Sina Naturopathic Clinic

OUR DOCTORS

Dr. Miranda WILEY, ND

About Dr. Wiley:  Dr. Miranda Wiley, ND, graduated with a BSc in Human Nutrition from the University of British Columbia. She later graduated from the Boucher Institute of Naturopathic Medicine in British Columbia in 2009 and after graduating she spent a year as Clinical Resident at Boucher, then as that drew to a close in late 2010 she started a private practice in beautiful Tsawwassen, BC. 

Dr. Wiley now practices at Sina Pharmacy & Health Centre in Vancouver. She has been practicing naturopathic medicine for almost 10 years. Dr. Wiley seeks to identify and address the root causes of her patients’ physical, mental, and emotional health concerns.  She grew up in the arts but was always drawn to science and mathematics in school, and finds the blend of scientific knowledge with the creativity required to treat the unique needs of individual patients invaluable in her naturopathic medical practice.  Patients cannot be treated successfully with a cookie cutter approach, and yet the results of each patient’s treatment helps to clarify the benefits of specific therapies, diets, and interventions. 

Her primary areas of interest are digestive health (the root of all wellness!), mental health, pregnancy and children, the stress-sleep continuum and all of the hormonal imbalances that are at play there (adrenals, thyroid, pituitary, pancreas, pineal gland, and even liver), women’s health from PMS to menopause, and immune balance (allergies, auto-immune disorders, immune fortitude). In her practice, Dr. Wiley uses diet and lifestyle changes, supplements, herbs, prescriptions, acupuncture, Bowen therapy, NET (Neuro Emotional Technique), biotherapeutic drainage as needed to address health concerns in her patients. 

When not in practice she is a full-time, hands-on mum to her 6-year-old son (a former 26-week preemie and NICU alumni!) and 2-year-old daughter.  She spends time with her husband and kids exploring nature, making nutritious meals, and building forts in the living room.

  • Bachelor of Science in Human Nutrition.  University of British Columbia 2000, Vancouver, B.C.
  • Doctor of Naturopathic Medicine – Boucher Institute of Naturopathic Medicine 2009, New Westminster, B.C.
  • Board Certified in Intravenous Nutrient Therapy, 2009.
  • Pharmaceutical Prescriptive Authority – Canadian Pharmacists Association, 2010.
  • Bowen Therapy, 2008.
  • Chelation and Advanced IV Therapies, 2017.
  • Naturopathic Advanced Life Support (NALS) & BLS/CPR
  • Registrant of the College of Naturopathic Physicians of British Columbia (CNPBC)
  • Member of the British Columbia Naturopathic Association (BCNA)
  • Member of the Canadian Association of Naturopathic Doctors (CAND)

Dr. Ekaterina KRANTSEVICH-RIEHL (Dr. Kate), ND

IMPORTANT NOTE:

Dr. Kate will be going on a maternity leave and her last day in Clinic will be Saturday November 5th. She will be back in clinic Tuesday, January 10th. Her office hours starting January will be Tuesday & Thursdays 3-7pm and Saturdays 11am -3pm.  

Please have any necessary follow ups and prescription refills prior to her last day. She will still be available by email during her time off to answer any questions pertaining to an already existing treatment plan. If an urgent appointment is required during her 2 months off, a phone or telehealth appointment can be made using the online booking system, she will be available on:

    – November 15th    5-7pm 
    – December 13th    5-7pm 
    – December 27th    5-7pm 

only for urgent cases and only for  her existing patients. 

About Dr. Krantsevich-Riehl (Dr. Kate): Dr. Kate grew up with her family in Minsk, Belarus and immigrated to Toronto Ontario at the age of 12. She later moved to British Colombia where she grew up. She took 6 years off after graduating high school before starting university in order to work various jobs and to find a career that she was passionate about. This brought her to going back to university for her degree in biology and then later to attain her Doctor of Naturopathic Medicine.

