hormones.org
iThriveMD - Carmel Valley
Dr. Thomas Macsay, ND
Face-to-Face Care
or
Telehealth Care

iThriveMD - Carmel Valley

Physician-led hormone, weight loss, and longevity care in a luxury setting tailored to optimize your life.
MD on Staff
Accepting new patients?
Last updated 5/16/2025 at 08:45 PM
Yes
iThriveMD is a comprehensive wellness clinic with multiple locations, focusing on hormone therapy, IV nutrition, medical weight loss, and preventive health. Serving both men and women, they provide a range of treatments designed to optimize energy, metabolism, and overall vitality. Patients can receive testosterone replacement therapy, specialized bioidentical hormone programs for menopause, or GLP-1 injections to support weight loss. The clinic also offers IV nutrient drips and high-dose vitamin therapies, targeting fatigue, immune function, and cellular health. Each location features modern facilities that include comfortable IV lounges and on-site labs for convenient testing. iThriveMD emphasizes a personalized approach, with licensed medical providers creating customized treatment plans backed by regular follow-ups. Many patients mention feeling more energetic, mentally clear, and fit after beginning therapy. The practice prides itself on balancing cutting-edge medicine with compassionate care, striving to help individuals of all ages improve their quality of life and extend their health span.
Client satisfaction:
Very High
How we determine this score?
Every rating you see is the product of a two-step process that blends data science with human clinical insight:
  1. Comprehensive review sweep We collect every publicly available patient review we can find—Google, Yelp, Healthgrades, ZocDoc, Facebook, Instagram, TikTok, Reddit, forums, and more. Duplicate or spam entries are filtered out, and each review is time-stamped so that newer feedback carries more weight.
  2. 13-factor sentiment analysis + expert audit A custom language-model pipeline scores each review across the 13 dimensions patients care about most:
    Friendliness | Professionalism | Responsiveness | Accessibility | Clarity of Explanations | Willingness to Listen | Personalization of Treatment | Billing Transparency | Value | Recurring Praise | Recurring Complaints | Side-Effect Education | Diet/Nutrition Guidance
    The algorithm converts raw language into numerical sentiment, flags outliers, and spots consistent themes. Finally, a board-certified clinician reviews the automated output to ensure medical-grade accuracy and context.
The result is a single, easy-to-read satisfaction bar that reflects real patient experience, not marketing copy. By combining transparent methodology, physician oversight, and continuously updated data, we deliver a score you can trust and that meets standards for authoritative health review content.
What people are saying
Comprehensive labs lead to customized hormone and weight-loss plans, explained in plain language and adjusted through quick follow-ups. Patients cite convenient hours, minimal waits, and responsive messaging that keeps therapy on track. Many report substantial weight loss, higher energy, and overall health gains that justify the membership fee, though some object to the 30-day cancellation rule and occasional documentation lapses. Overall sentiment favors clear guidance, measurable results, and solid value.
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Treatments and services
TRT
TRT
GLP-1s
GLP-1s
HRT
HRT
Onsite amenities
Telemed
About iThriveMD - Carmel Valley
Dedicated to improving quality of life through advanced integrative medicine, iThriveMD Carmel Valley combines conventional medical care with holistic therapies. The clinic's team includes Naturopathic Doctors who prioritize individualized care to meet the unique health needs of every patient. With a mission centered around inspiring patients to proactively manage their health, iThriveMD focuses on hormone management, weight control, and anti-aging strategies that address root causes rather than merely symptoms. By fostering a deeper understanding of personal health, the clinic empowers individuals to achieve optimal wellness and longevity.
What Makes iThriveMD - Carmel Valley Unique
Located inside Revive Med Spa, the clinic offers patients a convenient setting for their wellness treatments. iThriveMD Carmel Valley stands out by integrating advanced medical treatments with holistic wellness approaches. The clinic's commitment to tailored, comprehensive care plans ensures every patient receives individualized treatments designed specifically for their health objectives. This personalized attention distinguishes iThriveMD as a leader in wellness and preventive care.
Why Choose iThriveMD - Carmel Valley
Patients trust iThriveMD Carmel Valley for its personalized approach, experienced medical professionals, and welcoming atmosphere. The clinic’s range of specialized services—including hormone therapy, medical weight loss, and anti-aging treatments—effectively targets individual health concerns, helping patients achieve measurable, positive outcomes. Many patients report satisfaction with the clinic’s professionalism, comprehensive treatments, and supportive care environment, making it an ideal choice for enhancing overall well-being.
