Green Healing Wellness Services

The Holistic Management of Hypothyroidism

This is one of Dr. Passero’s greatest passions and he prides himself on taking the time with each individual patient to asses their specific needs. A wide variety of options may be available for you to manage your thyroid problems including nutritional intervention, herbal therapy, vitamin/nutrient therapy, homeopathy and prescriptive thyroid hormones including natural glandular extracts and compounded thyroid hormone.

For an in depth discussion regarding my philosophy and approach to addressing hypothyroidism please read my online interview with New York Times best selling author and thyroid advocate Mary Shomon http://thyroid.about.com/od/practitionerinterviews/a/naturopathic-naturopathy-thyroid-passero.htm

Common Lab Tests for Evaluating Thyroid Function:

TSH (Thyroid Stimulating Hormone): This is the most standard test for thyroid function and it is a measure of a hormone released by the brain, and as the name implies it stimulates the thyroid gland to produce hormones. An elevated TSH value suggests that the thyroid gland is under functioning as it is indicating that the brain has to increase the stimulation necessary to keep the thyroid producing adequate levels of hormone. When the TSH is very low it usually indicates the thyroid has become overactive as the brain tries to reduce the stimulatory effects on the gland.

The topic surrounding what is the ideal level of TSH is hotly debated among various health care professionals.  The American Association of Clinical Endocrinologists announced in 2002 that the range of TSH should be narrowed to 0.3-3 from the current range of 0.5-5.0, which would have essentially doubled the amount of people in North America that would fit the criteria of hypothyroid. For a detailed evaluation of this topic visit http://thyroid.about.com/cs/testsforthyroid/a/newrange.htm

Most labs still list the reference range as 0.5-5.0 and most doctors still rely on those criteria for diagnosing hypothyroidism. It is common that people with symptoms of hypothyroidism have no idea their thyroid gland is having any influence over their health because their TSH was between 0.5-5.0 and it was deemed normal.

There are four other very important tests to ask your doctor for when considering how your thyroid function might be affecting your health.

1. Free T4: T4 is the main thyroid hormone produced by the thyroid gland. I like to refer to it as a pre-hormone because it is only about 10% metabolically active even though it represents roughly 90% of circulating thyroid hormone. The “free” part does not refer to the price, but rather to the fact that we want to measure the quantity of hormone not bound to other proteins in the blood. Only the free hormones can interact with our cells and help us to produce energy.

2. Free T3: T3 is not the most abundant circulating thyroid hormone, but it is the most active. In fact, it is many times more potent than T4. The T4 in circulation is converted by our organs and our cells into T3 in order to stimulate cellular metabolism. If T3 levels are low, you may have hypothyroid symptoms.

3. Thyroid antibodies (TPO, ATA, TSI)- These antibodies play a critical role in many thyroid conditions. Eighty percent of women that have hypothyroidism have it due to an autoimmune condition referred to as Hashimotos Disease. The TPO (thyroid peroxidase antibodies) and the ATA (anti-thyroglobulin antibodies) are two critical markers that are present when an autoimmune process is at play.  The TSI antibody is related to an autoimmune hyperthyroid state called Grave’s Disease.

4. Reverse T3- This is where things get a bit confusing. If under stress, your body can convert the T4 hormone into reverse T3 instead of regular T3. The reverse T3 will bind to the T3 receptor site but will not activate it. In the process, Reverse T3 block these receptor sites from regular T3 and the net effect is your body having less T3 stimulation and reduced metabolism. A good analogy is that of a key and a lock. Reverse T3 is that key on your keychain that fits into the lock but will not turn and unlock it and until you remove it, it is effectively blocking that lock from being activated by the correct key. Why would your body want to do this? Under certain circumstances of stress, our body needs to preserve energy and slow down metabolism for survival. Although this mechanism for survival is not particularly relevant in modern living conditions it was useful thousands of years ago when our food supply was less stable. Stress in our daily lives can trigger these survival mechanisms and stimulate a person’s body to make excessive amounts of Reverse T3 which ends up slowing down the metabolism pathways.

Dr. Kevin Passero – Center Director

Dr. Kevin Passero – Center Director

Dr. Kevin Passero – Center Director

Dr. Passero is a licensed Naturopathic Doctor and graduated from one of only eight accredited Naturopathic Medical Schools in North America. His mission is to bring cutting edge natural and holistic therapies to the Washington DC metro area and to educate people on the value of naturopathic medicine across the country. His practice focuses on an individualized approach to medicine.  His goal is to help people uncover the answers as to why their body is in distress and find the solutions necessary to restore optimal health.

Dr. Passero completed four years of post-graduate naturopathic medical education at the National College of Naturopathic Medicine (NCNM) in Portland, Oregon after receiving a Bachelor’s Degree in Environmental Biology from the University of Colorado.

He is a former President of the Maryland Naturopathic Doctors Association and is an active member of the American Association of Naturopathic Physicians.