She earned her Bachelor of Science from the University of the Fraser Valley in 2015, majoring in Biology and Pre-Medical Concentration. She then followed to earn her Doctor of Naturopathic Medicine at the Boucher Institute of Naturopathic Medicine in 2019. She is an active member of the British Columbia Naturopathic Association (BCNA), College of Naturopathic Physicians of British Columbia (CNPBC) and Canadian Association of Naturopathic Doctors (CAND).

In her spare time she enjoys spending time with her husband and two dogs, baking, traveling and trying various wines and cuisines.

She is currently accepting new patients and looks forward to working with you on your individual goals of health and wellness along with disease treatment/prevention.

Dr. Kate is a licensed Naturopathic Physician with a passion for personalized health care in order to achieve optimal health. Longer appointments times means patient are able to discuss multiple health concerns and able to dive into patient health history. Her goal for my patients is not to merely survive their day to day life but to thrive and live their best, pain free life. As someone who was diagnosed with Endometriosis, knows all too well the daily struggles living with a chronic disease and will take your concerns seriously. You don’t have to be living with debilitating pain, fatigue, insomnia, etc. Whatever your health concern may be, together, you can optimize your health!

Although symptoms management is extremely important, she strives to find the underlying cause for the bothersome symptoms in order to achieve optimum results. Her assessment tools include, but is not limited to detailed medical history, physical exams, along with appropriate laboratory and diagnostic testing.

  • Bachelor of Science, Biology Major with Pre-Med Concentration – University of the Fraser Valley 2015, Abbotsford, B.C.
  • Doctor of Naturopathic Medicine – Boucher Institute of Naturopathic Medicine, New Westminster, B.C.
  • Board Certified in Intravenous Nutrient Therapy
  • Advanced IV therapy – Dr. Virginia Osborne, ND
  • Intravenous Nutrient Therapy – Dr. Stefan Kuprowsky, ND
  • Pharmaceutical Prescriptive Authority – Canadian Pharmacists Association
  • Naturopathic Advanced Life Support (NALS) & BLS/CPR
  • Platelet Rich Plasma (PRP) – Dr. Tara Macart, ND
  • Global Health Certification & Internship with Natural Doctors International (NDI); Ometepe, Nicaragua
  • Registrant of the College of Naturopathic Physicians of British Columbia (CNPBC)
  • Member of the British Columbia Naturopathic Association (BCNA)
  • Member of the Canadian Association of Naturopathic Doctors (CAND)

SERVICES

Services offered by Dr. Wiley:  

Dr. Wiley has prescribing rights and she can prescribe medications within her scope of practice as a naturopath. This includes all prescription medications including compounds and all bioidentical hormones except narcotics (e.g. morphine, hydromorphone, codeine), DHEA, and testosterone. 

  • SIBO (Small Intestine Bacterial Overgrowth)
  • SIFO (Small Intestine Fungal Overgrowth or candidiasis)
  • Irritable Bowel Syndrome (IBS)
  • Irritable Bowel Disease (Crohn’s, Ulcerative Colitis)
  • GERD, Parasites, Food Sensitivities, Gas and Bloating, Heartburn, Constipation and Diarrhea.
  • Acne
  • Rosacea
  • Eczema
  • Psoriasis
  • Dermatitis
  • Scar treatment
  • Blood Sugar Balance
  • PMS
  • Menopause &  Perimenopause
  • PCOS
  • Endometriosis
  • Hormonal Acne
  • Dysmenorrhea (Painful Periods)
  • Irregular Cycles
  • Amenorrhea
  • Family Planning and Birth Control.
  • Adrenal Fatigue
  • Adrenal Dysfunction
  • Burnout, stress and low energy
  • Hypothyroidism & Hyperthyroidism (Hashimoto’s & Graves’ Disease)
  • Autoimmune thyroid issues

Assessment, diagnosis and treatment of sleep related conditions

  • Anxiety & depression
  • Burnout/Stress
  • ASD (Autism Spectrum Disorders)
  • ADHD/ADD (Attention Deficit Hyperactivity Disorders)
  • ODD (Oppositional Defiance Disorder)
  • OCD (Obsessive Compulsive Disorder)
  • Autoimmune conditions
  • Overall immune function and development from childhood to adulthood

