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# Proactive Choice

> Proactive Choice is a naturopathic and integrative medicine clinic at 601 NW Harmon Blvd #10, Bend, Oregon 97703, led by Dr. Drew Collins, ND (Oregon naturopathic license 1332, NPI 1649432709, in practice since 1984). Phone +1 (858) 333-5196. Open Monday to Thursday, 9 am to 5 pm. Telemedicine for patients in Oregon, California and Arizona.

## Sitemaps
- [XML Sitemap](https://www.proactivechoice.com/sitemap_index.xml): Includes all crawlable and indexable pages.

## Posts
- [Does Masturbation Lower Testosterone? What the Research Shows](https://www.proactivechoice.com/does-masturbation-lower-testosterone/): Masturbation does not lower testosterone long term. What the studies on ejaculation, abstinence and semen retention report.
- [How to Boost Testosterone Naturally: What Works and What Does Not](https://www.proactivechoice.com/how-to-boost-testosterone-naturally/): Weight loss, sleep and less alcohol have the best evidence for raising testosterone. Most booster pills do not. Here is the ranked list.
- [How to Test Testosterone Levels: Blood Draw Timing, Fasting and Home Test Limits](https://www.proactivechoice.com/how-to-test-testosterone-levels/): A fasting blood draw between 7 and 10 a.m., repeated on a second morning, is how to test testosterone levels. Here is why timing and home kits matter.
- [Testosterone Levels by Age: Normal Ranges for Men From Their 20s to Their 70s](https://www.proactivechoice.com/testosterone-levels-by-age/): Median and low-end testosterone by decade from one harmonized study of 9,054 men, and why your lab range and a single result can mislead.
- [What Causes Low Testosterone in Men? The Causes Doctors Check First](https://www.proactivechoice.com/what-causes-low-testosterone-in-men/): Aging, weight, diabetes, sleep apnea, medications and rarer testicle or pituitary problems: the causes of low testosterone, with a checklist for your visit.
- [Is Testosterone a Steroid? And Is It a Controlled Substance?](https://www.proactivechoice.com/is-testosterone-a-steroid/): Testosterone is a steroid hormone and a Schedule III controlled substance. Here is why, what it means for patients, and what changed by September 2026.
- [High Estradiol in Men: Symptoms, Causes and What to Do About It](https://www.proactivechoice.com/high-estradiol-in-men/): What counts as high estradiol in men, the symptoms and causes, why the test method matters, and how excess estrogen is managed.
- [Andropause: Is Male Menopause Real, and What Age Does It Start?](https://www.proactivechoice.com/andropause-male-menopause/): Male menopause is real but gradual. Here is when andropause starts, how common low testosterone is by age, and how it is confirmed.
- [Can Low Testosterone Cause Anxiety and Depression in Men?](https://www.proactivechoice.com/low-testosterone-anxiety-depression/): Low testosterone can add to anxiety and low mood, but it rarely causes depression alone. What the research shows and when to get checked.
- [Does Low Testosterone Cause Weight Gain? What the Research Says](https://www.proactivechoice.com/does-low-testosterone-cause-weight-gain/): Low testosterone can add body fat, and belly fat lowers testosterone. What the trials show, which usually comes first, and why one lab result can mislead.
- [Does Insurance Cover Testosterone Therapy? How Coverage, Prior Authorization and HSA Use Work](https://www.proactivechoice.com/does-insurance-cover-testosterone-therapy/): What insurers require before covering testosterone therapy, how prior authorization and appeals work, and when HSA or FSA funds can pay.
- [Secondary Hypogonadism in Men: Causes, Diagnosis and How It Differs From Primary](https://www.proactivechoice.com/secondary-hypogonadism-causes-and-diagnosis/): Secondary hypogonadism starts in the brain, not the testes. Learn the causes, the LH and FSH pattern and how it differs from primary.
- [Naturopathic Doctor for Weight Loss: What Actually Works](https://www.proactivechoice.com/naturopathic-doctor-weight-loss/): A naturopathic approach to weight loss: the metabolic and hormonal root causes that diet alone often misses.
- [Top 10 Health Concerns Central Oregon Residents Bring to a Naturopathic Doctor](https://www.proactivechoice.com/central-oregon-naturopathic-doctor-health-concerns/): The 10 health concerns Central Oregon residents most often bring to a naturopathic doctor, from allergies to altitude.
- [5 Myths About Naturopathic Medicine, Debunked](https://www.proactivechoice.com/naturopathic-medicine-myths-debunked/): 5 common myths about naturopathic medicine, debunked with the actual facts on licensing, prescribing, and evidence.
- [10 Questions to Ask Before Choosing a Naturopathic Doctor in Bend, OR](https://www.proactivechoice.com/questions-to-ask-naturopathic-doctor-bend/): 10 questions to ask before choosing a naturopathic doctor in Bend, from licensing to cost to coordination of care.
- [Top 5 Lab Tests a Naturopathic Doctor Might Order That Your PCP Didn’t](https://www.proactivechoice.com/lab-tests-naturopathic-doctor-orders/): 5 lab tests a naturopathic doctor might order that a standard physical often skips, and why each one matters.
- [Best Natural Remedies a Naturopathic Doctor in Bend Actually Recommends](https://www.proactivechoice.com/natural-remedies-naturopathic-doctor-recommends/): The natural remedies naturopathic doctors actually recommend, and the genuine evidence supporting each one.
- [10 Signs It Might Be Time to See a Naturopathic Doctor](https://www.proactivechoice.com/10-signs-time-to-see-naturopathic-doctor/): 10 signs it might be time to see a naturopathic doctor, from persistent fatigue to unresolved digestive issues.
- [Top 10 Reasons People See a Naturopathic Doctor in Bend, Oregon](https://www.proactivechoice.com/reasons-to-see-naturopathic-doctor-bend-oregon/): Why do people see a naturopathic doctor in Bend? The 10 most common reasons, from fatigue to hormones to prevention.
- [How Often Should You See a Naturopathic Doctor?](https://www.proactivechoice.com/how-often-should-you-see-a-naturopathic-doctor/): How often should you see a naturopathic doctor? A typical visit cadence for active treatment versus maintenance.
