LDN is a therapy that uses a low dose of the medication naltrexone to help support the immune system and reduce inflammation. Many patients use LDN for conditions such as chronic pain, autoimmune disorders, and Mast Cell Activation Syndrome (MCAS).
Learn more here: Why LDN?

We serve patients in all U.S. states except Oregon.
This includes Washington, D.C.

Options depend on your state:

Dr. Sajad Zalzala, MD: $109
Jade Arellano, staff-assisted intake: $79
Kenley Ostry, nurse practitioner: $94.99, where available

A licensed clinician makes all medical and prescribing decisions.

Select your state to see your options.

If LDN is prescribed, the initial service includes the starting prescription, one dose change if needed, and coverage for up to six months from your consultation.

Prescriptions and dose changes depend on your clinician’s assessment.

Your treatment needs review to continue after six months. Stable patients may qualify for a refill review. Others may need a follow-up visit.

See current refill and follow-up options and fees.

Medication costs vary depending on the pharmacy you choose. We recommend these trusted compounding pharmacies:

Art of Medicine

CareFirst Specialty Pharmacy

Valiant Compounding

Belmar Pharma Solutions

You can begin the process by completing our secure intake form and scheduling your consultation.
Start here: Get LDN

After booking, look for your Practice Better invitation email. Follow it to activate your account.

Already activated? Sign in to your Practice Better portal.

If you need a new invitation or cannot access your portal, email info@rootcausesclinic.com.