IgG blood test to identify food intolerances or allergies

Liver, digestive tract, and whole body detoxification

  • Cold and flu treatment and prevention
  • Sinusitis (acute and chronic)
  • Bronchitis
  • Urinary Tract Infections (UTI)
  • Chronic viral infections (EBV, CMV, Herpes, etc)

Acupuncture

Using Bowen therapy technique to work on soft connective tissues to help treat musculoskeletal or related neurological problems including acute sport injuries and chronic or organic conditions. 

Allergies, including seasonal allergies that can be assessed and treated with SLIT (Sublingual Immunotherapy)

NET (Neuro Emotional Technique) is a research-backed treatment to help release and overcome past traumas and unresolved stressful events which allows you to make decision without attachment to previous negative emotional experiences and rebuild a positive response patter in your life.

Biotherapeutic drainage is used to assess the body to eliminate disease causing toxins thus restoring proper function and balance to the body and its organs mainly kidney and liver. 

  • Her first child was a micro-preemie and watching his third trimester development through an incubator window furthered her interest in all areas of pregnancy and childhood
  • General baby and children concerns (digestion, skin, immune health)
  • Autism, ADHD, Behavioural issues, and Learning disabilities

Services offered by Dr. Kate:  

Dr. Kate has prescribing rights and she can prescribe medications within her scope of practice as a naturopath. This includes all prescription medications including compounds and all bioidentical hormones except narcotics (e.g. morphine, hydromorphone, codeine), DHEA, and testosterone. 

  • SIBO (Small Intestine Bacterial Overgrowth)
  • SIFO (Small Intestine Fungal Overgrowth or candidiasis)
  • Irritable Bowel Syndrome (IBS)
  • Irritable Bowel Disease (Crohn’s, Ulcerative Colitis)
  • GERD, Parasites, Food Sensitivities, Gas and Bloating, Heartburn, Constipation and Diarrhea.
  • Acne
  • Rosacea
  • Eczema
  • Psoriasis
  • Dermatitis
  • Scar treatment
  • Blood Sugar Balance
  • PMS
  • Menopause &  Perimenopause
  • PCOS
  • Endometriosis
  • Hormonal Acne
  • Dysmenorrhea (Painful Periods)
  • Irregular Cycles
  • Amenorrhea
  • Family Planning and Birth Control.
  • Adrenal Fatigue
  • Adrenal Dysfunction
  • Burnout, stress and low energy
  • Hypothyroidism & Hyperthyroidism (Hashimoto’s & Graves’ Disease)
  • Autoimmune thyroid issues

Assessment, diagnosis and treatment of sleep related conditions

  • Anxiety & depression
  • Autoimmune conditions
  • Overall immune function and development from childhood to adulthood

IgG blood test to identify food intolerances or allergies

Liver, digestive tract, and whole body detoxification

  • Cold and flu treatment and prevention
  • Sinusitis (acute and chronic)
  • Bronchitis
  • Urinary Tract Infections (UTI)
  • Chronic viral infections (EBV, CMV, Herpes, etc)

Acupuncture

  • Rheumatoid Arthritis
  • Osteoarthritis
  • Endometriosis
  • Fibromyalgia
  • Multiple Sclerosis (MS)
  • Interstitial Cystitis
  • Headaches
  • Musculoskeletal tightness and pain

Acupuncture into the trigger points with electro-stimulation and cupping.

To learn more about IV Therapy click here

Micro-needling with Medical grade MicroPen with Hyaluronic Acid Serum, which further increases collagen production and cell regeneration.

Platelet Rich Fibrin (similar to Platelet Rich Plasma) is derived by taking the patients’ blood, spinning and isolating the plasma and fibrin which is rich in platelets. Platelets are blood cells known for their role in healing. Once platelets are delivered to the area being treated, they break down and release growth factors, which are compounds that help cells repair and renew.

