretation, and frequent check-ins.
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health maintenance
As symptoms improve, it’s recommended to check in every 2 to 4 months to ensure nothing is blocking your path to better health. Subtle symptoms can go unnoticed until they are flagged during a maintenance visit. This can help us reroute your health journey so that you don’t endure unnecessarily worsened symptoms in the future.