Integrative Medicine · San Diego
Integrative Medicine in San Diego, doctors who take the time
Our licensed Naturopathic Doctors look at the whole picture: your history, symptoms, labs, sleep, stress and goals, so you finally understand what is driving how you feel.
Start with a focused Holistic Health Check-in or go deep with a two-hour Integrative Physical. Either way, you leave with a clear, prioritized plan and a care team that knows your story.
- Licensed Naturopathic Doctors (ND)
- Root-cause driven healthcare
- East meets West: conventional exam plus pulse and tongue assessment
- Testing and treatment under one roof
- Labs from anywhere, reviewed with functional ranges
- HSA, FSA and LSA welcome, always gratuity-free
- Visits
- Check-in or 2-hour physical
- New patients
- First visit + consultation $300
- Doctors
- Naturopathic Doctors (ND)
- Payment
- HSA, FSA and LSA welcome
- Where
- 2555 State St, San Diego
Two ways to see our doctors
Choose the visit that fits where you are
Not sure which one? Start with a check-in. Your doctor will tell you honestly whether a full Integrative Physical or further testing is worth it for you.
1 medical credit
Holistic Health Check-in
- An unhurried visit focused on your history, symptoms, medications, sleep, stress and goals
- Bring recent bloodwork from any lab or provider and we review it with you
- A clear, prioritized plan, including honest guidance on further testing
- Ideal as a first visit, a second opinion on labs, or a 90-day follow-up
4 medical credits
The Integrative Physical
- 120 minutes with a doctor, not 15
- A hands-on exam across 12 body systems, plus pulse and tongue assessment
- Functional assessments of how your body responds to stress
- A lab plan with an in-house blood draw, usually within a week
- Your personal Holistic Health Plan, with check-ins every 90 days
New patient offer: your first visit and consultation for $300, normally $600, through October 31, 2026. Lab testing is billed separately. Want the physical and a full 70+ biomarker panel together? See Activate: Executive Physical + Baseline Biomarkers.
Already have recent labs?
Get more from results you already paid for. Upload your lab report for a free educational overview before your visit. Upload my labs
Not sure where to start?
Tell us what is going on and we will help you choose the right first visit and doctor. Book a discovery call
Why patients book
What our patients come in for
Many of our patients feel “fine” on paper and still sense something is off. These are the concerns we hear most, from Little Italy and Downtown to La Jolla, Del Mar and North Park.
Labs say “normal,” you don’t feel it
We look at where you sit within each range and how markers relate to each other, not just whether something is flagged.
Beyond “normal” →Fatigue and energy crashes
Afternoon crashes, a second wind at midnight, brain fog and coffee doing the heavy lifting.
The energy crisis →Stress showing up in your body
Sleep, digestion, mood and focus shifting during a demanding season of work or life.
The stress blind spot →Gut and digestive health
Bloating, IBS, reflux, food sensitivities and irregularity, with testing when it helps.
Microbiome testing →Hormones and thyroid
Perimenopause, menopause, PCOS, low testosterone, thyroid and cortisol patterns.
Hormone testing →Heart and metabolic health
Blood pressure, cholesterol, blood sugar, weight and a family history you want to understand.
Heart health markers →Autoimmune and inflammation
Hashimoto’s, rheumatoid arthritis, lupus, psoriasis and IBD, with a plan to calm flares and inflammation.
Autoimmune care →Longevity and a real checkup
A milestone birthday or years since a thorough physical, and a plan for the next decade.
Longevity biomarkers →
The basics
What is integrative medicine?
Integrative medicine combines a conventional medical exam and lab testing with Naturopathic and Chinese Medicine assessment. Instead of treating one symptom at a time, your doctor looks at how your body systems connect and what may be driving how you feel.
We don’t promise quick fixes. We promise time, attention and a clear explanation of what we found, what it may mean and what we suggest next. If something needs urgent or specialist care, we tell you and help you get there. What is an Integrative Physical?
How it fits into your care here
Your findings feed a personal Holistic Health Plan that your whole care team can see, so Acupuncture, nutritional therapy, IV therapy and bodywork are planned around what your doctor learned. Keep your primary care doctor for acute illness and routine screenings; with your permission, we coordinate with them and share results. Our collaborative care model
Your first visit
Your first integrative medicine visit, step by step
Before you arrive
Complete your intake online and gather recent lab reports and a list of your medications and supplements. No fasting needed unless you are having blood drawn that day.
Your story and goals
Your doctor takes time to hear what is going well, what isn’t, and what you want from the next few years, then connects your symptoms and results.
Assessment and labs
A check-in reviews your history and existing labs. The Integrative Physical adds a 12-system exam, pulse and tongue assessment, and an in-house blood draw, usually within a week.
Your plan
You leave with clear, prioritized next steps and a personal Holistic Health Plan, with check-ins typically every 90 days to track progress.
Testing and follow-up
Testing that informs your plan
Testing is recommended by your doctor based on your history and goals, and you get a clear overview of what each test costs before anything is ordered. All lab testing is billed separately.
Lab test · billed separately
The Saffron Panel
Functional blood work with 70+ biomarkers that gives your doctor a detailed baseline and a way to track change, often repeated every three to six months.
Beyond routine labs →Lab test · billed separately
Micronutrient Testing
Vitamins, minerals, amino acids and antioxidants, so supplement suggestions are based on your results rather than a guess.
