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Who I serve

Adults ready to recover from chronic illness

I work with adults in Arizona, Montana and Washington who are ready and willing to do the work to get well, and who want to work together as a team to recover from chronic illness and reclaim their health.

Maybe you’ve seen doctor after doctor, been told your labs are “normal,” and still don’t feel like yourself. Maybe you’re tired of managing symptoms and want to understand what’s actually driving them. If so, you’re in the right place.

Environmental medicine is at the heart of my practice. Heavy metals, mold toxins, and other environmental toxins can quietly drive chronic illness, and they’re easy to overlook. Your symptoms are real, and I take them seriously, including when mold illness, MCAS or CIRS may be part of the picture. With 14 years of clinical experience, I help patients uncover and recover from these hidden burdens using an evidence-informed, root-cause approach. I’ve also been studying botanical medicine since 2003, combining the wisdom of traditional botanical therapies with modern integrative medicine.

You may be a good fit if you are:

  • Struggling with the effects of heavy metals, mold toxins (mycotoxins), or other environmental toxins
  • Recovering from mold illness or sewer gas exposure
  • Living with Chronic Inflammatory Response Syndrome (CIRS) or Mast Cell Activation Syndrome (MCAS)
  • Dealing with thyroid disorders, including Hashimoto’s thyroiditis, or other autoimmune diseases
  • Struggling with chronic fatigue syndrome (ME/CFS), Long COVID, or another difficult-to-diagnose chronic condition
  • Dealing with gut health, microbiome or digestive disorders
  • Recovering from a concussion or looking to support your brain health
  • Experiencing hormone imbalances, such as low testosterone, erectile dysfunction, andropause, or menopause
  • Living with metabolic syndrome or high cholesterol
  • A high performer or athlete, such as a marathon runner or martial artist, who wants to understand your body and perform at your best
  • Looking for a root-cause approach to healthy aging and longevity
  • Ready and willing to do the work to get well, and to work together with me as a team

Common signs and symptoms

Symptoms of mold illness, CIRS, chronic fatigue and Hashimoto’s

The people I work with often have symptoms in several parts of the body at once. Many of these symptoms overlap between mold illness, CIRS, chronic fatigue syndrome, Hashimoto’s thyroiditis and other chronic conditions, so a symptom on its own can’t tell you the cause. Your symptoms are real, and the pattern they make is a good place to start.

Energy and sleep

  • Fatigue that rest doesn’t fix
  • Crashing after activity
  • Unrefreshing or poor sleep
  • Feeling cold, night sweats or trouble regulating temperature

Often seen with: Chronic fatigue (ME/CFS), Mold illness, CIRS, Hashimoto’s

Brain and mood

  • Brain fog, memory or word-finding problems
  • Headaches
  • Anxiety, low mood or mood swings
  • Feeling “wired” but tired

Often seen with: Brain fog, Mold illness, CIRS, MCAS, Hashimoto’s

Sinus, breathing and reactions

  • Sinus congestion or a chronic cough
  • Shortness of breath or wheezing
  • Flushing, hives, itching or rashes
  • Reactions to foods, medications, smells or heat

Often seen with: Mold illness, CIRS, MCAS

Gut and digestion

  • Bloating, gas or abdominal pain
  • Constipation, diarrhea or both
  • Reflux or heartburn
  • Food sensitivities that keep growing

Often seen with: Gut health & SIBO, MCAS, Mold illness, Hashimoto’s

Pain, nerves and senses

  • Muscle aches, cramps or joint pain
  • Numbness, tingling or unusual skin sensations
  • Sensitivity to light, sound or smells
  • A racing heart or lightheadedness

Often seen with: CIRS, Mold illness, Heavy metals, Long COVID & ME/CFS

Thyroid and metabolism

  • Weight changes that don’t match your habits
  • Dry skin or thinning hair
  • Increased thirst and frequent urination
  • Thyroid labs that don’t match how you feel

Often seen with: Hashimoto’s & hypothyroidism, CIRS, Heavy metals

Patterns worth noticing

  • Symptoms started or got worse after a move, a leak, flooding or a renovation
  • You feel better away from home or work, and worse when you return
  • Other people or pets in your home are unwell too
  • Symptoms began after an infection, a head injury, antibiotics or a stressful time
  • Your labs keep coming back “normal,” but you still don’t feel like yourself

