How Much Does a Naturopath Doctor Cost?

How Much Does a Naturopath Doctor Cost?

A variety of protein powder and shakes.

A naturopathic doctor’s consultation is based on an hourly rate. A first visit is often 1 – 1½ hours in length. Naturopath doctor costs vary and many have switched to virtual consults following covid and have maintained their virtual practise. This will limit their ability to perform some of the ND role such as acupuncture but allows services to potentially be more cost effective.

When developing an individualized fee guide, Ontario Naturopathic Doctors need to be mindful of the College of Naturopaths of Ontario (CONO) Standard of Practice: Fees and Billing. This Standard outlines that fees should “not be excessive in relation to the services proposed and are an accurate reflection of the services provided to each patient”.

In a initial consult the Naturopathic Doctor will comprise a full history of the presenting issues, review any documentation provided, collect a detailed inquiry concerning the person’s complaints and detailed examination of the affected part, region or system as required to: a) arrive at a diagnosis, b) complete an appropriate record of findings c) advise the patient on course of treatment; and d) where appropriate, refer the patient for other health care.

In researching the initial Naturopathic Doctor assessments can range $250 up to $450 and more likely higher if this is a in clinic consult versus a virtual one, although this might not be the case especially if they offer a specialty.

The last fee guidelines that came out for Naturopath Doctors was by the Ontario Association of Naturopathic Doctors in 2016. In this guideline it indicated that initial assessments would usually cost between $160-$240. Given that we are now in 2023 (7 years later) assessments being charged between $250 and $450 is reasonable.

Follow up sessions will vary as well from anywhere between $150 to $250 for 45-60 minutes. The Fee guidelines which were last provided in 2016 indicated that 1 hour follow up sessions to be between $135 to $185. So current market rates of $150-$250 is considered reasonable.

Is Naturopath doctors covered by insurance?

Most extended health insurance plans in Canada cover naturopathic treatments, especially now that Naturopath Doctors are regulated health professionals. Insured patients are encouraged to contact their employer or individual insurance brokers to determine if they are covered and/or to request that their policy be extended to include naturopathic services if it does not already do so. Other health benefit plans tend to have flexi plans where they have a certain amount of funds that could go towards alternate health care and the person can choose which health professional they would like to use that money.

Are Naturopath Doctors working in the Auto Sector?

It is rare to find Naturopath doctors that are set up on Hcai and that can complete their own treatment plans. Although Naturopathic Doctors are regulated health professionals they are unable to sign off on the OCF 18’s so this needs to be coordinated by a third party. Naturopath doctors are being covered and approved in the auto sector. Although the FSCO fee guidelines do not have ND’s listed, the adjuster will sometimes question the rate and drop it to a non regulated health professional even though they are a regulated health professional. The nonregulated rate is significantly below market rates for a naturopathic doctor and when this occurs the ND can not proceed with the treatment plan.  

If you are interested in a naturopath doctor consult please book in with Dr. Oliva Chubey or Dr. Karm Hans using our online booking site

If you want more information on what or how a naturopath doctor can help you please reach out to Kylie at [email protected] or call 1 (855) 386-KORU (5678) ex 801. We want to help you and are hear to listen.


What Does A Naturopath Doctor Do And How Can They Help Me?

What Does A Naturopath Doctor Do And How Can They Help Me?

A variety of protein powder and shakes.

What is Naturopathic Medicine

Naturopathic medicine is a distinct primary health care system that blends modern scientific knowledge with traditional and natural forms of medicine. It is based on the healing power of nature and it supports and stimulates the body’s ability to heal itself.

Naturopathic medicine is the art and science of disease diagnosis, treatment, and prevention using natural therapies including botanical medicine, clinical nutrition, hydrotherapy, homeopathy, naturopathic manipulation, traditional Chinese medicine/acupuncture, lifestyle counseling, health promotion, and disease prevention.

What can Naturopathic Medicine do for you?

Naturopathic medicine treats all health concerns for all ages from acute to chronic and physical to psychological. Naturopathic medicine is beneficial for the following:

  • People that are looking for disease prevention and health promotion strategies.
  • People that have a range of symptoms that they have been unable to address on their own or with the help of other medical practitioners.
  • People that have been diagnosed with an illness, often serious or chronic, and are looking for additional treatment options.
  • People that are looking for integrative care, or a combination of conventional and naturopathic treatments, with the aim of minimizing side effects of drugs, surgery or conventional treatments, improving the efficacy of treatment and increasing success of treatment of certain conditions.