Philosophy of Care at iThriveMD - Carmel Valley
The philosophy at iThriveMD emphasizes patient empowerment through personalized care. Recognizing the importance of treating the underlying causes of health concerns, the clinic adopts a holistic approach combining medical interventions with lifestyle modifications. Providers collaborate closely with patients to develop customized treatment plans designed to achieve sustainable health outcomes and improved quality of life. This integrative care model fosters not just physical wellness, but also mental and emotional well-being, supporting patients through each step of their wellness journey.
Meet the team
VP of Clinical Operations
Dr. Thomas Macsay, ND
Dr. Thomas Macsay, ND, is a licensed naturopathic doctor and Vice President of Clinical Operations at iThriveMD, where he leads integrative health initiatives focused on optimizing patient outcomes. With a clinical emphasis on regenerative medicine, pain management, and hormone optimization, Dr. Macsay combines evidence-based naturopathic therapies with advanced biomedical approaches to support whole-body wellness. Dr. Macsay earned his Doctor of Naturopathic Medicine degree from Pacific College of Health and Science in San Diego. His practice integrates modalities such as nutrient and peptide therapies, IV infusions, and functional movement assessments to address the root causes of health concerns. His areas of expertise include men’s health, metabolic optimization, chronic pain, and performance enhancement. Beyond his clinical role, Dr. Macsay is an entrepreneur and product formulator with a background in herbal medicine, mycology, and plant-based therapeutics. He has contributed to the development of wellness products and serves as a consultant in the CBD and natural health industries. His work reflects a deep commitment to bridging traditional healing practices with modern science. Dr. Macsay is also passionate about education and community engagement. He frequently shares insights on integrative health, plant medicine, and lifestyle optimization through speaking engagements and media platforms. Outside the clinic, he enjoys exploring nature, practicing yoga, and engaging in creative pursuits that align with his holistic philosophy.
Dr. Joseph Shum, ND
Dr. Joseph Shum, ND, is a licensed Naturopathic Doctor practicing in California, dedicated to guiding patients toward optimal health by addressing the underlying factors that influence healing. With a foundational background in Neurobiology and Physiology, Dr. Shum employs an evidence-based, personalized approach designed to enhance the body’s inherent self-repair mechanisms. Dr. Shum emphasizes reducing barriers to wellness and providing targeted nutritional support, uniquely tailored to each individual's biological needs. His methodical approach aims to eliminate confusion and overwhelm caused by generic health advice, prioritizing sustainable, long-term solutions over symptom suppression. Patients seeking care from Dr. Shum can expect clarity, confidence, and results-oriented strategies, thoughtfully aligned with their health goals, time, and resources. Dr. Shum’s philosophy focuses on fostering the conditions necessary for true healing, empowering his patients to achieve and maintain robust health and well-being.
Dr. Bianca Despotides, ND
Dr. Bianca Despotides, ND, is a licensed and board-certified naturopathic physician practicing in San Diego, California. With a lifelong passion for learning and healing, she integrates ancient wisdom with modern science to provide comprehensive, patient-centered care. Dr. Despotides focuses on identifying and addressing the root causes of health issues, aiming to restore balance and promote optimal wellness. Her clinical interests encompass a wide range of health concerns, including hormonal imbalances, digestive disorders, and chronic conditions. By combining evidence-based natural therapies with personalized treatment plans, Dr. Despotides empowers her patients to take an active role in their health journey. Dr. Despotides is affiliated with iThriveMD, a premier wellness and hormone clinic dedicated to personalized, integrative healthcare. She is currently accepting new patients and offers both in-person and telehealth consultations.
Dr. John Christianson, ND
Dr. John Christianson, ND, is a licensed naturopathic physician practicing in California, Montana, and Arizona. With a longstanding passion for both holistic and evidence-based approaches to medicine, Dr. Christianson began his healthcare journey through bodywork, gaining a practical understanding of anatomy and physiology. He pursued his undergraduate education at the University of Arizona, graduating summa cum laude with a degree focused on Human Health. During his undergraduate studies, Dr. Christianson discovered naturopathic medicine, finding it to be the ideal intersection of conventional and natural therapeutic methods. He furthered his education by earning his Doctorate in Naturopathy from Southwest College of Naturopathic Medicine in Tempe, Arizona. Dr. Christianson’s clinical specialties include men’s and women’s health, sports medicine and rehabilitation, weight management, and anti-aging therapies. He is committed to providing personalized care that addresses the root causes of health issues, optimizing wellness and quality of life for his patients.
