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Frequently asked
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Everything you might want to know before booking — naturopathy, skin health, hormones, gut health, longevity, mental wellness, and both clinical programmes. Can't find what you're looking for? Email a question directly.

General Naturopathy
The basics — what a naturopath does, how it differs from a GP, and how to get started.
What is a naturopath?
A naturopath is a complementary health practitioner trained in naturopathic medicine — a system that combines evidence-based nutritional medicine, herbal medicine, lifestyle medicine and functional pathology testing to identify and treat the root cause of health conditions. Naturopaths do not diagnose or prescribe pharmaceutical medications but work alongside conventional medical care.
What does a naturopath do in a consultation?
In an initial consultation, the practitioner takes a detailed health history covering current symptoms, past medical history, medications, diet, sleep, stress, hormonal patterns and family history. They review existing pathology through a functional lens, identify patterns and potential root causes, recommend relevant testing, and create a personalised treatment plan.
How is a naturopath different from a GP?
A GP focuses on diagnosing and treating disease within standard medical reference ranges. A naturopath takes a longer, more detailed health history, uses functional pathology that examines optimal ranges rather than just disease thresholds, and builds treatment protocols using nutrition, herbal medicine and lifestyle medicine. GPs and naturopaths work best together.
Do I need a referral to see a naturopath?
No. You do not need a GP referral to book a naturopathic consultation with Cassandra Hilton. Bookings are made directly through Cliniko. Initial consultations are 60–90 minutes and cover your full health history.
Can I see a naturopath online?
Yes. Cassandra Hilton offers telehealth naturopathic consultations online across Australia and New Zealand. Online consultations cover everything an in-person consultation does. In-person consultations are available in Canberra from October 2026.
Does private health insurance cover naturopathy?
Many Australian private health funds provide rebates for naturopathic consultations under the Extras component of your policy. Cassandra Hilton is an ATMS-accredited member. Check with your fund before your appointment, as rebate availability and amounts vary. Cliniko receipts are provided for rebate claims.
Is naturopathy evidence-based?
Evidence-based naturopathy draws on peer-reviewed clinical research alongside traditional medicine principles. Cassandra applies functional pathology testing — microbiome analysis, genetic panels, comprehensive hormone testing — alongside nutritional medicine protocols supported by current scientific literature. Naturopathy works most effectively alongside conventional medical care, not as a replacement.
Skin Health
Acne, eczema, rosacea, hyperpigmentation, ageing — and the gut-skin connection behind them.
What causes adult acne?
Adult acne — particularly hormonal acne affecting the jaw, chin and lower face — is most commonly driven by androgen excess, insulin resistance, gut dysbiosis or impaired liver detoxification. Treating it effectively requires identifying and addressing the specific internal driver, not just applying topical treatments.
Can a naturopath treat acne?
Yes. Treatment focuses on identifying internal drivers — hormonal imbalance, gut dysbiosis, nutritional deficiencies, genetic variants affecting androgen metabolism — and addressing them through targeted nutrition, herbal medicine and practitioner-grade supplements, alongside Ocinium cosmeceutical skincare as the topical component.
What is the gut-skin axis?
The bidirectional relationship between gut microbiome health and skin condition. Dysbiosis, intestinal permeability and SIBO are all associated with acne, rosacea, eczema and psoriasis. Addressing gut health is often the most powerful intervention for chronic skin conditions unresponsive to topical treatment alone.
What causes rosacea?
Rosacea is frequently associated with SIBO, Demodex mite overgrowth, impaired digestive function and systemic inflammation. Many clients see significant improvement when gut dysbiosis and SIBO are effectively treated naturopathically.
What causes eczema?
Eczema is a hypersensitivity condition driven by immune dysregulation, impaired skin barrier function, gut dysbiosis and nutritional deficiencies — particularly zinc and essential fatty acids. IgG food reactions and leaky gut are commonly implicated.
What causes hyperpigmentation and melasma?
Hyperpigmentation is caused by dysregulated melanin production triggered by UV exposure, inflammation and hormonal signals. Melasma is strongly driven by oestrogen, worsening with oral contraceptives, pregnancy and HRT. Treatment addresses oestrogen metabolism internally alongside topical brightening actives.
