Frequently Asked Questions

General

What is Low-Dose Naltrexone (LDN)

Naltrexone is a medication that was approved in the 19080s by the FDA to treat drug and alcohol addiction. It works by blocking opioid receptors. It was found that at much lower doses than those used to treat addiction, it could have a positive effect on the immune system.

To read more about LDN, visit http://www.lowdosenaltrexone.org

What services do you offer on this site?

We are 2 basic services:

  1. Access to lab testing related to auto-immune conditions
  2. Video consultation with a doctor to evaluate for a prescription for LDN

Who can access your services?

Must be 18 years and older.

  1. Labwork can be ordered by almost anybody in the USA – but selection will vary by State
  2. Video consultation is available to residents of States where our doctors are licensed (we are adding States all the time, so please check back or Contact Us so we can let you known)

NOW AVAILABLE:

Alabama
Arizona

Colorado
Georgia
Hawaii
IllinoisIndiana
Kansas
Louisiana
Massachusetts
MichiganMinnesota
Nevada
New York
North CarolinaOhio
Oregon

Pennsylvania
South Carolina
Texas
Utah
Virginia
Washington state
Wisconsin

Coming Very Soon (by end of 2017):

California
Connecticut
Florida
Iowa
Maryland
Missouri
Tennessee

Where are you located?

Our office is physically located in Dearborn, MI.  However, this is irrelevant since everything is done electronically.

For the video consultation, the doctor is required to be licensed in your state, but can be really anywhere in the world otherwise.

Where are the consultations held?

We use HealthTap to perform the consultations.  Most patients use their computer or smartphone app for this part.  You must be located in one of the States listed above at the time of consultation to be eligible.

How much does it cost to do a consult?

Currently, the consult fee is $49.  This may change.  This only includes a brief consult with the doctor to determine if a prescription for LDN is appropriate for you.  If you would like to get help beyond this, please Contact Us.

Are the consultations covered by my insurance?

We do not bill any insurance, you are expected to pay at the time of booking an appointment.

We believe the consult fee (currently $49) is reasonable.  You might be able to get some of the cost of the consult reimbursed by your insurance by contact your insurance carrier and submitting what’s known a “superbill”.  If you have paid for a consultation and would like a superbill, please Contact Us.

How do I cancel or reschedule my consultation?

Scheduling is handled directly through HealthTap.  Please log-in to your HealthTap account to reschedule or cancel your consultation (this is only if you have already made an appointment).  If you still have difficulties with this, please Contact Us.

If you have not yet made your initial appointment, please use the Buy Now page for instructions.

HealthTap’s policy is that you must cancel/reschedule with at least 24 hour notice.

How do I get a refill?

Usually, you will receive a 3 months prescription with one refill (a 6 month supply total).  If you need additional refills after that, you will need to request a new consultation.

Can you send the prescription to my own pharmacy?

It depends.  LDN is only available at a special type of pharmacy known as a “compounding pharmacy”.  If you are not sure if yours is one, then its probably not.

We do not have any financial interest or affiliation with any pharmacy.  However, there are a few compounding pharmacies we deal with and trust.  You will be given a few options at the time of consultation to choose.

About Low-Dose Naltrexone (LDN)

What is LDN used for?

Naltrexone is currently only FDA approved for Alcoholism and Opioid Addiction.  However, like many medications, Naltrexone at low doses is uses “off-label” for many conditions.

LDN has been reported to be possibly helpful with:

Fibromyalgia/Chronic Fatigue Syndrome
Autoimmune conditions (Colitis, Lupus, Rheumatoid Arthritis, etc…)
Cancers of many types
Infectious diseases (HIV, Lyme, etc…)

For a more comprehensive list, visit www.lowdosenaltrexone.org

Is LDN effective?

LDN can have amazing results for some patients.  Most studies we have seen show that 30-60% of patients will have a positive response.  In our experience, there is no way to determine ahead of time who will benefit and who will not.

Given that its relatively safe and inexpensive, we encourage any patient with any of the conditions listed above give it a try for 3-6 months.

Do you sell LDN?

No.  Our doctors prescribe LDN and send the prescription to a compounding pharmacy.  You will need to coordinate with the pharmacy to get the actual medication.

Can't I just use a website where I can just buy LDN online?

Well… LDN is by prescription only.  Just like any prescription you can purchase online without a doctors prescription, you are taking your chances.

Is LDN FDA approved?

Naltrexone is FDA approved for Alcohol and Opioid Drug Addiction.  However, its use for autoimmune and other condtions are at much lower doses (3-4mg vs 50-100mg) and is considered an “off-label” use.  

Doctors very commonly use medications “off-label” and in fact it is thought most prescriptions are “off-label”

How much does LDN cost?

It all depends on the pharmacy, but you can expect a one-month supply to run about $40-60.

Is LDN safe? Does it have a lot of side effects?

Naltrexone at 50-100mg dose is usually well tolerated.  LDN at 3-4mg is even more so and very few side effects have been reported.  Sleep problems is probably the most commonly reported side effect and can be reduced by starting with a low dose and working up.

Is there anybody who cannot take LDN?

Really the only patients who cannot take LDN are those on opioid pain medications (morphone, oxycodone, fentanyl, etc…).  It will block the effects of these medications and might send somebody into an immediate withdrawal.

Lab Testing

Why should I order these lab tests?

The lab tests offered on this website are geared towards detecting autoimmune markers and therefore autoimmune conditions.  It is thought that many unexplained symptoms are from undiagnosed imbalances in the immune system.  

Autoimmune markers can be elevated years before symptoms appear.  If caught early enough, there are things that can be to re-balance the immune system.

How do I get the labwork done?

After placing your order, you will be sent an email with instructions.  You will need to go to a local lab to have your blood drawn.

If ordering Cyrex tests, a kit will be sent to you with instructions.

How do I get the lab results?

Results will be uploaded to a secure patient portal site, either HealthTap or Updox (depending if you also requested a consultation or not).  You will be sent an email when the results are in and how to access them.

What can I do with the lab results?

We advise patients to take the lab results to a Functional Medicine specialist to help them interpret and treat their concerns.  We work with several Functional Medicine specialists and will be than happy to work with you through one of them.  Please Contact Us for more details.

What tests are offered and why?

We selected lab tests that are most useful in detecting and potentially diagnosing autoimmune conditions.  For details, please visit the Lab Test Info page.

Ordering

What happens after I order a consultation?

Video Consultations are accessible through the Buy Now page.  On that page, there are instructions how to access HealthTap and schedule a consultation.

If you have any problems, please Contact Us

What happens after I order lab tests?

If you ordered Basic Panel or Basic Panel Plus, you will receive an email with instructions and/or requisition to take to a local lab.

If you ordered one of the Cyrex panels, you will need to wait to receive a kit in the mail and then take that kit to the lab.