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LDN in Primary Care: Case Studies


The use of low dose naltrexone (LDN) in primary care will reshape the way doctors practice medicine.  Many treatments that are currently available to treat chronic disease are expensive and fraught with potential side effects.  LDN is an alternative treatment that should be considered for all chronic diseases that may have underlying inflammation and immune dysfunction.

Inflammation is now known to encompass everything from atherosclerosis to osteoporosis, and autoimmune disease is on the rise at an alarming rate.  The potential benefit of more widespread use of LDN in general medicine could have profound effects, improving patient outcomes, treatment compliance, and cost of care. 

In this general internal medicine practice, low dose naltrexone is being used successfully to treat a wide range of conditions.  Patient experience has been overwhelmingly positive. Some patients have utilized LDN as their primary treatment. Other patients have incorporated LDN into their conventional treatment regimen. We will be looking at case studies in a variety of clinical situations, highlighting the opportunities available for the use of LDN in primary care practice. 


Dr. Cottel is native to Southern California and grew up in San Diego. She received her bachelor's degree with honors at the University of California at San Diego (UCSD) in biochemistry and cell biology. She received her medical degree from UCSD School of Medicine in 1995.  She completed her internship and residency in Portland, Oregon and returned home to San Diego where sunshine and family beckoned. 

Dr. Cottel is board certified in Internal Medicine and is a diplomate of the American Board of Holistic Integrative Medicine.  She has twenty years of internal medicine experience which has led to her current  focus on integrative care and holistic health.  She believes that to truly treat a patient, you must treat the whole person, and she is committed to the excellence in care that such an idea requires. 

Active in her community, she enjoys spending time as a family with her husband and two children.  She is committed to her faith and is an active member of the Christian Medical and Dental Association.  She also belongs to the American College of Physicians and the Academy of Integrative Health and Medicine.