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About Dr. Rian Shah

Dr. Rian Shah is a naturopathic doctor at owner of Cascade Integrative Medicine in Issaquah, WA. She's been in practice for over 10 years in Illinois and Washington.

Restoring Thyroid Function Requires Comprehensive Evaluation and Treatment

Thyroid Symptoms Are Often Dismissed
So many patients come in to see me with what they feel are thyroid issues. They are tired, gaining weight, constipated, have mental fogginess, forgetfulness, menstrual period irregularity and are cold all the time. Many of these patients have gone in to their family practice doctor only to find out, […]

Manifesting Positive Change

“We can’t be afraid of change. You may feel very secure in the pond that you are in, but if you never venture out of it, you will never know that there is such a thing as an ocean, a sea. Holding onto something that is good for you now, may be the very […]

Restoring Healthy Gut Balance

Have you been diagnosed with IBS, acid reflux, chronic constipation and been told to take acid blockers, laxatives and anti-spasmodic medications because there is no cure for your condition? Does that feel right? Many of our patients come to us because they don’t accept the notion that their conditions are incurable.  And, I agree […]

Supplemental Support for Children

In our practice, nutritional deficiencies factor strongly in treatment plans. When it comes to children, the first line of defense against vitamin deficiencies is a well-rounded diet of whole foods. I know, all the mothers of picky-eaters are rolling their eyes right now, but it takes more than just distaste for veggies to cause a problem.
Vitamin supplementation is […]

The Importance and Function of Vitamin D

90% of my patients, especially my pediatric patients, who come in to see me for the first time have a vitamin D deficiency. Many of these patients are already taking a vitamin D supplement, most commonly 1,000 IU daily. Surprisingly, in more than half of these patients, their primary care physicians have told them […]

Inflammation and the Gut-Brain Connection

Fatigue, foggy thinking, flat affect, PMS, and constipation are often associated with anxiety or stress. But why are you feeling this way? What can we do to personalize a treatment plan so that it is unique to you? You can ask 10 patients who have the same symptoms about their life and their story, […]