Dr. Samir Damani, MD, PharmD, MS
Dr. Samir Damani, MD, PharmD, MS, is an esteemed cardiologist with over 15 years of expertise in combining traditional cardiovascular medicine with advanced digital health and genomic technologies to deliver personalized patient care. Recognized for his innovative approach, Dr. Damani emphasizes comprehensive care that integrates genetics, family history, and lifestyle factors, significantly transforming cardiovascular health management. Dr. Damani has led extensive research initiatives sponsored by the National Institutes of Health (NIH) and published numerous influential articles in prestigious scientific journals. As a patent holder of groundbreaking healthcare technologies, he has successfully founded multiple ventures aimed at improving population health outcomes. A sought-after international speaker on cardiovascular prevention and treatment, Dr. Damani remains passionately committed to developing and advocating for advanced therapies that profoundly improve patient health and quality of life. He earned his Doctorate in Pharmacy from the University of Georgia, followed by his Doctorate in Medicine from Georgia Health Sciences University. Additionally, he holds a Master's degree in Clinical Investigation from The Scripps Research Institute. Dr. Damani completed his specialized medical training at the renowned Scripps Clinic in San Diego, where he currently serves as a clinical instructor at the University of California, San Diego School of Medicine.
Dr. Jordan Valdez, ND, RD
Dr. Jordan Valdez, ND, RD, is a dedicated naturopathic doctor and registered dietitian specializing in women's health and hormonal balance. Her personal health journey sparked her passion for understanding the body's complex systems and optimizing health through natural, integrative methods. Dr. Valdez earned her bachelor's degree in Nutrition from the University of Texas at Austin and completed the university’s esteemed Coordinated Program in Dietetics to become a Registered Dietitian. Inspired by her deep affinity for natural medicine, she further pursued a Doctorate in Naturopathic Medicine from Bastyr University in San Diego. With extensive clinical experience and advanced training, Dr. Valdez provides specialized care for menstrual disorders, preconception planning, menopause support, hypothyroidism, metabolic health, and digestive wellness. Her integrative approach includes functional laboratory testing, personalized nutrition and lifestyle counseling, and targeted nutritional and botanical supplementation. Clients appreciate Dr. Valdez’s compassionate care, feeling genuinely heard, respected, educated, and empowered to take charge of their health. Driven by her conviction in natural medicine as a pathway to holistic wellbeing, she serves as a dedicated advocate and trusted healthcare ally. In her free time, Dr. Valdez enjoys traveling, exploring nature, deepening her study of natural medicine, practicing hot yoga, and fostering connections with like-minded individuals.
Client Satisfaction Analysis
We’ve collected every publicly available patient review we can find and analyzed them across 13 dimensions.
Select to learn more
Comprehensive labs lead to customized hormone and weight-loss plans, explained in plain language and adjusted through quick follow-ups. Patients cite convenient hours, minimal waits, and responsive messaging that keeps therapy on track. Many report substantial weight loss, higher energy, and overall health gains that justify the membership fee, though some object to the 30-day cancellation rule and occasional documentation lapses. Overall sentiment favors clear guidance, measurable results, and solid value.
Overall Hormones.org score for this clinic
92
The Overall Hormones.org Score of iThriveMD - Carmel Valley places it in the bottom 40.0% of all hormone optimization clinics in the San Diego area.
Lower Quartile Lower Average Upper Average Upper Quartile Top 10%
What this means
Clinic scores follow a bell curve: most clinics cluster near the middle, while very low or very high scores become progressively rarer toward the edges.
How we determine this?
Category
Description
Weight
Review Sentiment Quality
Tone and trust language in the most recent 10-20 reviews
25%
Review Sentiment + Rating
Adjusted for inflation; not linear
10%
MD-Led Practice
Is the clinic led by a visible MD or board-certified physician?
10%
Estimated Years in Business
Based on site language, domain age and review timeline
10%
Specialization in Hormone Therapy
Is hormone optimization a core offering or a secondary add-on?
10%
Provider Relationship Model
Small, consistent provider model vs high-volume or anonymous feel
10%
Unique Differentiators
TRT + HRT + GLP-1s + peptides = strong depth
10%
Treatment Breadth
TODO: Add my description to this part
10%
Intimacy of Care
Subtract 5-10% for mass-market feel or templated model
-5%
Negative Flags Penalty
Subtract 5-10% for patterns like billing issues, cold tone, rushed care
-10%
Billing and Insurance
Billing
iThriveMD Carmel Valley provides clear and transparent pricing for all services offered. Patients interested in learning more about specific pricing details or available payment options should contact the clinic directly for additional information.
