Tiffany Holt

First Name
Tiffany
Last Name
Holt
Credentials (Display)
MS, RD
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Titles
Integrative Registered Dietitian
Bio

Tiffany Holt is an integrative registered dietitian nutritionist (RD/RDN) and research dietitian with the Centers for Integrative Nutrition and Integrative Research at UC San Diego Health. In her current position, she splits her time between outpatient clinical care and nutrition research. In clinical practice she offers one on one counseling to help implement meaningful nutrition changes for shifting disease processes back towards wellness. As a research dietitian, she assists in all stages of a study including protocol development, intervention implementation, and data analysis. Previous or active research projects include whole food, plant-based, and anti-inflammatory diets in the setting of hormone-related conditions, cancer, digestive diseases, eye diseases, autoimmunity and mental health conditions.

Nutrition became a passion for Tiffany after applying "food as medicine" in her own life as a Division I soccer player facing injury. While she continues to compete in recreation soccer leagues today, she has become a professional in the nutrition world. She has also served as a board member and past-president with the San Diego District of the California Academy of Nutrition and Dietetics, a state affiliate of the Academy of Nutrition and Dietetics (AND). Tiffany is a member of specialized Dietary Practice Groups including Dietitians in Integrative & Functional Medicine (DIFM), Research Nutrition, Cardiovascular Health and Well-being (CV-Well), and Sports and Human Performance Nutrition (SHPN).

Tiffany graduated with advanced nutrition training from Bastyr University master's degree program. While in practice, she has also completed functional nutrition training with the Institute of Functional Medicine, Academy of Nutrition and Dietetics, and peer-to-peer mentorship with tenured RDNs. Her work experience with UC San Diego Eating Disorders Center for Treatment and Research, Bastyr Center for Natural Health (BCNH), and dietetic internship with UC San Diego Health, have been invaluable learning opportunities she uses daily as a dietitian.

Outside of work, Tiffany enjoys family time with her husband and kids, cooking, playing soccer, running and weight training. Reading, sunshine and tending to her plants, are her restoration essentials.

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Areas of Expertise
Metabolic health (diabetes, cardiovascular disease, hypertension, hyperlipidemia, MAFLD), gastrointestinal conditions, women's health, eating disorders, food allergies/intolerances, weight management, autoimmune diseases, oncology, culinary medicine
Practice locations
Care Setting
Outpatient
Accepting New Patients
Accepting New Patients
Languages
Clinical Philosophy

The Center for Integrative Nutrition (CIN) vision is to embrace food as the cornerstone of health and disease prevention, treatment, and recovery, for individuals, communities, and the entire planet. CIN supports a food first approach to nutrition-related care. Strategies including culinary medicine and behavior change counseling are integrated into nutrition goals to cultivate meaningful interventions for patients. This specialty practice allows the RDN to blend standard nutrition care with aspects of lifestyle, complementary, alternative, and functional medicine. All of these types of medicine encompass patient-centered, healing-oriented approaches that embraces conventional and complementary therapies. Overall, our RDNs apply the concept of Food as Medicine in a clinical setting and treat a wide variety of medical diagnoses ranging from chronic diseases to weight loss or weight gain to autoimmune and rheumatological conditions, as well as counseling for weight management and eating behaviors.

What to Expect

Patients can expect visits to focus is on collaboration between patient and provider to create patient centered, data-driven, safe, and customized nutrition and lifestyle recommendations. Nutrition visits at CIN allow time for developing a meaningful partnership and regular follow up care starting with review of diet journals and completed with detailed after visit goals. Food as medicine is for everyone in a situation where they are open to changes in their diet to better their health.

Alice I. Chen

First Name
Alice
Last Name
Chen
Credentials (Display)
DO
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Titles
Osteopathic Physician
Associate Professor of Family Medicine
Medical Director, Osteopathic Manual Medicine Service
Bio

Alice Chen, DO, is a board-certified osteopathic neuromusculoskeletal medicine specialist who provides an integrative approach towards treating disease and cultivating health. She provides osteopathic manipulative treatment: a type of hands-on care that treats illness and injury by feeling and gently moving a person's tissues and joints, thereby easing pain and improving function. She considers the whole-person (mind-body-spirit) in the quest for optimal health and wellness.

Dr. Chen cares for for people of all ages with a variety of health conditions. She primarily cares for patients in the hospital setting, helping with pain, anxiety, acute illness, infections, traumatic injuries, and after all forms of surgery (from brain to transplant). She cares for infants and newborns in her clinic, helping alleviate biomechanical breastfeeding issues, torticollis, constipation, body tightness and tension, and plagiocephaly. 

As an associate professor in the Department of Family Medicine, Dr. Chen teaches medical students, residents, and fellows at UC San Diego School of Medicine. Her research interests include exploring the mechanisms of osteopathic manipulative treatment and its clinical effects in the patients she cares for.

Dr. Chen completed her residency in neuromusculoskeletal medicine and osteopathic manipulative medicine (NMM/OMM) at St. Barnabas Hospital Health System in the Bronx, New York. She earned her osteopathic medical degree from A.T. Still University School of Osteopathic Medicine in Arizona.

When not treating patients, Dr. Chen enjoys spending time with family, painting, and cooking. She energizes herself through spending time in nature, contemplation, and friendship.

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Areas of Expertise
Infants and children, breastfeeding problems for parent-baby dyad, post-operative and acute care, integrative vestibular schwannoma care.
Care Setting
Inpatient
Outpatient
Accepting New Patients
Call To Confirm Availability
Clinical Philosophy

Dr. Chen practices osteopathy from the philosophical perspective that our bodies possess remarkable innate wisdom and capacity for healing. Her role as a physician is not to impose treatment, but to listen—through palpation, through conversation, through careful observation—and to partner with you to achieve your goals in health and wellness.  