- [Can You See a Naturopathic Doctor and Still Keep Your Regular Doctor?](https://www.proactivechoice.com/can-you-see-naturopathic-doctor-and-keep-regular-doctor/): Can you see a naturopathic doctor and keep your regular doctor too? Yes, here is how coordinated care works.
- [Is a Naturopathic Doctor a Real Doctor? Licensing and Training Explained](https://www.proactivechoice.com/is-a-naturopathic-doctor-a-real-doctor/): Is a naturopathic doctor a real doctor? Licensing, training, and the real distinction from an unregulated "naturopath."
- [Can a Naturopathic Doctor Help With Anxiety and Depression?](https://www.proactivechoice.com/naturopathic-doctor-anxiety-depression/): Can a naturopathic doctor help with anxiety and depression? What the evidence supports, and important safety notes.
- [Is Naturopathic Medicine Safe During Pregnancy?](https://www.proactivechoice.com/is-naturopathic-medicine-safe-during-pregnancy/): Is naturopathic medicine safe during pregnancy? What is generally supportive, and what to be cautious about.
- [Can a Naturopathic Doctor Order Blood Work and Lab Tests?](https://www.proactivechoice.com/can-naturopathic-doctor-order-lab-tests/): Can a naturopathic doctor order blood work and lab tests? Yes, both standard and specialty testing, explained.
- [Can a Naturopathic Doctor Prescribe Medication in Oregon?](https://www.proactivechoice.com/can-naturopathic-doctor-prescribe-medication-oregon/): Can a naturopathic doctor prescribe medication in Oregon? Yes, one of the broadest scopes in the country, explained.
- [What Conditions Does a Naturopathic Doctor Treat?](https://www.proactivechoice.com/what-conditions-does-a-naturopathic-doctor-treat/): What conditions does a naturopathic doctor treat? A clear overview of common concerns and when to seek care.
- [Is Naturopathic Medicine Covered by HSA or FSA?](https://www.proactivechoice.com/is-naturopathic-medicine-covered-by-hsa-fsa/): Is naturopathic medicine covered by HSA or FSA? What typically qualifies and how to document it.
- [How Long Does It Take to Become a Naturopathic Doctor?](https://www.proactivechoice.com/how-long-to-become-a-naturopathic-doctor/): How many years does it take to become a licensed naturopathic doctor? The full education and licensing timeline.
- [Naturopathic Doctor vs. Nutritionist: What’s the Difference?](https://www.proactivechoice.com/naturopathic-doctor-vs-nutritionist/): Naturopathic doctor vs. nutritionist vs. registered dietitian: how their training and scope actually differ.
- [Naturopathic Doctor vs. Functional Medicine Doctor: What’s the Difference?](https://www.proactivechoice.com/naturopathic-doctor-vs-functional-medicine-doctor/): Naturopathic doctor vs. functional medicine practitioner: how training and licensing actually differ.
- [How to Verify a Naturopathic Doctor’s License in Oregon](https://www.proactivechoice.com/verify-naturopathic-doctor-license-oregon/): How to verify a naturopathic doctor's license in Oregon before your first visit, and why it matters.
- [Naturopathic Doctor vs. Primary Care Doctor: Which Do You Need?](https://www.proactivechoice.com/naturopathic-doctor-vs-primary-care-doctor/): Naturopathic doctor or primary care physician: how they differ in training and visit style, and how to choose.
- [What Is a Naturopathic Doctor? A Complete Guide for Bend, Oregon Patients](https://www.proactivechoice.com/what-is-a-naturopathic-doctor-bend-oregon/): What is a naturopathic doctor, and what can they legally do in Oregon? Training, licensing, and scope of practice explained.
- [Why You Wake at 3am and What It Says About Cortisol](https://www.proactivechoice.com/why-you-wake-at-3am-cortisol/): Waking at 3am every night? Here is what cortisol and your circadian rhythm actually have to do with it.
- [Brain Fog: The Medical Causes Worth Investigating](https://www.proactivechoice.com/brain-fog-medical-causes-worth-investigating/): Brain fog has real medical causes worth ruling out first: thyroid, sleep, blood sugar, and more.
- [Peptide Therapy: Uses, Evidence and Safety](https://www.proactivechoice.com/peptide-therapy-uses-evidence-safety/): What does the evidence support for peptide therapy? Uses, safety, and the current FDA regulatory picture explained.
- [Biological Age Versus Chronological Age: What It Means](https://www.proactivechoice.com/biological-age-versus-chronological-age/): Biological age tests promise to reveal your true age. Here is what epigenetic clocks can and cannot actually tell you.
- [Prolozone for Joint Pain: What the Evidence Shows](https://www.proactivechoice.com/prolozone-for-joint-pain-evidence/): Does prolozone actually work for joint pain? Here is what the clinical trials on ozone injections show.
- [Medical Ozone Therapy: How It Works and What It Treats](https://www.proactivechoice.com/medical-ozone-therapy-how-it-works/): How medical ozone therapy actually works, which conditions have real evidence behind them, and what does not.
- [NAD+ Therapy: Evidence, Uses and Realistic Expectations](https://www.proactivechoice.com/nad-plus-therapy-evidence-uses-realistic-expectations/): What does the evidence actually show for NAD+ therapy? Honest uses, limits, and what a realistic protocol looks like.
- [What Is in an IV Drip and Who Actually Benefits](https://www.proactivechoice.com/what-is-in-an-iv-drip-who-benefits/): What is actually in an IV vitamin drip, what the evidence supports, and who is most likely to benefit from one.
- [Mold Illness: Symptoms, Testing and Treatment](https://www.proactivechoice.com/mold-illness-symptoms-testing-treatment/): Mold illness and CIRS explained: common symptoms, the controversy around testing, and an evidence-informed path forward.
- [What Detox Actually Means Clinically](https://www.proactivechoice.com/what-detox-actually-means-clinically/): Detox is not a juice cleanse. Here is what detoxification actually means in clinical medicine, and what really supports it.
