Water's Edge Natural Medicine is a nationally recognized leader in bioidentical hormone therapy and naturopathic medicine, serving patients from a stunning Seattle waterfront clinic with views of Puget Sound, the Olympic Mountains, and Mount Rainier. Founded on the principles of natural, integrative, and functional medicine, the practice has been transforming patient health for over 30 years through state-of-the-art diagnostic testing and individualized treatment protocols that address the root causes of hormone imbalance, chronic disease, and accelerated aging. Under the medical direction of Dr. Marianna Abrams, ND, MSAOM, Water's Edge combines the precision of naturopathic clinical science with the wisdom of Oriental medicine and acupuncture — offering Seattle-area patients a truly holistic path to hormonal balance, vitality, and long-term health.

About the Physician

Dr. Marianna Abrams, ND, MSAOM, is the Medical Director of Water's Edge Natural Medicine and a leading national voice in bioidentical hormone therapy and integrative naturopathic medicine. A graduate of Bastyr University, she holds dual expertise as a licensed naturopathic physician and a practitioner of Oriental medicine and acupuncture — a rare combination that allows her to approach endocrine dysfunction, chronic illness, and age-related decline from multiple therapeutic dimensions simultaneously. Dr. Abrams oversees the care of every patient, blending her deep background in naturopathic science with traditional Western-allopathic medicine to deliver comprehensive, individualized healing approaches. She leads a team of Bastyr-trained naturopathic doctors and acupuncturists, including Dr. Kim King, ND, LAc — ensuring that every Water's Edge patient receives expert, multi-disciplinary attention from first consultation through long-term care.

Services Offered

• Bioidentical Hormone Replacement Therapy (BHRT) — Water's Edge's flagship specialty: individualized, precision-compounded bioidentical hormones derived from plant sources and engineered to match the exact chemical structure of the body's own hormones — restoring hormonal balance in a form the body recognizes and readily accepts.
• Menopause & Perimenopause Management — Expert, comprehensive care for women navigating the hormonal transition, addressing hot flashes, mood changes, sleep disruption, cognitive fog, bone loss, and cardiovascular risk through individualized natural hormone therapy and integrative support.
• Low Testosterone & Male Hormone Optimization — Evaluation and treatment of testosterone deficiency and hormonal decline in men, using bioidentical protocols to restore energy, libido, muscle mass, cognitive function, and overall vitality.
• Adrenal Fatigue & Stress Recovery — Assessment and naturopathic treatment of HPA axis dysfunction — addressing chronic stress, exhaustion, and hormonal disruption through targeted supplementation, lifestyle medicine, and adaptogenic protocols tailored to each patient's clinical picture.
• Thyroid Disorders — Comprehensive thyroid evaluation and individualized naturopathic treatment for hypothyroidism, Hashimoto's thyroiditis, and related dysfunction, using functional laboratory analysis to restore metabolic balance, energy, and well-being.
• Weight Loss & Metabolic Health — Evidence-based weight management integrating hormonal evaluation, nutritional counseling, and targeted naturopathic interventions to address the metabolic and endocrine root causes of weight gain and resistance to loss.
• PMS, PMDD & Reproductive Hormone Health — Naturopathic and hormone-balancing approaches for premenstrual syndrome, PMDD, PCOS, and related female reproductive hormone disorders — addressing cycle irregularity, mood symptoms, pain, and systemic hormonal imbalance.
• IV Therapy & Nutritional Medicine — Custom intravenous nutrient infusions delivering vitamins, minerals, and antioxidants directly into the bloodstream for maximum absorption — supporting immune function, energy, recovery, and cellular health.
• Acupuncture & Oriental Medicine — Delivered by licensed practitioners on the Water's Edge team, acupuncture and Oriental medicine complement the clinic's naturopathic and hormonal protocols, supporting pain relief, stress reduction, hormonal regulation, and systemic healing.

What to Expect

Water's Edge Natural Medicine's Seattle clinic is located at 1000 Second Avenue, Suite 2920, Seattle, WA 98104, with waterfront views of Puget Sound. To schedule a new patient consultation, call (206) 966-4522. Clinic hours are Monday, Tuesday, and Thursday 9:00 am to 4:00 pm; Wednesday 8:00 am to 3:00 pm; Friday 8:00 am to 12:00 pm. A second clinic is located in Palo Alto, CA. Learn more at naturopathic.com.