Some individuals seek care after navigating prolonged or complex health challenges involving immune activation, environmental exposure, or persistent inflammatory patterns.
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This may include individuals with diagnoses or suspected patterns related to Lyme disease, co-infections, mold exposure, or other environmentally influenced illnesses.
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Chronic illness care at The Nourishing Tree is grounded in individualized assessment and thoughtful, physiology-focused support.
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​Many chronic conditions are layered and evolving. Nutrition status, digestion, immune balance, toxic burden, metabolic function, and daily stressors all influence how the body adapts over time. Our role is to help clarify these layers and support the body through a paced, sustainable plan of care.
Chronic & Complex Illness Care
Bio-individual naturopathic nutrition support for adults navigating complex and persistent health concerns.
Our Approach
Chronic illness support may include:
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Comprehensive health and nutrition history
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Functional and foundational lab interpretation
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Bio-individualized nutrition and supplement guidance
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Environmental and lifestyle considerations
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Gentle support for regulation, resilience, and recovery
Recommendations are tailored to the individual and adjusted as the body responds over time.
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Areas of Support
We support individuals navigating a range of chronic and complex health concerns, including:
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Immune and inflammatory patterns
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Environmental and biotoxin exposure
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Digestive and metabolic dysfunction
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Fatigue and multisystem presentations
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Conditions requiring integrative, long-term planning
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Chronic illness care is collaborative and individualized.
Our approach emphasizes:
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understanding patterns rather than chasing symptoms
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clarity over overwhelm
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steady progress over aggressive intervention
When appropriate, we work alongside existing medical providers to support a coordinated approach.
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How to Begin
Chronic illness care begins with a consultation to review history, current concerns, and appropriate next steps.
This care is not a replacement for medical treatment. Naturopathic nutrition support is provided as part of an integrative, collaborative approach.
She took the time to dig deeper and understand what was underlying the concerns
-Client Reflection
Care is guided by English Goldsborough, ND, and supported by a small team of practitioners trained in integrative, nutrition-led and somatic approaches, including the Safe and Sound Protocol. Each individual is paired with a dedicated practitioner based on fit and area of focus.
→ Learn more about The Team

Frequently Asked Questions
Q: What types of concerns do people typically seek care for? A: Individuals often seek care for complex or long-standing health patterns that may involve immune, inflammatory, environmental, or regulatory factors. Some arrive with diagnoses such as Lyme disease, mold-related illness, or other chronic conditions; others do not. Care is not organized around a single diagnosis, but around the individual system as a whole.
Q: Do you work with Lyme disease and mold-related illness? A: Yes. Care may include individuals with previous diagnoses or suspected patterns related to tick-borne illness, mold exposure, or other environmentally influenced conditions. These are considered within a broader clinical context rather than viewed as isolated issues.
Q: How is complex and chronic care approached? A: Care is thoughtful, individualized, and paced. Recommendations are informed by careful assessment and may involve nutrition-led guidance, attention to physiology, and system-wide considerations. Interventions are introduced gradually and adjusted based on response and capacity.
Q: Is nervous system support part of this care? A: When appropriate, nervous system–informed approaches may be included as supportive elements of care. These are optional and introduced with consideration for individual readiness and preference.
Q: Do you follow a specific protocol for chronic illness? A: No. Care is not one-sized-fits-all protocol-driven. Recommendations are tailored to the individual and may evolve over time as the system responds. The focus is on discernment and sustainability rather than standardization.
Q: Will you replace my medical provider? A: No. Care provided here does not replace medical care. Collaboration with existing healthcare providers is welcomed when appropriate, and individuals are encouraged to maintain relationships with their licensed medical team.
Q: Are supplements always part of care? A: Not necessarily. When used, recommendations are informed by individual needs and assessment findings and may include nutritional, botanical, or homeopathic support. No single approach is applied universally.
Q: Are visits in person or virtual? A: Care is provided virtually. Most lab work, when indicated, can be completed at home or through local lab draw centers.
q: How long does care typically last? A: Care is offered within structured containers rather than one-time visits. The length and scope of care vary depending on individual needs, goals, and capacity, and are discussed during the consultation and orientation process.
Q: How do I know if this care is a good fit for me? A: Care begins with a consultation. This conversation allows space to understand your history, current concerns, and whether care here would be appropriate at this time.

