Bloating after your usual breakfast. Days of constipation or an urgent trip to the bathroom. Whether you're living with IBS or diagnosed SIBO, you deserve to be heard and understand what comes next.
Feel at home in your body again.

You've changed what you eat. You've tried to work around your gut. At Forward Health & Vitality, we take time to understand your symptoms, what you've already tried, and how IBS or SIBO is affecting your life. Then we discuss how Chinese herbal medicine and acupuncture can help.
With IBS, it might mean cramping through a meeting, checking where the bathrooms are, or waiting days for a bowel movement. Normal test results don't make any of that less real.
With diagnosed SIBO, it might mean uncomfortable fullness after meals and wondering why symptoms persist or return after treatment. When you've already spent time and money looking for relief, trying again can feel like a lot to ask.
A diagnosis shouldn't be the end of the conversation.

IBS involves recurring abdominal pain with constipation, diarrhea, or both, and changes in how the gut and brain interact. SIBO involves excess bacteria in the small intestine. Symptoms can overlap, but bloating alone doesn't tell us which condition you have.
We begin with your symptom history, existing diagnoses, and what has or hasn't helped. Pulse and tongue assessment inform your Chinese medicine plan; they do not diagnose SIBO. We'll explain our recommendations and when further medical assessment belongs with your doctor.
I focus on digestive care because I know these symptoms affect far more than your meals. I want to hear what happens on a difficult day and what you've already tried. We'll discuss your options, agree on what to track, and review how you're responding so you understand the next step.
Diploma, Canadian Institute of Traditional Chinese Medicine · Advanced training in Chinese herbal medicine and pulse diagnosis
Know what we're assessing, why we're recommending it, and how we'll review your progress. You can ask questions before deciding whether care is right for you.
A 60-minute in-person assessment for women with IBS/SIBO. Here is what you get:
If you start a care plan within 14 days, the full assessment fee comes off your plan.
Based on your assessment, your plan may include:
We'll track what matters in your day: bowel movements, discomfort after meals, and how symptoms affect your plans. Together, we'll review what's changing and whether to adjust care. Our goal is to help you manage with less ongoing support.
We'll explain where our care may help, what remains uncertain, and when another clinician is better placed to help.
Every formula is reviewed against your medications and health history.
We'll review your response and whether continuing herbs makes sense. The goal is to reduce ongoing treatment when appropriate.
You'll know what your plan costs before you start. Treatment plans generally range from $300 to $750 per month over several months, depending on what you need. Receipts for insurance reimbursement are provided.
When even your usual safe foods leave you uncomfortable, another restriction can feel like one more thing to get wrong. We look at what you eat, how symptoms unfold, and what you're already doing, so dietary guidance has a clear purpose and fits your life.
Your custom made formula is selected based on your assessment and reviewed as your symptoms change. Whether you have IBS or diagnosed SIBO, your history and current medical care help guide the discussion.
Gut symptoms can leave you tense and worn out. In person, acupuncture may be included to support comfort and relaxation as part of your plan. We'll explain its role alongside herbal care.
Virtual care · Outside the Lethbridge area
Living with IBS or diagnosed SIBO shouldn't mean a long drive for every appointment. Outside the Lethbridge area, your herbal medicine consultations and weekly check-ins happen by video, with herbs shipped to you. Virtual care does not include acupuncture.
Virtual care is for patients outside the Lethbridge area. If you live within reasonable driving distance of Lethbridge, we'll see you in person at our clinic.
Book a virtual assessment
If you're tired of conflicting food advice, start with a simple day-by-day guide rooted in Chinese dietary therapy. Explore warm, simple meals over seven days. It's a starting point for your routine, not a treatment for SIBO or a promise to resolve IBS. Free, and yours instantly.
Get the free guidePosted on Google![]()
Norma Zemp11 days agoTrustindex verifies that the original source of the review is Google.
If you’re looking for an amazing acupuncturist and TCM Dr. look no further. Josh is incredibly knowledgeable and professional. Josh has helped me take my sciatic pain from severe and debilitating to being near pain free using a combination of both modalities. I am forever grateful I was introduced to Josh.Posted on Google![]()
Trevor Butler13 days agoTrustindex verifies that the original source of the review is Google.
I’ve had a very positive experience with Dr. Prefontaine. Reaching out and scheduling an assessment was simple, and I was able to meet with him quickly. He listened carefully to my concerns and gave me an honest assessment of where he felt he could help before outlining a detailed, four-month treatment plan. Throughout the process, he was prompt, organized, personable, and easy to talk to. I especially appreciated being able to speak openly and receive thoughtful, straightforward advice. Over the course of my treatment, I saw very positive improvements in my symptoms. As other concerns arose, Dr. Prefontaine adjusted the plan to reflect my needs and priorities. He also accommodated my busy schedule with phone and online appointments, which helped me maintain continuity of care. If you feel your current care isn’t fully meeting your needs, I would highly recommend a conversation with Dr. Prefontaine to explore whether he can help. I appreciated both the results I experienced and his honest, caring approach.Posted on Google![]()
Shannon Evans56 days agoTrustindex verifies that the original source of the review is Google.
