Dr. Niki Nephin, Naturopathic Doctor + Birth Doula

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Dr. Niki Nephin, Naturopathic Doctor + Birth Doula Naturopathic doctor ❤️ Pregnancy, postpartum, pediatrics… and perimenopause ! IYKYK 😉 We're all in this thing together. Seriously. You are not alone.

What are the barriers you face to living your life to its fullest potential? Do you feel as good as you want to feel? Are you struggling with something in your life - physical, mental, emotional? Do you wish someone could just help you sort through the barrage of health articles spamming your newsfeed... one day coffee is good for you, the next day it's not! Are you worried you can't have what you want out of life - whether that's a baby, to be able to see your grandchildren grow up, or to go camping?! My mission is to guide you to your best health and life. I can do this by listening, exploring and investigating your very specific and unique situation. I can help you feel better. �

We know optimizing sleep in ADHD can improve symptoms but we also have to be aware of other issues that impact sleep and...
10/16/2026

We know optimizing sleep in ADHD can improve symptoms but we also have to be aware of other issues that impact sleep and get misdiagnosed like sleep apnea and also… you guessed it… iron deficiency!!!

When I saw last year's paper proposing ADHD as a circadian rhythm disorder, I had a real penny-drop moment.

Our circadian rhythm is so central to health, including brain health. It makes sense that the sleep problems common in people with ADHD could be more than just a symptom. They could be one of the drivers of the condition.

Links to:
- a recent article about the research: https://www.inc.com/kevin-haynes/new-research-reveals-a-surprising-link-between-adhd-and-sleep/91418005
- the original paper in Frontiers in Psychiatry: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1697900/full

And please chime in with your knowledge.

Supporting ADHD naturally is more than just one supplement but tis newer research is promising and worth a shot!
10/05/2026

Supporting ADHD naturally is more than just one supplement but tis newer research is promising and worth a shot!

A recent randomised, double blind trial reported promising results for ashwagandha (Withania somnifera) in childhood attention deficit hyperactivity disorder (ADHD). Fifty-eight children aged 6 to 12 years, described as having mild ADHD, received ashwagandha or placebo for eight weeks while taking no other ADHD medication. The mean ADHD Rating Scale score fell from 45.8 to 29.0 in the ashwagandha group, compared with 45.2 to 44.9 in the placebo group: a highly significant 16.5-point difference. Parent-rated executive function, sleep disturbance and anxiety also improved. The size of the reported benefit is striking, although a baseline score of about 45 on a 54-point scale is difficult to reconcile with the description of “mild” ADHD.

The active treatment was an ashwagandha root extract given in gummies at 150 mg twice daily (300 mg/day). This aqueous extract was standardised to approximately 5% withanolides, giving a nominal 15 mg of total withanolides daily. The paper did not provide an extract-to-root ratio, so its dried-root equivalent cannot be calculated reliably, although it is probably in the order of 3 to 5 g/day.

The heavy reliance on parent-derived ratings, together with virtually no improvement in the placebo group, raises questions about expectancy bias and the effectiveness of blinding. Independent teacher ratings would have strengthened the findings.

From a Functional Herbal Therapy perspective, ashwagandha is particularly indicated when ADHD occurs alongside poor stress tolerance, disturbed sleep, anxiety or difficulty with emotional regulation. It offers a way to support this broader pattern of dysregulation alongside attention and behaviour. The trial provides further grounds for its use, but its short duration and some arithmetic inconsistencies in the results tables make independent replication important.

For more information see: https://pubmed.ncbi.nlm.nih.gov/42602386/

Bodies are endlessly fascinating! Immune cells “pass” mitochondria (our little cell power engines) to help intimate labo...
09/15/2026

Bodies are endlessly fascinating! Immune cells “pass” mitochondria (our little cell power engines) to help intimate labour contractions in the uterine muscle! Wild. This research done by Mt Sinai in TO will hopefully help us figure out how to prevent pre term labour and save babies lives ❤️ yay for science and yay for more research on uteri 😎

What sets off labour when a baby is ready to be delivered has long been a mystery, but now it seems that the immune system pulls the trigger. The uterus appears to start contracting after immune cells transfer energy to its muscle cells via tiny tubes. ⁠
⁠
“By understanding all the steps along the road, we’re getting closer to identifying therapeutics for preventing preterm birth,” says Stephen Lye at Mount Sinai Hospital in Toronto, Canada.⁠
⁠
Lye and his colleagues previously found that, towards the end of pregnancy, the human uterus releases signalling molecules called cytokines and chemokines into the bloodstream. These usher immune cells called monocytes from the blood into the uterus. The monocytes accumulate in the muscle tissue of the uterus and turn into other immune cells called macrophages.⁠
⁠
In the latest study, the team investigated the role of these macrophages by incubating them with muscle cells from uterus biopsies collected from pregnant women undergoing Caesarean sections at full term. “Remarkably, we found that the macrophages made these little tube-like structures that attached to the muscle cells,” says Lye.⁠
⁠
Even more remarkably, the researchers could see the macrophages sending mitochondria through these tiny tubes into the muscle cells. “In the images we took, you can see tons and tons of these mitochondria passing into the muscle cells,” says Lye.⁠
⁠
Read more: https://www.newscientist.com/article/2588577-immune-cells-donate-their-mitochondria-to-womb-muscle-to-kick-start-birth/
Image: An illustration of a macrophage immune cell releasing proteins called cytokines, a process that may be involved in initiating childbirth⁠
SCIENCE PHOTO LIBRARY/Getty Images

I have many thoughts on this… the advent of hormonal birth control being such a critical mass for feminism/body autonomy...
09/11/2026

I have many thoughts on this… the advent of hormonal birth control being such a critical mass for feminism/body autonomy and reproductive choice. But there are risks/costs and this is one of them. I’m curious what you think, and what your experiences have been ❤️ as always, nuance and context matter. Everyone gets to choose and we can make better choices when we look at our own situations specifically!