- [Heavy Metal Testing: Which Methods Are Reliable](https://www.proactivechoice.com/heavy-metal-testing-reliable-methods/): Blood, urine, hair, or provoked testing: here is which heavy metal tests are scientifically reliable and which are not.
- [Cortisol Testing and What the Results Mean](https://www.proactivechoice.com/cortisol-testing-what-results-mean/): Saliva, blood, or urine: how cortisol testing works, what each method measures, and how to read your results.
- [Adrenal Fatigue: Separating Evidence From Marketing](https://www.proactivechoice.com/adrenal-fatigue-evidence-vs-marketing/): Is adrenal fatigue real? Here is what endocrinology societies say, and what to investigate instead.
- [Iron Deficiency Without Anaemia: The Missed Diagnosis](https://www.proactivechoice.com/iron-deficiency-without-anaemia-missed-diagnosis/): Normal hemoglobin does not rule out low iron. Here is what iron deficiency without anaemia looks like and how it gets missed.
- [Chronic Fatigue: Ruling Out the Treatable Causes First](https://www.proactivechoice.com/chronic-fatigue-treatable-causes-first/): Before accepting unexplained fatigue, rule out these treatable causes first: thyroid, iron, sleep apnea, and more.
- [Supplements With Real Evidence for Autoimmune Inflammation](https://www.proactivechoice.com/supplements-with-real-evidence-autoimmune-inflammation/): Which supplements actually have clinical evidence for autoimmune inflammation? Vitamin D, omega-3, and curcumin, examined honestly.
- [A Root Cause Approach to Autoimmune Conditions](https://www.proactivechoice.com/root-cause-approach-autoimmune-conditions/): A functional, root-cause look at autoimmune disease: real triggers, what helps, and what conventional care still does best.
- [What Is the Difference Between a Holistic Doctor and a Naturopathic Doctor?](https://www.proactivechoice.com/holistic-doctor-vs-naturopathic-doctor/): What is the real difference between a holistic doctor and a naturopathic doctor? Training, licensing, and scope of practice explained.
- [Can 2-Year-Olds Have Echinacea Tea? A Safety Guide for Parents](https://www.proactivechoice.com/can-2-year-olds-have-echinacea-tea/): Is echinacea tea safe for a 2-year-old? Here is what pediatric research and safety guidance from experts actually say.
- [How to Use Echinacea for Medicinal Purposes](https://www.proactivechoice.com/how-to-use-echinacea-for-medicinal-purposes/): A practical, evidence-based guide to using echinacea safely: forms, dosing, timing, and who should avoid it.
- [Does Echinacea Raise Blood Pressure?](https://www.proactivechoice.com/does-echinacea-raise-blood-pressure/): Does echinacea affect blood pressure? Here is what clinical research shows, who should be cautious, and how to use it safely.
- [Can You Drink Echinacea Tea While Pregnant?](https://www.proactivechoice.com/echinacea-tea-while-pregnant/): Is echinacea tea safe during pregnancy? See what the research on first-trimester use, risks, and safer alternatives actually shows.
- [How Gut Health Influences Hormone Balance](https://www.proactivechoice.com/gut-health-and-hormones/): The gut influences oestrogen recycling, thyroid conversion, cortisol and insulin. Here is what the gut health and hormones link really shows, and what helps.
- [SIBO Symptoms, Testing and Treatment](https://www.proactivechoice.com/sibo-symptoms-testing-treatment/): SIBO symptoms overlap heavily with IBS. Here is how breath testing works, what treatment involves, and why relapse is common without addressing the cause.
- [Leaky Gut: What the Evidence Shows](https://www.proactivechoice.com/leaky-gut-evidence/): Intestinal permeability is real physiology. Leaky gut syndrome as a diagnosis is not. Here is what the evidence supports, what it does not, and what to do.
- [The Gut Microbiome and Whole-Body Health](https://www.proactivechoice.com/gut-microbiome-whole-body-health/): Gut microbiome health influences immunity, mood, metabolism and hormones. Here is what the science establishes, what it suggests, and what actually changes it.
- [Managing Menopause Without Conventional HRT](https://www.proactivechoice.com/menopause-without-conventional-hrt/): A clear look at natural menopause treatment options: what the evidence supports, what it does not, and how to build a plan without conventional hormone therapy.
- [Low Testosterone in Women: An Overlooked Diagnosis](https://www.proactivechoice.com/low-testosterone-women-overlooked/): Low testosterone in women causes real symptoms and is rarely tested for. Here is what the evidence supports, what testing is reliable, and what it is not.
- [Perimenopause Symptoms That Deserve Investigation](https://www.proactivechoice.com/perimenopause-symptoms/): Being told perimenopause symptoms are normal is not the same as being told nothing can be done. Here is what is expected, what is not, and what to investigate.
- [The Four Stages of Menopause Explained](https://www.proactivechoice.com/four-stages-of-menopause/): Menopause is a transition with distinct phases, not a single event. Here is what changes at each stage, how long each lasts, and what actually helps when.
- [Will Hair Grow Back After Thyroid Treatment](https://www.proactivechoice.com/thyroid-hair-loss-regrowth/): Thyroid hair loss regrowth is usually possible, but the timeline is longer than most people expect. Here is what to expect month by month and what slows it.
- [Hashimoto’s Thyroiditis: A Root Cause Approach](https://www.proactivechoice.com/hashimotos-root-cause-approach/): Hashimoto's is an immune condition, not just a thyroid one. Here is what the evidence supports for natural treatment, and what medication still does best.
- [The Full Thyroid Panel Explained](https://www.proactivechoice.com/full-thyroid-panel-explained/): TSH alone answers one question. A full thyroid panel measures production, conversion and autoimmunity. Here is what each marker means and when to order it.
- [Hypothyroidism Symptoms Standard Testing Misses](https://www.proactivechoice.com/hypothyroidism-symptoms-missed/): Tired, foggy and told your thyroid is fine? Here are the hypothyroidism symptoms standard TSH testing misses, and what a full thyroid panel measures.
