Dr. Katia De Marco, ND

Faq

FAQ

Common questions about naturopathic medicine

Real questions from real conversations and from the searches and chats that happen before a first visit.

A licensed naturopathic doctor (ND) and a medical doctor (MD) both complete four years of accredited medical training and licensing exams. The training overlaps significantly in anatomy, physiology, pharmacology, and diagnostics. The difference is in therapeutic orientation: MDs are trained primarily in pharmaceutical and surgical interventions; NDs are trained in those areas at a foundational level plus botanical medicine, clinical nutrition, acupuncture, and physical medicine. In British Columbia, NDs can order standard lab work, perform physical exams, and prescribe within a defined formulary.

Some of it, yes. Some of it, partially. Some of it, not yet. The honest answer is that the evidence base varies considerably by intervention: clinical nutrition, certain botanical medicines, and acupuncture for specific conditions have strong research support; others rely more on clinical observation and traditional use. A good naturopathic doctor is transparent about where evidence is strong, where it's developing, and where a treatment is being used because clinical experience suggests it helps even if the studies aren't yet definitive. If a practitioner promises certainty about everything, that's a flag.

Yes. Naturopathic doctors in BC are regulated by the College of Naturopathic Physicians of British Columbia (CNPBC), a statutory body under the provincial Health Professions Act. Every practising ND must be registered, carry malpractice insurance, complete continuing education, and adhere to a professional code of conduct. You can verify any ND's registration status on the CNPBC website.

It can if it's not coordinated properly, which is why a thorough intake matters. Some botanicals interact with pharmaceuticals (St. John's Wort and antidepressants is a well-known example), and some supplements affect absorption of other medications. Always disclose every medication, supplement, and over-the-counter product you take. A responsible naturopathic doctor will check for interactions before prescribing anything and will coordinate with your MD or specialist when treatment plans overlap.

No. Naturopathic medicine works best alongside a family doctor or specialist, not instead of one. NDs in BC don't have hospital admitting privileges, can't perform surgery, and have a more limited prescribing scope than MDs. The strongest care model is integrated: your family doctor for primary care and acute medicine, an ND for the slower questions about root causes, hormones, digestion, fatigue, and long-term health. The two should talk to each other when treatment plans overlap.

Yes, by extended health benefits — not by MSP. Most private extended health plans in British Columbia include naturopathic coverage, typically between $300 and $1,500 per year depending on the plan. Coverage doesn't apply to the BC Medical Services Plan (MSP), which only covers conventional medical visits. Check your specific plan for naturopathic coverage limits, and bring your benefits card to your first appointment if you want help understanding what's covered.

Three things: any recent bloodwork or lab results (PDFs are fine, emailed in advance is even better), a complete list of medications and supplements you're currently taking (including doses), and a general sense of what you'd like to work on. If you don't have prior lab work, that's not a problem — it'll be ordered if needed.

Yes. New patient consultations are typically conducted in person to allow for a complete physical exam. Once established as a patient, follow-up visits can be conducted by secure video anywhere in British Columbia.