Insurance
Services at iThriveMD Carmel Valley are typically offered on a fee-for-service basis. Patients seeking details on insurance coverage, potential reimbursements, or related inquiries should directly contact the clinic for assistance.
What New Patients Can Expect at iThriveMD - Carmel Valley
New patients at iThriveMD Carmel Valley begin with a free 15-minute consultation to discuss their symptoms and goals with a medical professional. Subsequently, a detailed wellness plan is developed alongside a licensed provider, potentially including laboratory tests and comprehensive health assessments. Once personalized treatment recommendations are in place, patients receive continuous care, with ongoing monitoring and adjustments as needed, ensuring long-term success and optimal health outcomes.
FAQs about iThriveMD - Carmel Valley
What is the mission of iThriveMD in Carmel Valley?
iThriveMD aims to inspire individuals to live long, healthy, and happy lives by transforming healthcare through the integration of advanced technology, medicine, and holistic health practices.
What hormone-related services are available at the Carmel Valley clinic?
The Carmel Valley clinic offers hormone replacement therapy (HRT) for both men and women, including testosterone replacement therapy (TRT) and perimenopause/menopause care.
Does iThriveMD provide weight loss programs at this location?
Yes, the clinic offers weight loss programs featuring GLP-1 medications such as semaglutide and tirzepatide, which include weekly injections, monthly check-ins, lab reviews, and dosing management.
What anti-aging treatments are offered at the Carmel Valley clinic?
Anti-aging services include NAD+ therapy, IV therapy, and nutrient injections designed to combat inflammation, DNA damage, and mitochondrial dysfunction.
Who comprises the medical team at iThriveMD Carmel Valley?
The clinic's team consists of naturopathic doctors dedicated to providing personalized, cutting-edge treatments to help patients achieve their individual health goals.
Trust and Safety Certifications
Provider License & Certifications
Joseph Shum - California Board of Naturopathic Medicine License
Name: Shum, Joseph Doug
Issuer: California Board of Naturopathic Medicine
License Type: Naturopathic Doctor
Issuance Date: November 14, 2019
Primary Status: License Renewed & Current
License No: 1127
Bianca Despotides - California Board of Naturopathic Medicine License
Name: Despotides, Bianca Andrea
Issuer: California Board of Naturopathic Medicine
License Type: Naturopathic Doctor
Issuance Date: August 10, 2017
Primary Status: License Renewed & Current
License No: 911
John Christianson - California Board of Naturopathic Medicine License
Name: Christianson, John
Issuer: California Board of Naturopathic Medicine
License Type: Naturopathic Doctor
Issuance Date: September 6, 2016
Primary Status: License Renewed & Current
License No: 818
Provider Registrations
Joseph Shum - National Provider Identifier
NPI Number: 1053958744
Numeration Date: 2019-12-02
NPI Type: NPI-1 Individual
Status: Active
Bianca Despotides - National Provider Identifier
NPI Number: 1124579909
Numeration Date: 2016-10-17
NPI Type: NPI-1 Individual
Status: Active
John Christianson - National Provider Identifier
NPI Number: 1790060895
Numeration Date: 2011-10-20
NPI Type: NPI-1 Individual
Status: Active
Clinic location
Map icon
iThriveMD is conveniently located at 5965 Village Way Suite E207, San Diego, CA, near the intersection of Village Way and Carmel Valley Road. The clinic is situated within the Pacific Highlands Ranch area, close to notable landmarks such as The Village at Pacific Highlands Ranch shopping center, Trader Joe’s, and Crunch Fitness. Suite E207 is easily accessible from the main lobby elevators on the second floor.
Map showing location of iThriveMD - Carmel Valley
iThriveMD - Carmel Valley
5965 Village Way Suite e207
San Diego, CA 92130, US
iThriveMD in Carmel Valley offers ample free parking in a private lot directly adjacent to the clinic building. Handicap-accessible spaces are clearly marked near the entrance for convenient patient access. No validation is required. For quickest access, park near the central entrance marked Suite E207, easily visible from the parking area, providing direct elevator or stairway access to the second floor.
Clinic Hours
Mon 8:00 AM - 8:00 PM
Tue 8:00 AM - 8:00 PM
Wed 8:00 AM - 8:00 PM
Thu 8:00 AM - 8:00 PM
Fri 8:00 AM - 8:00 PM
Sat 8:00 AM - 8:00 PM
Sun 9:00 AM - 5:00 PM
iThriveMD - Carmel Valley at a glance
Accepting New Patients
Yes
Offers in Person Care
Yes
Offers Telehealth
Yes
Language Spoken
English
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iThriveMD - Carmel Valley