Integrative Medicine Services
- Extensive evaluation- medical & family history, physical exam, labs/imaging, epigenetics/genetics.
- Individualized Treatment Plans, Prevention, and Early Detection Plans.
- Integrate and coordinate care with other providers, including specialists and primary care.
- Diagnosis, lab/imaging results, and treatments.
- Doctor means ‘teacher’, so Health Education is always part of the care you receive.
- This is a telehealth practice. There are some limited options for home visits.
- The number of follow-ups, the time between follow-ups, follow-up labs and plan length of time is individually determined.
- One of my goals is to give you the guidance and tools to assist you in managing your own health long-term.
- Partnering with and advocating for patients to help them determine and achieve their optimal health goals.
Treating the Whole You
Step 1 - Schedule a complementary 15 minute appointment
The Goal — Determine if Dr. Litov can help your specific goals and if this is a good fit
- Meet with Dr. Litov via telehealth or phone, and discuss your health needs
- Ask any questions you have about her clinical approach
- This call is required before booking your 1st appointment
Step 2 - Schedule First Appointment - Getting started - what to expect
The Goal — This initial Integrative Medical Appointment – Take time to really listen, and review records with you to help uncover the underlying causes of some of your concerns. And then develop a personalized treatment plan
During this visit:
- Thoroughly analyze and puzzle together your medical concerns, symptoms, history, lifestyle, previous labs/imaging, and other contributing factors
- Review your medications/supplements and brainstorm how to optimize them
- Select strategic lab work to better understand your root causes
- Organize and prioritize your treatment options
- Explanation of pros/cons of each treatment (so you can select the best treatment for your needs)
- Collaboratively discuss and develop your customized treatment plan
- Start your initial phase of transformational care
- This may include: supplements, medication management, diet/lifestyle optimization, herbs, or referrals to other specialists, etc
Before your next visit, Dr. Litov will:
- Guide you through obtaining lab work
- Analyze your lab results
- Research for your specific case
- Draft a detailed strategy for your next treatment phase (to discuss during your next visit)
Step 3 - Schedule Second Appointment - Review more data and adjust as needed
The Goal — Review labs and answer all your questions
During this visit:
- Evaluate your response to initial treatment
- Discuss your lab results
- Further connect the dots of your root causes
- Learn about your next treatment phase
Step 4 - Follow-up appointments - Evaluation and adjustments as needed to further improve health and plan for maintaining health
The Goal — Ensure you’re on the right track towards your ideal health
During this visit
- Evaluate your progress
- Troubleshoot changes or roadblocks
- Tailor your treatment plan for optimal outcomes
- We’ll discuss the number/frequency of these follow up visits depending on what’s best for your individual needs
30-60 minutes, depending upon individual need
Standard follow-up is 45 minutes, but some people need less or more time.
How many visits are usually needed to address and an issue?
The number of visits vary depending upon how complex or chronic the health issue is.
For new patients, my experience has taught me that optimal outcome for a persons medical care is to have an initial appointment, thorough evaluation and treatment with at least one follow-up to ensure the initial plan is working and to adjust as needed. Additional visits are usually needed with serious health and chronic health conditions to achieve optimal functioning and health.
Should I keep my primary care provider and other medical providers?
Yes! Although Dr. Litov has practiced as a primary care physician, she now serves as an adjunct medical specialist, to be utilized in conjunction with other providers, in order to optimize your health.
It is important that you have a Primary Care Provider on your health care team. You should be seen by them annually, for physical exams, and to stay established for acute and urgent care needs. Please maintain care with your other specialists as well. We believe a team approach to care is vital for an individual’s optimal health and wellbeing.
Does Dr. Litov provide Primary Care? Does she provide acute care?
Dr. Litov and Navon Health do NOT provide primary care at this time. She is providing specialty adjunctive care. Acute and/or urgent care are NOT available through our clinic. Those with acute or urgent health concerns should see their primary care provider or go to an urgent care facility or an emergency room, if needed.
What do I do if I have an urgent issue or after hours question?
If you have an emergency, please call 911. Please contact your primary care provider and/or urgent care for non-emergency urgent or acute care needs. Dr. Litov is not on-call after hours. You can leave a message via the patient portal and/or voice mail. She recommends going to urgent care or the ER if the issue cannot wait until office hours for a response. In addition, there are resources on the resource page that include mental health hotlines.
What Conditions does Dr. Litov treat?
Please see our “Conditions and Treatments” Page for a list of the most common conditions Dr. Litov treats.
Do you treat other conditions not listed on the website?
Yes! There are many conditions Dr. Litov has experience and success with, that are not listed. Please reach out via the Contact Page and ask if she has experience and works with your specific health issue, or you can schedule a 15 minute complementary phone consult and discuss at that time.
What conditions do you NOT treat?
