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 Mahoney, Aguiar, and Zarembka bring a wealth of experience and knowledge to the care of each patient. Whether you are seeking care for Lyme and tick-borne co-infections, 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.
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.
Jill Mahoney, MD
I have had the pleasure of practicing as a primary care physician in Maine for the past decade, during which time I have enjoyed working collaboratively with patients to address their individual needs. I partner with patients in an open and relaxed manner in an effort to optimize communication to get to the root of the problem.
I did not plan a career in medicine. I graduated with Distinction from the University of Virginia in 1994, receiving a Bachelor of Arts in English Language and Literature. Although I had planned a career in journalism or teaching, my career path changed after volunteering at the University Hospital during my junior year of college. I subsequently chose to attend Tufts University School of Medicine followed by internship training at Naval Hospital Jacksonville, Florida. I then pursued a three year tour as a General Medical Officer, during which time I served as Senior Medical Officer for Destroyer Squadron 14 during their 2002 deployment. I subsequently received the Navy Achievement Medal for my service.
After separating from the Navy, I completed Family Medicine residency training in 2006 at the University of Massachusetts. I then relocated to Maine with my family and have been practicing as a family physician ever since. I have been kindly recognized with several awards for patient care including the 2011 SMMC "Caregiver of the Year Award" and 2013 Red Cross Of Southern Maine " Real Heroes " Award for Medical Outreach.
I became interested in tick borne illness early in the course of my practice, collaborating with colleagues in complementary medicine to address my patients' needs. As a member of ILADS since 2013, I have been diligent in my efforts to remain current with the research. As with Dr. Aguiar, I have derived great benefit from training with Dr. Horowitz, Dr. Burrascano, and Dr. Corson, among others.
I am also interested in treatment of PANS and PANDAS, and have been training with Dr. Tracy Fritz, M.D, a leading expert in the field, to further my knowledge and clinical skills with regard to diagnosis and treatment of these syndromes.
As a physician trained in family medicine, I enjoy working collaboratively with patients with an array of concerns to find unique solutions to their problems. The history obtained from each patient is paramount to finding these solutions. As my best teacher once said, " Listen to your patient- your diagnosis is found in their story."
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).