FREQUENTLY ASKED QUESTIONS
Do you only work with Lyme clients?
No, I work with a diverse group of clients who wish find out why they are still having health problems despite of having sought conventional medical care. I also work with clients who do not wish to take medications that suppress symptoms without addressing the root cause.
How do you work?
When working with clients, I address the whole person. After an initial (complimentary) introductory call, I will present a proposal with different treatment options. As I emphasize a personalized approach, each program is tailored to my client’s specific needs.
Consultations are available in person (at KIMA WELLNES, flatiron district in NYC) or via telephone.
What are the consultation fees?
Option #1: Pay-as-you-go:
Clients who wish to engage in a wellness program with acute health challenges can choose a pay-as-you-go option. This includes a detailed written synopsis after the consultation. The first consultation rate is $200.00. This session is 60 minutes long. Before meeting, Rika requests any recent blood labs that will be evaluated for nutritional challenges. In addition, Rika will require certain questionnaires that will provide additional information.
The time for preparation, and written post-synopsis, is incorporated in the above fee.
Follow up consultations are $175.00.
Option#2: Chronic health challenges
Clients with complex and chronic conditions require a minimum commitment of 3 -6 months when choosing to work with Rika. This includes chronic Lyme, autoimmune, chronic digestive troubles, infertility, and neurodegenerative illnesses.
A functional approach is based on addressing root causes that causes symptoms, it takes time and different layers are investigated and addressed.
Initially, consultations are more frequent until the client is able to continue in a maintenance health program. Email coaching is imperative to assist in program implementation and to guide the client through any challenges along the way. The following are part of a customized program:
Evaluation of prior lab tests
Gut health challenges, incl. leaky gut and food intolerances
Evaluation of toxic exposures that contribute to health challenges
And deeper metabolic investigation into detoxification challenges
Essential email coaching
Chronic infections associated with ongoing inflammation require a multi-pronged approach that is not considered in conventional medicine. There is no quick-fix. Rika’s extensive training and experience pave healing opportunities in a therapeutic relationship that requires commitment from the client to facilitate change for the better.
Part of her work occurs “behind the scenes” as she connects with labs, evaluates lab test results prior to the consultation, writes reports for the client, researches, and prepares personalized strategies along the way. On the front side, she engages with scheduled consultations and email to guide and fine-tune the process and progress.
With chronic Lyme, it is especially important to go slow to prevent a herx situation. If a client is on prolonged antibiotic treatment for vector-borne infections, she is able to address collateral support from medications that can induce secondary troubles. Rika is also open to working in conjunction with Lyme-treating physicians or medical doctors, as she believes in team to maximize the benefit for her client. She will require your consent to communicate with your physician.
Clients with complex health challenges find that signing up for an extended program gives them the best results, and they benefit greatly with knowledgeable email coaching along a challenging path.
This can include the need for additional lab testing, including:
Organic Acid urine testing (home)
Genetic saliva testing (home)
Stool testing (home)
Lyme and co-infection testing (home)
Metabolic Typing Test (online)
DUTCH hormone test (home)
Blood tests to assess challenges (not pathologies) physician
And other tests as needed
. (Lab fees are not included in the program fee.)
Fees for comprehensive programs vary based on complexities of illness or sickness, need for frequency of consultations in initial stages.
Starting fees for a 3-months program begin at $2000.00
Payments can be split up (as discussed case by case) to ease financial stress.
Does Rika take health insurance?
This functional nutrition and health practice is not involved in any insurance plans. Payment is requested 48hrs before the consultation.
All credit cards are accepted at www.NYIntegratedHealth.com
Is Rika available for public speaking engagements?
For more information she can be contacted directly at 646 285 8588