Micronutrient testing →At-home kit · billed separately
Comprehensive Stool Analysis
A look at your gut microbiome and digestion to shape nutrition and lifestyle recommendations.
Microbiome testing →Lab test · billed separately
Hormone and Stress Testing
Hormones and cortisol patterns when fatigue, sleep, mood or cycle changes are part of the picture.
Why measure cortisol →Assessment · billed separately
Smart Vascular Dx
A non-invasive assessment of arterial stiffness and vascular health, often chosen with a family history of heart disease.
Lab test · billed separately
Galleri Multi-Cancer Screening
A blood test that screens for signals from many types of cancer, ordered by our medical team when appropriate. It doesn’t diagnose cancer or replace routine screenings.
The Galleri test →2 medical credits
Laboratory Interpretation
Your doctor walks you through your results in plain language and explains what may come next.
1 medical credit
Holistic Health Check-in
A follow-up, typically every 90 days, to review progress and adjust your plan, or when something new comes up between visits.
4 medical credits
Annual Integrative Physical
A yearly repeat of the full assessment, so you and your doctor can compare this year with last year and adjust your plan.
Your doctors
Meet our integrative medicine doctors
Your visit is led by Dr. Alex or Dr. Nazanin, our licensed Naturopathic Doctors. They are part of our medical team and work side by side with our Doctors of Acupuncture and Chinese Medicine and other Licensed Providers under one roof.
ND, MHSN · English & Spanish
Dr. Alexander Aponte-Davila
Naturopathic Doctor and Nutritionist. A Holistic Primary Care Provider who pairs functional lab testing with IV therapy and hormone care, focused on metabolic health, weight management, endocrine, digestive and neurological conditions.
Read bio →
ND · English & Farsi
Dr. Nazanin Ghetmiri
Naturopathic Doctor and Nutritionist who uncovers root causes with nutraceuticals, botanical medicine, lifestyle changes, IV and peptide therapy. Special interests: gut health, endocrine disorders, women’s health and metabolic health.
Read bio →Location
Integrative Medicine 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. Many patients come in before or after work.
Hours: Monday and Thursday 8 to 2, Tuesday, Wednesday and Friday 8 to 8. Not in San Diego? Activate is available virtually anywhere in California.
Questions
Integrative Medicine FAQs
What is the difference between a Holistic Health Check-in and an Integrative Physical?
The check-in is a focused visit to review where you are and plan next steps, often using labs you already have. The Integrative Physical is a two-hour, whole-body assessment with a 12-system exam, pulse and tongue assessment and an in-house blood draw that sets your full baseline. Many patients start with a check-in; your doctor will tell you if the full physical is worth it for you.
How much does an integrative medicine visit cost?
A Holistic Health Check-in uses one medical credit, and new patients can book their first visit and consultation for $300, normally $600, through October 31, 2026. The Integrative Physical is $1,200, or four medical credits for members. Lab testing is billed separately, and your doctor gives you a clear overview before anything is ordered.
How long are the appointments?
Plan for about 120 minutes for the Integrative Physical. Your blood draw is usually scheduled separately, within a week of your visit. A Holistic Health Check-in is a shorter, focused visit.
Can I bring labs from another doctor or lab?
Yes. Results from any lab or provider are welcome, including your primary care doctor, an employer screening or an at-home test. Bring a copy or upload it before your visit.
What should I bring?
Any recent lab reports, a list of your medications and supplements, and your top questions and goals. Nothing else is required.
Should I fast before my visit?
Only if you are having blood drawn. The visit itself needs no fasting. If your exam and blood draw are on the same day, fast for the draw and bring a snack to eat afterward.
Is the Integrative Physical an executive physical?
It covers the ground people expect from an executive health assessment: a long, detailed visit, broad lab work and a plan. The difference is that it connects to ongoing integrative care with our team, not just a report.
Can I keep my primary care doctor?
Yes, and we encourage it. Your primary care physician handles acute illness and routine screenings. With your permission, we coordinate with them and share results.
What happens after my visit?
Once results are in, you review them with your doctor and receive a personal Holistic Health Plan. Most patients do a check-in about every 90 days and repeat the Integrative Physical once a year.
What if something concerning comes up?
Your doctor will explain it clearly and, if needed, refer you to the right specialist or back to your primary care physician. Anything urgent is flagged right away.
Is it covered by insurance or HSA?
We are a direct pay clinic and do not bill insurance. HSA, FSA and LSA dollars can often be used for medical visits and lab testing; check eligibility with your plan administrator. On request, we provide a superbill for possible out-of-network reimbursement, plus a letter of medical necessity if applicable.
Do I need to be a member?
No. You can always book à la carte, including the Integrative Physical on its own. Membership unlocks preferred pricing, member-only offers and events, and other perks.
Is this right for everyone?
It suits most adults who want a thorough look at their health and a plan. If you have a medical emergency or need urgent care, this isn't the right visit. Our team can help you decide on a free discovery call.
Where are you located?
2555 State St, San Diego, CA 92101, in Mission Hills just north of Little Italy and a short drive from Downtown.
Ready when you are
Book your first integrative medicine visit
Book your first visit and consultation for $300, normally $600. Not sure yet? Request a free discovery call and our team will help you choose between a Holistic Health Check-in and the Integrative Physical, and pick the right doctor.