PRF is the new PRP
We only use the best technology here at Sina Naturopathic Clinic, this is why we now use Platelet Rich Fibrin. It is derived in a similar fashion to PRP; however, it is spun at slower rate in the specific PRF centrifuge.

Get BETTER RESULTS
PRF actually contains 10x more platelets, more growth factors and nutrients than PRP. It is more concentrated and effective, which will give you better and faster results. This is achieved by sustained release of growth factors over 1 week instead of instantaneously.

The Liquid Gold
In addition to platelets, PRF also contains vitamins, nutrients, white blood cells, and growth factors. This restores skins elasticity, luster, improves collagen production, minimizes fine lines, wrinkles and scars, and adds fullness and youthful glow to the face. PRF is also useful for treating enlarged pores, stretch marks, hyperpigmentation, acne scarring, and dark under eye circles.

PRF for HAIR
By the similar mechanism PRP helps with hair growth  restoration. Platelet Rich plasma supplies the scalp with vitamins, nutrients and growth factors necessary for new hair growth. Minimum 3 PRF hair treatments is recommended; however, some patients may see results after 1 or 2 treatments.

Micropen Elite
PRF Facial includes micro-needling with Medical grade MicroPen, which further increases collagen production and cell regeneration. Micro- needling is used to treatment of acne scars, hyperpigmentation, stretch marks, and fine lines and wrinkles. Micro-needling can also be performed without PRF if desired and with Hyaluronic Acid instead.

You are sent home with a complimentary post- micro-needling skin care kit for best healing results.

Is the PRF procedure painful?
PRF injections are injected with a very thin 30-gauge needle. The MicroPen needles are 32 gauge (even smaller). With topical anaesthetic cream the pain is minimal and recovery time is short.

How many treatments are needed?
For best results, PRF treatment should be repeated 3-4 times initially with 4-6 week intervals. For maintenance going forward- 1-3 times per year to benefit from the anti-aging results it provides. The same timing interval goes for hair growth and restoration.

This procedure is a regenerative injection therapy which has similar methodology as Prolo therapy; however, it uses your own platelets and fibrin to regenerate and heal the joint.

PRP and PRF has been used for many years in aesthetics, dentistry, and orthopaedics due to its regenerative qualities.

It is done by having your blood drawn and having the platelets and fibrin isolated. This is then injected into the affected joint.

PRF/PRP can work great for any type of injury, but it works better than Prolo for meniscal and labral tears. This is because cartilage doesn’t have much blood supply which would result in less healing factors delivered to that area vs more vascularized areas of the body. With PRF/PRP, the growth factors and platelets are delivered right to the injured area.

PRF/PRP also can be beneficial with patient with OA and RA.

 

What is the difference between corticosteroid joint injections and regenerative joint injections?

There is always time and place for both. This depends on what the patient wants and needs.

If the joint is severely inflamed, Prolo therapy or PRF injections might not be the right option in the beginning.

Corticosteroid injections are great at decreasing inflammation fast and relieving symptoms, which is sometimes what is needed. Corticosteroid injections, however, are not the best option if your goal is to promote long term tissue healing or to strengthen surrounding tendons and ligaments. Repeated corticosteroid injections can have a negative effect on joints long term, such as cartilage and bone damage.

The biggest difference between cortisone injections and RIT is that cortisone decreases inflammation (which is why patients feel the benefit of the treatment right away) and RIT is rebuilding tissue (which is why it takes several treatments over a period of time to see results)

This is where regenerative joint injections are more beneficial and and can give long term results and decrease in pain.

This is a regenerative injection therapy which involves injection of dextrose (a type of sugar) and procaine solution into injured/damaged tissues such as ligaments, tendons, joint spaces or along a nerve pathway. This causes slight irritation in the joint which in turn brings immune cells to the area to facilitate healing of the tissue, decrease inflammation and strengthen injured tissue to restore function.

