Fresno Holistic Medicine

07/31/2026

Day in the life of an ND. Wishing Dr. Nguyen at Koala Endocrinology a happy retirement!

07/18/2026

My first video. Breaking out of my comfort zone and worries about being awkward on video to discuss health and share what it’s like to be an ND.

05/12/2026

05/12/2026

I’ll be moving to TikTok soon to cover health info

11/06/2025

Why is it so hard to get a breast ultrasound?

While I don’t think ultrasounds can replace mammograms, they provide another piece of the puzzle. I offered my office for Herscan to perform ultrasounds in January. Anyone can sign up pending availability. Results do not go to me. I am not involved with billings or scheduling

I do not profit from this event. I didn’t charge them to rent out a room. I did however try to negotiate the price down but they said they aren’t allowed to do that. They charge $325 for an ultrasound in California. Sign up through the Herscan website. If patients in Fresno want this, I will gladly provide space for them to do scans here.

10/28/2025

We are trying out a new booking site to see if patients want to be able to book an appointment online without having to call the office. Excuse us while we navigate this new technology ;)

https://app.elationemr.com/book/304952728813572

07/28/2025

Frequently asked questions about weight loss and hormone optimization:

✔️ How much weight should I lose? What BMI do you want me at? BMI is not a realistic goal. The number on the scale is the least important marker for health. We want to work with your diet, exercise, hormones and inflammation to make sure your blood pressure, cholesterol, and glycemic control (blood sugar/insulin) are optimized. We want you to have less inflammation and pain. We want you to have energy and feel fit enough to be as mobile/active as you'd like. For some people, this means losing 10 pounds. This is an ongoing discussion and a partnership regarding your health.

✔️ Do I have to be on a diet? Yes, we highly encourage a high protein diet as a first step. Otherwise, when you start losing weight, you will lose muscle mass. Our goal is for you to lose the visceral fat that has a negative impact on your health.

✔️ Do I have to run or lift weights? Not necessarily but you have to move your body regularly. I am a big fan of walking outside, on a treadmill or in a pool, if possible.

✔️ Why would a naturopathic doctor recommend a prescription medication? GLP-1s mimic a hormone your gut already makes — helping regulate hunger, slow digestion, and stabilize blood sugar. This is not about synthetic quick-fixes or extreme deprivation.
It’s about gently supporting your body’s own signaling systems — so weight loss becomes easier, more sustainable, and in sync with how you were designed to feel.

✔️ What comes first? Diet, exercise and hormone optimization that restores balance in systems that impact metabolism, mood, thyroid, energy, and fat storage. Prescriptions are the next phase.

01/28/2025

Great 50 minute video by Dr. Lustig one of my patients shared with me on understanding the cholesterol panel. A lot of great points. I have noticed a lot of my patients are told their cholesterol levels are high, and they should switch to oatmeal for breakfast. I am not a fan of this advice and would rather my patients eat more protein, less carbs. What can you do to advocate for yourself? Ask your doctor to order either a "CardioIQ advance lipid panel" at Quest which will tell you more about your cholesterol particle size. Another option at Quest is the "metabolic risk panel" which looks more at insulin sensitivity in relation to your cholesterol. While you're at it, make sure your thyroid levels get checked too!

A metabolic blood test and cholesterol panel can be confusing, so in this ultimate guide, our Chief Medical Officer and Co-Founder Dr. Casey Means talks with...

01/23/2025

Calling out insurance companies. In this case, prescription is only covered if patient has morbid obesity. This means a BMI of 40+. So for someone who has a height of 5’3”, this insurance will cover the medication once they weigh over 230 pounds. I try to get medications covered for my patients but sometimes the bureaucratic “goal post” make it impossible.

01/12/2025

Dr. Joy and I measure and optimize a lot of different hormones; but pregnenolone is the one hormone patients are often saying they've never heard of.