Evidence-based nutritional assessment and therapeutic intervention
Naturopathic clinical nutrition uses dietary intervention, nutritional assessment, and therapeutic supplementation to address chronic health conditions. Licensed naturopathic doctors at Revibe perform comprehensive health assessments, order diagnostic testing, and create individualized nutrition protocols based on pathophysiology and biochemistry. This clinical approach differs from general dietary advice through detailed laboratory analysis and medical-grade supplementation.
What is Naturopathic Clinical Nutrition
Naturopathic clinical nutrition addresses health conditions through evidence-based dietary modification and nutritional supplementation. Licensed naturopathic doctors (NDs) complete four-year post-graduate programs including biochemistry, clinical nutrition, pharmacology, and diagnostic techniques. They register with the College of Naturopaths of Ontario (CONO) and maintain scope of practice including nutritional assessment, dietary counseling, and therapeutic supplement prescription.
Treatment begins with comprehensive health history, physical examination, and diagnostic testing. NDs order bloodwork, stool analysis, food sensitivity panels, and specialized nutritional assessments to identify underlying biochemical imbalances. Protocols address root causes of dysfunction through targeted nutrition intervention rather than symptom management alone.
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Treatment Approach
Initial consultations last 60-90 minutes and include detailed health history, dietary assessment, physical examination, and treatment plan development. NDs document symptoms, medical diagnoses, medication use, and family health patterns. Laboratory testing measures nutritional status, metabolic markers, and inflammatory indicators. Follow-up appointments occur every 4-6 weeks to assess progress and adjust protocols based on symptom changes and test results.
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Who Can Benefit?
Clinical nutrition addresses digestive disorders, metabolic conditions, hormonal imbalances, autoimmune diseases, cardiovascular risk factors, chronic fatigue, mental health conditions, and weight management. Treatment works for patients seeking root cause solutions to chronic health concerns, those with multiple unexplained symptoms, and individuals wanting to optimize health through nutrition.
Conditions Treated with Naturopathic Clinical Nutrition
Our naturopathic doctors at Revibe use nutritional assessment, therapeutic diets, and targeted supplementation to address chronic health conditions affecting digestion, metabolism, hormones, and immune function.
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Digestive Disorders
Irritable bowel syndrome (IBS) involves abdominal pain, bloating, and altered bowel habits. Naturopathic nutrition addresses IBS through low-FODMAP diets, elimination protocols, and gut microbiome restoration. Small intestinal bacterial overgrowth (SIBO) treatment involves specific carbohydrate diets and antimicrobial herbs. Inflammatory bowel disease protocols address nutrient deficiencies from malabsorption and reduce inflammatory triggers. Leaky gut syndrome treatment includes elimination diets, gut-healing nutrients like L-glutamine and zinc, and probiotic restoration.
Common scenarios:Chronic bloating and gas after meals, persistent abdominal pain, irregular bowel movements, food sensitivities causing digestive distress, GERD and acid reflux.
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Metabolic Conditions
Type 2 diabetes and prediabetes involve elevated blood glucose from insulin resistance. Nutrition protocols focus on glycemic control through carbohydrate management, fiber intake, and blood sugar-stabilizing nutrients including chromium and alpha-lipoic acid. Metabolic syndrome combines elevated blood pressure, blood sugar, cholesterol, and abdominal obesity. Therapeutic diets address multiple risk factors through whole food nutrition and targeted supplementation. Thyroid disorders including hypothyroidism and Hashimoto's thyroiditis receive protocols addressing thyroid hormone synthesis through adequate iodine, selenium, zinc, and tyrosine.
Common scenarios:Elevated blood sugar readings, difficulty losing weight despite diet efforts, persistent fatigue and low energy, cold sensitivity and hair loss from thyroid dysfunction.
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Hormonal Imbalances
Polycystic ovary syndrome (PCOS) involves insulin resistance, elevated androgens, and irregular menstrual cycles. Nutrition protocols stabilize blood sugar and reduce androgen production through specific nutrients. Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) receive nutritional interventions including calcium, magnesium, B vitamins, and elimination of inflammatory foods. Perimenopause and menopause nutrition addresses symptoms through phytoestrogens, calcium for bone health, and foods supporting hormonal metabolism.
Common scenarios:Irregular or absent menstrual cycles, severe PMS symptoms affecting daily function, acne and unwanted hair growth from PCOS, hot flashes and mood changes during menopause.
