Metabolic Health

Cardiovascular Disease
Gastrointestinal Dysfunction
Metabolic Syndrome

Diabetes Mellitus

Diabetes is when your body has trouble managing sugar levels in your blood. It's like not having the right key for the sugar to get into your cells for energy. This can make you feel tired, thirsty, and need to use the bathroom more.

Types of Diabetes Mellitus

Diabetes Mellitus Type I

Autoimmune destruction of insulin-producing cells in the pancreas.

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Diabetes Mellitus Type II

Insulin resistance and eventual insulin deficiency.

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Latent Autoimmune Diabetes in Adults (LADA)

Slow-progressing Type 1 Diabetes, often initially mistaken for Type 2.

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A collection of chronic health conditions defined by irregular sugar processing in the body, leading to high levels of glucose (sugar) in the blood.

Causes and Complications

Inherited traits and daily habits that can influence the risk of developing these conditions. Complications arising from these conditions can be severe and varied:

  • Hyper/hypoglycemia 
  • Diabetic Ketoacidosis 
  • Vascular and Neurological Pathology
  •  Renal disease
  •  Heart Disease

Signs and symptoms include high blood sugar levels that cause noticeable health issues.

Naturopathic Treatment Options at NES

At Natural Endocrinology Specialists (NES), we embrace a holistic approach to managing Diabetes Mellitus, focusing on treatments that address not just the symptoms but the overall well-being of our patients. Our goal is to empower you to take control of your diabetes with a natural and personalized approach to health.

Nutritional Support
We advise a nutrient-rich diet to regulate blood sugar, emphasizing fiber, lean proteins, complex carbs, and healthy fats.

Herbal Interventions
Our specialists recommend supplements such as cinnamon, alpha-lipoic acid, and chromium, to aid blood sugar regulation and metabolic health.

Physical Activity Regimen
At NES, we tailor exercise plans to your needs, promoting insulin sensitivity and better blood sugar management through regular physical activity.

Stress Management
Stress can significantly affect blood glucose control. We encourage practices like mindfulness, deep breathing exercises, and yoga to help reduce stress.

Lifestyle Coaching
Our experts provide comprehensive lifestyle coaching, including sleep hygiene, smoking cessation, and weight management, all of which are critical in managing diabetes effectively.

Assessment or monitoring

Tailored Treatment Plan
We create a personalized treatment plan that may include a combination of the above strategies along with regular follow-ups to monitor progress and make necessary adjustments.

Understanding Cardiovascular Disease

Cardiovascular disease, or heart disease, refers to a range of conditions that affect your heart and blood vessels. It's one of the leading causes of illness and death worldwide, but the good news is that it's often preventable

What Happens in Cardiovascular Disease?

Imagine your blood vessels are like highways and your blood is the traffic flowing through them. Cardiovascular disease occurs when there's a blockage or damage in these highways, making it tough for the traffic to move smoothly. 

This can happen due to a buildup of fatty deposits on the vessel walls or because of damage from high blood pressure.

Common types of Cardiovascular Disease

Coronary Artery Disease

The main highways to the heart get clogged up, reducing blood flow to the heart muscle.


A blood vessel in the brain gets blocked or bursts, cutting off blood supply to part of the brain.


A blood vessel in the brain gets blocked or bursts, cutting off blood supply to part of the brain.

Signs to Watch For

Common symptoms for Cardiovascular Disease:

Chest pain
Shortness of Breath
Heart Palpitations or Dizziness
Numbness or Weakness

Prevention is Key

At Natural Endocrinology Specialists, we elevate cardiovascular risk assessment through our comprehensive lipid profiling services. 

In addition to the routine annual Standard Lipid Panel that measures cholesterol and triglycerides, our advanced lipid testing delves deeper. We assess critical factors such as the quantity and size of atherogenic particles, as well as their potential impact on cardiovascular health. 

This thorough approach enables us to identify and address the more nuanced risk factors for cardiovascular disease (CVD), offering a clearer picture of patient health and more informed pathways for care.

Gastrointestinal (GI) Dysfunction

The gastrointestinal (GI) tract is like a food processor for our bodies. It breaks down what we eat, absorbs nutrients, and gets rid of waste. But sometimes, it can run into some problems, which we call GI dysfunction.

What is GI Dysfunction?

GI dysfunction is when your digestive system doesn't work as it should. This can mean stomachaches, heartburn, bloating, or more serious issues like Crohn's disease or irritable bowel syndrome (IBS).

Common Symptoms

GI dysfunction can cause a range of discomforts and signal a disruption in your digestive health.