- [The Top Health Issues Facing Men Over 50](https://www.proactivechoice.com/mens-health-issues-over-50/): The health issues men over 50 face most often — heart disease, prostate changes, declining testosterone, diabetes — and a practical plan for catching them early.
- [Hormone Optimization for Women Over 40 in Central Oregon](https://www.proactivechoice.com/hormone-optimization-women-over-40/): Hormone shifts often start years before menopause and rarely show up as one clear symptom. A guide to personalized hormone optimization for women over 40 in Central Oregon.
- [Which Hormone Tests Actually Matter and Why](https://www.proactivechoice.com/hormone-panel-testing/): A "normal" single hormone test can still miss the real picture. Why a full panel across thyroid, reproductive, adrenal, and metabolic markers reveals what one test alone can't.
- [Bioidentical Versus Synthetic Hormones: An Evidence-Based Comparison](https://www.proactivechoice.com/bioidentical-vs-synthetic-hormones/): Bioidentical hormones are lab-made or plant-derived compounds with the exact same molecular structure as the hormones your body naturally produces, such as estradiol, progesterone, and testosterone. Synthetic hormones are chemically modified versions built for patentability and mass production. Both can relieve hormone-related symptoms; they differ in structure, regulatory oversight, and the depth of research behind specific formulations. For men, this distinction comes up most often around bioidentical testosterone replacement therapy.
- [What Bioidentical Hormone Therapy Actually Involves](https://www.proactivechoice.com/bioidentical-hormone-therapy-bend-guide/): If your energy, sleep, mood, or weight has shifted in ways that don't match your habits, you've probably already searched some version of "bioidentical hormone therapy Bend." That instinct is worth trusting. Hormones influence nearly every system in the body, and the symptoms rarely announce themselves as a hormone issue first.
- [Peptide Therapy in Bend, Oregon | Proactive Choice](https://www.proactivechoice.com/peptide-therapy-bend/): Proactive Choice in Bend, OR offers physician-supervised peptide therapy for anti-aging, body composition, recovery, and hormone optimization. Call (858) 333-5196.
- [Can Belly Fat Cause Erectile Dysfunction?](https://www.proactivechoice.com/can-belly-fat-cause-erectile-dysfunction/): So, can belly fat cause erectile dysfunction? The research says yes, and not through some vague, indirect connection either. Visceral fat actively damages blood vessels, shifts your hormone balance toward less testosterone and more estrogen, and often travels alongside metabolic conditions that compound the problem further. The upside is that this particular cause of ED responds well to real, targeted change. Losing even a modest amount of weight, especially around the middle, can restore function for a lot of men. And if the scale isn't moving despite genuine effort, that's not a personal failure, it's a signal that your body needs a closer look rather than more willpower.
- [Can Smoking Weed Every Day Cause Erectile Dysfunction?](https://www.proactivechoice.com/can-smoking-weed-every-day-cause-erectile-dysfunction/): You light up every evening, tell yourself it's just to unwind, and figure it's harmless. Then one night, things don't work the way they used to in the bedroom, and suddenly you're lying awake wondering if your nightly habit is the reason. It's an awkward question, but it's one a lot of men quietly search for at 1 a.m. So let's talk about it honestly: can daily weed use erectile dysfunction actually be connected, or is that just something people say to scare you off the couch and into the gym?
- [How to Strengthen Your Immune System Naturally](https://www.proactivechoice.com/immune-enhancement-bend/): This is a general guide. For treatment options at our clinic, see immune enhancement care in Bend, Oregon.
- [Supportive Cancer Therapy Bend: Integrative Options Beyond Chemo](https://www.proactivechoice.com/alternative-cancer-treatment/): This distinction is not semantic. Supportive integrative cancer therapy means using natural therapies to strengthen the body, manage side effects, and support treatment efficacy alongside conventional oncology. Alternative cancer treatment means replacing conventional treatment with unproven natural approaches. The first has meaningful evidence behind it and is the approach practiced at Proactive Choice. The second is not recommended and is not what this article describes. Patients who are advised to abandon conventional treatment in favor of unproven natural cures deserve honest, direct counseling about the difference.
- [Best Diet for Hypothyroidism: What to Eat & What to Avoid](https://www.proactivechoice.com/diet-for-hypothyroidism/): The best diet for hypothyroidism is one that provides adequate iodine, selenium, zinc, and iron to support every step of thyroid hormone synthesis and conversion, reduces the inflammatory burden that suppresses thyroid function, supports gut health that drives peripheral T3 production, and manages blood sugar stability to protect against the cortisol-driven thyroid suppression that blood sugar dysregulation produces.
- [NAD + IV Therapy Bend: Anti-Aging, Energy & Brain Benefits](https://www.proactivechoice.com/nad-iv-therapy-bend/): If you have spent any time in the longevity or functional medicine space recently, you have probably come across NAD+ and wondered whether it is a genuinely transformative molecule or just another supplement trend wrapped in impressive-sounding science. The short answer is that the science behind NAD+ is real, substantial, and increasingly well-understood. The longer answer requires understanding what NAD+ actually does at the cellular level, why your levels of it decline significantly with age, and why the delivery method matters as much as the molecule itself.
- [Chelation Therapy for Mercury Poisoning: DMSA Explained](https://www.proactivechoice.com/chelation-therapy-for-mercury/): The DMSA-mercury chelate is water-soluble, meaning it can be filtered through the kidney glomeruli and excreted in urine. Mercury that has been inaccessible in tissues, essentially invisible to the kidneys in its protein-bound form, becomes visible and excretable once converted to the water-soluble DMSA complex. This is the fundamental mechanism by which chelation therapy for mercury removes body burden that the kidneys could not otherwise clear on their own.
- [10 Common Causes of Erectile Dysfunction & Natural Solutions](https://www.proactivechoice.com/10-causes-of-erectile-dysfunction/): Understanding the 10 causes of erectile dysfunction requires first understanding what an erection actually needs to happen. It requires a healthy desire signal from the brain, intact nerve pathways carrying that signal, adequate arterial blood flow into penile tissue, healthy smooth muscle that can relax and fill with blood, sufficient testosterone to maintain sensitivity at every level of that chain, and a psychological state that is not actively working against the whole process.