Disclaimer:
Dr. Passero is not a medical doctor and naturopathy is not a medical specialty but a separate and distinct health care tradition. Dr. Passero graduated from an accredited four year graduate program as a naturopathic doctor and is currently licensed as a Naturopathic Physician in both the state of Oregon and the District of Colombia. The State of Maryland does not currently offer licensing for naturopathic doctors.

For this reason, certain services listed on this website are only available through his Washington DC office. Please call the main office for details.

Green Healing Wellness Fee Schedule

Phone, Hangouts & Skype Consultations

Phone consultations, Google Hangouts and Skype will be billed in coordination with an in office visit.

Emails

  • Email is not intended as a substitute for regular office visits or for new health concerns. Email is not suitable for time sensitive messages.
  • New Patients:
    • 2 free email exchanges within 14 business days of initial appointment for brief questions or clarification of ongoing therapy.
  • Existing Patients:
    • 1 complimentary email exchange within 5 business days of an office or phone consult for brief questions or clarification of ongoing therapy.
  • All other email inquiries for Dr. Passero will be billed at the rate of $25 per email exchange.
  • Email requests for product refills only or appointment scheduling are free and should be directed to the office manager at greenhealinginc@gmail.com

Payment

Payment is due at the time of service. We accept cash, check, and credit card (MasterCard/Visa/AmEx). A late payment charge of 1 1⁄2 % per month (18% per annum) with a $5 minimum will be charged after 45 days. There is a $25 returned check fee.

Phone Consultations / Appointments

There is no charge for brief questions that can be answered on the phone such as clarification of on-going therapy. However, if you are calling about a new health concern or need extended time, fees based on office visit rate schedule will apply (see above). If there is any question about this service, you are welcome to ask at the time of the call.

Administrative Charges

Kevin Passero N.D. holds a degree of Doctor of Naturopathic Medicine (ND) and is a licensed, board-certified Naturopathic Physician in the State of Oregon and Washington, DC. Maryland and Virginia do not currently offer licensing for naturopathic doctors (ND). Therefore, Dr. Passero is not able to accept insurance payment and does not provide billing statements for insurance reimbursement. [Superbills for a patient to submit on their own are available to our Washington, DC patients only.]

NoShow / Cancellation

The scheduled time for your appointment has been reserved specifically for you. Except in emergency situations, if you miss or cancel a scheduled appointment without providing 24 hours notice, you will be charged for the full price of the missed appointment. Because we make every attempt to stay on schedule, if you are late for an appointment, you will only be seen for the remainder of your scheduled time.

If you have any questions regarding these guidelines, please feel free to ask

*All fees subject to change without notice

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We focus on strengthening the inherent ability of the body to achieve and maintain health.
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More Services

Below is a partial list of services and conditions commonly addressed at Green Healing Wellness Center. Please feel free to contact us for more information or to see if your health might benefit from naturopathic care.

  • Comprehensive personalized consultations

  • Bioidentical Hormone Replacement Therapy

  • Detoxification Plans

  • Weight Loss Programs

  • Holistic Nutrition

  • Hormone Testing

  • Neurotransmitter Testing

  • Comprehensive Nutritional Testing

  • Allergy Relief

  • Effective/Natural Strategies for Pain Relief

  • Natural Approaches to Mood Disorders including Depression and Anxiety

  • Thyroid- Holistic Management of Thyroid Disorders

  • Adrenal Fatigue Management

  • Hormone Balancing

  • Gastrointestinal Support

  • Lyme and Tick Borne Disease Management and Support

Disclaimer

Dr. Passero is not a medical doctor and naturopathy is not a medical specialty but a separate and distinct health care tradition. Dr. Passero graduated from an accredited four year graduate program as a naturopathic doctor and is currently licensed as a Naturopathic Physician in both the state of Oregon and the District of Colombia. The State of Maryland does not currently offer licensing for naturopathic doctors.

For this reason, certain services listed on this website are only available through his Washington DC office. Please call the main office for details.

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Supporting Health Issues

At Green Healing Wellness we support people with a variety of health issues. Below is a partial list of services and conditions commonly addressed at Green Healing Wellness Center.

  • Adrenal Fatigue

  • Acne

  • Allergies

  • Andropause

  • Anxiety

  • Arthritis

  • Asthma

  • Autoimmune Disease

  • Blood Sugar Imbalances (Diabetes/pre-diabetes)

  • Depression

  • Digestive Disorders (IBS, IBD, GERD/Acid Reflux)

  • Fatigue

  • Fertility/Conception Support

  • Fibromyalgia

  • Heart and Cardiovascular Health

  • High Cholesterol

  • Insomnia/Sleep Disorders

  • Joint Pain

  • Lyme Disease/Chronic Infections

  • Menopause/Peri-menopause

  • Migraine/Headaches

  • Nutritional Deficiencies

  • Osteoporosis/Osteopenia

  • Ovarian cysts

  • PCOS (Polycystic ovarian syndrome)

  • PMS/PMDD

  • Thyroid Disorders

  • Weight Management

  • Many more….Please call the office to find out if Green Healing can support your health.