What conditions do Naturopath Doctors commonly work with?

Some of the primary conditions treated by Naturopathic Doctors include, but are not limited to:

  • Digestive conditions like IBS, IBD, SIBO, bloating, and food sensitivities
  • Hormonal concerns like infertility, menopause, PMS, irregular periods, painful periods, PCOS, and Endometriosis
  • Weight gain or difficulty losing weight
  • Insomnia or difficulty with sleep
  • Fatigue or low energy
  • Autism/ADD/ADHD
  • Autoimmune concerns
  • Adrenal and Thyroid conditions
  • Mental health such as depression, anxiety, PTSD, high stress levels
  • Brain Injury
  • Chronic pain

What Tests can Naturopath Doctors do?

Naturopath Doctors can run a variety of lab tests for a number of reasons including monitoring health systems, establishing individual baselines, tracking health trends, screening as well as track improvements and efficacy of treatments. It can help to determine a diagnose of a client’s condition identifying the root cause of their symptoms and ca rule out a suspected diagnosis.

Lab tests can be blood, saliva, stool, urine or breath. These tests are either done in a lab, like Lifelabs, or at home by the patient and shipped directly to the testing site.

Different tests that Naturopath doctors can do include:

  • Digestion Panel to identify for Crohn’s, Irritable bowel syndrome, leaky gut, Irritable bowel disease, maldigestion, malabsorption
  • Liver and Kidney panel
  • Inflammation panel
  • Autoimmune panel
  • Electrolytes panel
  • Food Allergy testing (IgE, IgG)
  • Test for H.pylori or SIBO (Small intestine Bacteria Overgrowth)
  • Test for pathogens, bacteria, yeast, candida, parasites
  • Test for nutrient deficiencies (vitamins, minerals, amino acids and fatty acids)
  • Fertility panel for Female or Male Hormonal
  • Adrenal or Thyroid Panel
  • Metabolic Panel for cardiovascular and diabetes/blood sugars (cholesterol, Triglycerides, Hba1c, insulin fasting
  • Hormonal panels for male and females
  • Adrenocortex Stress Profile – melatonin, cortisol for stress and sleep issues

How Much Does a Naturopath Doctor Cost and Are They Covered Under Health Benefits

Please check out our article How Much Does a Naturopath Doctor cost? to have those questions answered.

Do you need a consult with a Naturopathic consult?

If you are interested in a naturopath doctor consult please book in with Dr. Oliva Chubey or Dr. Karm Hans using our online booking site

If you want to get more information on what or how a naturopath doctor can help you and would like to chat please reach out to Kylie at [email protected] or call 1 (855) 386-KORU (5678) ex 801. We want to help you and are here to listen.

Autism & the Low-Oxalate Diet

Autism & the Low-Oxalate Diet

Mental Health Gut Article

In practice, we are seeing more and more kids with high levels of oxalates in the body and the need to be put on a low oxalate diet. This presents often with kids on the spectrum, and is caused by a number of different factors. At Koru Nutrition , we want to help educate you on the basic principles of what oxalates are, and how they can impact our kids with autism.

What are Oxalates?

Oxalate (also called oxalic acid) is a naturally occurring substance found in abundance in plants and humans. The role of oxalates in plants is protective and it’s believed that it acts primarily as an insecticide. Oxalate is not a required nutrient for humans, in fact it is often labeled as an “anti-nutrient”, and too much can lead to kidney stones.

In the gut of a healthy person, oxalate binds with calcium and other minerals and is excreted in the stool before being absorbed. It follows that one of the problems with having too many oxalates is that you run the risk of poor absorption of minerals, in particular, calcium. This can be an issue for growing kids as it can impact quantity and quality of bone growth and density. 

High Oxalate Foods Include: 

It may be surprising that most  high oxalate foods are  foods that most of us consider to be healthy and good for us! And really, these are healthy foods for the average person. But, if someone has problems with processing oxalates and a build-up occurs in the body, then they can be faced with numerous challenges. 

Some foods high in oxalates include:

  • Nuts, especially almonds and peanuts
  • Most beans
  • Beets
  • Figs
  • Rhubarb, Swiss chard, field greens and spinach
  • Amaranth and buckwheat
  • Soy
  • Sweet potatoes
  • Raspberries and blackberries
  • Cocoa and dark chocolate
  • Tea

This is by no means an exhaustive list, but can provide an idea that basic, everyday, healthy foods may be a problem for our kids with autism.