I was seen at Forward Health and Vitality last week and had an amazing experience! Josh was so knowledgeable and professional - plus his treatment took away my pain! I HIGHLY recommend visiting this clinic.Posted on Google![]()
Kimberly Holt-McClung60 days agoTrustindex verifies that the original source of the review is Google.
Dr. Prefontaine is great and very knowledgeable. He was able to help me with my shoulder and neck pain. I would highly recommend.Posted on Google![]()
Siobhan westrop65 days agoTrustindex verifies that the original source of the review is Google.
Excellent overall experience with Dr. Prefontaine. His professionalism and knowledge was extensive. He took extra time to fully understand my conditions and questions. The office was clean, comfortable and welcoming. Highly recommend this service.Posted on Google![]()
Krisha119 days agoTrustindex verifies that the original source of the review is Google.
Dr Josh treated my mum with the knee pain she has had for years. He also prescribed her with herbs for pain relief and my mom felt the changes after 1st appointment itself! Highly recommended ! Thank you Dr Josh for your knowledge and treatments!! Will be back soon..Posted on Google![]()
Lisa Quinton120 days agoTrustindex verifies that the original source of the review is Google.
I have been seeing josh for 3 weeks in regards to my shoulder tendon injury sustained at the gym. Josh was able to relieve most of the pain and tenderness through acupuncture. Josh is very knowledgeable, dedicated and passionate about what he does!! Highly recommend if you are dealing with any injury!Posted on Google![]()
Emily Neville146 days agoTrustindex verifies that the original source of the review is Google.
I've seen Josh for acupuncture and have always had a great experience. He's professional, caring, knows the right questions to ask, and looks at the full picture when providing treatment and relief. I will be recommending anybody in the area to Josh, as I have confidence that no matter what symptoms you're experiencing, he is well equipped to take care of you and help.Posted on Google![]()
Maya146 days agoTrustindex verifies that the original source of the review is Google.
Having known Josh for several years, I can confidently say that he is one of the most dedicated practitioners I have met. He has immense knowledge, genuine compassion, and a strong commitment to helping his patients achieve their health goals. He takes the time to listen, understand each individual's needs, and provide thoughtful, personalized care. If you're looking for a skilled, caring, and trustworthy TCM practitioner, I highly recommend Josh.Posted on Google![]()
Rylee Montgomery146 days agoTrustindex verifies that the original source of the review is Google.
I have suffered with chronic neck pain for about 4 years and did not know what else to try or what to do because of such a chronic, longstanding condition. I booked an appointment with Josh and can honestly say I have never been listened to with such genuine care and intent. I felt an instant reassurance and confidence that I was in good hands, and that has not gone away since! During my treatments, my neck pain reduced significantly, as he applied his extensive herbal knowledge to my case and made a huge difference in my pain within one week. His treatments are very thorough and intentional, but additionally and almost more importantly, his genuine kindness and humility is what truly makes him stand out. I will definitely be referring friends and family.Posted on Google![]()
Jonathan Kukor182 days agoTrustindex verifies that the original source of the review is Google.
Josh is amazing. I highly recommend him for his ability with herbal medicine. He’s helped me and my friends with headache, digestive problems and female health. I honestly wasn’t sure it would work. He explained everything to me and I had a clear understanding of the process.Posted on Google![]()
Ld P182 days agoTrustindex verifies that the original source of the review is Google.
For excellent Chinese herbal medicine care that can really help permanently heal your health issues, I recommend going to see Josh at Forward Health and VitalityPosted on Google![]()
Lucille Rayner182 days agoTrustindex verifies that the original source of the review is Google.
Josh is a wonderful practitioner. He is focused and dedicated to his craft. He is passionate about continuing to learn, to serve his patients and to offer the highest level of care. He is kind and professional and walks his talk.Posted on Google![]()
Marina Perkovic182 days agoTrustindex verifies that the original source of the review is Google.
Josh is fantastic to work with! I have been navigating a recent autoimmune diagnosis for the past few years while struggling with the same symptoms regardless of what methods/tools/etc I implemented. I came to Josh looking for some real change and his herbal treatment plan alleviated a number of my symptoms within a few short months. I highly recommend Josh and am now a firm believer in the power of Chinese herbs while his general approach to health is very straightforward and easy to follow. He is also extremely knowledgeable in pulse diagnosis that I find it truly supplements his treatment plans to better suit your needs.Posted on Google![]()
Emily Wilton183 days agoTrustindex verifies that the original source of the review is Google.
If you’ve been contemplating whether or not to try acupuncture, or have been looking for an acupuncturist, Dr. Josh is the one. He made me welcomed, heard and care for from the moment we met. After a bad car accident, I was left with a concussion and many physical injuries. He listened to my story, asked more questions about my health than any doctor ever has, and was able to provide me relief from my chronic pain and cognitive symptoms. He gave me lifestyle recommendations and herbal medicine recommendations that really helped me feel better between appointments. If you’ve been struggling with a health condition that nobody seems to have the answer to, you should see Dr. Josh.Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
Start with The Gut Pattern Blueprint, a 60-minute in-person assessment. Talk through your IBS or SIBO history, ask your questions, and understand your options. If you start a care plan within 14 days, the full assessment fee comes off your plan.
Book The Gut Pattern Blueprint