Prolotherapy can also be used to treat a wide variety of conditions such as:

  • Acute tendon or ligament injury
  • Sports injuries
  • Tendonitis
  • Arthritis
  • Carpal tunnel syndrome
  • Degenerated/herniated discs
  • Joint dislocations
  • Fibromyalgia
  • Headaches
  • Sciatica
  • Temporomandibular joint (TMJ) syndrome
  • Whiplash

 

What is the difference between corticosteroid joint injections and regenerative joint injections?

There is always time and place for both. This depends on what the patient wants and needs.

If the joint is severely inflamed, Prolo therapy or PRF injections might not be the right option in the beginning.

Corticosteroid injections are great at decreasing inflammation fast and relieving symptoms, which is sometimes what is needed. Corticosteroid injections, however, are not the best option if your goal is to promote long term tissue healing or to strengthen surrounding tendons and ligaments. Repeated corticosteroid injections can have a negative effect on joints long term, such as cartilage and bone damage.

The biggest difference between cortisone injections and RIT is that cortisone decreases inflammation (which is why patients feel the benefit of the treatment right away) and RIT is rebuilding tissue (which is why it takes several treatments over a period of time to see results)

This is where regenerative joint injections are more beneficial and and can give long term results and decrease in pain.

Most of us know trigger points as “muscle knots” that are painful to touch and are caused by essentially tight muscles.

Trigger points are notorious for causing shoulder and neck pain along with headaches.

With neural therapy, trigger points are injected with procaine (an anesthetic) which can loosen up the muscle knot and give long lasting pain relief.

Both injection therapies work great for chronic joint pain due to new and old injuries, scars, laxed ligaments, Osteoarthritis, and Rheumatoid Arthritis

For best results it is usually required 3-6 treatments with PRF or Prolo therapy to see clinical results.

 

What is the difference between corticosteroid joint injections and regenerative joint injections?

There is always time and place for both. This depends on what the patient wants and needs.

If the joint is severely inflamed, Prolo therapy or PRF injections might not be the right option in the beginning.

Corticosteroid injections are great at decreasing inflammation fast and relieving symptoms, which is sometimes what is needed. Corticosteroid injections, however, are not the best option if your goal is to promote long term tissue healing or to strengthen surrounding tendons and ligaments. Repeated corticosteroid injections can have a negative effect on joints long term, such as cartilage and bone damage.

The biggest difference between cortisone injections and RIT is that cortisone decreases inflammation (which is why patients feel the benefit of the treatment right away) and RIT is rebuilding tissue (which is why it takes several treatments over a period of time to see results)

This is where regenerative joint injections are more beneficial and and can give long term results and decrease in pain.

The intake form is required for your first initial appointment. A completed form can be emailed to nd@mysina.ca prior to the appointment date. 

Extended Health Plans

Did you know:  

A majority of Canadians have health benefits covering naturopathic medicine, although many don’t realize they have coverage, or how much. Coverage for naturopathic doctors (or NDs) is usually part of the Extended Health. 

Most insurance coverage is, commonly, between $300 and $800 in a calendar year; it will include visits to an ND and in many cases therapies and tests. Understanding how your insurance plan works is key to ensuring you get the most effective and timely treatment from your naturopathic doctor.

After your appointment, you will be provided with an official receipt from your ND which can be submitted to your insurance for reimbursement. 

PRICES

Naturopathic Initial Visit
Initial visit can be in person or by telehealth video-conferencing
$220
45 min – Follow-up Visit
Initial visit can be in person or by telehealth video-conferencing
$175
30 min – Follow-up Visit
Initial visit can be in person or by telehealth video-conferencing
$120
15 min – Follow-up Visit
Initial visit can be in person or by telehealth video-conferencing
$90

SLIT Testing

A booking for an initial or follow-up visit still needed to receive this test

$70

Acupuncture

To treat cases of chronic trigger points, pain, injuries. Initial visit is $175 and regular follow-ups $115 – 45 min visit

$175

Bowen Therapy

To treat musculoskeletal or related neurological problems. Initial visit is $175 and regular follow-ups $115 – 45 min visit

