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Body Aligned™ collective

Naturopathic Doctor located in Santa Monica and Venice California

Telehealth options are available
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Every week I share snippets of my conversations with patients, students, friends, things that I’ve read, heard, learned, reflected on and more. All with the intention of encouraging you to think critically, inspiring you and giving you practical tools to improve your health and hopefully as a byproduct, your life. 

If coffee is your first “meal”... then read this!

Dec 22, 2025

If you’re a woman — especially in your perimenopausal or menopausal years — and your mornings begin with coffee alone until midday, it may be time to gently reconsider this routine.

Yes, your body may be changing, but skipping food isn’t the solution. In fact, it can quietly work against you.

When you consume caffeine on an empty stomach, it can:

  • Disrupt your circadian rhythm (your internal clock)
  • Interfere with sleep and recovery
  • Drive up stress hormones like cortisol
  • Contribute to muscle loss and increased fat storage (often in unwanted areas)

And this isn’t just about perimenopause or menopause, it applies to women (and men) at any stage of life.

Your body needs consistent, real fuel to carry out its vital daily functions.

If you’re dealing with fatigue, anxiety, midday crashes, hormonal shifts or restless sleep, here are a few supportive changes you can start implementing right away:

Meal Timing

  • Eat within 30–90 minutes of waking
  • Avoid skipping meals (this is especially important for women)
  • Front-load calories earlier in the day
  • Don’t go long stretches without food
  • Add balanced snacks if you’re prone to energy dips

Caffeine & Food

  • Avoid caffeine on an empty stomach (morning or mid-day)
  • Enjoy coffee after a full meal rather than a light snack
  • Try not to use coffee to suppress your appetite (your hormones will thank you)

About Black Coffee

  • Black coffee on its own, especially first thing in the morning, can spike your cortisol at a time when it’s already naturally high.
  • If you’re sensitive to blood sugar drops, anxiety or jitters, this can amplify those symptoms.

The bigger picture
When you rely on caffeine to “power through,” you’re borrowing energy you don’t actually have. 

That burst of energy comes from stress hormones and while it can feel helpful at first, it always catches up with you. Running on stress hormones feels good until it doesn’t!

Fatigue, hair loss, low libido, constipation, muscle loss, stubborn belly fat, premature aging can all be signs that your body is living in a prolonged state of survival.

These are signs your body is feeling out of balance and living in a perpetual state of survival.

The goal isn’t to quit coffee.
It’s to reclaim real energy so coffee becomes something you enjoy — not something you depend on.

Feeling wired, jittery and exhausted all at once isn’t normal! Rather it is a signal that your body is running on stress hormones.

If you’re exhausted, the answer isn’t more coffee — it’s more support, nourishment, and rest.

In my practice, fatigue is one of the most common concerns I hear. For some it’s debilitating; for others it’s quieter but still plays a direct role in their daily life and decisions. If this resonates with you, please know there are many effective and practical ways to restore your energy, resilience, and vitality.

This is what Naturopathic Medicine is all about, and if you’re curious to learn more or explore whether this approach can work for you, you can read more here.

The most dangerous prescription …isn’t always a pill — but forgetting that you can heal

Oct 06, 2025

Today I want to talk about the power of words — especially when they come from people we see as authority figures: doctors, scientists, financial advisors, politicians and the like.

This piece was inspired by two conversations I’ve recently had with patients.

Patient #1

She was diagnosed with ulcerative colitis and soon after underwent surgery to remove a part of her colon. She felt rushed into the decision and recalls being told it was “absurd” to think that diet or lifestyle could have any influence on a “serious condition” like ulcerative colitis.

No one offered her other options or even space to process what was happening.
She told me that she regretted the surgery almost immediately but felt overwhelmed, confused, and powerless. Later, she was placed indefinitely on immunosuppressant medication.

Patient #2 

Over two decades ago, as a young woman, she was prescribed blood pressure medication. Her doctor told her, “This is genetic — there’s nothing we can do besides giving you medication.”

No one mentioned nutrition, stress management, movement, or even basic daily habits that could make a difference for her.
Today, she’s on three different medications, yet her blood pressure remains inconsistent.

Both of these women followed their doctors’ instructions exactly — as we’re told we should.
And both shared that, even back then, a quiet voice inside them wondered: Is this really my only option?

But they overrode that voice — their intuition — because they trusted the “expert” in front of them more than themselves.

In an ideal world, you should be able to fully trust your doctor’s recommendations.
But we don’t live in an ideal world.

In conventional medicine, there’s often only one standard of care — a one-size-fits-all approach that leaves little room for individuality or intuition.

And yes, I am a doctor. But I want to challenge that notion!

I want to invite you to start trusting your quiet yes and your quiet no.

Of course, seek professional guidance — but consulting an expert is not the same as surrendering your agency.

When receiving guidance, ask yourself:

Is this person empowering me, or disempowering me?

Because the therapeutic relationship (between doctor and patient) plays a direct role in patient outcome.

Empowering care looks like this:

  • You’re given options
  • Your doctor practices informed consent (shares the good, the bad and the ugly)
  • They remind you how resilient and capable your body is
  • They respect your intelligence and your right to choose
  • They encourage you to develop a deep relationship with your body
  • They remind you that you already have everything you need to heal

Disempowering care looks like this:

  • “My way or the highway” energy
  • Dismissing your intuition or symptoms
  • Making you believe you need them to heal
  • You’re rushed or coerced into making health decisions
  • You’re made to fear your own body, the disease and what lies ahead

In my practice, I remind my patients daily:
Your body is infinitely wise and you have everything you need to heal.

And our work together is simply to remove what’s standing in the way — not to add more noise, fear, or dependency.

This is what naturopathic medicine is all about.

Anxiety, PMS, Poor Sleep… They May Share The Same Hidden Trigger

Sep 22, 2025

Did you know that low blood sugar can be just as stressful for your body as high blood sugar?

In my practice, I see this all the time: women struggling with anxiety, mood swings, or poor stress tolerance — and when we trace it back, unstable blood sugar is often at the root.

We all know high blood sugar is harmful… but what about chronically low blood sugar? For many women, this hidden stressor quietly drives:

  • anxiety & irritability
  • brain fog
  • PMS & irregular cycles
  • palpitations
  • night wakings (2–4 am)
  • post-workout crashes
  • hormonal migraines
  • poor recovery from stress

Here’s why:
When blood sugar dips, stress hormones like cortisol and adrenaline step in to bring it back up, that’s part of their job. But these repeated surges can trigger anxiety, disrupt sleep, and over time, impair thyroid and progesterone balance — two key hormones for mood stability, cycle health and stress resilience.

The good news? When you learn to stabilize blood sugar, you stabilize so much more than just your energy. You build the foundation for hormonal balance, calm mood and better stress tolerance.

Blood sugar stabilization simply means avoiding the roller-coaster of extreme highs and lows, and keeping your levels within a controlled range. 

I’ll be diving into this in my upcoming presentation at the Integrative Clinical Medicine Symposium::
“The Role of Blood Sugar Stabilization in Hormonal Balance, Anxiety and Stress Resilience.”

I’ll share the science, real clinical cases, and most importantly practical strategies you can use right away to help stabilize your blood sugar levels.

If you’ve been wondering why anxiety or cycle issues persist despite “doing all the right things,” this may be the missing piece.

Get insider access to Dr. Mahboubeh’s research, expert tips and practical tools to improve your physical, mental and emotional health!