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Autoimmune Conditions
Autoimmune diseases occur when the immune system attacks the body's own tissues. Nutrition protocols reduce systemic inflammation, identify food triggers, and provide nutrients supporting immune regulation. Hashimoto's thyroiditis protocols eliminate gluten, provide selenium for thyroid function, and address intestinal permeability. Rheumatoid arthritis receives anti-inflammatory diets eliminating processed foods, increasing omega-3 fatty acids, and providing antioxidants. Celiac disease requires strict gluten elimination and nutritional repletion of deficiencies from malabsorption.
Common scenarios:Joint pain and morning stiffness, elevated thyroid antibodies, chronic fatigue with autoimmune diagnosis, digestive symptoms with celiac disease.
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Cardiovascular Risk Factors
Hypertension responds to dietary modifications including sodium reduction, potassium increase, and DASH diet principles. Nutrients supporting blood pressure regulation include magnesium, CoQ10, and omega-3 fatty acids. Dyslipidemia (abnormal cholesterol levels) improves through dietary fat modification, increased fiber, and specific nutrients. Plant sterols, niacin, and red yeast rice provide natural cholesterol management. Protocols reduce cardiovascular disease risk through comprehensive metabolic optimization.
Common scenarios:Elevated blood pressure readings, high cholesterol or triglycerides, family history of heart disease, desire to reduce cardiovascular medications naturally.
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Chronic Fatigue and Mental Health
Adrenal dysfunction (HPA axis dysregulation) affects cortisol rhythms and energy levels. Nutrition protocols stabilize blood sugar, provide adaptogenic herbs, and address nutrient deficiencies affecting energy production. Mitochondrial dysfunction receives nutritional support including CoQ10, L-carnitine, and B vitamins. Depression and anxiety involve neurotransmitter imbalances affected by nutrition. NDs address deficiencies in omega-3 fatty acids, B vitamins, vitamin D, magnesium, and amino acid precursors to neurotransmitters.
Common scenarios:Persistent exhaustion despite adequate sleep, afternoon energy crashes, difficulty concentrating, low mood and anxiety symptoms, stress affecting sleep quality.
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Therapeutic Diet Protocols
Naturopathic doctors select dietary protocols based on assessment findings, laboratory results, and individual health goals. Each approach addresses specific conditions and physiological imbalances:
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Elimination diets remove potential trigger foods for 3-4 weeks to identify food sensitivities. Common eliminations include gluten, dairy, soy, eggs, corn, and nightshades. Reintroduction occurs systematically, adding one food every 3 days while monitoring symptoms. Reactions indicate sensitivities requiring long-term avoidance or gut healing protocols before reintroduction. This approach identifies individual food triggers causing inflammation and digestive distress.
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Anti-inflammatory nutrition emphasizes whole foods, colorful vegetables, omega-3 fatty acids, and elimination of processed foods. Key components include wild-caught fish, leafy greens, berries, nuts, seeds, and olive oil. Foods to avoid include refined sugars, trans fats, processed meats, and excessive omega-6 fatty acids. This approach reduces systemic inflammation contributing to chronic diseases including arthritis, cardiovascular disease, and autoimmune conditions.
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FODMAPs (Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols) are carbohydrates that ferment in the intestine, causing gas and bloating. The low-FODMAP diet reduces these carbohydrates to manage IBS symptoms. The protocol involves three phases: elimination of high-FODMAP foods for 2-6 weeks, systematic reintroduction to identify tolerance levels, and personalization based on individual reactions.
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AIP eliminates foods triggering immune responses including grains, legumes, nightshades, dairy, eggs, nuts, seeds, and processed foods. The protocol addresses autoimmune conditions through immune system regulation. After 30-90 days of strict elimination, systematic reintroduction identifies individual tolerance levels. Some foods remain permanently eliminated while others reintegrate based on symptoms.
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Mediterranean nutrition emphasizes olive oil, fish, vegetables, legumes, whole grains, and moderate wine consumption. This eating pattern reduces cardiovascular disease risk and provides anti-inflammatory benefits. Research demonstrates Mediterranean diet effectiveness for cardiovascular health, diabetes prevention, and longevity. NDs adapt Mediterranean principles to individual needs and preferences for sustainable long-term implementation.
Laboratory Testing and Diagnostic Assessment
Naturopathic doctors order comprehensive laboratory testing to identify underlying biochemical imbalances and nutritional deficiencies. Complete blood count (CBC) identifies anemia from iron, B12, or folate deficiency. Comprehensive metabolic panel measures blood glucose, electrolytes, kidney function, and liver enzymes. Lipid panels assess cardiovascular risk through cholesterol and triglyceride measurements.