Feeling Bloated or Gassy
Stomach Pain or Cramps
Diarrhea or Constipation
Heartburn or Acid Reflux

Why Does It Happen?

GI dysfunction occurs due to a variety of factors such as consuming foods that irritate the digestive system, experiencing high levels of stress or anxiety, contracting infections within the GI tract, or managing ongoing conditions like Irritable Bowel Syndrome (IBS) or celiac disease that inherently affect digestion.

Keeping Your Digestive System Happy

  • Eat a balanced diet with plenty of fiber. 
  • Stay hydrated with water. 
  • Exercise regularly. 
  • Manage stress through relaxation techniques.

If you're having trouble with digestion, it's important to talk to a healthcare professional. They can help pinpoint the cause of your discomfort and tailor a treatment plan to get your digestive system back on track. 

Remember, taking care of your digestive health is key to a happy and healthy life!

Metabolic Syndrome

Metabolic Syndrome is a cluster of conditions that occur together, increasing your risk of heart disease, stroke, and type 2 diabetes. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.

Metabolic Syndrome is not a disease in itself, but a group of risk factors that significantly raise the risk of cardiovascular health issues and type 2 diabetes. 

The exact causes of Metabolic Syndrome are complex and involve an interplay of genetic and lifestyle factors, including overweight, inactive lifestyle, and insulin resistance.

Signs and Symptoms

Common features of Metabolic Syndrome include:

Waist CIrcumference
High Triglycerides
Low HDL Cholesterol
High Blood Pressure
High Fasting Blood Sugar

These symptoms collectively signal a higher risk for heart disease and other metabolic disorders. It's important to recognize these signs early, as they can often be managed or improved with lifestyle changes and medical guidance.

Causes and Risk Factors

  • Poor Diet- A diet high in fat, salt, and sugar. 
  • Obesity: Especially abdominal obesity. 
  • Sedentary Lifestyle: Contributes to the development of Metabolic Syndrome. 
  • Age: The risk increases with age. 
  • Insulin Resistance: A key underlying feature of Metabolic Syndrome.

Metabolic Syndrome can lead to serious health issues like heart disease, type 2 diabetes, kidney disease, and non-alcoholic fatty liver disease. 

Diagnosis typically involves a physical exam to measure waist circumference, blood tests to assess fats and sugar levels, and checking blood pressure. 

Managing this condition requires adopting healthier lifestyles such as a nutritious diet and regular exercise, alongside weight loss strategies and medications to control blood pressure, cholesterol, and blood sugar levels.

Our Holistic Approach for Metabolic Health 

Are you seeking a holistic and effective approach to managing insulin resistance? Look no further than Natural Endocrinology Specialists (NES). 

At NES, we understand that each individual is unique, and we're committed to providing personalized care that addresses not just symptoms, but the root causes of insulin resistance. We provide the following:

Personalized Nutrition Plans: 

We believe that a balanced diet is crucial in managing insulin resistance. Our nutrition experts create personalized meal plans that are not only healthy but also enjoyable and sustainable.

Lifestyle Modification Guidance:

 We help you incorporate physical activity into your daily routine in a way that suits your individual needs and preferences. Regular exercise is key in improving insulin sensitivity.

Stress Management Techniques: 

Stress can significantly impact insulin resistance. Our holistic approach includes stress reduction strategies like mindfulness, yoga, and meditation.

Natural Supplements: 

We provide advice on natural supplements that can support your journey to better health, complementing traditional medical treatments. 

Education and Empowerment: 

Our goal is to empower you with knowledge about insulin resistance and its management, helping you to make informed decisions about your health.

Why Choose NES?

  • Expert Care: Our team of healthcare professionals is experienced in endocrinology and holistic medicine, ensuring you receive comprehensive and expert care. 
  • Customized Treatment Plans: We understand that there is no 'one-size-fits-all' solution. Our treatment plans are tailored to your individual needs, lifestyle, and goals. 
  • Compassionate Support: At NES, we prioritize a caring and empathetic approach, ensuring you feel supported every step of the way.

Get Started on Your Journey

Take control of your health with NES. Contact us today to schedule a consultation and start your journey towards managing insulin resistance holistically and effectively. Let's work together to achieve your health goals and improve your quality of life!

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Dr. Linda Khoshaba is the Leading Integrative Health and Hormone Doctor in Scottsdale, Arizona. She has extensive experience working in the field as a Hormone Specialist and Natural Endocrinologist.

7500 E. Pinnacle Peak Rd. Suite A 109
Scottsdale, AZ 85255

Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 3:30PM
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