During the first consultation Dr. Giuliano will interview you about your health history, your current state of health, and review your future health goals. The doctor will also perform any pertinent physical exams, take vitals (blood pressure, heart rate etc.), and administer any injections or IV’s. To uncover and understand the root cause of your condition and formulate an effective treatment plan, the doctor may ask you about eating habits, sleep quality, environmental stressors, exposures to toxins, medication history, family health history and mental-emotional issues. The initial consultation is typically 60 minutes of time with the doctor.
Does the doctor accept any insurance plans?
If requested, the doctor will prepare a superbill for you with the proper coding and rates to submit to your insurance company for reimbursement. Dr. Giuliano does not accept insurance at the present time. Most labs are covered by insurance and claims are processed through the lab company. The laws in California regarding health insurance coverage for naturopathic medical services are evolving, albeit at a slow and tedious rate. Dr. Giuliano is looking forward to becoming credentialed as soon as the laws allow.
What is the education of a licensed naturopathic doctor?
The education of licensed naturopathic doctors and physicians involves successful completion of 4 to 5 years of full time study at an accredited naturopathic medical school. Upon graduating a Doctorate of Naturopathic Medicine is conferred. During the first two years the focus is on the basic sciences (physiology, anatomy, biochemistry etc.), and the philosophy and practice of naturopathic medicine. At the end of the first two years, naturopathic medical students take the first of two national board exams to test their knowledge of the basic medical sciences. The last 2-3 years of the education includes the study of the clinical sciences (cardiology, endocrinology, gastroenterology etc.), nutritional sciences, pharmacology, botanical medicine, homeopathy, physiotherapy, physical manipulation (adjusting the spine, joints etc.). Naturopathic medical students are also required to complete hundreds of hours of clinic rounds, grand rounds, preceptorships and internships. After graduation and the successful completion of all didactic and practical medical school requirements, the naturopathic medical student sits for the second national board exam (NPLEX) required for licensing.
What's the difference between a homeopath and a naturopathic doctor?
The homeopath or homeopathic doctor treats diseases and conditions using homeopathy. The naturopathic doctor may use homeopathy and homeopathic medicines in their treatment of diseases or conditions. Homeopathy is one of many approaches or modalities used in the treatment of diseases and conditions that the naturopathic doctor has at their disposal.
How long will it take to see results?
That depends on many factors such as duration of disease or condition, patient compliance, health history, and whether the patient is committed to certain dietary and lifestyle changes. Naturopathic medicine when employed properly and in the correct manner by a licensed naturopathic doctor may produce quick results. But usually it takes a bit longer especially with chronic issues or conditions that require more time for the body to respond and heal--this can take anywhere from a few weeks to several years. It’s about committing yourself to being healthy and making the healthy changes that will last a lifetime.
Why should I see a licensed naturopathic doctor?
A licensed naturopathic doctor is a highly trained specialist in natural, non-toxic protocols and treatments for the resolution of diseases and conditions both acute and chronic. We aim to treat the root cause of the disease or condition and don’t just treat symptoms in isolation. The totality of your health is taken into consideration and we understand that no disease process exists in isolation. We understand that here is not only a physical aspect to what is occurring in terms of your health, but a mental, emotional and spiritual/existential aspect as well. Consulting with a licensed naturopathic doctor is very important. The licensing of naturopathic doctors, who have successfully graduated from a CNME accredited school, grants them the legal ability to diagnose, perform physical exams, order and interpret labs, order diagnostic imaging, perform venipuncture, administer intramuscular and intravenous injections, and refer to specialists and other physicians when needed.
Can Dr. Giuliano prescribe pharmaceuticals?
Not at the present time, the laws are not in place for licensed naturopathic doctors to independently prescribe pharmaceuticals. In the state of California licensed naturopathic doctors are allowed to prescribe under the supervision of a licensed MD or DO. Dr. Giuliano is also licensed in the state of Oregon where he is able to prescribe pharmaceuticals.
Will herbs or supplements interfere with my medication?
Certain herbs and supplements may interact with certain medications. The doctor is well trained in pharmaceutical and herb/supplement interactions. This is always taken into account when developing treatment plans and any contraindication or interaction between the medication and the natural substance is always checked before prescribing any protocol. It is important to note that certain medications will deplete the body of certain nutrients and vitamins and are sometimes prescribed in order to replenish any deficiencies.
Do you believe in vaccinations? Do you sign vaccine waivers?
Yes, I do believe in vaccinations and their effectiveness. Given that, I also hold the opinion that administering multiple vaccinations at once is not the best choice for immunization, and that specific vaccinations are necessary with some patients at high risk for contracting certain diseases. California does not allow (currently) naturopathic doctors to independently administer vaccines. That requires a supervising agreement from a MD or DO. No, I do not sign vaccine waivers, that requires a supervising agreement.
