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Leaf Pattern Design

Integrative Oncology in Washington and Oregon

Evidence-informed support alongside your cancer treatment.

You are in treatment, or you just finished it, and the plan you were given covers the cancer but not the rest of you. The fatigue, the neuropathy, the sleep, the labs nobody explained, the supplements you are afraid to take because someone said not to and nobody said why.

That is the work I do. I am a licensed naturopathic physician in Washington and Oregon. I completed a two-year integrative oncology residency at AIMS Institute in Seattle and I serve on the board of OncANP. I do not replace your oncology team. I work alongside it, and I am glad to write to them directly.

What care looks like here

Every plan starts with your actual treatment protocol, because the interactions matter. Some antioxidants blunt specific chemotherapies. Some do not. Which is which depends on the drug, the mechanism and the timing, and the answer changes what I recommend and when.

From there we work on what treatment is doing to the rest of you. Chemotherapy-induced peripheral neuropathy. Taxane neuropathy and oxaliplatin cold sensitivity. Cancer-related fatigue. The cognitive changes patients call chemo brain. Oral mucositis. Hand-foot syndrome. Nutritional depletion. Gut damage from chemotherapy and antibiotics. Aromatase inhibitor joint pain. Hot flashes and sleep disruption from hormonal suppression. ADT fatigue and arthropathy. The metabolic drift that follows months of steroids and inactivity.

What I use

Botanical medicine and targeted nutrients, chosen against your specific protocol rather than from a general list. IV therapies, including high dose vitamin C and hydration and electrolyte support through chemotherapy. Diet and nutritional strategy. Prescription medication where it fits, including off-label options.

The off-label conversation usually covers low dose naltrexone for immune modulation and inflammation, metformin for cancer metabolism, and repurposed agents with emerging evidence such as ivermectin, mebendazole and doxycycline. Roughly 20% of all prescriptions written in the US are off-label. It is common and it is legal. Not everyone is a candidate, and you will get full transparency about what is known, what is not, and what the alternatives are.

I order labs and I read them in the context of your cancer, not against a general reference range.

Who I see

Patients in active treatment for solid tumors and blood cancers. Patients in survivorship managing long-term effects. People with a strong family history who want a prevention plan built on more than a screening schedule.

Washington and Oregon

Patients in Washington and Oregon get full telehealth visits, including prescribing, lab ordering and ongoing care. Outside those states I can review your case and give guidance, but I cannot prescribe or serve as your treating physician.

Cost

Visits are self-pay. Initial consultation is $350 for 60 minutes. Follow-ups are $250, $180 or $120 depending on length. I do not bill insurance. A Superbill is available on request. A sliding scale is available if cost is a barrier.

Start here

Book a free 15-minute consult and tell me where you are. If I am not the right fit I will say so.

© 2026 Dr. Ksenia Malarkey

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