Dr. Litov does NOT treat cancer, asthma and Type 1 diabetes. With those conditions, she/we strongly recommends that people with those conditions follow up with their respective specialists (Oncologist, Pulmonologist, Endocrinologist) and Primary Care Providers. She also does not treat pregnant women. She recommends prenatal care through a woman’s OB/GYN and and midwife team. Dr. Litov works with women and men to optimize their health and fertility prior to conceiving, but she discontinues her medical care for the woman as soon as she becomes pregnant. Dr. Litov also does not work with women who are nursing because many herbs, supplements and medications transmit through breast milk to the baby and for nursing mom’s, she is happy to refer to providers who specialize in working with nursing mom’s and infants. There are some other conditions that she does not treat as well. The best thing is to ask the office directly via the Contact page.
Can Dr. Litov prescribe Conventional Medicines?
Yes. In the state of Washington, naturopathic doctors have broad prescriptive authority. Most patients she treats are interested in using a minimal amount of pharmaceutical drugs as possible, while maintaining the patients’ health, so this is not her primary treatment modality. She will utilize pharmaceuticals when indicated.
Sometimes, a pharmaceutical is indicated, but it is out of the comfort level of Dr. Litov. In those circumstances, she will refer to the appropriate specialist. For instance, she believes all new prescriptions for antipsychotics would be best prescribed by a psychiatrist, although she will provide refills under the approval of patients psychiatrist.
Many people come to Dr. Litov to wean off drugs. She will evaluate the patient and determine what is appropriate and if so, will create a plan.
Please note, Dr. Litov does not prescribe controlled substances (i.e. oxycontin, benzodiazepines, etc.) but will refer when appropriate.
Do I need to go off of medications or discontinue other treatments?
No! Each person is evaluated for their present state of health and healthcare, including medications. Many people come to Dr. Litov to wean themselves off of drugs or because they had a bad reaction to medication. She evaluates each patient and determines, with the patient, what plan of action is appropriate. Sometimes that means continuing the same medication or transferring to another. Sometimes it means decreasing or discontinuing one or more of their present medications. As a persons health improves, sometimes, they are able to begin decreasing or eliminating some of their pharmaceutical medications.
Do you bill insurance? Is there a way to get reimbursed by HSA or Health insurance plan?
We do NOT bill insurance, although many HSA plans do cover our services. Please contact your HSA manager and/or your insurance plan to determine how might be the best way to get your care covered. We will provide an invoice with CPT codes and diagnostic (ICD-10) codes to submit for reimbursement. Some HSA programs may need this as well. There are numerous reasons we choose to discontinue our contracts with insurance companies. For example:
- Some folks are concerned about their employer finding out what kind of care they are receiving. Just as an increasing number of mental health providers and psychiatrists are leaving the insurance world, many people come to us wanting confidentiality from their Insurance Companies.
- Insurance companies are increasingly guiding care plans and the scope of assistance they will cover. Due to the intensive nature of our work we often fall outside of covered services.
Are labs and imaging covered by insurance?
We will order labs at the facility of your choice. It is ideal to check with your insurance to determine where they recommend if you are to get the labs and imaging covered. Labs and imaging facilities can bill your insurance directly or you can pay a cash based rate to the lab or imaging facility. You may also be able to use your Health/Flexible Savings Account to cover these. Please check the requirements of your specific HSA.
If you choose to pay out of pocket for labs rather than go through insurance, we recommend DirectLabs. Here is a link to make it easy. They have highly discounted labs available and all labs are processed through Quest Diagnostics and their draw sites found are conveniently found throughout the country.
Can I order my own labs? How and where?
How do I know whether to schedule an office visit, home visit, telehealth or phone consult?
All introductory discussion is via phone. The first official appointment is always in-person. Follow-up appointments can be in-person, telehealth/video or phone, and are agreed upon by both the patient and provider.
Does Dr. Litov make house calls?
Yes, occasionally. It depends on the distance from Bellevue and the circumstances. There is an extra fee for that service. Ask when scheduling appointment.
What are Naturopathic Medicine, Functional Medicine and Integrative Medicine?
Integrative Medicine is defined as a method of healthcare that integrates conventional and complementary treatments for the betterment of a patient. Each individual is different, so integrated treatment often looks different from one patient to another.
Often “Integrative Medicine’ is a catch all for those medical providers practicing Naturopathic Medicine, or on a journey to integrating Naturopathic principles and treatments into their conventional practice. Integrative Health Care systems honor the importance of many types of specialties and providers in order to best serve patients health and wellbeing.
Functional Medicine is a systems biology–based approach that focuses on identifying and addressing the root cause of disease. Each symptom or diagnosis may be one of many contributing to an individual’s illness.
Naturopathic Medicine is a distinct licensed primary health care profession, emphasizing prevention, treatment, and optimal health using therapeutic methods and substances that encourage individuals’ inherent self-healing process. The practice of Naturopathic Medicine includes modern and traditional, scientific, and empirical methods. It is sometimes referred to as ‘The original Functional Medicine system’. But a key distinction of Naturopathic Medicine is in its philosophy that a person and the planet have an innate ability to heal itself. Our job is not just to optimize function or actively treat a symptom or infection, but simultaneously help create the circumstances that will allow the person to heal…mind, body, spirit. Learn more about education, licensing, philosophy.
Where can I get professional-grade therapeutic supplements and herbs?