Are you totally against using pharmaceuticals?
No, I am not against using pharmaceuticals or prescription medications. Pharmaceuticals when used judiciously and in acute situations can be life saving. In certain cases prescription medications are an important and very effective treatment option. According to naturopathic philosophy the doctor should use the most effective and gentle, non-toxic methods of treatment first and when appropriate escalate the treatment to include, alongside natural therapies or stand alone, pharmaceutical intervention. It is important to keep in mind that a large percentage of pharmaceuticals on the market are derived from botanical medicines and other natural sources. In fact many of the most effective and strongest pharmaceuticals (including some forms of chemotherapy) are based on chemical components of certain plants used in naturopathic and botanical medicine. Since natural substances cannot be patented, the original natural component of the plant that is pharmaceutically valuable is biochemically altered, then patented and made commercially available. This differs from naturopathic medicine in that according to naturopathic philosophy and botanical medical theory, the whole plant or specific parts of the plant, when used in its entirety has less side effects, is usually easier for the body to process, treats at a level deeper than just symptoms, and addresses the root cause of the condition.
What is Naturopathic Hormone Balancing?
Naturopathic Hormone Balancing (NHB) is a method of bringing the body’s own natural hormone production back into balance using natural substances such as botanical medicine, biological medicine, nutrition and specific supplementation. In addition to the aforementioned treatments, bio-identical hormones are used to supplement your body’s natural production of hormones. This approach ensures that the patient’s entire body is supported and nourished through natural methods. The results are longer lasting and easier to maintain.
What is botanical medicine?
Botanical medicine is the use of plants and herbs to treat diseases, conditions, and imbalances that occur in the body. The use of herbs to treat illness is a tradition that is thousands of years old. The use of herbs as medicine is found in almost every culture both ancient and modern. The proper use botanical medicine is an art form backed by extensive scientific research. When prescribed appropriately and intelligently botanical medicine yields positive and thorough results with virtually any disease or disharmony that occurs in the body.
What is biotherapeutic drainage?
Biotherapeutic Drainage is a method of detoxification where the release and discharge of accumulated toxins is achieved through the opening of the “emunctories”. You might be wondering what an emunctory is and if you have any. You certainly do have emunctories, an emunctory is any organ (i.e. kidneys, liver, skin) or duct that removes and/or carries waste from the body. Interestingly the word emunctory is derived from the Latin word “emungere” meaning “to blow one’s nose”. One could think of opening the emunctories as a process of opening, letting loose, and releasing wastes that have accumulated on a cellular level in certain organs. Biotherapeutic drainage helps detoxify these organs that have become bogged down or overwhelmed with years of toxins in a gentle and thorough manner. This process returns the cells and physiology of the organ to its native homeodynamic state--renewing its ability to function optimally. There are several different types of biotherapeutic drainage available. In my practice I use a variety of systems including UNDA numbers, Pekana, Plant Stem Cell therapy/Gemmotherapy, and Organotherapy. Biotherapeutic Drainage is an excellent adjunct therapy that enhances the effects of other therapies as well as facilitating gentle cleansing, detoxification, and rejuvenation of the body. This leads to enhanced physical, mental, and emotional well being.
What is homeopathy?
Homeopathy is a distinct system of medicine first developed over 200 years ago by Samuel Hahnemann, a German physician. Homeopathy is based on the principle of “like cures like” also known as the Law of Similars. Homeopathic medicine theorizes that any substance which can produce symptoms in a healthy person, could also alleviate those similar symptoms when they occur in someone that is ill. That substance that will alleviate the symptoms is administered in a very diluted form that evokes a healing response by the body. For instance if someone is stung a by a bee, the bee venom will produce redness, swelling, and a stinging sensation. The homeopath would prescribe bee venom or Apis mellifica remedy if a patient is suffering from any disease or condition that produces similar symptoms such as pharyngitis that would present as a red, swollen, stinging sore throat. Homeopathic medicine is a discipline that requires years of rigorous training and study. Homeopathic is effective, gentle and has the potential to treat not only physical conditions but mental-emotional symptoms as well. Homeopathy is used widely as primary care medicine as well as adjunct care by homeopathic, naturopathic and medical doctors in Europe, India, South America, and Africa. The use of homeopathy was widespread in the United States until the mid-twentieth century. There were major homeopathic hospitals in almost every state, including Hahnemann hospital in Philadelphia and New York Medical College in New York City.
Do I need to schedule an appointment to get a vitamin shot?
It is highly recommended that you make an appointment to receive a vitamin shot.