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Consultations Offered

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Initial 60-Minute Naturopathic Consultation

Ideal for in-depth skin health evaluation or multiple concerns, including digestion, hormone balance, aging, and integrative wellness. Recommended if dealing with several concerns.

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Initial 45-Minute Naturopathic Consultation

Perfect for focused care around one specific concern, such as acne or rosacea, or for supporting healthy and positive aging skin. This 45-minute visit is best for a single concern and a targeted treatment plan.

Professional-Grade Supplements

Fullscript is a trusted online platform for professional-grade supplements that support skin and overall health. Orders are secure, HIPAA-compliant, and shipped straight to your door.

 

Please note: creating a Fullscript account on your own does not make you a patient of Dr. Leticia Spinelli. Supplement recommendations are available only to her patients.

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Personalized integrative care for skin health, hormone balance, digestion, and healthy, positive aging—from the skin outward and the inside in—plus a curated selection of professional-grade products and supplements tailored to your unique needs.

Focus Areas

Whether you're navigating hormonal shifts, digestive issues, chronic skin conditions, fatigue, or simply want to age vibrantly — your consultation is designed to uncover the root causes and build a plan that reflects your values and goals.

Skin conditions (acne, melasma, rosacea, eczema)

Hormonal changes (PMS, PCOS, perimenopause, menopause)

Digestive health (bloating, IBS, gut-brain connection)

Stress, burnout, anxiety, fatigue

Healthy & Positive aging and longevity support

Nutrition, inflammation, and metabolic balance

Preventive care and wellness optimization

Naturopathic Consultations

Personalized integrative care for skin health, hormone balance, digestion, and healthy & positive aging from the skin to within and inside out.

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At Rio Skin Clinic, Naturopathic Medicine is more than symptom management — it's about empowering your long-term health through a functional and holistic lens. Dr. Leticia Spinelli ND Inc. combines over 20 years of dermatology expertise with naturopathic medical training to help you look and feel your best, naturally and sustainably.

Getting Ready for Your Visit & Beyond

FAQ
    • Complete the intake form in advance with details about your health history, medications, supplements, and lifestyle.

    • Bring any relevant lab work or test results from the past year (or request a copy from your GP).

    • Have your top 2–3 health priorities in mind so we can focus on your care plan.

  • Initial naturopathic visits last approximately 45 or 75 minutes and include:

    • A deep dive into your medical history

    • Symptom review across multiple systems (skin, digestion, hormones, stress, etc.)

    • Nutrition, sleep, and lifestyle assessment

    • Physical exam, if needed

    • Review of recent labs or ordering of functional and/or conventional testing

    A comprehensive, personalized plan that may include:

    • Nutrition and supplement recommendations

    • Pharmaceutical prescription medications

    • Botanical and  homeopathic medicine

    • Bio-identical hormone support (HRT)

    • Lifestyle coaching, including diet, sleep and stress solutions

    • Ordering blood work and functional lab testing

    • Screening and support for sleep apnea and hormonal imbalances

    • Guidance in navigating the healthcare system and collaboration with other health professionals for multi-disciplinary approach 

    • Recommendations for IV therapy, IM injections,  medical or aesthetic procedures, where relevant
       

  • Follow-up visits are typically scheduled every 4–12 weeks to provide continued support and refine your plan. Prescriptions can be coordinated when needed.

  • Hormonal imbalances, chronic fatigue, skin conditions, stress, digestion, healthy and positive aging support, and preventive care, and skin health.

  • Yes. Most extended health plans cover naturopathic care in BC. We provide detailed receipts for reimbursement.
     

  • Absolutely. As a licensed ND in BC, Dr. Spinelli specializes in integrative care and has prescribing authority for a range of pharmaceuticals such as bio-identical hormones and more. 

  • No. Many clients seek wellness optimization, prevention, and healthy and positive aging. Also, it is great for support during life transitions, such as puberty, motherhood, peri-menopause.

  • You’ll receive more time, deeper investigation, and a whole-body, root-cause approach that blends evidence-based medicine with natural therapies — guided by Dr. Spinelli’s unique expertise as both a Naturopathic Doctor and Brazilian Board-Certified Dermatologist.

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