- [PRP vs Stem Cell Therapy: Which Regenerative Treatment Is Right?](https://www.proactivechoice.com/prp-vs-stem-cell-therapy-which-regenerative-treatment-is-right/): In PRP vs stem cell therapy, the fundamental difference comes down to what's being delivered and what it does once it gets there. PRP delivers a concentrated dose of growth factors that signal the body's existing repair cells to get to work. It amplifies and accelerates a healing process the body is capable of but has failed to complete.
- [Prolotherapy for Chronic Back Pain: A Natural Alternative](https://www.proactivechoice.com/prolotherapy-for-back-pain/): If you've been dealing with chronic back pain for any length of time, you already know the routine. Anti-inflammatories. Muscle relaxants. Physical therapy. Maybe a cortisone injection or two. Some of it helps for a while. Then the pain comes back, often exactly where it was before, and you find yourself starting the cycle over again.
- [BHRT vs HRT: Which Hormone Therapy Is Safer for Women?](https://www.proactivechoice.com/bhrt-vs-hrt/): A genuinely careful approach to BHRT vs HRT decision-making starts with comprehensive baseline testing, including hormone levels, lipid panels, and relevant cancer screening status, combined with a detailed discussion of personal and family medical history. From there, the conversation should cover delivery route options, the specific type of progesterone being considered, realistic expectations for symptom improvement, and a clear plan for monitoring and follow-up testing once treatment begins.
- [What Is Functional Medicine? Bend Oregon’s Integrative Approach](https://www.proactivechoice.com/functional-medicine-bend-oregon/): You have probably been to a doctor who looked at your test results, told you everything was within normal range, and sent you home still feeling exactly as exhausted, foggy, or off as you did walking in. That experience is one of the most common reasons people start searching for functional medicine Bend Oregon and wondering what makes this approach genuinely different from what they have already tried.
- [IV Chelation vs Oral Chelation: Which Removes Heavy Metals Faster?](https://www.proactivechoice.com/iv-chelation-therapy-vs-oral-chelation/): If you have been diagnosed with elevated heavy metal levels, whether lead, mercury, arsenic, or cadmium, the question of which removal method works fastest is not just academic curiosity. It affects how quickly you start feeling relief from the fatigue, cognitive fog, and other symptoms that heavy metal burden can produce. The short answer is that IV chelation generally clears metals from the bloodstream faster than oral chelation, but speed is only part of a more complicated clinical picture that deserves a real explanation rather than a quick headline answer.
- [Hypothyroidism Hair Loss: Why It Happens & 6 Natural Solutions](https://www.proactivechoice.com/hypothyroidism-hair-loss-6-natural-ways-to-regrow-hair/): The relationship between hypothyroidism hair loss and thyroid function runs deeper than most people realize, and fixing it takes more than just adjusting a medication dose. Here is what is actually happening in your body and six natural approaches that address the root of the problem.
- [Stem Cell Therapy for Arthritis: Cost, Results & Recovery](https://www.proactivechoice.com/stem-cell-therapy-for-arthritis-in-bend-cost-results/): You have probably tried the anti-inflammatories. Maybe you have had a cortisone shot or two. Perhaps physical therapy helped for a while and then stopped. If you are in Bend dealing with arthritis pain in your knees, hips, shoulders, or hands, and nothing you have tried has produced results that actually last, stem cell therapy may be the conversation you have not had yet.
- [Can Testosterone Replacement Therapy Cause Hair Loss?](https://www.proactivechoice.com/can-testosterone-replacement-therapy-cause-hair-loss/): If you are considering testosterone replacement therapy and you have already noticed your hairline doing things you would rather it did not, the question sitting in the back of your mind is completely reasonable. Can TRT make hair loss worse? Can it trigger hair loss in men who have not had it yet? And if you are already dealing with thinning, does starting TRT mean accepting that things will get worse faster?
- [Does Testosterone Replacement Therapy Cause Infertility?](https://www.proactivechoice.com/does-testosterone-replacement-therapy-cause-infertility/): Testosterone replacement therapy changes lives for men dealing with low T. The energy comes back. The mood lifts. The body starts responding to training again. Sleep improves. So does libido. For a lot of men, starting TRT feels like getting their life back.
- [Lisinopril and Erectile Dysfunction: Is There a Connection?](https://www.proactivechoice.com/lisinopril-and-erectile-dysfunction-is-there-a-connection/): You started taking lisinopril a few months ago, your blood pressure is better controlled, your cardiologist is happy, and on paper everything looks good. But something else has changed. Your erections aren't what they were. You're wondering whether there's a connection, whether the medication doing good things for your heart is quietly undoing things somewhere else.
- [Can Erectile Dysfunction Be Caused by Low Testosterone?](https://www.proactivechoice.com/can-erectile-dysfunction-be-caused-by-low-testosterone/): Here's a question most men spend a surprisingly long time not asking out loud: is what's happening to my erections actually a hormone problem? The topic sits at the intersection of two things men rarely talk about openly, and that silence means a lot of guys end up chasing the wrong solution for years.
- [Shockwave Therapy for Erectile Dysfunction: Does It Work?](https://www.proactivechoice.com/shockwave-therapy-erectile-dysfunction-near-me/): Shockwave therapy has entered the conversation as something genuinely different. Not a medication. Not a hormone. Not a procedure that requires surgery or recovery time. Just targeted acoustic energy delivered to the tissue where blood flow matters most, with the goal of actually repairing the underlying problem rather than working around it.
- [What to Look for in a Perimenopause Doctor](https://www.proactivechoice.com/perimenopause-doctor-near-me/): Something shifts in your late 30s or early 40s, and at first you can't quite name it. The sleep that used to come easily suddenly doesn't. Your periods start doing unpredictable things. You feel anxious in situations that never used to bother you. The weight around your middle won't budge no matter what you eat. You go to your doctor, get some bloodwork done, and hear the phrase you've come to dread: "Everything looks normal."