What to do about your symptoms

  1. Get urgent symptoms checked first. For chest pain, trouble breathing, sudden weakness or confusion, call 911 or go to the nearest emergency room. If you’re having thoughts of suicide, call or text 988. Keep your primary care doctor in the loop.
  2. Write down your story. When did symptoms start, and what changed around then: a move, a leak, an illness, an injury or a new medication? What makes them better or worse, and how do you feel away from home?
  3. Look at your home. Walk through it with the free mold & toxin checklist. If you suspect mold, have it inspected by an independent professional, and use a different company for remediation and re-testing.
  4. Take a free quiz. Try the environmental health quiz if you suspect mold, chemical sensitivities or breathing problems, or the energy & vitality quiz for low energy, weight changes or thyroid symptoms.
  5. Gather your records. Past labs, even “normal” ones, and notes from other doctors help us see the whole picture.
  6. Book a free discovery call. It’s a 30-minute conversation to see whether we’re a good fit. Recovery takes commitment from both of us: if you’re ready and willing to do the work to get well, I’ll be your guide, and we’ll work together as a team.

Free · 30 minutes · by Zoom · no obligation

One approach for complex, connected symptoms

Chronic symptoms rarely fit neatly into one box. Fatigue, brain fog, gut problems, hormone changes and new sensitivities often overlap, and they can share common drivers such as hidden exposures to mold or heavy metals, poor sleep, ongoing stress, blood sugar swings or inflammation.

That’s why every evaluation starts with your whole story: your symptoms and timeline, your home and work environment, your past labs and records, and your goals. From there, I look for the root causes and build a step-by-step plan with you, coordinating with your other doctors when needed.

Not sure where your symptoms fit? Take the free environmental health quiz if you suspect mold, chemical sensitivities or breathing problems, or the energy & vitality quiz if you’re mostly dealing with low energy, weight changes or hormones.

What we work toward together

Healing from complex chronic illness isn’t a quick fix. It takes commitment, and it’s a partnership: you bring your story and the willingness to do the work, and I bring the clinical expertise. We work as a team.

Care follows three steps, starting with the gentlest approach that works:

  1. Remove obstacles to health

    Identify and reduce toxic burden from heavy metals, mold toxins and other environmental exposures, along with diet, stress, sleep and digestion.

  2. Support the body’s ability to heal

    Botanical medicine, personalized nutritional medicine, detoxification therapies and mindfulness practices.

  3. Add more only as needed

    Following the naturopathic therapeutic order, using the least force necessary.

My goal is to help you recover and heal from chronic illness, autoimmune disease, and toxic exposures, and to live the life you’ve been dreaming of.

All care is provided by telemedicine to adults who live in Arizona, Montana or Washington and are in one of those states at the time of each visit.

Common questions

Can a naturopathic doctor help with chronic illness?

A licensed naturopathic doctor looks for what’s driving your symptoms, such as environmental exposures, gut health, hormones, sleep and stress, and builds a step-by-step plan with you. Dr. Madeira works alongside your other doctors, and you keep your primary care doctor. See what naturopathic medicine is.

Do I need a diagnosis before I book?

No. Many patients come with symptoms but no clear answer, or with labs that keep coming back “normal.” Your symptoms are real, and the discovery call is a place to talk through them.

Do you see children or teens?

No. Dr. Madeira sees adults (18 and older) who live in Arizona, Montana or Washington and are in one of those states during each visit.

What if I’m not sure my symptoms fit?

Start with the free environmental health quiz or the energy & vitality quiz, or book the free 30-minute discovery call. We’ll decide together whether working together is a good fit.

Do you treat chronic illness in person?

No. Care is 100% telemedicine, by secure video or phone, so there’s no office to travel to. See how care works.

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“Dr. Madeira is compassionate and truly listens. He takes the time to look beyond band-aid solutions and digs deeper to look at the root cause.”

Dr. Shelly Sethi, D.O.

From Google reviews. Individual experiences and results vary.

Free discovery call

Ready to take the first step?

Book a free 30-minute discovery call with Dr. Madeira. We’ll start with your why: what you want your health and life to look like, what’s been getting in the way, and whether working together feels right for you.

  • 30 minutes by Zoom, free, with no obligation
  • We talk about your goals and what’s been getting in the way
  • A non-clinical conversation: no diagnosis or treatment yet
  • For adults who live in Arizona, Montana or Washington

Concierge, private-pay practice (no insurance accepted) · 100% telemedicine for adults in Arizona, Montana & Washington.