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Our Practice


Scarborough Integrative Health is an integrative clinic that practices patient-centered, proactive medicine.  With a diverse background in standard and integrative medical testing and treatments, Drs Aguiar, Flood, and Zarembka bring a wealth of experience and knowledge to the care of each patient.  Whether you are seeking care for  tick-borne illness, hormonal concerns, digestive health, or any of the many diagnoses they are skilled in treating, our doctors will take the time to understand your story and get to the root of your concern.  

Our Doctors
Jacob Aguiar, ND


As a naturopathic doctor, I work with each patient to create personalized and effective treatment solutions. 


Prior to receiving my Doctorate in Naturopathic Medicine from Bastyr University in Seattle, I received my BA in anthropology from Dartmouth College, graduating Magna Cum Laude. 


I discovered in a class titled “The Anthropology of Health and Illness” that rarely is any disease confined to the physical body or the psyche alone.  Rather, the experience of health and disease is a complex interplay of social, economic, psychological, and physical factors.  This understanding is crucial in the context of Lyme and associated diseases, which often create stressors in each of these areas.  I have studied with and learned from leading experts in Lyme diagnosis and treatment over the last 10 years, including Dr Klinghardt MD, Dr Horowitz MD, Dr Ross MD, and Dr Burrascano MD.  Further, I have spent the last several years treating over 1,000 patients with Lyme and tick-borne infections at North Coast Family Health in New Hampshire.  My desire to bring this accumulated knowledge back to Maine to help my community in Scarborough has led to the opening of our new medical clinic, Scarborough Integrative Health.  I am partnering with my colleague, Jill Mahoney, MD who has been successfully treating Lyme disease in Maine for many years.  

I continue to deepen my knowledge and stay up to date with current research by attending International Lyme and Associated Diseases Society (ILADS) conferences, other related conferences throughout the year, and reading the latest books published by leaders in integrative health care.  


Apart from tick borne infections, my other medical interests include:  PANDAS and PANS; fibromyalgia and chronic fatigue syndrome; digestive health (including IBS, SIBO, Crohn’s, UC, reflux, gastritis, constipation, and diarrhea); men’s health (including Benign Prostatic Hypertrophy, low libido, erectile dysfunction, low energy, and loss of muscle mass); endocrinology including thyroid, adrenals, and sex hormones; brain health (including depression, anxiety, ADHD, cognitive decline and Alzheimer’s disease); cardiovascular disease and diabetes; natural stress reduction; and autoimmune disease.


Attaining health is a process, and I do my best to provide proven solutions while supporting and empowering you along the way.  I work with each patient’s desires, beliefs, and values to develop a treatment and management approach that works. 


I’m an avid soccer player and you may find me playing a game of pick-up or dribbling a ball at a local soccer field with my wife Laura and Bernie, my Bernese Mountain Dog.  In addition to playing soccer, I enjoy all forms of exercise, including cycling, running, and hiking.  I am also an avid landscape painter and you may find me out trying to capture the seasons of New England. 


I look forward to working with you to help you establish and reach your personal health goals.

Steven Zarembka, ND


As a naturopathic physician my goal is to help people achieve optimal health through an integrative model of individualized care. I enjoy working with people of all ages to uncover underlying causes of common and not so common conditions and ultimately provide people the space, tools, and resources to move toward a better state of health.


I’m a Rhode Island native and received my undergraduate degree from Salve Regina University in beautiful Newport, Rhode Island. It was my personal experience with naturopathic care that inspired me to pursue a career in a truly wholistic model of medicine. I received my Doctorate of Naturopathic Medicine from National University of Health Sciences in Lombard, IL. My training as a clinician is rooted in the fundamentals of naturopathic medicine which includes the utilization of nutrition, botanical medicine, functional medicine, homeopathy, and lifestyle modification to promote health and healing. 


Following my naturopathic medical training I completed a Council for Naturopathic Medical Education accredited residency through the Canadian College of Naturopathic Medicine at East Coast Naturopathic Clinic in Bedford, Nova Scotia. There I gained valuable experience in intravenous nutrient therapy, low dose immunotherapy/allergen therapy, mistletoe therapy, and multiple applications of ozone therapy. I have also received training in German biological medicine, biotherapeutic drainage, injection therapies, and frequency specific microcurrent.  


My areas of clinical interest include the diagnosis and treatment of tick- borne infections: (Lyme disease and its often overlapping co-infections), 

Environmentally Acquired Illness and safe detoxification: (The role that infections, mold/mycotoxins, heavy metals, pesticides, and other stressors in our environment may have in contributing to chronic inflammation and immune system dysfunction and how to address these problems safely and effectively). Gastrointestinal conditions: (irritable bowel syndrome, inflammatory bowel syndromes - ulcerative colitis and Crohn's disease, small intestinal bacterial overgrowth, yeast overgrowth, and gastroesophageal reflux disorder). Autoimmune, endocrine,  neurological, and inflammatory conditions (multiple sclerosis, rheumatoid arthritis, Lupus, thyroid and adrenal conditions, cognitive decline, dementia, fibromyalgia, chronic fatigue syndrome, mast cell activation syndrome, multiple chemical sensitivities, depression, anxiety, and the biomedical approach to neurodevelopmental and neuroinflammatory conditions such as autism spectrum disorder and PANS/PANDAS).


Heather Flood, ND


Dr. Heather Flood ND EAMP LAc is an Integrative Physician, acupuncturist, and Chinese herbalist. She believes in the body’s propensity toward health and strives to encourage and promote the body’s innate healing capacity and drive for homeostasis through individualized medicine. She uses a holistic approach that encompasses the physical, mental, emotional, and spiritual aspects of wellness. This allows her to identify the root causes of illness and tailor treatments and interventions to best suit each individual’s needs. She firmly believes in educating and empowering patients to understand their bodies and participate in their wellness to maximize their healing potential and optimize their health. She has a unique skill set as a result of her training with both the conventional medical model as well as her naturopathic foundation. As a result, she is able to provide evidence-based, informed decision-making around which therapies are best suited for you based on your philosophy, desired outcome, and medical needs.


Dr. Flood received her doctorate in Naturopathic Medicine and a Masters of Science in Acupuncture and East Asian Medicine from Bastyr University in Seattle, Washington. She studied East Asian Medicine in China at major hospitals in Shanghai and Chengdu. Dr. Flood obtained her Bachelor of Science in Biology from Fordham University in New York, New York. She completed two years of residency at Bastyr Center for Natural Health (BCNH) as well as a year of residency at HealthPoint, a community clinic providing conventional care for underserved populations. 


Her areas of interest include Lyme disease and co-infections, PANDAS and PANS, gastrointestinal health, women’s health, endocrinology, and mental health. 

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