Root-Cause Approach

Our first goal is to ask why. When we work together, you can trust that your past experiences will be heard and understood, with no stone left unturned. Once we identify the underlying cause of your health concerns, we can then build a treatment plan tailored to your specific needs and goals.

Working Together

Whether you prefer the convenience of 1:1 Telemedicine appointments from the comfort of your home or the personalized experience of in-person consultations, I am here to provide expert, customized care. Your journey to wellness begins with booking a discovery call to discuss your individual health needs.

*All telemedicine patients must reside in the state of California.

Your Experience

  • Initial Phone Consulation

    During this Free 15-min Consult we will discuss your health concerns, answer your questions about naturopathic & functional medicine, and learn about your health goals.

  • First Appointment

    Before your first appointment, I will have already gone through your health history, prior blood work, medications, and any concerns you’ve shared. During our meeting we’ll thoroughly explore your health history, go over what’s been found and talk about a plan to move forward. This might include more tests, and we’ll also talk about the costs involved.

  • Laboratory Testing

    Part of uncovering the root cause is looking to see where the problem is from a bio-chemical perspective. We may use both routine and specialty lab testing, such as advanced hormone testing, stool tests, autoimmune panels, and environmental toxins testing.

    We have partnered with Rupa Health to assist in the completion of your lab work. Most kits can be completed directly from your home.

  • First Follow Up / Treatment Plan

    In your first follow-up appointment, we'll go over your lab results, see how the initial recommendations are working for you, and talk about your next steps.

    We'll work together to create a personalized care plan, which might include supplements, herbs, medications, helpful resources, and advice on diet and lifestyle. If needed, we’ll also discuss any referrals.

  • Continued Wellness Care

    Every comprehensive care plan is tailored to your specific goals, whether that's easing symptoms, hitting a target lab value, or even preparing for pregnancy! As your health evolves, so do your goals.

    In follow-up appointments, we’ll check in on your progress, adjust your treatment as needed, review lab work, and set new goals along the way.

the PACHA philosophy

    • An evidence-based, patient-centered approach that informs all treatments and recommendations.

    • Educate and empower you with knowledge about your health and body.

    • Work together to help you obtain the right diagnosis.

    • Treating the root-cause of your condition.

    • Help you to navigate the “wellness industry” to select the most beneficial testing, nutrition, herbs, and supplements.

    • Ensure you feel seen, heard, and understood.

    • Help you to feel better as quickly as possible using the least invasive means necessary.

Your Path to Better Health

First Appointment

  • Prior to this appointment, Dr. Nykin will have taken time to review and study your personal health history and records. This appointment will build onto an initial assessment, and delve deeper into your health concerns, symptoms, and medical history. We will begin to piece together a clearer understanding of the root cause of your concerns. We will discuss and order functional lab tests if appropriate.

    After your First Appointment you will:

    • Receive a written report of Dr. Nykin’s initial assessment and findings

    • Have a clearer understanding of the systems that are primarily contributing to your health imbalance

    • Receive initial recommendations and instructions for completing lab work if indicated.

  • Up to 90 min

    The time needed to go over your health details can vary depending on how complex your health history is. More detailed cases might take a bit longer to review, but no matter what, we’ll spend 60 to 90 minutes getting a full picture of your health goals.

  • $395

1st Follow-Up with Treatment Plan

  • Prior to this appointment, all lab work will be completed with results ready for assessment. We will review any lab results in detail and outline a roadmap for our treatment approach, and establish clear health objectives. We will thoroughly discuss a treatment plan and explore therapeutic options.

    After this appointment, you will:

    • Receive your Comprehensive Care Plan

    • Have a clear understanding of your lab results and what each value indicates.

    • Have a step-by-step roadmap and working timeline toward achieving your health goals.

  • 60min

  • $280

Continued Wellness Care

  • At future follow-up appointments, we will review your progress at scheduled intervals to change or modify treatment protocols, assess progress, address any new or concerning symptoms, re-evaluate lab work, and even set new goals!

    Follow-up appointments are typically scheduled anywhere from 4 weeks-9 weeks from your last appointment depending on your specific case and treatment plan.

  • 45min

  • $220

FAQs

Meeting with a new healthcare provider may understandably bring up some anxiety. Here are some frequently asked questions to help you navigate the experience.

  • Yes! Dr. Nykin is set up to accept and process HSA/FSA cards

  • Dr. Nykin currently operates a cash-based practice. All services rendered must be paid for out of pocket at the time of service. Payment plans can be arranged upon request.

  • -Log in to your virtual video call via the patient portal.

    -Review all of your completed intake questionnaires and pertinent health history.

    -Identify your health goals and expectations.

    -Dr. Nykin will ask you specific questions about your health concerns and discuss her initial medical assessment and insights about your current health condition.

    -You will discuss options and suggestions for further testing and treatment.

    Immediately after the appointment, you will receive a written report of Dr. Nykin’s initial medical assessment and findings based on the review of your past medical history and your new patient interview, as well as an outline of the next steps in your care plan.

  • Dr. Nykin utilizes an array of specialty and functional lab tests to assess your unique biochemistry and obtain important information surrounding the root cause of your health concerns. Many of these tests do not require a blood draw and can be collected in the comfort of your home.

    We have partnered with Rupa Health to facilitate the collection and processing of all lab work. After your initial visit, you will receive an email from Rupa Health containing your lab orders and instructions for collection and payment options. Kits will be shipped directly to your home! If a blood draw is necessary, you will receive recommendations for phlebotomists in your area, and detailed instructions on how to coordinate that as well. Most lab work is not covered by insurance, however, Rupa Health does offer payment plans.

  • Functional lab tests can range anywhere between $100-$1,000+ depending on the nature and complexity of each lab, and the nature and complexity of your health condition.

    An average cost is somewhere around $300-$800 and is not typically covered by insurance, however, payment plans are available. Dr. Nykin is consistently mindful of her recommendations and will consider your individual budget and discuss the lab costs during your visit.

  • All you need is a computer or tablet with video capability and a working internet connection.

Get Started by Choosing Your Initial Consultation