Thyroid panels (TSH, free T3, free T4) evaluate metabolism and weight regulation. Vitamin D testing measures immune function and bone health. Iron studies assess iron status beyond simple CBC testing through ferritin, serum iron, and transferrin saturation. Inflammatory markers (CRP, ESR) identify systemic inflammation contributing to chronic disease.
Food sensitivity testing (IgG panels) identifies immune reactions to specific foods guiding elimination diets. Comprehensive stool analysis evaluates digestive function, gut bacteria balance, and intestinal inflammation. Organic acids testing measures metabolic byproducts indicating nutrient deficiencies, mitochondrial function, and neurotransmitter metabolism. Results reveal specific biochemical imbalances requiring targeted nutrition intervention.
Nutritional Supplementation Protocols
Supplement protocols address specific deficiencies and support therapeutic goals. Digestive enzymes break down proteins, fats, and carbohydrates when natural production is insufficient. Probiotics restore beneficial gut bacteria after antibiotic use or during digestive disorders. L-glutamine provides fuel for intestinal cells and repairs intestinal lining in leaky gut syndrome.
Omega-3 fatty acids (EPA and DHA) reduce inflammatory prostaglandin production for inflammatory conditions. Curcumin from turmeric provides anti-inflammatory effects comparable to some pharmaceutical medications. Chromium and berberine improve insulin sensitivity and glucose metabolism for blood sugar regulation. Alpha-lipoic acid improves insulin sensitivity and addresses diabetic neuropathy.
Vitex supports progesterone production for PMS and hormonal balance. DIM and I3C from cruciferous vegetables support healthy estrogen metabolism. Thyroid support includes iodine for hormone synthesis, selenium for thyroid hormone conversion, and L-tyrosine as the amino acid backbone. CoQ10 supports heart muscle function and cardiovascular health.
N-acetylcysteine (NAC) provides cysteine for glutathione production supporting liver detoxification. Milk thistle protects liver cells and supports liver regeneration. Supplement protocols adjust based on symptom resolution and laboratory improvements rather than continuing indefinitely.
Initial Consultation Process
First appointments last 60-90 minutes and include detailed health history intake covering current symptoms, medical diagnoses, medication use, surgical history, and family health patterns. Dietary assessment documents meal timing, food choices, cooking methods, supplement use, and digestive function. Patients describe typical daily intake including portion sizes and preparation methods.
Physical examination includes vital signs, body composition analysis, and targeted assessment based on presenting concerns. The ND examines tongue, nails, skin, and hair for signs of nutritional deficiencies. Abdominal examination assesses for organ enlargement, tenderness, and bowel sounds.
Treatment plans specify dietary modifications, supplement protocols, lifestyle recommendations, and follow-up testing intervals. Sample meal plans provide breakfast, lunch, dinner, and snack options following prescribed dietary protocols. Grocery shopping guidance includes food label reading and identifying approved products.
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What to Bring
• Recent laboratory results from other healthcare providers
• Complete medication and supplement lists
• 3-day food journal with portion sizes and timing
• Symptom timeline with onset dates and severity
• Written questions about nutrition and protocols
• Insurance information for direct billing -
Follow-Up Care
• Follow-up appointments every 4-6 weeks initially
• Review of symptom changes and laboratory results
• Protocol adjustments based on treatment response
• Supplement modifications as conditions improve
• Dietary progression from restriction to maintenance
• Coordination with other Revibe practitioners
Frequently Asked Questions About Naturopathic Clinical Nutrition
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Naturopathic clinical nutrition addresses digestive disorders (IBS, IBD, GERD, SIBO), metabolic conditions (diabetes, metabolic syndrome, thyroid disorders), hormonal imbalances (PCOS, PMS, menopause), autoimmune diseases, cardiovascular risk factors, chronic fatigue, mental health conditions, and weight management.
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Naturopathic doctors order diagnostic testing, prescribe therapeutic supplements, and use clinical assessment tools beyond dietary counseling. NDs integrate nutrition with botanical medicine, acupuncture, and other naturopathic modalities. Registered dietitians focus specifically on dietary counseling and meal planning.
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NDs order bloodwork (CBC, CMP, lipid panels, thyroid panels, vitamin D, iron studies, inflammatory markers), food sensitivity testing, comprehensive stool analysis, organic acids testing, hormone panels, and specialized nutritional assessments based on clinical presentation.
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Most insurance plans do not require physician referrals for naturopathic services. Some policies have referral requirements—verify with your insurance provider before booking. Bringing medical imaging reports or diagnoses helps practitioners coordinate care with your healthcare team.
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Response timelines vary by condition and individual factors. Some patients notice digestive improvements within 1-2 weeks. Metabolic changes like blood sugar or cholesterol require 6-12 weeks. Chronic conditions need 3-6 months of consistent protocol adherence for measurable improvement.