How can you tell if you, or your child, have high oxalates?

First, you need to determine if you or your child presents with signs of symptoms of high oxalates, which we’ve listed below. Look at the big picture. Does there appear to be consistency within the symptom list below? If so, then you may wish to consider having an organic acid test (OAT) run by a Naturopathic Doctor or other health professional that specializes in autism. 

Symptoms of high oxalates in the body include:

  • Headaches, depression, anxiety, brain fog
  • Restlessness, moodiness
  • Pain (anywhere) – genital, joints, muscles, intestine, eyes
  • Cracking in joints
  • Low energy and fatigue
  • Weakness
  • Sleeping challenges
  • Burning feet
  • Respiratory infections and symptoms
  • Gas and bloating
  • Bedwetting and incontinence
  • Frequent urination
  • Urinary pain
  • Cloudy urine
  • Crystals in urine
  • Sandy stools
  • Black specs in stools
  • Burning in stool
  • Yeast overgrowth
  • Rashes
  • Consuming or craving a high oxalate diet
  • Fine or gross motor challenges
  • Poor growth in children
  • Blood sugar imbalances

Why Does My Child Have High Oxalates?

There are a number of reasons why certain kids (or adults) may have a build-up of oxalates in the body. 

One reason is genetics: Some people are predisposed to high oxalates based on their DNA. So, a diet high in oxalates can contribute to a problem with high oxalates in the body for these individuals.  

Another reason is Vitamin B6 deficiency: B6 is a cofactor for one of the enzymes in the body that helps reduce oxalates (and kidney stones). Additionally, the human body can produce its own oxalate during metabolism, and B6 helps decrease oxalate production.

The last reason we’ll discuss in this post is low levels of beneficial bacteria in the gut: The good bacteria in our gut can help break down oxalates, making it easier to excrete from the body. When the levels of good bacteria in the gut are low (which is frequently the case in kids with autism), higher amounts of oxalate can be absorbed from the digestive system into the body. If your child has been on multiple courses of antibiotics, this can also contribute to high oxalates, as antibiotics are indiscriminate and  will not only kill the target bad bacteria, but also the good bacteria present in the gut. Antibiotics are known to disrupt the gut microbiome, but a specific  bacteria called oxalobacter formigenes, which is a bacteria that specifically helps breakdown and get rid of excess oxalates, is particularly susceptible to antibiotics. 

What Does Oxalates Have To Do With Autism?

Because oxalates in high amounts interfere with certain nutrients and metabolic pathways, it can cause: 

  • inflammation;
  • leaky gut and yeast overgrowth (candida)
  • contribute to nutrient deficiencies with minerals, biotin and glutathione
  • can increase histamine (triggering allergic symptoms)
  • can contribute to mitochondrial damage (mitochondria are the batteries of our cell so mitochondrial damage contributes to fatigue and weakness)
  • seizures
  • faulty sulfation (sulfation is an important mode of detoxification in humans)
  • oxidative stress and high amounts of free radical damage (oxidative stress is a phenomenon where there is an imbalance in potentially damaging compounds in the body as compared to the protective compounds in the body or the body’s ability to detoxify)

All of the above are potential issues that children on the spectrum may experience. 

So, implementing a low oxalate diet may address many underlying health issues that can be contributing to an autistic child’s symptoms and affecting their quality of life. 

How The Low Oxalate Diet Works?

The low oxalate diet works by reducing oxalates coming into the body from an individual’s diet in order to reduce the total oxalate burden. Further, by reducing the oxalates consumed in the diet, it gives the body more time to release and excrete the stored oxalates in the body as well.

Additionally, implementing a low oxalate diet and incorporating a specific supplement program can help reduce oxalates being generated in the body, balance biochemistry which has been thrown out of whack by the high oxalate levels, and help manage overall symptoms.

How To Implement A Low Oxalate Diet

Warning:  It is important to implement the low oxalate diet slowly

Oxalates are often stored up in body tissues. So when you reduce the dietary intake of oxalates, allowing the body a chance to get rid of the stored oxalates, a process called “dumping” can occur. Dumping is when the body’s cells release stored oxalates, which can cause symptoms to get worse, usually occurring in cycles while a person is on a low oxalate diet. To avoid heavy dumping and manage symptom flare ups, it is important to go slow. In fact, done properly, it can take several weeks or months to fully implement the diet.