- [Ozone Therapy Benefits: 12 Conditions It Treats (2026 Evidence)](https://www.proactivechoice.com/ozone-therapy-benefits/): One of the most consistent patient-reported ozone therapy benefits is a significant improvement in energy levels. This tracks with the biochemical mechanism: ozone directly stimulates mitochondrial function, the cellular process by which your body converts nutrients into usable energy. Patients with chronic fatigue syndrome, adrenal dysfunction, and post-viral fatigue have reported improvements that other therapies failed to produce.
- [7 Signs You Need a Hormone Specialist](https://www.proactivechoice.com/hormone-specialist-bend/): Reviewed and informed by Dr. Drew Evan Collins, B.S., N.D., licensed naturopathic physician (Oregon license 1332) and founder of Proactive Choice in Bend, Oregon. Dr. Collins brings over 40 years of clinical experience in integrative hormone care, functional medicine, and naturopathic practice.
- [What Is Testosterone Replacement Therapy? Benefits, Risks and Delivery Methods](https://www.proactivechoice.com/testosterone-replacement-therapy-benefits-risks-delivery-methods/): What TRT actually improves, what the TRAVERSE trial found about heart, clot and fracture risk, and how injections, gels, oral capsules and pellets compare.
- [Testosterone, ADHD & Gut Health: A Holistic Biohacking Approach](https://www.proactivechoice.com/adhd-gut-health/): If you are looking to improve energy, mood, hormone balance, or cognitive performance, a holistic approach to health can provide deeper, long-term results beyond quick fixes.

## Pages
- [AI Information: Verified Facts About Proactive Choice](https://www.proactivechoice.com/ai-info/): Verified facts about Proactive Choice for search engines and AI assistants
- [Press and Media](https://www.proactivechoice.com/press/): Fact sheet, boilerplate and media assets for Proactive Choice
- [Accessibility Statement](https://www.proactivechoice.com/accessibility/): Our commitment to a website everyone can use
- [Medical Disclaimer](https://www.proactivechoice.com/medical-disclaimer/): Please read before acting on information from this site
- [AI Use Policy](https://www.proactivechoice.com/ai-use-policy/): How Proactive Choice uses artificial intelligence, and how it does not
- [Corrections Policy](https://www.proactivechoice.com/corrections-policy/): How to report an error, and how we fix it
- [Editorial and Medical Review Policy](https://www.proactivechoice.com/editorial-policy/): How health information on this site is written, reviewed and kept current
- [About Proactive Choice](https://www.proactivechoice.com/about/): Naturopathic and integrative medicine in Bend, Oregon
- [Does Insurance Cover a Naturopathic Doctor in Oregon?](https://www.proactivechoice.com/does-insurance-cover-naturopathic-doctor-oregon/)
- [How Much Does a Naturopathic Doctor Cost in Bend, Oregon?](https://www.proactivechoice.com/naturopathic-doctor-cost-bend-oregon/)
- [What to Expect at Your First Naturopathic Doctor Visit in Bend](https://www.proactivechoice.com/first-naturopathic-doctor-visit-what-to-expect/)
- [Telemedicine Naturopathic Doctor for Salem, OR](https://www.proactivechoice.com/telemedicine-naturopathic-doctor-salem-oregon/): Dr. Drew Collins, ND holds Oregon naturopathic license 1332, so patients in Salem and Keizer can see him by secure video instead of driving to Bend. Testosterone, erectile dysfunction, thyroid and general naturopathic care all start with a free 15-minute phone call.
- [Telemedicine Naturopathic Doctor for Eugene, OR](https://www.proactivechoice.com/telemedicine-naturopathic-doctor-eugene-oregon/): Dr. Drew Collins, ND holds Oregon naturopathic license 1332, so patients in Eugene and Springfield can see him by secure video from home. Hormone, menopause, thyroid and general naturopathic care start with a free 15-minute phone call.
- [Weight Loss Clinic in Bend, OR | Medical & Naturopathic Weight Loss](https://www.proactivechoice.com/weight-loss-clinic-bend-oregon/): Physician-supervised weight management with Dr. Drew Collins, ND — testing first, then a plan built on what it shows.
- [Telemedicine Naturopathic Doctor | Virtual Visits in Oregon, California & Arizona](https://www.proactivechoice.com/telemedicine-naturopathic-doctor-bend-oregon/)
- [Frequently Asked Questions](https://www.proactivechoice.com/faq/): Answers to the questions patients most often ask Proactive Choice in Bend, Oregon. Answers reflect how care is delivered at the Bend clinic, which serves Bend, Redmond, Sisters, Sunriver and Deschutes County. Dr. Drew Evan Collins, B.S., N.D. is a licensed naturopathic physician (Oregon license 1332) who earned his Doctorate in Naturopathic Medicine from Bastyr University in 1984 and a B.S. in Biology from the University of Oregon in 1979. He was named Arizona Naturopathic Physician of the Year in 1992 and has chaired conventions for both the American Association of Naturopathic Physicians and the Arizona Naturopathic Medical Association. He has practiced naturopathic and integrative medicine for over 40 years. Proactive Choice is a cash-pay concierge practice and does not bill insurance.
- [Family Doctor in Bend, OR](https://www.proactivechoice.com/family-doctor-bend-oregon/): A doctor who actually knows your name, has time for your questions, and has spent over 40 years genuinely fascinated by how to help people feel better.
- [Regenerative Medicine in Bend, OR](https://www.proactivechoice.com/regenerative-medicine-bend-oregon/): PRP, stem cell therapy, prolotherapy, and other treatments that work to rebuild damaged tissue, not just manage pain around it.
- [Hormone Doctor in Bend, OR](https://www.proactivechoice.com/hormone-doctor-bend-oregon/): Dr. Drew Collins, ND is a hormone doctor in Bend, Oregon for women and men. He tests thyroid, adrenal and sex hormones together, and he decides on treatment only after the results are in.
- [Integrative Medicine in Bend, OR](https://www.proactivechoice.com/integrative-medicine-bend-oregon/): Natural, evidence-informed therapies used alongside your existing medical care, not as a replacement for it.