What is Ocinium skincare?
A cosmeceutical skincare brand founded by Cassandra Hilton. Every product is formulated without synthetic fragrances, sulphates, parabens or sensitising fillers, using evidence-based actives at therapeutic concentrations — prescribed as the topical component of an inside-out protocol. Available at ocinium.com.
What's the difference between treating skin internally vs externally?
External skincare manages symptoms and protects the barrier. Internal treatment addresses the causes — gut health, hormones, nutrition, liver detoxification and genetics. Both are necessary for lasting results, which is why Cassandra prescribes both together.
How does ageing affect the skin?
Skin ageing is driven by declining collagen synthesis, oxidative stress, glycation, hormonal decline and chronic low-grade inflammation. Naturopathic anti-ageing treatment addresses these pathways internally through targeted nutrition, antioxidant therapy and hormonal support, alongside cosmeceutical actives topically.
Hormones & Women's Wellness
PCOS, perimenopause, oestrogen dominance, MTHFR and endometriosis.
What are the signs of hormonal imbalance in women?
Irregular or painful periods, PMS or PMDD, hormonal acne, unexplained weight gain, fatigue, mood changes, poor sleep, hair thinning, low libido and fertility challenges. Functional hormone testing reveals imbalances standard panels often miss.
What is PCOS and how is it treated naturopathically?
PCOS has distinct subtypes — androgen excess, insulin-driven, inflammatory and adrenal — each requiring different treatment. Naturopathic treatment identifies the specific subtype through comprehensive testing and addresses the underlying drivers using targeted nutrition, herbal medicine and lifestyle medicine.
What is perimenopause and when does it start?
The hormonal transition leading up to menopause, typically beginning in the early-to-mid 40s. Characterised by fluctuating oestrogen and declining progesterone, causing irregular periods, hot flushes, mood changes, poor sleep and brain fog.
What is the DUTCH test?
A comprehensive hormone panel measuring sex hormones, hormone metabolites, cortisol rhythm, melatonin and organic acids — providing a detailed picture of hormone production, use and clearance that serum blood tests cannot.
What is oestrogen dominance?
A state where oestrogen is elevated relative to progesterone, causing PMS, heavy periods, breast tenderness, mood swings and worsening of endometriosis, fibroids and hormonal acne. Treatment focuses on liver detoxification, gut health and progesterone support.
What is the MTHFR gene and why does it matter?
A gene variant — present in up to 40% of the population — that impairs folate conversion, affecting DNA repair, detoxification, neurotransmitter production and oestrogen metabolism. Treatment involves specific methylated B vitamins at therapeutic doses.
Can a naturopath help with endometriosis?
Naturopathic medicine supports endometriosis by reducing systemic inflammation, supporting oestrogen clearance through liver and gut health, managing pain through targeted botanical medicine, and reducing immune dysregulation — working alongside, not replacing, gynaecological management.
Gut Health
Leaky gut, SIBO, the microbiome, IBS and food sensitivity testing.
What is leaky gut?
Increased intestinal permeability, where compromised tight junctions allow bacteria and toxins into the bloodstream, triggering systemic inflammation. Associated with skin conditions, food sensitivities, autoimmune conditions and hormonal imbalance.
What is SIBO?
Small intestinal bacterial overgrowth — bacteria migrating into and colonising the small intestine, causing bloating, gas and altered bowel habits. Strongly associated with rosacea and IBS. Diagnosed via breath testing.
What is the gut microbiome?
The community of approximately 100 trillion microorganisms in the digestive tract that regulate immune function, produce neurotransmitters including most of the body's serotonin, and metabolise hormones including oestrogen.
What is IBS and can naturopathy help?
A functional gut disorder with abdominal pain and altered bowel habits without a structural cause. Treatment identifies specific drivers — SIBO, dysbiosis, food sensitivities, gut-brain dysfunction — and treats them precisely.
What is an IgG food sensitivity test?
A test measuring delayed immune reactions to specific foods, distinct from immediate IgE allergies. IgG sensitivities are associated with chronic inflammation, bloating, skin conditions and fatigue.