If estradiol and progesterone are important in perimenopause, then they’re also important for young women.

Yet, sadly, many young women don’t have the opportunity to make them.

It’s a decades-long “Emperor’s new clothes” situation. And I predict future generations of scientists and doctors will look back on this as a very strange time in women’s health.

Love these ideas! What would you add?
09/03/2026

Love these ideas! What would you add?

We can do better than telling feeding parents to stop in order to sleep. This is a beautiful round up of research and a ...
08/29/2026

We can do better than telling feeding parents to stop in order to sleep. This is a beautiful round up of research and a great approach to protecting both breastfeeding and sleep!!!

“For mothers at risk of PMADs, or already experiencing symptoms, protecting one uninterrupted block of 4-5 hours of sleep can be an effective part of both prevention and treatment. This allows the brain to move through full sleep cycles, including the deep and REM stages responsible for emotional regulation and memory consolidation, in a way that six separate 45-minute naps simply cannot replicate.”

Can I breastfeed AND sleep? So many parents feel like they have to choose. In honor of National Breastfeeding Month, Natasha Mom M.D., MPH, FAAP, FABM, PMH-C is tackling this exact question in her new PSI Blog post, and breaking down why it's not breastfeeding that harms mental health. It's the gap between what we expect and what actually happens, especially when that gap is filled with exhaustion and no support.

The goal isn't picking one over the other. It's building a plan that protects both 💙

📖 Read it now: https://loom.ly/iKNP6CY

I love how we are starting to acknowledge, plan and support neurodiverse people in how they experience the world ❤️
08/27/2026

I love how we are starting to acknowledge, plan and support neurodiverse people in how they experience the world ❤️

I don’t know who needs to hear this today….The most under-discussed topic in lactation may be overstimulation in the neurodiverse population.

Being constantly needed, touched, and talked to while hearing overlapping sounds, trying to breastfeed, answering everyone’s questions, remembering appointments, managing the house, and keeping track of a million invisible mental tasks can be deeply overwhelming.

And then there is breastfeeding itself.

You may have been told, “Baby will eat for about 15 minutes on each side every three hours.” So you mentally prepare yourself for that rhythm. But then your completely normal newborn wants to nurse for an hour. Then wants to nurse again. Then cluster feeds for several hours. Then nurses, dozes, wakes up, and wants to nurse again.

And you start thinking, What am I doing wrong? Is my milk not enough? Is something wrong with my baby? Why isn’t breastfeeding looking like the schedule I was given?

Sometimes, nothing is wrong. Newborn feeding is not always predictable or efficient. Cluster feeding is normal. Babies may nurse for comfort, regulation, connection, and because their feeding patterns are still developing. The problem is that the sensory experience of this normal newborn behavior can be profoundly different for a neurodivergent mom.

Your baby can be acting like a human baby and you can still be completely overwhelmed by the experience of feeding them.

The constant sucking. The pulling and relatching. The sounds. The touching. The feeling of milk letdown. The smell of milk and body odor. The weight of the baby sleeping on your body. The inability to move. The interrupted thoughts. The older child talking to you while the baby cries and your phone is buzzing and someone is asking what you want for dinner.

That is not simply “being tired.” That can be sensory overload. And if you have ADHD or autism, the postpartum period can place an enormous amount of demand on a nervous system that is already working hard to filter sensory information, transition between tasks, regulate attention, and manage competing demands.

This is the sensory landscape that is not being discussed.

Turn down the lights. Reduce background noise. Put your phone on Do Not Disturb. Let someone else manage the household while you feed. Use headphones or earplugs when it is safe to do so and you can still monitor your baby. Have someone bring you food and water. Create a predictable feeding space. And when the feeding is over, give yourself intentional time with no one touching you.

Lactation support needs to talk about milk transfer and supply, but it also needs to talk about the sensory experience of breastfeeding.

Sometimes babies are being babies and are doing exactly what newborns do. And the mom is doing exactly what she is supposed to do. She is just overwhelmed. And she deserves support for that, too.

08/20/2026

Do we expect mothers, ourselves, to become the village? What role does the loss of relational touch points have in perinatal mental health? It matters. A lot. ChatGPT is not a therapist, a friend, a wise person in your community. Neither is social media. Truly taking in how much relational interaction we have let slide is part of the conversation in postpartum, and all the other times too. Look to the structure… it informs the function ❤️

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Toronto, ON
M4L2X5

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Tuesday 9:30am - 4:30pm
Thursday 1pm - 8pm
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