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Chronic Infections

Some infections resolve quickly and completely. Others do not. Whether a virus has reactivated after years of dormancy, a tick bite has set off a cascade of complex symptoms, or COVID-19 has left lasting effects that conventional medicine has struggled to explain or address — chronic and persistent infections require a different kind of medicine. At Natura, we ask different questions, run different tests, and bring a depth of clinical experience to chronic infections that has helped many patients find answers and relief after years of searching.

Our Experience

During the COVID-19 pandemic, Natura was a leader in caring for patients in person — developing specific naturopathic protocols to help patients navigate the then-unknown territory of this virus, reduce the need for hospitalization, and support recovery. We have accumulated significant clinical experience with Long COVID and post-viral syndromes, and we stay current with the evolving science to ensure our patients have access to the most effective therapies available. We know what works — and we are not afraid to use it.

Our Approach

Chronic infections are among the most complex presentations in modern medicine. Viruses, bacteria, and other pathogens can affect different people in profoundly different ways — triggering immune dysregulation, inflammation, hormonal disruption, neurological symptoms, cardiovascular effects, and gut dysfunction that persist long after the initial infection has passed. Standard medical evaluation often misses these patterns entirely, because it asks standard questions and runs standard tests.

At Natura, we ask different questions. We investigate the underlying immune landscape, look for evidence of viral reactivation or persistent bacterial burden, assess the downstream effects of chronic infection on every body system involved, and build individualized treatment plans that address the full complexity of what each patient is experiencing. When patients come to us having been told that everything looks normal, we know that the right test — the one that wasn't ordered — often tells a very different story.

We also recognize that chronic infections do not exist in isolation. They influence and are influenced by the immune system, the gut, the nervous system, the hormonal system, the cardiovascular system, mental health, and more. Our care addresses that whole picture — because treating a chronic infection effectively means treating the whole person it is affecting.

Conditions We Support

Long COVID / Post-Acute Sequelae of SARS-CoV-2 (PASC)
Long COVID is one of the most significant and complex post-viral syndromes in modern medical history. Symptoms can affect virtually every body system and may include profound fatigue, brain fog, breathlessness, post-exertional malaise, heart palpitations, joint and muscle pain, sleep disruption, mood changes, headaches, sensory changes, and gastrointestinal symptoms. At Natura, we have deep clinical experience with Long COVID and offer comprehensive, individualized care that goes well beyond what most conventional providers have been able to offer.

Post-COVID Vaccine Injury / Post-Vaccine Syndrome
For patients who have experienced adverse effects following COVID-19 vaccination — including fatigue, neurological symptoms, cardiovascular symptoms, immune dysregulation, and others — we offer compassionate, thorough naturopathic evaluation and support. We take these presentations seriously and approach them with the same clinical rigor we bring to any complex chronic condition.

Mast Cell Activation Syndrome (MCAS)
MCAS is increasingly recognized as a significant component of Long COVID and other post-viral and post-vaccine syndromes. It involves dysregulated mast cell activity that can trigger a wide and seemingly unrelated array of symptoms across multiple body systems. We evaluate and treat MCAS as part of our chronic infection and post-viral care.

Dysautonomia & POTS
Dysautonomia — including postural orthostatic tachycardia syndrome (POTS) — is commonly associated with Long COVID and other chronic viral conditions. We see a significant number of patients with dysautonomia and POTS and offer naturopathic support alongside appropriate specialist co-management when indicated.

Epstein-Barr Virus (EBV) & Chronic Viral Reactivation
EBV — the virus responsible for mononucleosis — can reactivate under conditions of immune stress and chronic illness, driving fatigue, immune dysfunction, and a range of systemic symptoms. We test for viral reactivation and address the immune environment that allows it to occur. Other herpes-family viruses including HHV-6 and CMV are also evaluated when clinically relevant.

Post-Viral Fatigue Syndromes
Profound, persistent fatigue following viral illness is a well-recognized phenomenon that remains poorly addressed in conventional medicine. We support patients with post-viral fatigue through comprehensive immune, metabolic, hormonal, and nutritional evaluation — identifying and addressing the specific drivers of each patient's fatigue picture.