How Do I Avoid Heavy Oxalate Dumping?

To undertake a low oxalate diet in a way that avoids heavy dumping of stored oxalate, it is recommended to focus on consuming 40-60mg of oxalates in a 2000 calorie diet. In more practical terms, this will mean consuming mostly low oxalate foods with a few medium oxalate foods. 

Specific food preparation techniques can help reduce oxalate content in foods. Specifically, boiling reduces oxalates in beans and vegetables by about 50% (not enough for high oxalate foods) and soaking grains, beans, nuts and seeds will reduce oxalates, but be sure to drain and rinse after soaking. 

We’re here to help!

It can be overwhelming and stressful to undertake a specialized, therapeutic diet; especially if your child is a  picky eater and already has a limited repertoire of foods that they will consume. 

If you or your child would benefit from more support understanding the connection between oxalates and autism, or how to safely implement a low oxalate diet, our clinicians that specialize in autism are ready to help! 


    Autism and Nutrition: Where To Start?

    Autism and Nutrition: Where To Start?

    Mental Health Gut Article

    It can be overwhelming and challenging having a child on the Autism Spectrum. As parents it can be hard to see your child struggle with communication and behaviour challenges, difficulties socially interacting with their peers, and/or the ability to concentrate and focus in school. 

    Meal times can be especially stressful if your child is picky and refuses to eat; sometimes limiting their foods to just a couple of different items. Then you go and see a health professional, and they may recommend you remove certain triggers, thereby  restricting their food intake even more…aaarrgh!!

    So, where do you start? 

    First, let’s backtrack a bit and explore what causes Autism…

    What Causes Autism?

    Autism is a neurological condition where body chemistry influences brain chemistry. Diet and nutrition are the building blocks that affect this biochemistry. 

    There is not one single cause of autism. In fact, there are quite a number of different reasons that your child may present with the symptoms or behaviours that they do. 

    Autistic people have a higher likelihood of having problems with detoxification in relation to environmental pollutants; artificial colourings, flavourings, and other additives in foods (which are so common in a North American diet); and/or a decreased ability to detoxify the body of these. This can be due to a compromised immune system from gut inflammation, food allergies and intolerances, invading gut pathogens, microflora imbalances, or digestive issues such as “leaky gut”. This could also be due to oxidative stress, or differences in certain chemical pathways in the body, such as methylation and sulfation. 

    The above potential variance in detoxification and metabolism in people with autism are just the tip of the iceberg when it comes to innate biochemical differences that may be present. That is one reason why having a key focus on determining which underlying cause or causes (as often it can be more than one) there are for your child’s symptoms and behaviours.

    So, where to begin?

    Often, the first step is to determine underlying triggers, which may mean having blood work or other laboratory testing completed by a health professional that is specialized in autism.

    Laboratory testing done by an autism specialist, such as an experienced Naturopathic Doctor, can provide valuable information including identifying nutrient deficiencies, food allergies and intolerances, gut issues, microbiome imbalances, immune problems and biological differences with certain biochemical pathways. 

    As Nutritionists we can then help create strategies for your day-to-day life, in a hands-on way, that assist in the implementation of recommendations made by your Naturopathic Doctor or Functional Medicine Practitioner after testing. We have experience collaborating with other specialists to support the overall treatment plan required. Of course, we’re happy to offer our food or nutrient specific expertise as well!

    What happens after lab tests have identified underlying issue(s)?

    There are many potential options that would be evaluated on an individual basis including:

    • Supplement recommendations, as nutrient deficiencies are common due to several factors including poor diets (from being picky eaters) and imbalanced digestive systems affecting the ability to break down and absorb food. 
    • A specialized diet may be recommended for your child. Making dietary changes can promote systemic healing and help improve mood, learning and behaviour. We recognize that dietary changes in itself come with their own set of challenges.

    Autism and Special Diets

    Gluten and Dairy Free Diets

    There is an abundance of diets that have been shown to help children with Autism. The most common and ideal starting point is going gluten and dairy free, as so many children on the spectrum are often sensitive to the proteins gluten and casein. 