Anti-Ageing & Longevity
Epigenetics, biological age, NAD+, glycation and collagen.
What is epigenetics?
The study of changes in gene expression that don't alter the DNA sequence — influenced by diet, lifestyle, stress and supplementation. Epigenetic clocks measure biological age via DNA methylation patterns.
What is biological age versus chronological age?
Chronological age is years lived. Biological age is how old your cells actually are, determined by epigenetic markers, telomere length and inflammatory burden — largely modifiable through nutrition and lifestyle intervention.
What is inflammageing?
Chronic low-grade inflammation that accumulates with age and drives accelerated ageing across all organ systems, measured through markers including hs-CRP. Addressed through anti-inflammatory nutrition and gut repair.
What is NAD+ and why does it decline with age?
A coenzyme essential for cellular energy production and DNA repair. Levels decline approximately 50% between ages 40–60. Precursors including NMN and NR can support restoration.
What is glycation and how does it affect skin?
Excess glucose binding to proteins including collagen, forming advanced glycation end-products that stiffen collagen fibres and contribute to wrinkles. Accelerated by high sugar intake and insulin resistance.
How can collagen be supported naturally?
Key cofactors include vitamin C, zinc, silica, copper and glycine. Externally, retinoids stimulate production and peptides signal repair. Both internal and topical support are needed for meaningful restoration.
Mental Wellness
Anxiety, pyrrole disorder, adrenal fatigue and the gut-brain axis.
Can a naturopath help with anxiety?
Yes. Treatment addresses biochemical drivers conventional treatment often misses — neurotransmitter imbalances, HPA axis dysregulation, nutritional deficiencies, pyrrole disorder and gut-brain axis dysfunction.
What is pyrrole disorder?
A metabolic condition where excess kryptopyrroles deplete vitamin B6 and zinc, causing anxiety, poor stress tolerance, brain fog and skin sensitivity. Diagnosed via urine test, treated with targeted B6 and zinc supplementation.
What is adrenal fatigue?
More accurately HPA axis dysregulation — the stress response system becoming dysregulated after prolonged stress, causing fatigue, energy crashes and disrupted sleep. Treated with adaptogenic herbs and lifestyle medicine.
How does gut health affect mood and mental health?
The gut-brain axis connects the enteric nervous system to the brain — approximately 90% of serotonin is produced in the gut. Dysbiosis and leaky gut are associated with anxiety, depression and poor stress resilience.
The Skin From Within Blueprint™
The 6-module digital programme — what it is and who it's for.
What is The Skin From Within Blueprint™?
A 6-module self-paced digital programme created by Cassandra Hilton that identifies the internal drivers of skin conditions — gut, hormones, nutrition, genetics — and builds a complete inside-out protocol including a prescribed Ocinium skincare routine.
How is it different from other skin programmes?
It's the only skin health programme in Australia created by a naturopath who also formulated the prescribed skincare — covering all skin conditions through gut health, hormones, genetics and nutritional medicine, not just acne.
Who is the programme for?
Women with persistent skin concerns who have tried topical treatments without lasting results and suspect their skin issue has an internal driver. It's a self-directed clinical education programme requiring genuine engagement.
What does it include and how much does it cost?
6 video modules with workbooks, the Inside-Out Kitchen Guide, a 12-week skin tracker, supplement and testing reference guides, and community access. Three tiers: Blueprint Only $297, Blueprint + Ocinium Kit $497, Blueprint + Consultation $697.
Practitioner Mentoring
For qualified naturopaths and herbalists.
What is naturopathic practitioner mentoring?
One-on-one clinical education for qualified naturopaths and herbalists in skin health, hormonal medicine, functional testing interpretation, cosmeceutical prescribing and longevity medicine. 60-minute telehealth sessions.
Who is mentoring suitable for?
Qualified naturopaths and herbal medicine practitioners with current ATMS, NHAA or equivalent membership — both new graduates and experienced practitioners wanting to deepen expertise. Places are limited.
Can naturopaths prescribe Ocinium to their own clients?
Naturopaths who complete a minimum mentoring package become eligible Ocinium-prescribing practitioners. Enquire at health@cassandrahilton.com for details.

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