Lyme Disease & Tick-Borne Co-Infections
Lyme disease is a complex bacterial infection that is frequently underdiagnosed — particularly in its chronic form. At Natura, we test for Lyme disease and common co-infections including Babesia, Bartonella, and Ehrlichia, and offer comprehensive treatment that may include antibiotic prescriptions, herbal and naturopathic Lyme protocols, and individualized immune support. We address both acute Lyme and chronic/post-treatment Lyme disease syndrome (PTLDS) — and co-manage with infectious disease specialists when their involvement is in the patient's best interest.

Chronic Bacterial Infections
Beyond Lyme, chronic and recurrent bacterial infections can drive persistent symptoms and immune dysregulation that go unaddressed in conventional care. We evaluate and treat chronic bacterial conditions — sometimes as the primary treating provider, sometimes in a co-management role alongside infectious disease or other specialists.

Chronic Infection & Other Body Systems
Chronic infections frequently drive dysfunction across multiple body systems simultaneously. At Natura, we assess and address the downstream effects of chronic infection on:

a group of brown circles sitting on top of a blue surface
a group of brown circles sitting on top of a blue surface

Natura takes a vaccine-neutral approach. We recognize that the COVID-19 pandemic affected people in profoundly different ways — and that the COVID-19 vaccine did as well. Some people were significantly protected by the vaccine. Others experienced real and meaningful harm from it. We meet patients exactly where they are, without judgment and without an agenda. Natura does not administer vaccines. Whether you are dealing with the effects of COVID-19 infection, post-vaccine symptoms, or both, we are here to help — and we will provide honest, balanced information to support you in making the decisions that are right for your health.

A Note on COVID-19 and Vaccinations

One of the most important things we offer patients with chronic infections is access to laboratory testing that goes well beyond standard panels. Our diagnostic evaluation may include:

  • Viral reactivation testing — EBV, HHV-6, CMV, and other viral antibody panels to identify active or reactivating infections driving ongoing symptoms

  • Lyme and co-infection testing — comprehensive tick-borne illness panels including Lyme disease, Babesia, Bartonella, Ehrlichia, and others

  • Inflammatory markers — comprehensive assessment of systemic and neurological inflammation, including cytokine-related markers

  • Clotting profiles — microclotting and hypercoagulability markers increasingly recognized as relevant in Long COVID and post-viral syndromes

  • Immune function panels — assessment of immune dysregulation, immune exhaustion, and mast cell activation markers

  • Nutritional deficiency assessment — common deficiencies in post-viral patients including vitamin D, B12, zinc, magnesium, omega-3 fatty acids, and others

  • Hormonal and adrenal panels — given the significant influence of chronic infection on the endocrine system

  • Gut microbiome testing — when GI symptoms or gut-immune axis disruption is part of the clinical picture

  • Additional testing as indicated — we tailor our diagnostic evaluation to each patient's specific symptom pattern and history

Testing We Use
a close up of a cell phone with a yellow substance
a close up of a cell phone with a yellow substance

Treatment for chronic infections at Natura is highly individualized — because no two patients present the same way, and what works for one person may not be what another needs. Our therapeutic toolkit is broad and may include:

  • Pharmaceutical prescriptions — including antibiotics for Lyme and bacterial infections, antivirals when indicated, and other medications relevant to chronic infection management

  • IV therapy — intravenous nutrient and therapeutic support for immune function, energy, and systemic recovery

  • Hyperbaric oxygen therapy (HBOT) — on-site at Natura, HBOT offers powerful support for post-viral recovery, neurological symptoms, and tissue healing

  • Herbal and naturopathic protocols — including specific antimicrobial, immune-modulating, and adaptogenic botanical therapies for viral, bacterial, and post-infectious conditions

  • Nutritional therapy & supplementation — targeted nutrients to support immune function, mitochondrial energy production, nervous system recovery, and overall resilience

  • Gut health support — addressing microbiome disruption and intestinal permeability as part of comprehensive post-infectious care

  • Lifestyle medicine — pacing strategies, sleep support, stress management, and nervous system regulation as foundational elements of chronic infection recovery

  • Referrals & collaborative care — we work alongside infectious disease specialists, neurologists, cardiologists, and other providers when co-management serves the patient's best interest

How We Can Help — Therapies We Offer
Lush green moss covers the forest floor
Lush green moss covers the forest floor
Natura Providers Specializing in Chronic Infections

You Deserve Answers — and a Provider Who Will Look for Them

If you have been living with complex, persistent symptoms following an infection — and have been told repeatedly that your labs are normal and there is nothing more to be done — Natura is here to look deeper. We have the experience, the testing, and the therapeutic tools to help patients who have not found answers elsewhere.