Endocrine and hormone care · San Diego

Endocrine and hormone care in San Diego, starting with the right labs

Thyroid, adrenal, blood sugar, sex hormones and metabolism work as one system. Our Naturopathic Doctors start with a deep lab review, build a written plan, and re-test to see what is changing.

Every plan is built around you. There is no set program, and your plan changes as your labs do.

  • Naturopathic Doctor-led care
  • The Saffron Panel, up to 72 biomarkers
  • A written plan and re-tests every 90 days
  • HSA, FSA, HRA and LSA funds accepted
Care
Lab review, hormone care, nutrition, Acupuncture and herbs
Led by
Naturopathic Doctors
Testing
The Saffron Panel, up to 72 biomarkers
Plan
A written plan, re-tested every 90 days
Where
2555 State St, San Diego

New patients

Start with one visit

We listen to what is happening and what would help most. Choose the first appointment alone, or add a full consultation.

Medical first appointment

First appointment

$250$300
  • Your first medical appointment
  • What is happening, what you need, and a first plan
  • HSA, FSA and LSA welcome
Book now
Best value · 50% off

Medical appointment + consultation

First appointment + consultation

$300$600
  • Your first medical appointment
  • A full consultation, a $300 value, included
  • Time to ask questions and plan your care
Book appointment + consultation

New patients. Through November 26, 2026. Labs and prescriptions are priced separately. HSA, FSA and LSA welcome. We are direct pay and do not bill insurance; superbills are available on request.

After your first visit

Book visits as you need them with medical credits, or save with a monthly plan. See monthly plans

Not sure where to start?

Talk it through on a free discovery call first. Book a discovery call

Why people come to us

One system, looked at together

You do not need a diagnosis to start. These are the concerns people most often bring to us.

Thyroid

Hypothyroid, Hashimoto's and sluggish thyroid symptoms, with a full panel and a plan.

Diagnostic Testing →

Adrenal and stress

Fatigue, burnout and a body that stays on high alert.

Integrative Medicine →

Blood sugar and metabolism

Insulin resistance, prediabetes and blood sugar swings, with labs and nutrition.

Nutritional Therapy →

Perimenopause and menopause

Hot flashes, sleep, mood and energy.

Hormone Replacement Therapy →

Low testosterone

Low energy, drive and recovery in men.

Men's Health →

PCOS and cycle issues

Irregular cycles, acne and fertility concerns.

Women's Health →

Weight and energy

When weight will not move and energy will not return.

Weight Loss →

Fatigue and brain fog

Looking beyond "normal" ranges to find the cause.

Diagnostic Testing →

How care works

Test, plan, support and re-test

01

A conversation

We start with your symptoms, history and goals.

02

The right labs

The Saffron Panel with up to 72 biomarkers, or your recent labs from elsewhere.

03

Lab Interpretation

A Naturopathic Doctor reviews your results and builds your 30-page written plan, followed by an integration session with Dr. Kolin.

04

Treatment and re-tests

Treatment and support, with re-testing every 90 days so you can see what is changing.

Learn what happens at your first visit

Gua sha along the upper back during an acupuncture session at Saffron & Sage

Root causes

Hormones respond to sleep, stress and food

Hormone symptoms rarely come from one gland alone. Stress, sleep, gut health, inflammation and nutrition all play a part, so we look at them together and treat what is driving your labs.

  1. Thyroid, adrenal, sex-hormone and blood sugar markers
  2. Nutrition, supplements and, when appropriate, prescription support
  3. Acupuncture and Botanical Medicine for stress and sleep
  4. Re-tests every 90 days to track change

Read: Benchmark your health with an annual Integrative Physical →

Care that works together

Services that work together

Your plan uses only what fits you. These are the services most often combined.

Medical team

Diagnostic Testing

The Saffron Panel and advanced testing to see what is driving your symptoms.

Diagnostic Testing →

Medical team

Integrative Medicine

A Doctor-led review of your whole picture, with a written plan.

Integrative Medicine →

Medical team

Hormone Replacement Therapy

Prescribed by our Naturopathic Doctors for women, based on your labs.

Hormone Replacement Therapy →

Medical team

Testosterone Replacement Therapy

Care for men with low testosterone, based on your labs.