$175
PRF joint injections (ankle, knee, wrist, elbow, shoulder)
Uses your own platelets and fibrin to regenerate and heal the joint. PRF/PRP can work great for any type of injury, but it works better than Prolo for meniscal and labral tears. PRF/PRP also can be beneficial with patient with OA and RA. initial visit – 60 min visit $750; Follow ups (subsequent injections) – 45 min visit $750
$750
Prolo Joint injections (ankle, knee, wrist, elbow, shoulder)
To help heal injured/damaged tissues such as ligaments, tendons, joint spaces. Initial – 60 min visit $230; Follow ups (subsequent injections) – 30 min visit $180
$230
Neural Therapy (Trigger Point Injections)
Great for chronic joint pain due to new and old injuries, scars, laxed ligaments, Osteoarthritis, and Rheumatoid Arthritis – 30 min visit (initial or followup visits)
$130
Micro-needling with Hyaluronic Acid
Micro-needling with Medical grade MicroPen with Hyaluronic Acid Serum, which further increases collagen production and cell regeneration – 60 min visit
$450
PRF with or without Microneedling (for Facial or Hair Restoration)
PRF Facial includes PRF injections followed by micro-needling with Medical grade MicroPen, which further increases collagen production and cell regeneration. PRF Hair Restoration involves PRF injections into the scalp where hair loss has been experienced. This procedure is following by micro-needling with a Medical grade MicroPen. – 60 min visit
$750
Initial IV Myers Cocktail 250ml drip – 60 min
This is for new patients who have not had an initial appointment with Dr. Kate & are coming in specifically for an IV Drip. Please arrive 15 minutes prior to your appointment to fill out an Initial patient intake form or fill it out prior.
$200
IV Myers Cocktail 250ml drip – 45 min
You must be an existing patient before booking this appointment. Please book an Initial Naturopathic Visit or an Initial IV Myers Visit if you are a new patient. Please arrive 15 minutes prior to your appointment to fill out an Initial patient intake form or fill it out prior.
$175
Initial IV Myers Cocktail 100ml drip – 45 min
This is for new patients who have not had an initial appointment with Dr. Kate & are coming in specifically for an IV Drip. Please arrive 15 minutes prior to your appointment to fill out an Initial patient intake form or fill it out prior.
$150
IV Myers Cocktail 100ml drip – 30 min
You must be an existing patient before booking this appointment. Please book an initial Naturopathic Visit or an Initial IV Myers Visit if you are a new patient. Please arrive 15 minutes prior to your appointment to fill out an Initial patient intake form or fill it out prior.
$125
Glutathione addition to IV Myer’s Cocktail
You must be an existing patient before booking this appointment. Please book an initial Naturopathic Visit if you are a new patient.
$30
Glutathione Push – 15 min
You must be an existing patient before booking this appointment. Please book an initial Naturopathic Visit if you are a new patient.
$70
Vitamin D Injection – 15 min
You must be an existing patient before booking this appointment. Please book an initial Naturopathic Visit if you are a new patient
$40
Vitamin B12 Injection – 15 min
You must be an existing patient before booking this appointment. Please book an initial Naturopathic Visit if you are a new patient
$40
Vitamin B Complex + B12 Injection – 15 min
You must be an existing patient before booking this appointment. Please book an initial Naturopathic Visit if you are a new patient.
$60

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Book with Dr. Kate

Dr Kate is available on Tuesdays, Thursdays and Saturdays.  Use the online calendar on the left to book your next appointment. 

If this is your first time seeing Dr Kate, please make sure to fill out the intake form and email a copy to nd@mysina.ca before your Appointment.  A copy of the form can be found here:

     NEW PATEINT INTAKE FORM

PRF is offered by Dr Kate. The price for each treatment session is $749. Book a complimentary 15- minute consult to see if PRF facial or PRF hair restoration is the right treatment for you [select a day/time from the appointment scheduler on the left column]

 Dr. Wiley’s brief introduction 

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