Cultivate Your

Health

With Terrain Family Medicine

Naturopathic Care for the Whole Family

Providing Naturopathic Care Through Telehealth, Clinic, and Mobile Visits to North County San Diego

Areas of Clinical Focus & Approach:

  • We conduct a thorough investigation of the microbiome through functional lab testing to identify imbalances in flora. We use herbal protocols to correct imbalance and increase commensal keystone species. We also investigate ways to implement individualized dietary changes to maximize gastrointestinal health while emphasizing a diverse diet.

  • We treat both under and overactive thyroid disorders. We run a full thyroid panel, including TSH, Free T3, Free T4, Reverse T3, and thyroid antibodies to assess function, conversion, and autoimmune activity. We also assess for nutrient deficiencies, intestinal permeability, and adrenal dysfunction which impact thyroid health. We use nutraceuticals, diet, and botanicals to correct imbalances and support the thyroid gland.

  • Our goal is to support hormonal balance during life’s transitional phases. Whether it’s your sleep, mood, energy level, or weight that’s been impacted, we run full hormone panels to investigate and correct any underlying imbalance. We optimize adrenal, thyroid, and liver function for hormone stability. We support the body’s natural production of hormones through botanicals, diet, supplements, and lifestyle modifications. With the challenges women face during this phase of life, we want to help you feel your best and thrive.

  • BHRT uses hormones derived from plant sources that are chemically identical to human hormones, including estrogen and progesterone. We use compounded bioidentical hormone replacment that is tailored to a woman’s individual needs. Dosing is customized based on lab testing, symptoms, and patient response. BHRT may help alleviate symptoms of menopause and perimenopause, such as hot flashes, mood swings, sleep disturbances, vaginal dryness, and urinary symptoms. BHRT also supports bone density, heart health, and cognitive function.

  • Our goal is to optimize your hormones to ensure your cycle does not impact your day-to-day function. We focus on a nutrient-dense diet, stable blood sugar, and adequate protein to support mood. We may employ functional labs to investigate underlying neurotransmitter imbalance and nutrient deficiencies which may contribute to symptoms.

  • Fibroids are typically related to an excess of estrogen. Our goal is to optimize estrogen metabolism through liver support, reduce saturated fat in diet, and limit exogenous estrogen exposure. We also aim to increase circulation to the pelvis and reduce pain through physical medicine, botanicals, and supplementation.

  • Whether due to genetic, hormonal, environmental, or immune causes, our goal is to reduce pain and normalize cycles for women suffering with endometriosis. We have found that a comprehensive treatment plan that includes dietary modifications, botanicals, supplements, and physical medicine is often the most effective approach for our patients.

  • We investigate the root cause of migraines including food sensitivities, histamine intolerance, hormonal imbalance, blood sugar dysregulation, mitochondrial dysfunction, as well as B vitamin and magnesium deficiencies. Our treatment plans include supporting mitochondrial health, trigger avoidance, correction of nutritional deficiencies, and botanicals for vascular and anti-inflammatory support. Craniosacral therapy and hydrotherapy are used as adjunctive modalities to correct joint misalignment and address muscle tension.

  • From acute care visits and wellness exams to management of chronic conditions such as allergies, asthma, GI and skin disorders, naturopathic medicine is ideal to support children’s health in a gentle and safe manner. We employ food sensitivity and microbiome testing to identify underlying cause of symptoms, and often use nutrition, botanicals, homeopathy, and craniosacral therapy to support the immune system and bring the body back into balance.

  • From prostate disorders and sexual dysfunction to cardiovascular health and diabetes, we support men in addressing the genetic, lifestyle, and environmental factors that lead to disease. We aim to optimize their function and minimize their symptoms through the hormonal shifts of andropause. Our goal is to support the body’s own production of testosterone naturally, maximizing muscle mass, libido, cognition, and energy to help men thrive at any age.

  • We investigate underlying causes of neurological dysfunction by assessing genetic and environmental factors contributing to symptoms through functional lab testing. We work to minimize and correct exposures, decrease neuro-inflammation, and support detoxification and elimination pathways. We use mitochondrial support, nutrition, and neuroprotective botanicals to support brain and cell membrane function.

  • We understand the impact of environmental illness on the body, mind, and spirit. We employ functional labs to identify toxic burden so our treatment can be targeted and specific. We investigate genetic mutations that may be contributing to suboptimal detoxification. We support the body’s metabolism and elimination of toxins through diet, supplements, and physical medicine. We strengthen the immune system to be more resilient to environmental stressors.

  • When addressing histamine intolerance and mast cell activation syndrome we aim to identify and eliminate triggers, modulate immune system overactivity, and decrease inflammation. We evaluate the diet, support histamine metabolism, and treat gut dysbiosis that may be contributing to symptoms.

  • Whether it’s joint pain, headaches, skin rashes, or GI symptoms such as bloating or diarrhea, food sensitivities are often found to be a root cause of many vague and intermittent symptoms. Once sensitivities are identified through testing, we aim to eliminate the triggering foods, heal the gut, and guide patients in adding foods back with the goal of a well-balanced and diverse diet.

natural ocean view from cave

Healthcare from a different perspective

At Terrain Family Medicine, our mission is to provide compassionate, comprehensive naturopathic care for the whole family, with a special focus on supporting mothers and children through life’s transitional phases. Rooted in the belief that a strong and balanced internal terrain fosters resilience and vitality, we aim to support patients in cultivating an internal environment that can withstand the external stressors of life. Our goal is to guide families on their journey to health, helping them cultivate a deeper connection to their bodies and an enduring sense of well-being.

Our Services

Dr. Pascale listening to toddler's lungs

$275-$325

Our 75-minute naturopathic intake is a comprehensive visit where we meet with you in-person or virtually to review your current health concerns. We explore your health history, recent lab work, diet, lifestyle, and other foundational elements that contribute to your wellness. We may order functional labs to further investigate the root cause of your symptoms. With this information, we provide a personalized assessment and customized plan to balance and optimize your terrain.

Dr. Pascale providing craniosacral therapy to patient.

$100-$150

Our 45-minute manual session is a unique blend of craniosacral therapy and myofascial release, both gentle bodywork techniques that tap into the body’s innate ability to heal and restore balance. They involve light, hands-on techniques to evaluate and release any restrictions within the connective tissue throughout the body. By addressing subtle imbalances, this therapy allows the body to release tension, provides pain relief, improves mobility, and promotes deep relaxation.

Dr. Pascale providing physical therapy, neurodevelopmental technique for gait training.

$175-$225

Our 60-minute physical therapy session will provide an in-depth evaluation and treatment of impairments including balance, coordination, strength, and gait. Through the use of techniques specific to recovery of the nervous system, such as Neurodevelopmental Technique and Proprioceptive Neuromuscular Facilitation, the goal of our individualized treatments is to regain motor control. We aim to maximize patient’s independence with functional mobility and reduce fall risk.

Schedule your appointment

If you want:

  • to be truly heard by your provider

  • to get to the root cause of your health issues

  • long lasting solutions instead of prescriptions

  • a personalized plan instead of a protocol

  • a provider that offers treatments focused on wellness and prevention instead of disease

Terrain Family Medicine is the provider for you. We are dedicated to empowering our patients to take an active role in their health. Our mission is to support you in restoring balance, enhancing well-being, and achieving optimal health. We are here to guide you on your journey toward a thriving, vibrant life.

Book a discovery call today to see if we are the right fit.

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