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iThriveMD - Encinitas
Dr. Thomas Macsay, ND
Face-to-Face Care
or
Telehealth Care

iThriveMD - Encinitas

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:
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
Patients consistently praise the Encinitas staff for their warmth and approachable demeanor. From the front desk to the providers, everyone is described as friendly, kind, and eager to help. Even nervous first-time visitors mention feeling at ease because the team is so welcoming and comforting. Overall, a genuinely friendly atmosphere is one of the clinic’s most frequently lauded qualities. Many reviewers specifically highlight how helpful the team is, making sure patients feel comfortable and cared for from the moment they walk in.
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Treatments and services
TRT
TRT
GLP-1s
GLP-1s
HRT
HRT
Onsite amenities
Telemed
About iThriveMD - Encinitas
iThriveMD is passionate about helping individuals achieve their goals through personalized, cutting-edge treatments. Located within a calming and supportive environment, the clinic’s Encinitas facility offers a tranquil setting conducive to healing and wellness. By integrating traditional medical methodologies with natural health principles, iThriveMD effectively targets underlying causes of conditions such as hormonal imbalance, metabolic issues, and age-related health challenges. Each patient receives a carefully tailored wellness plan designed to meet their specific health objectives, fostering lifelong vitality and well-being.
What Makes iThriveMD - Encinitas Unique
iThriveMD distinguishes itself through its integrative, personalized approach to wellness. Unique offerings include advanced treatments like GLP-1 medications for effective weight loss, NAD+ therapy designed to support cellular health, and bio-identical hormone replacement therapy. The clinic emphasizes preventive and regenerative medicine by targeting inflammation, cellular aging, and metabolic dysfunction at their core. This dedication to innovation and holistic patient care sets iThriveMD apart as a leading provider of comprehensive health optimization strategies.
Why Choose iThriveMD - Encinitas
Patients choose iThriveMD Encinitas for its skilled and compassionate medical team, individualized treatment strategies, and strong commitment to patient satisfaction. Patient feedback consistently emphasizes the staff's professionalism, expertise, and personalized attention. Many patients highlight the clinic’s transparent pricing, comprehensive service offerings, and noticeable improvements in their overall health and well-being. These attributes make iThriveMD a trusted choice for individuals seeking effective, patient-centered care to achieve lasting health outcomes.
Philosophy of Care at iThriveMD - Encinitas
The philosophy of care at iThriveMD revolves around empowering individuals through personalized, integrative medicine. Rather than solely managing symptoms, the clinic emphasizes identifying and treating the root causes of health conditions. Their approach blends conventional medical techniques with holistic therapies, supporting overall health and longevity. Providers at iThriveMD collaborate closely with each patient to design tailored wellness programs that promote lasting vitality and improved quality of life. By fostering a collaborative and patient-centered environment, the clinic ensures that individuals are active participants in their health journeys, optimizing long-term results.
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
Patients consistently praise the Encinitas staff for their warmth and approachable demeanor. From the front desk to the providers, everyone is described as friendly, kind, and eager to help. Even nervous first-time visitors mention feeling at ease because the team is so welcoming and comforting. Overall, a genuinely friendly atmosphere is one of the clinic’s most frequently lauded qualities. Many reviewers specifically highlight how helpful the team is, making sure patients feel comfortable and cared for from the moment they walk in.
Overall Hormones.org score for this clinic
89
The Overall Hormones.org Score of iThriveMD - Encinitas places it in the bottom 16.3% 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 is committed to transparent and competitive pricing. Clear pricing details are available for various treatments, including hormone replacement therapy, medical weight loss programs, nutrient injections, and IV therapy sessions. Nutrient injections typically start at affordable price points, while IV therapy costs vary based on treatment specifics. Patients receive comprehensive cost information upfront, enabling informed decisions regarding their healthcare investments.
Insurance
Patients should contact iThriveMD directly for additional information regarding insurance acceptance and coverage specifics.
What New Patients Can Expect at iThriveMD - Encinitas
New patients at iThriveMD Encinitas experience a structured and supportive onboarding process designed for ease and clarity: Initial Consultation: Patients begin with a complimentary 15-minute consultation to discuss symptoms, health goals, and potential treatment options with a healthcare provider. Personalized Wellness Plan: A licensed medical professional collaboratively creates an individualized wellness plan addressing specific health objectives. Initiating Treatment: Patients start their tailored wellness programs with consistent follow-up, adjustments, and professional support to ensure successful outcomes. This structured approach facilitates a seamless and supportive entry into care, aligning closely with patient health goals and expectations.
FAQs about iThriveMD - Encinitas
What services are offered at iThriveMD’s Encinitas location?
iThriveMD in Encinitas provides a range of services including hormone therapy, testosterone therapy, weight loss programs utilizing GLP-1 medications, peri/menopause care, NAD+ therapy, IV therapy, and nutrient injections.
What is the mission of iThriveMD?
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 approaches.
What types of hormone therapy are available at iThriveMD Encinitas?
The clinic offers comprehensive hormone therapy services, including testosterone therapy and peri/menopause care, tailored to address individual hormonal needs.
Does iThriveMD Encinitas offer testosterone therapy?
Yes, testosterone therapy is among the services provided at the Encinitas location, designed to support individuals experiencing symptoms related to low testosterone levels.
Are weight loss services available at iThriveMD Encinitas?
Yes, the clinic offers weight loss programs that include the use of GLP-1 medications, aimed at supporting patients in achieving their weight management 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 centrally located at 285 N El Camino Real Suite 211, Encinitas, CA, near the intersection of N El Camino Real and Encinitas Boulevard. Nearby landmarks include Encinitas Village Shopping Center, Trader Joe’s, HomeGoods, and numerous local restaurants. Suite 211 is clearly identifiable on the second floor, easily accessible via the main lobby elevators or stairs, directly facing N El Camino Real.
Map showing location of iThriveMD - Encinitas
iThriveMD - Encinitas
285 N El Camino Real #211
Encinitas, CA 92024, US
iThriveMD in Encinitas provides convenient, free parking in a spacious private lot adjacent to the clinic. Handicap-accessible parking spaces are clearly marked and located near the main entrance for easy patient access. No validation is required. For easiest parking, choose spots nearest to the main building entrance, clearly marked Suite 211, visible upon entering from N El Camino Real.
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 - Encinitas at a glance
Accepting New Patients
Yes
Offers in Person Care
Yes
Offers Telehealth
Yes
Language Spoken
English
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iThriveMD - Encinitas