What to Expect

Come as you are. 

Alejandra Reyes

First Name
Alejandra
Last Name
Reyes
Credentials (Display)
DACM, LAc
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Titles
Acupuncturist
Lead, Acupuncture and Massage Therapy Service
Bio

Alejandra Reyes, DACM, LAc, is a doctor of acupuncture and Chinese medicine and a licensed acupuncturist credentialed by both the California Acupuncture Board and the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). She has special interests in working with patients with chronic pain, orthopedics and oncology support, utilizing evidence-informed Chinese medicine to care for complex health needs.

Her clinical philosophy emphasizes that true healing involves the whole person - physical, mental and emotional. She is deeply committed to empowering patients, helping them understand their bodies, actively participate in their healing process and cultivate sustainable practices for long-term wellness and resilience.

Dr. Reyes is the director of the acupuncture and massage department at the UC San Diego Center for Integrative Medicine. She also serves as the co-director of the integrative medicine rotation for UC San Diego medical students, and is committed to expanding integrative medicine education and awareness among future physicians. In addition, she is faculty at Pacific College of Health and Science, supervising acupuncture students in off-site clinical rotations.

Beyond her clinical and academic work, Dr. Reyes is passionate about giving back to the community, including volunteer efforts with refugee shelters and local outreach initiatives. She believes strongly in expanding access to compassionate, culturally sensitive care for underserved populations.

A first-generation Mexican American raised in San Diego, Dr. Reyes is proud to serve the community she calls home. In her free time, she enjoys road cycling, beach days and kayaking with her family. She is also an avid traveler who loves exploring new destinations, cultures and cuisines.

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Areas of Expertise
Chronic pain, orthopedic support, oncology support, inpatient acupuncture.
Care Setting
Inpatient
Outpatient
Accepting New Patients
Accepting New Patients

Melanie R. Fiorella

First Name
Melanie
Last Name
Fiorella
Credentials (Display)
MD
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Titles
Integrative Primary Care Physician
Professor of Family Medicine
Medical Director, Center for Integrative Medicine
Bio

Melanie Fiorella, MD, is a board-certified family medicine doctor. She provides primary care for patients of all ages, including preventive care and treatment of acute and chronic diseases. She has a special interest in women's health, mood disorders, back pain, gastrointestinal disorders and sleep problems.

Dr. Fiorella integrates lifestyle medicine - such as nutrition, mindfulness-based stress reduction and yoga - into the medical care of her patients. Where indicated, she refers patients to complementary therapies such as osteopathic manual therapy, acupuncture and massage. She also offers consults in integrative medicine through UC San Diego's Center for Integrative Medicine.

As a professor of family medicine, Dr. Fiorella is involved in training medical students and residents at UC San Diego School of Medicine. She is the director of the Integrative Medicine in Residency program.

Dr. Fiorella completed her residency at UC San Diego School of Medicine and earned her medical degree at State University of New York at Buffalo School of Medicine. She is board certified in family medicine and completed fellowship training in integrative medicine.

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Areas of Expertise
Integrative medicine, ayurveda, yoga, nutrition, women’s health.
Care Setting
Outpatient
Accepting New Patients
Accepting New Patients
Not Accepting New Primary Care Patients
Languages

Megan E. Jolicoeur

First Name
Megan E.
Last Name
Jolicoeur
Credentials (Display)
DO, FAAFP, ABOIM, FMCP-M
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Megan E. Jolicoeur, DO
Titles
Integrative Physician
Assistant Professor of Family Medicine
Lead, Integrative Medicine Consult Service
Bio

Megan Jolicoeur, DO, is a board-certified family medicine and integrative medicine specialist. She is also an Institute of Functional Medicine Certified Practitioner (FMCP-M).

She serves as an assistant professor of family medicine in the UC San Diego School of Medicine and currently sees patients at UC San Diego's Centers for Integrative Health. Through a holistic perspective, Dr. Jolicoeur empowers her patients to reach optimal wellness from a whole body and integrative approach that includes physical, mental, emotional, and spiritual well-being.

Dr. Jolicoeur has a passion and expertise in integrative medicine, medical acupuncture, osteopathy, lifestyle medicine, nutrition and functional medicine. She currently holds additional certifications in medical acupuncture, mind body medicine, Ayurvedic counseling, Pain Reprocessing Therapy (PRT),  and is a 200-hour certified yoga teacher.

She previously served as an active-duty naval officer and physician at Naval Branch Health Clinic Port Hueneme while also leading as the senior medical officer. During her time of service, she participated in a humanitarian mission called Pacific Partnership 2015 aboard the USNS Mercy and also established an integrative medical and acupuncture clinic for active duty, retired veterans and dependents.

Following her service with the Navy, she completed an integrative medicine fellowship at the UCLA Center for East-West Medicine while also serving as a clinical instructor for UCLA. She completed her internship and residency at Naval Hospital Camp Pendleton. She served an additional year focusing on integrative medicine while also serving as a junior attending physician.

Dr. Jolicoeur earned her medical degree at Touro University School of Osteopathic Medicine-California. She completed a bachelor's degree in physiology and neurobiology from The University of Connecticut.

She is a fellow of the American Academy of Family Physicians (FAAFP) and a member of the American Board of Integrative Medicine (ABOIM).

Her hobbies include spending time with family, running, hiking, cooking, and traveling. She uses yoga, meditation, and time in nature to stay grounded and grateful.

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Areas of Expertise
Functional GI disorders, chronic pain, women's health, oncology; mind body medicine; pain reprocessing therapy; medical acupuncture.
Care Setting
Outpatient
Accepting New Patients
Accepting New Patients
Languages