Bar-Shalom Ruth MD is a Santa Cruz practice focused on persistent, hard-to-resolve health concerns. Drawing on more than 26 years of clinical experience and training in naturopathic medicine, the practice works with both acute and chronic disorders, with particular attention to hormonal imbalance, chronic pain, fitness-related challenges, cardiovascular concerns, and broader issues of strength, energy, and physical resilience. Its approach emphasizes identifying underlying imbalance and individual physiology through careful testing, then guiding care with targeted supplement recommendations and personalized herbal formulations. The practice is especially noted for taking on cases that have not improved through conventional medicine or other complementary approaches.