Naturopathic Medicine and Acupunture

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Meet Dr. Sarah Trotta

Dr. Sarah Trotta is a Naturopathic Physician and Licensed Acupuncturist.  She discovered holistic medicine as a patient herself, after being diagnosed with a complex autoimmune condition as a teenager, and wanting more than the solutions that the conventional approach had to offer.  She has spent her life since then navigating between the conventional and “alternative” medical models, both of which have powerful tools to offer, and she understands how overwhelming and lonely it can be to face a complex, life changing diagnosis.  She uses this journey to inform how she approaches her own patients - with care, compassion and presence to your entire human experience.  She believes in treating you as a whole person, and is driven by the desire to serve as a guide and advocate, to help your body access its own innate healing wisdom, and empower you to live your best life!

In her practice, Dr. Sarah blends a number of healing tools tailored to your unique needs, including: Western and Chinese herbal medicine, nutritional counseling and supplementation, homeopathy, flower essences, compounded and conventional pharmaceuticals, lab work, imaging and functional testing, counseling, as well as gentle intuitive bodywork techniques including 5 Element Acupuncture, the Arvigo Techniques of Mayan Abdominal Therapy® , Holistic Pelvic Care™, and Craniosacral Therapy/Myofascial Release.

Dr. Sarah’s areas of focus include:

  • Fertility support for all genders and families, including acupuncture, bodywork, and Naturopathic support for those undergoing fertility treatment (IVF, IUI, etc.)
  • Adjunctive prenatal and postpartum care
  • Generalized Naturopathic/Functional Medicine for the whole family
  • Gender-affirming care, including hormone management and screening exams
  • Complex chronic illness support, including MCAS (Mast Cell Activation Syndrome), hEDS, Dysautonomia, POTS, Autoimmune and rheumatologic conditions, Chronic fatigue, Chronic infections, Long Covid (PASC), Mold illness, etc.
  • IBS, IBD, SIBO, and other Gastrointestinal conditions
  • Pelvic pain, menstrual irregularities and dysmenorrhea
  • Annual wellness exams and cancer screenings

For more info on Dr. Sarah, please visit her website at www.drsarahtrotta.com

Functional Medicine Postpartum Care

Dr Sarah is also excited to be offering Functional Medicine Postpartum Care, the foundation of which comes from an individualized blood panel. 

Typically, you “graduate” from the care of your OB or midwives around 6 weeks postpartum, which can feel like an abrupt transition after such an intensive year of appointments and care! I love to hold space for YOU during this time, while so much focus is going towards baby, to make sure that you are getting the support you need to thrive as you begin (or continue) parenthood!

You have just gone through such a physiologically demanding process in creating, growing, and birthing a baby, as well as now creating milk for that baby if you choose to do so… and it is totally normal at this point to feel overwhelmed and exhausted.

A postpartum care plan with me typically looks like checking in on how you are feeling, your mood, your body’s recovery, any stresses that are arising, sleep routine and nutrition, as well as running a big panel of functional lab work to make sure we are not missing any ways that we can better support you. I also love to provide acupuncture, moxibustion, cupping and bodywork to help your nervous system ground and reset, process any trauma still lingering from labor and delivery, help support sleep, C-section recovery, and support YOU as a whole person and parent.

These are the tests I typically like to run about 6-8 weeks postpartum to make sure we are catching any abnormalities early and giving you the nutrient support you need.  Luckily, most of these things can be addressed easily with supplements, medications, or herbs. These are especially important to check if you are experiencing any postpartum anxiety and/or depression, significant fatigue, sleep deprivation, decreased milk supply, abnormal bleeding, delayed healing, hair loss, constipation, or needed to take pain killers for an extended period of time after delivery.

This can look like a lot, but it’s just a simple blood draw.  I usually have folks come in fasting (water is fine and encouraged!) and have this done before 9am for the most accurate readings.

I perform these blood draws in office at Jewell Chiropractic, so please reach out if you feel like this support is something you could use!

  • Iron panel with Ferritin - Growing a baby, birthing a baby, and producing milk, both require a LOT of iron.  This is especially important to check if you had significant blood loss in the delivery process.  Studies have shown that 10-30% of people experience postpartum anemia, which is linked to fatigue, hair loss, headaches and postpartum depression.  I find it so important to make sure these numbers are solid in the early postpartum days to support your recovery and lactation.  If we discover anemia, either oral iron or iron infusions are very helpful to begin as soon as possible.
  • Thyroid Hormones and Thyroid Antibodies - it is very common for thyroid hormones and antibodies to be impacted in the early postpartum days, as all of your hormones are re-equilibrating.  It’s important catch any inflammation or abnormalities going on with your thyroid early so that we can address it as soon as possible.  Hypothyroid symptoms can include constipation, dry skin, cold intolerance, difficulty concentrating, fatigue, hair loss, and weight retention.
  • Comprehensive Metabolic Panel - This is a broad overview of your blood sugar, liver enzymes, kidney function, protein, and electrolytes, all of which are important to check and optimize postpartum.
  • Inflammatory markers (Homocysteine, CRP, ESR) - These are general markers of inflammation, as well as cardiovascular inflammation (homocysteine).  If they are elevated, I want to do more digging to make sure we find the source and make sure we treat it.
  • Prolactin - Prolactin is a hormone involved in milk production in the early postpartum days, and goes up as estrogen and progesterone go down at the end of pregnancy and postpartum.  It is normal for it to be elevated postpartum, but should decrease gradually over time.  This number can be important to look at for people experiencing postpartum depression or reduced milk supply, as it can guide our support.
  • CBC - This is a “complete blood count,” to look at red and white blood cells, platelets, and markers of infection.
  • HgA1c - This is a 3 month snapshot of your blood sugar.  This is especially important to check on it you had an abnormal glucose tolerance test during your pregnancy or experienced any gestational diabetes, but can also give us clues about hypoglycemia.
  • Omega-3s - Omega-3 deficiency has been linked to postpartum depression.  Omegas play a key role in cardiovascular, endocrine, brain and immune health.
  • Vitamin D - Vitamin D deficiency has been linked to postpartum depression as well.  Lactation places high demands on Vitamin D, so optimizing your numbers is important for both you and baby!
  • Lipid Panel - It is common for cholesterol to fluctuate during pregnancy and postpartum.  We want to make sure we are tracking these changes, as both elevated LDL and low HDL can be markers of postpartum depression.
  • Micronutrient Panel - This includes B vitamins, B12, Folate, Magnesium, Zinc and Copper, and many more.  Pregnancy can deplete so many nutrients, and on the flip side, some prenatal vitamins can actually provide too much of a good thing and you may have elevations in certain nutrients.  I like to make sure everything is balanced, and that you have enough nutrients to support both yourself and baby.

Depending on your specific medical history and concerns, other tests that we may consider adding in include: ANA (anti-nuclear antibodies), Rheumatoid factor and Anti-CCP Antibodies, Epstein Barr antibodies, Clotting factors, Insulin, MTHFR testing, Genesight Testing (pharmacogenetic testing to determine your genetic response to anti-depressants and anti-anxiety medications), Stool testing, Food Intolerance Testing, and morning Cortisol.  About 6+ months postpartum is a great time to recheck sex hormones such as testosterone, estrogen and progesterone if you have any concerns with your cycle or future fertility.

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Take care and live a life of wellness.