- [Holistic Doctor in Bend, OR](https://www.proactivechoice.com/holistic-doctor-bend-oregon/): Whole-person care that treats the physical, mental, and emotional roots of your health, not just the symptoms in front of you.
- [Naturopathic Doctor for Powell Butte, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-powell-butte-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for Terrebonne, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-terrebonne-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for Sunriver, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-sunriver-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for Tumalo, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-tumalo-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for Madras, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-madras-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for Prineville, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-prineville-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for La Pine, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-la-pine-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for Sisters, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-sisters-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Naturopathic Doctor for Redmond, OR](https://www.proactivechoice.com/service-areas/naturopathic-doctor-in-redmond-or/): Root-cause, whole-person care using natural therapies designed to help you feel better, live longer, and thrive at every stage of life.
- [Service Areas](https://www.proactivechoice.com/service-areas/): Proactive Choice is located in Bend, Oregon, and Dr. Drew Collins, ND sees patients from across Central Oregon. Below are the specific communities served, and in-person treatments, including chelation therapy, take place at the Bend clinic.
- [Book an Appointment](https://www.proactivechoice.com/book-an-appointment/): Home Book an Appointment Book an Appointment
- [Blog](https://www.proactivechoice.com/blog/): Blog Anti-Aging Medicine: What You Need to Know Byadminproactive April 29, 2026 As we navigate through life’s journey, each year becomes a milestone to reaching the... Ozone Therapy: 10 Benefits Of Ozone Therapy Treatments For Chronic Byadminproactive April 25, 2026 Ozone therapy is much talked about these days for its therapeutic benefits. Natural Ozone is a...
- [Terms and Conditions](https://www.proactivechoice.com/terms-and-conditions/):  
- [Privacy Policy](https://www.proactivechoice.com/privacy-policy/): Privacy Policy for Proactive Choice
- [Acupuncture](https://www.proactivechoice.com/acupuncture-bend/): Discover acupuncture in Bend, OR at Proactive Choice Clinic. Dr. Drew Collins offers therapy to ease pain, reduce stress, and restore balance naturally today.
- [Women’s Health](https://www.proactivechoice.com/womens-health-bend/): Proactive Choice is a women's health clinic in Bend, Oregon run by Dr. Drew Collins, ND. Women see him for hormone imbalance, perimenopause and menopause, thyroid trouble, fertility questions and digestion, and care starts with a conversation and lab work.
- [IV Therapy](https://www.proactivechoice.com/iv-therapy-bend/): Proactive Choice offers personalized IV nutrient infusions in Bend, OR under the care of Dr. Drew Collins, ND. Serving Bend, Redmond, Sisters, La Pine, and Central Oregon.
- [Chelation Therapy Treatment](https://www.proactivechoice.com/chelation-therapy-in-bend-or/): Remove heavy metals safely with chelation therapy in Bend, OR. Dr. Drew Collins offers supervised detox support for heart and brain health and wellness.
- [Bio-Medical Nutrition](https://www.proactivechoice.com/bio-medical-nutrition-bend-or/): Optimize your health with bio-medical nutrition in Bend, OR. Dr. Drew Collins offers personalized nutrition protocols for healing, energy, and vitality.
- [Supportive Cancer Therapy](https://www.proactivechoice.com/supportive-cancer-therapy-bend-or/): Compassionate cancer support in Bend, OR. Dr. Drew Collins offers integrative oncology therapies to complement treatment and improve wellbeing naturally.
- [Menopause](https://www.proactivechoice.com/menopause-specialist-bend-oregon/): Find a trusted menopause specialist in Bend, OR at Proactive Choice. Dr. Drew Collins provides natural hormone therapy for hot flashes, mood shifts, and more.
- [Immune Enhancement](https://www.proactivechoice.com/immune-enhancement-bend-or/): Strengthen your immune system naturally at Proactive Choice in Bend, OR. Dr. Drew Collins offers personalized therapies for lasting immune support and wellness.
- [Men’s Health](https://www.proactivechoice.com/mens-health-clinic-bend-or/): Proactive Choice is a men's health clinic in Bend run by Dr. Drew Collins, ND. He treats low testosterone, erectile dysfunction, low libido and the tired, flat, gaining-weight stretch of midlife, and he starts with your labs.
- [Brain Health](https://www.proactivechoice.com/brain-health-bend-oregon/): Boost brain health in Bend, OR with Proactive Choice Clinic. Dr. Drew Collins offers natural memory care and neuroprotective therapies for cognitive wellness.
- [Herbal Medicine](https://www.proactivechoice.com/herbal-medicine-bend-or/): Experience the healing power of herbal medicine in Bend, OR. Dr. Drew Collins prescribes evidence-based botanical therapies customized to your health needs.
- [Anti-Aging & Longevity](https://www.proactivechoice.com/anti-aging-longevity-medicine-bend-or/): Anti-aging and longevity medicine in Bend, OR with Dr. Drew Collins, ND — hormone optimization, IV therapy, ozone therapy, and functional medicine. See the full guide at proactivechoice.com/anti-aging-medicine-bend/.
- [FHRT](https://www.proactivechoice.com/fhrt-bend-oregon/): Hormone fluctuations are a natural part of aging, but when they become severe, they can disrupt your quality of life. Common symptoms include:
- [BHRT](https://www.proactivechoice.com/bio-identical-hormone-replacement-bend-or/): Hot flashes, broken sleep, low drive and a mood that doesn't feel like yours can all come from shifting hormones. Menopause and andropause are the usual reasons, and stress makes both worse.Proactive Choice offers bioidentical hormone replacement therapy (BHRT) in Bend for women and men whose symptoms and lab results point to a hormone imbalance. Dr. Drew Collins, ND tests first, prescribes only if the numbers and symptoms line up, and rechecks your levels during treatment.
- [Laser Therapy](https://www.proactivechoice.com/laser-therapy-bend/): Sessions are short and usually painless. How many you need depends on the condition, and results vary from person to person.
- [Parkinson’s Disease Treatment](https://www.proactivechoice.com/parkinsons-disease-care-bend/): Parkinson’s affects more than just motor skills. It impacts energy, sleep, digestion, cognition, and emotional well-being. That’s why we look at the big picture—creating care plans that support the mind, body, and nervous system.
