Dr. Oughtred is a fantastic ND who really focuses on ways to help you improve your long term health and fitness. He takes the care and attention needed when doing assessments of his patients, and then he makes his recommendations easy to understand and follow. I have been working with him for almost 5 years now, and in that time he's been largely responsible for considerable improvements in my general health. With Ryan, I overcame what I had previously thought to be a chronic hip injury, and I'm now actually in better shape than I was pre-injury. I've also used his exercise regimens and lifestyle coaching to help build my fitness to the point where I've completed two Ironman events in the last year. I'd recommend Ryan to anyone wanting to improve their health, overcome injury or chronic pain, or to obtain the coaching and dietary/supplement advice needed to see noticeable improvements in your overall fitness.