Board Certified in Internal Medicine
Diplomate of the American Board of Holistic Integrative Medicine
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 has been practicing general internal medicine for over twenty years. She began her own solo practice in 2005 as she became more focused on preventive medicine. She became a diplomate of the American Board of Holistic Integrative Medicine in 2007.
Her philosophy of patient care revolves around the idea of being patient centered, treating the whole person, and working as part of a team with other clinicians who are also committed to the excellence in care that this idea requires.
Dr. Cottel practices traditional Internal Medicine and considers herself a holistic practitioner in the sense that she takes into account all aspects of a person’s life in evaluating their health. She considers herself an integrative practitioner in the sense that she enjoys integrating often underused forms of care into a patient’s treatment plan, including diet, nutrition, exercise, some natural medicines. She likes to keep her treatment plans as simple as possible for patients, so that patients can follow them easily and also keep their out of pocket costs as low as possible.
While not herself a naturopathic doctor or a functional medicine practitioner, Dr. Cottel enjoys working alongside with ND’s, acupuncturists, DOM’s, lifestyle medicine physicians, nutritionists, dietitians, therapists, and other clinicians who are trained in other areas. Her philosophy is that every provider brings something special to the table when treating a patient, and she treats all clinicians with respect. She is aware that many patients enjoy doing their own research on their own health problems, and she actively involves patients in decision making regarding their treatment plans.
As a volunteer for the LDN Research Trust which is based in England, Dr. Cottel devotes much of her practice to working with patients with low dose naltrexone (LDN). She has done several presentations and interviews which are available for patients to listen to or view on our LDN page. She also wrote the introduction to The LDN Book, authored by Linda Elsegood, who heads the Research Trust. There is a link to the publisher’s page on our LDN page where interested patients can read the introduction for free. There are many uses for LDN, most of which involve autoimmune disease and pain syndromes. Although LDN is used to treat chronic pain, Dr. Cottel is not a pain management specialist, and does not prescribe opioid medications for pain.
Dr. Cottel also has a special interest in treating patients with alcohol use disorder (AUD) using targeted dose naltrexone, also knows as TSM, or The Sinclair Method, named after the researcher Dr. John David Sinclair on whose work the method is based. There is a link on our website to the C3 Foundation, founded by Claudia Christian, who has done a tremendous amount of work to bring this inexpensive and highly successful method of treatment to public attention. Dr. Cottel is not herself an addiction specialist or psychiatrist, and does not prescribe controlled medications for AUD.
Dr. Cottel has always had an interest in menopausal wellness, caring for women as they transition through an often challenging time of life. She does prescribe compounded hormones, commonly called bioidentical hormones, to patients when clinically appropriate. She bases her treatment on patient response, ordering blood tests when medically indicated. Once patients are stable, they may be seen annually for medication renewal, unless there is a medical reason to follow them more closely.
We hope this information has been helpful to you, and we look forward to working with you as we work together toward our common goal of healing and wellness.