- [Testosterone Replacement Therapy in Bend, OR](https://www.proactivechoice.com/testosterone-replacement-therapy-clinic-bend/): Bend testosterone clinic for men. TRT and male hormone replacement with Dr. Drew Collins, ND: full labs, 40+ years' experience. Free 15-minute consult.
- [Exosome Therapy](https://www.proactivechoice.com/exosome-therapy-bend/): At Proactive Choice, we offer evidence-informed, non-invasive options to help restore healthy function and improve overall sexual wellness:
- [Stem Cell](https://www.proactivechoice.com/stem-cell-therapy-bend/): At Proactive Choice, stem cell therapy is delivered with clinical precision and personal care, always rooted in your full health picture.
- [Prolotherapy](https://www.proactivechoice.com/prolotherapy-near-me-bend-or/): At Proactive Choice, prolotherapy treatments are carefully designed to address the root cause of your discomfort. Your visit typically includes:
- [Platelet-Rich Plasma](https://www.proactivechoice.com/platelet-rich-plasma-therapy-bend/): Discover platelet-rich plasma therapy in Bend, OR at Proactive Choice Clinic. PRP accelerates healing for joints, injuries, and regenerative wellness goals.
- [Hypothyroidism](https://www.proactivechoice.com/hypothyroidism-care-near-me-bend-or/): Find expert hypothyroidism care near you in Bend, OR. Dr. Drew Collins offers natural thyroid treatment to restore energy, metabolism, and hormonal balance.
- [Erectile Dysfunction](https://www.proactivechoice.com/erectile-dysfunction-treatment-bend-or/): The American Urological Association calls low-intensity shockwave therapy for ED investigational, meaning the evidence is still developing. Dr. Collins will talk through whether it makes sense for you.
- [Concierge Medicine](https://www.proactivechoice.com/concierge-medicine-bend-or/): As a concierge member at Proactive Choice, you’ll receive:
- [Natural Hormone Replacement](https://www.proactivechoice.com/natural-hormone-replacement/): At Proactive Choice, we never take a one-size-fits-all approach. Our hormone therapy begins with comprehensive lab testing and a deep dive into your medical history, lifestyle, and health goals. From there, your Naturopathic Doctor in Bend will craft a treatment plan that may include:
- [Testimonials](https://www.proactivechoice.com/testimonials/): https://www.youtube.com/watch?v=x254EOihg0U
- [Podcast](https://www.proactivechoice.com/podcast/): https://www.youtube.com/watch?v=AMLQUlUFInQ&t=10s
- [Ozone Therapy](https://www.proactivechoice.com/ozone-therapy-in-bend/): Try medical ozone therapy in Bend, OR at Proactive Choice Clinic. Dr. Drew Collins uses ozone to combat infections, inflammation, and support full-body healing.
- [Detoxification](https://www.proactivechoice.com/detoxification-in-bend-oregon/): Support your body's natural detox pathways at Proactive Choice in Bend, OR. Dr. Drew Collins offers medically led detoxification for best health restoration.
- [Dr. Drew Collins, ND — Naturopathic Doctor in Bend, Oregon](https://www.proactivechoice.com/dr-drew-collins-bend-oregon/): +1 (858) 333-5196
- [Contact](https://www.proactivechoice.com/contact/): Our Contact Us page is the best way to get in touch with us. You can contact us by telephone, email, or in person. Our phone number is +1 (858) 333-5196 and our email address is drdrewcollins@gmail.com You can also visit us in person at Proactive Choice, 601 NW Harmon Blvd #10 Bend, OR 97703. For general inquiries, please contact our main reception desk. We look forward to hearing from you
- [Home](https://www.proactivechoice.com/): The naturopathic clinic in Bend, OR for integrative, functional and naturopathic medicine with Dr. Drew Collins, ND, in practice since 1984

## Key facts
- Clinic: Proactive Choice, a naturopathic and integrative medicine clinic (medical clinic) in Bend, Oregon
- Address: 601 NW Harmon Blvd #10, Bend, OR 97703, United States
- Phone: +1 (858) 333-5196. This is the clinic's only phone number
- Hours: Monday to Thursday, 9 am to 5 pm Pacific. Closed Friday, Saturday and Sunday
- Clinician: Dr. Drew Collins, ND (Drew Evan Collins). Licensed naturopathic physician, not a medical doctor (MD)
- Credentials: Doctor of Naturopathic Medicine, Bastyr University, 1984. B.S. in Biology, University of Oregon, 1979. Oregon naturopathic license 1332. NPI 1649432709
- Recognition: Arizona Naturopathic Physician of the Year, 1992. Convention chair for the American Association of Naturopathic Physicians and the Arizona Naturopathic Medical Association
- First step for new patients: free 15-minute phone consultation
- Payment: self-pay. Credit cards, HSA and FSA accepted. Insurance is not billed; a superbill is available
- In-person care in Bend for patients from Redmond, Sisters, Sunriver, La Pine, Prineville, Madras, Powell Butte, Terrebonne and Tumalo
- Telemedicine for patients located in Oregon, California and Arizona

## About and policies
- [About Proactive Choice](https://www.proactivechoice.com/about/)
- [Dr. Drew Collins, ND biography](https://www.proactivechoice.com/dr-drew-collins-bend-oregon/)
- [Editorial and medical review policy](https://www.proactivechoice.com/editorial-policy/)
- [Corrections policy](https://www.proactivechoice.com/corrections-policy/)
- [AI use policy](https://www.proactivechoice.com/ai-use-policy/)
- [Medical disclaimer](https://www.proactivechoice.com/medical-disclaimer/)
- [Press and media](https://www.proactivechoice.com/press/)

## Machine-readable facts
- [AI information page](https://www.proactivechoice.com/ai-info/): verified clinic facts
- [llms-full.txt](https://www.proactivechoice.com/llms-full.txt): extended facts and service descriptions
- [llms-index.json](https://www.proactivechoice.com/llms-index.json): structured facts index