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Working Hours
Monday - Friday 09:00AM - 17:00PM
Saturday - Sunday CLOSED
Vitality NW - Natural Medicine Clinic specializing in Women's Health and Pediatrics
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Clinic FAQs: 7 things to know about being a patient at Vitality NW.

Here's some stuff we'd love for everyone to know about being here. [caption id="attachment_4016" align="aligncenter" width="300"] Many learning! Much Fact![/caption] Scheduling: You can call the office at 503-344-1345 or schedule online at vitalitynw.com/schedule-appointment. Calls, emails, and online scheduling are returned in order of medical priority. Blood draws are scheduled at 9:00 am Wednesday-Friday, or at 1 pm M/W/Tr/F. We also do these as a normal part of our visits in the exam room when needed. New patient visits are 90 minutes long. Follow ups are generally 45 minutes. Please let us know if you have a time constraint that requires a quick visit, or if you're particularly worried about an exam due to past trauma or discomfort and may need more time. I can combine family visits...

What Supplements Should I Give My Kids? Foundations Series #1

There’s the optimal life, which we should all strive towards- and then there’s what actually happens. We all, as busy parents, have bought fast food because travel time from point A to point B was the only time anyone was going to get to eat. Most of us are guilty of occasionally handing over a screen because we needed to get something done. Perhaps, as an expression of love, we have overscheduled our children. Or maybe your kid isn’t into optimal health. We all know a couch potato who’s really proud of their mountain dew habit, and maybe your kid is that guy. A question that I get all the time is “What Should My Kid Be Taking?” Keep in mind that this is very generalized...

Back to Work: Breastfeeding Guide

By Adrienne Koznek, IBCLC I recently held a webinar about breastfeeding and returning to work outside the home. So many families have to juggle breastfeeding, pumping, storing, and giving breast milk to their babies sooner than they would like. My hope is that by having information and support, families can continue their breastfeeding relationship while going to work or school. [caption id="attachment_3995" align="aligncenter" width="683"] It's like they know us. Everyone is happy and working with baby is fun.[/caption] The World Health Organization recommends exclusive breastfeeding for at least 6 months, then introducing appropriate solid foods while continuing to breastfeed for 2 years or beyond. Unfortunately, in the United States breastfeeding rates drop significantly at 3 months. According to the CDC’s breastfeeding report card, 81.1% of babies start out...

How do I know if I need pelvic floor physical therapy?

Patient story time: Once upon a time there was a woman who came in with a history of urinary incontinence from early childhood and continuing, worsened by the surgical birth of her first child. She had lived with shame and extra changes of clothes for years, and all that ever came of telling doctors was that she would just “have to live with it”. That’s not a terribly empowering thing to hear, so she kept searching. Along the way she found out that 90 % of women who deliver vaginally and 75% of women who deliver via cesarean had a problem called a “cystocele” which means that the bladder has fallen out of alignment and is hanging into the vagina a little bit. France has a...

How to make lactation cookies (and why they work!)

I used this recipe on occasion during both of my breastfeeding journeys. Depending on the reason for a lactation increase, they work. Don’t worry though- you can also just eat them because they’re delicious. (In moderation! Metabolic dysfunction messes with lactation too!) [caption id="attachment_3967" align="aligncenter" width="800"] oatmeal cookies that are also full of health benefits[/caption] The main functions this recipe has are in the oats, brewers yeast, and flax seed. Oats are a mild galactagogue- they can increase breastmilk. The reason oats increase milk supply is threefold. Milky oats are a time honored nervous system tonic, so they help with stress which can interfere with let down. (milky oats and steel cut oats aren’t the same! But some parts of this nervine component is still true.) Oats...

Feeding Babies: It’s not as complicated as you’re trying to make it.

Written by Alicia Hart, ND Story time, y’all. With my first kid, I totally did that handmade steamed single veggie puree, each new vegetable accompanied by a 3 day wait to look for reactions to the food. We fussed and he fussed and it was a terrible time of grinding up baby oats and adding spirulina to things that had no business having spirulina on them. Fast forward 3 years later: Girl twin started eating by stealing bacon off my plate while I was distracted by her brothers. Boy twin refused to eat for months after she started eating. I came back from taking recycling out one night to find my older kid feeding girl twin raw cookie dough (Holy Salmonella, batman!) and before a year we...

Why IBCLC?

By Adrienne Koznek, IBCLC Whenever I tell someone about my job, they always ask me “what made you decide to get into that?”  My answer is simple: My personal breastfeeding journey started out rocky, to say the least - and I wanted to do something to make sure other families don’t have to go through what I went through. [caption id="attachment_3711" align="aligncenter" width="1024"] They look so peaceful even when things are super hard.[/caption] How did I become an IBCLC?  I completed the International Board of Lactation Consultant Examiners (IBLCE) pathway 2 program (https://iblce.org/certify/pathways/).  I completed more than 90 hours of lactation-specific education, in addition to 14 health and science courses (anatomy & physiology, and nutrition, among others). Possibly most importantly, I completed more than 300 hours of clinical...

Teething: Tips and Tricks

By Alicia Hart, ND Teething has come up a few times here in the last couple weeks, and I realized I do have quite an opinion on the process. Having had an early teether (4 months) and twins on very different dentition schedules with different processes for their tooth eruptions, we’ve pretty much tried it all at our house. [caption id="attachment_3898" align="aligncenter" width="683"] They feel like chompy dinosaurs and you might too.[/caption] There are a number of studies out which discuss which symptoms do and don’t come with teething- most of which say something along the lines that there’s no such thing as teething associated diarrhea or fever. They also note that 75% of parents notice teething fevers or diarrhea, so what I’m choosing to take away from...

Breastfeeding Guide: Do’s and Dont’s of Using a Nipple Shield

By Adrienne Koznek, IBCLC [caption id="attachment_3891" align="aligncenter" width="1024"] Silicone nipple shield[/caption] The use of nipple shield dates back 500 years.  They have evolved from being made of metal or wood to thick rubber, and most recently, to medical grade silicone.  Historically, the older models showed to have a detrimental effect on milk supply in mothers, likely due to decreased stimulation of the nipple.  While the use of nipple shields does indeed have drawbacks, recent research shows that they can in fact be a useful tool in aiding milk transfer in preterm babies. The key aspect of nipple shield usage is ensuring it fits correctly.  This is necessary to ensure proper milk transfer and stimulation, as well as to avoid any discomfort or damage.  I highly advise only using...

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