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Supplement recommendations depend on laboratory results, dietary intake adequacy, and health conditions being addressed. Some patients require temporary supplementation to correct deficiencies. Others need ongoing protocols for chronic conditions. Food-first approaches are prioritized when feasible.
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Naturopathic protocols complement conventional medical care. Never discontinue prescribed medications without physician consultation. Some patients reduce medication needs over time as health improves, but medication changes require coordination with prescribing physicians.
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Bring recent laboratory results, medication and supplement lists, 3-day food journal, symptom timeline, and questions about nutrition. Complete intake forms before the appointment when possible. Insurance information allows direct billing for participating providers.
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Follow-up frequency depends on condition complexity and treatment response. Initial phase care typically involves appointments every 4-6 weeks. Maintenance care occurs every 3-6 months once conditions stabilize. Your naturopathic doctor recommends scheduling based on progress.
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Many extended health plans include naturopathic coverage with annual limits from $300-$2000. Revibe offers direct billing for participating insurance providers. Per-visit reimbursement varies by policy from $50-$125 per appointment. Verify your specific coverage before booking.
Meet Our Naturopathic Doctors
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Dr. Jennifer Tang Naturopathic Doctor
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Dr. Lisbeth Bitar Patino Naturopathic Doctor
What Our Patients Are Saying
I've been going to revibe for about 2 years now and have never had a bad experience. Their entire staff is extremely knowledgeable and complete professionals. Massage therapist, Min has made such a huge difference in my mobility, especially dealing with the stiffness in my back. His treatments have been extremely thorough and he has given me great suggestions to help improve my daily physical habits. I have been going to Benson for physiotherapy for about 5 months now and he helped fix an ongoing knee issue within a month by identifying what the root cause was and creating a treatment plan for me which included some excellent work outs to do at home. He has also helped me address shoulder problems I have been dealing with for many years. Finally, I just started seeing Dr. Jennifer Tang who is a naturopath and she has been extremely helpful in coming up with a plan to address gut issues I have been experiencing. Not only is she very knowledgeable, she is clearly someone who cares about her patients and continuously checks up on them, which is greatly appreciated. Her acupuncture treatments have also started to make a difference in my life. Revibe is such an incredible collective of health experts who truly love what they do and care about the people they treat.
Jennifer is great with understand what going on in the body. She wonderful to talk to. She has really helped me with issues I’ve been deal with and out talks are good for my mental health. We have been doing acupuncture and it’s been great.
10/10 experience for Physiotherapy, chiropractic, massage and naturopathic medicine! Revibe has helped my friends and family with all their health needs. I personally saw Dr. Jennifer tang for my gut health problems. She helped me control my condition so I can have more flexibility with my diet. The acupuncture and cupping was very safe, sanitary and effective. I also saw Josh for massage to help fix my neck pain. He stretched my back which reduced the pain in my neck and shoulders significantly. Thank you Revibe for taking care of my family and friends!
Book Your Appointment in Mississauga, Markham or Burlington
Revibe operates clinics in Mississauga (serving Streetsville, Erin Mills, Meadowvale, and surrounding areas) and Markham (serving Unionville, Thornhill, Buttonville, and surrounding areas). Both locations provide comprehensive assessment and treatment services for your health and wellness needs.
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Mississauga Clinic
Location: 2290 Dixie Rd, Mississauga, ON L4Y 1Z4
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
New patient visits include comprehensive assessment and first treatment session (75 minutes). Bring previous imaging reports, medical diagnoses, and lists of current symptoms. Wear comfortable clothing that allows access to treatment areas.
Serving: Streetsville, Erin Mills, Meadowvale, Churchill Meadows, Lorne Park, Port Credit, Clarkson, and surrounding Mississauga neighborhoods. Convenient access from Highway 403, QEW, and Erin Mills Parkway.
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Markham Clinic
Location: 220 Torbay Rd, Markham ON, L3R 1G6
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
Insurance coverage varies by provider. Extended health plans often include manual therapy and wellness services. Direct billing available for plans that Revibe accepts. Receipts provided for insurance submission or tax purposes.
Serving: Unionville, Thornhill, Markham Village, Buttonville, Milliken, Cornell, Angus Glen, and surrounding Markham and Richmond Hill areas. Easy access from Highway 7, Highway 404, and Major Mackenzie Drive.
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Burlington Clinic
Coming Soon
We're excited to announce that our Burlington location will be opening soon. Stay tuned for updates on our new clinic serving the Burlington, Oakville, and surrounding areas.