    In fact, a AIR Survey of parent ratings on treatment success of implementing a gluten and dairy free diet with kids on the spectrum showed that 55% of children experienced improvements on a casein free diet (based on 6950 children), 55% experienced improvements on a wheat free diet (based on 4340 children), and 69% of children experienced improvements on the combined casein and gluten free diet (based on 3593 children). It was also found that children experienced improvements on a casein free diet within a month, and that it took 1-3 months of elimination to see improvements on a gluten free diet. 

    Implementing a gluten and dairy free diet can be challenging. But, working with an experienced Nutritionist to help guide you on your child’s journey through these changes can be very helpful. 

    Why are gluten and casein so harmful for children with autism?

    As mentioned above many children have problems with gluten and casein due to food sensitivities (IgG, IgM, IgA) or food allergies (IgE). They may lack the DPP-IV enzyme (the enzymes that helps to breakdown gluten and casein in the body) or lack digestive abilities to break down the gluten and casein proteins and absorb them. Unfortunately, these proteins can create an opioid-like response in the brain, similar to a drug addiction. If your child craves breads and dairy it may be part of that opioid-like response, where their addiction is so strong they refuse to eat other food groups, resulting in being a very picky eater. 

    Gluten can create gastrointestinal inflammation and damage to the intestines resulting in “leaky gut” (or intestinal permeability, if you want to get fancy). Enzymes are diminished and nutrients are not absorbed properly leading to nutrient deficiencies which will affect mood, behaviour and cognition. This process leads to systemic inflammation, which taxes the immune system, and may result in autoimmune responses. Gluten issues and inflammation can cause depression, anxiety, and ADHD symptoms.

    It is important to understand that if you implement a gluten-free, casein-free (GF, CF) diet that a child may experience a worsening of symptoms initially, due to the opioid-like withdrawal effect of removing these foods (proteins) from the diet, before they experience improvement.

    Food Addictions & Autism

    As mentioned above, one of the reasons why so many autistic people are picky eaters is because of food addiction. When the individual gets a “high” from a problematic food (which has shown to be similar to morphine), it can be so strong that they refuse to eat other foods and food groups. This is one reason why you may notice kids on the spectrum gravitating to food such as cheese and bread, but it could be anything. 

    Symptoms and signs of a food addiction include:

    • Addicted and crave certain foods to the point that they can have temper tantrums if they don’t get it
    • High pain tolerance
    • Inattention and spacey behaviour
    • Aggression (to self and others)
    • Stimming
    • Mood changes
    • Poor eye contact
    • Difficulty speaking
    • Anxiety, depression and irritability 

    Other Special Autism Diets

    Although the GF,CF diet is a great starting point, there are many more diets that have been proven to be effective with improving day-to-day life and the health of kids on the spectrum. Based on laboratory test results you might be asked to explore one of the following diets or a combination of them including: 

    Specific Carbohydrate Diet (SCD), GAPS Diet, low FODMAP diet, low phenols diet, low oxalate diet, low salicylate diet, ketogenic diet, paleo diet, low carbohydrate diet, candida diet, Failsafe diet, Feingold diet, Body Ecology diet, or a diet to support methylation and sulfation.

    Do special diets for autism really work?

    It is important to understand the goal of the diet, how to begin, and then progress from there with implementation of the special diet to help ensure the effectiveness of it. And although it might seem intimidating and overwhelming, it can be worth it! 

    Based on surveys of parents with children on the spectrum that have implemented a special diet, they have reported the following improvements:

    • Gastrointestinal problems relieved
    • Diarrhea & constipation lessens/resolves
    • Improved language skills and learning
    • Greater focus and attention
    • Reduced hyperactivity
    • Improved eye contact
    • More appropriate behaviour
    • Aggressive behaviour and tantrums improve
    • Better sleeping
    • Easier toilet training
    • Skin rashes or eczema clear up
    • General health & happiness has improved

    How to implement a special diet?

    We highly recommend being supported by a qualified dietitian or nutritionist with specific experience addressing autism. It is likely they will work together with a Naturopathic Doctor to complete laboratory testing. Having someone to guide the foods to have and avoid in a way that is practical for your family is key. Having someone to turn to for recipes and ideas that are kid friendly, as well as strategies on how to introduce new foods, especially if your child is a picky eater is very important. Having a professional to work with will help take out the guesswork and stress off you to enable a successful outcome for your child. 

    Remember you don’t have to do it alone. We know how challenging and overwhelming dietary and lifestyle change can be. But, it’s worth it!