Men's Health →

Medical credit

Nutritional Therapy

Food and supplements tailored to your labs and your constitution.

Nutritional Therapy →

Medical credit

Acupuncture and Botanical Medicine

Support for stress, sleep, cycles and energy.

Acupuncture →

Your care team

The people beside you

Your care team works together under one roof, overseen by our Medical Director.

Dr. Alexander Aponte-Davila, Naturopathic Doctor and Nutritionist at Saffron & Sage

ND, MHSN

Dr. Alexander Aponte-Davila

Naturopathic Doctor and Nutritionist.

Read bio →
Dr. Nazanin Ghetmiri, Naturopathic Doctor at Saffron & Sage

ND

Dr. Nazanin Ghetmiri

Naturopathic Doctor.

Read bio →
Dr. Kolin Durrant, Integrative Care Director, Doctor of Acupuncture and Chinese Medicine, Clinical Herbalist at Saffron & Sage

DACM

Dr. Kolin Durrant

Integrative Care Director, Doctor of Acupuncture and Chinese Medicine, Clinical Herbalist.

Read bio →

Book online

Book your first appointment

New patients, use the offer cards above. Already have a medical credit? Pick a service and a time below. To book a session for a family member, or to ask about home visits, call our Concierge at (619) 933-2340.

New to Saffron & Sage? Start with your first appointment for $250, normally $300.

Book now

Location

Endocrine and hormone care near Little Italy, San Diego

Saffron & Sage is in Mission Hills, just north of Little Italy, a short drive from Downtown, Bankers Hill, Point Loma and North Park. The entrance is on West Maple Street.

Hours: Monday and Thursday 8am to 2pm; Tuesday, Wednesday and Friday 8am to 8pm.

Saffron & Sage

2555 State St, Suite 101
San Diego, CA 92101

(619) 933-2340 · Get directions

Questions

Endocrine and hormone care FAQs

Which conditions do you work with?

We see people for thyroid concerns including Hashimoto's, adrenal and stress symptoms, blood sugar and metabolic concerns, perimenopause and menopause, low testosterone, PCOS and cycle issues, and unexplained fatigue. Your Doctor will tell you honestly if something else should come first.

Do I need a diagnosis first?

No. Many people come because they feel unwell and have been told their labs are normal. We look at a wider set of markers and at how you feel.

Can you use my recent labs?

Often yes. Book a discovery call or call our Concierge, and we will tell you which outside markers count as equivalent to the Saffron Panel.

Do you prescribe thyroid medication or hormones?

Our Naturopathic Doctors can prescribe thyroid medication, hormone replacement therapy for women and testosterone replacement therapy for men when appropriate, based on your labs and history.

What does the Saffron Panel include?

The Saffron Panel covers up to 72 biomarkers, including thyroid, hormone, blood sugar and nutrient markers. Your Doctor will explain which ones matter most for you.

How long until I see changes?

It depends on what is going on and how long you have had it. You will have a written plan after your Lab Interpretation, and we re-test every 90 days to track what is changing.

Can this work with my endocrinologist?

Yes. We coordinate with your other providers, with your permission, and we never ask you to stop care you are receiving.

What does a first visit cost?

New patients can start with a first appointment for $250 (normally $300), or $300 with a full consultation. A discovery call is free. Labs are billed separately.

Do you take insurance, and can I use HSA or FSA funds?

We are a direct-pay practice and do not bill insurance. Superbills are available on request, and we accept HSA, FSA, HRA and LSA funds. Your plan administrator decides which services are eligible, so please check with your plan.

Where are you located?

2555 State Street, Suite 101, San Diego, with the entrance on West Maple Street, just north of Little Italy.

Ready when you are

Start with one visit

Tell us what you are feeling and what your labs have shown. We will suggest a first step, or tell you honestly if something else should come first.

The content on this page is for educational purposes only and is not medical advice. Results vary from person to person. We accept HSA, FSA, HRA and LSA funds. Your plan administrator decides which services are eligible, so please check with your plan. All medical services are provided by Kasawa Medical APC dba Saffron & Sage MD.

A client in deep relaxation at Saffron & Sage