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Checking Weight

THE IMPORTANCE OF TESTOSTERONE

PRF JOINT INJECTIONS

ARE YOU READY TO LOSE WEIGHT WITH SEMAGLUTIDE?

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Facial Treatment
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MICRONEEDLING

NANOINFUSION

PRF HAIR RESTORATION

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THE IMPORTANCE OF TESTOSTERONE

What is testosterone?

Testosterone is the predominant male hormone that affects sexuality and metabolism. The normal progression of testosterone levels of men levels out around the ages of 18-23 years old than continues to slowly decline as we age. Eventually, men's testosterone can decline below a threshold that causes symptomatic, low testosterone (hypogonadism). These symptoms include decreased libido, decreased energy, decreased mood, among other generalized, non-specific symptoms. Sometimes, there are certain environmental factors that can cause a sharper decline in the testosterone than the average person. Since testosterone stores are replenished during deep sleeps, someone who has repeatedly interrupted sleep cycles, such as shift workers (fireman, policeman, etc.) may have decreased levels at an earlier age. Other factors that cause this sharper decline include obesity, high stress, labor, certain foods, etc.

Treatment and Monitoring

 A significantly low testosterone would be a total testosterone below 350. Initially, we will check total testosterone and prostate labs. With a qualifying lab, a patient receives a low dose injection of testosterone cypionate weekly. Labs are rechecked a month later to see if total testosterone is at goal (patient specific), where the dose is adjusted from there, and estrogen, to make sure that the testosterone is not converting to estrogen. Labs are checked again at 3 months to check complete blood count, comprehensive metabolic panel, cholesterol panel. If everything is stable at that point, then we continue weekly injections and monitor labs every 3-6 months.

Side Effects                                                                                                                Side effects of testosterone therapy are rare but do occur.

  1. Acne -The most common rare side effect of testosterone therapy is acne, which tends to affect only chest, back and shoulders.

  2. Gynecomastia - Another side effect is gynecomastia, due to normal aromatization of testosterone into estrogen. If this occurs with a normal dose of testosterone, we may have to give an extremely low, weekly dose of Arimidex, which blocks the conversion of testosterone into estradiol. With this added to the therapy, gynecomastia is virtually eliminated.

  3. Low Sperm Count - Another side effect is decreased sperm count and testicular atrophy, caused by the slowing down of the negative feedback mechanism from the pituitary to the testicles due to the consistent levels of exogenous testosterone. Intermittent Gonadorelin every 6 months is useful as part of testosterone replacement therapy to "trick" the pituitary into sending LH and FSH to the testicles to prevent atrophy.

  4. Contraindicated with History of Prostate Cancer - A prostate lab is checked initially and more frequently to monitor levels due to the contraindication of testosterone replacement therapy with history of prostate cancer. Testosterone therapy does not cause cancer, but if there was already cancer present, increased testosterone levels in the blood may potentially cause growth level to increase.

  5. Water Retention - Mild water retention is another rare side effect that, usually, occurs with initial onset of therapy, especially with increased activity (weightlifting), but tends to last only one to two months. If bothersome, a mild diuretic may be indicated.

  6. Polycythemia - The rarest of side effects of testosterone therapy is polycythemia, which would be monitored with a CBC every 6 months.

All labs and medications are included with our service. With proper monitoring and management, you can have a much better quality of life with testosterone therapy.

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PRF JOINT INJECTIONS

PRF (platelet-rich fibrin) is a powerful, non-surgical treatment proven to help naturally heal trauma to joint tissue. PRF has advanced healing properties with more white blood cells, stem cells, growth factors and a higher platelet concentration. PRF requires a small amount of blood to be collected then spun to produce the PRF serum. Once the serum has been collected, an injection is made into the painful joint. These PRF injections is made into the painful joint. These PRF injections stimulate your own stem cells while promoting and accelerating tissue regeneration and healing. Because PRF is naturally occurring in the body, there is no limit to these types of injections and there are minimal risks for adverse reactions.

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ARE YOU READY TO LOSE WEIGHT WITH SEMAGLUTIDE?

Semaglutide is an excellent choice in safe and effective weight loss. Semaglutide acts as a physiological regulator of appetite, reducing food intake by reducing feelings of hunger and increasing feelings of fullness/satiety. By slowing gastric emptying, caloric intake is decreased, causing weight loss.

 

Everyone is different, which means responses to treatment will vary from person to person. Some may require several weeks to months of treatment, depending on their body’s reaction to the medication. We cannot guarantee any specific result from this treatment. Lifestyle factors, medications and medical conditions may have a negative impact on the outcomes.  For long-term success, the treatment needs to be combined with lifestyle changes, including changing nutritional, physical and behavioral habits. Other secondary benefits from weight loss can include improvement in weight-related cardiovascular issues, such as hypertension, blood glucose levels and high cholesterol. If you suffer from any previous medical conditions, you need to consult with an appropriate healthcare provider. If you are under the care of another healthcare provider, it is important that you inform them of your use of Semaglutide. If you are using medications of any kind, you are required to let us know. Because Semaglutide causes delay of gastric emptying, it has the potential to impact the absorption of concomitantly administered oral medications. Monitor for potential consequences of delayed absorption of oral medications if taken at the same time as Semaglutide.

 

There are several precautions for use of Semaglutide, including history of pancreatitis, gall bladder disease, thyroid disease, heart rate issues, dehydration, and hypoglycemia in people with Diabetes. The most common side effects are nausea, constipation, decreased appetite, dizziness, low blood sugar, vomiting, indigestion, fatigue, and increased pancreas labs. Also, patients have experienced altered sense of taste, dry mouth, insomnia, weakness, frequent burping/flatulence, diarrhea, gall bladder issues, abdominal pain or distension, increased heart rate, allergic reaction, injection site irritation, pancreatitis, and kidney impairment and failure.

 

Do not take Semaglutide if any of the following apply to you:

  • Under 18 years of age or over 75 years of age.

  • Pregnancy.

  • Severe kidney impairment or history of kidney disease.

  • Personal or family history of medullary thyroid cancer.

  • Multiple endocrine neoplasia syndrome type 2.

  • History of suicide attempts or current suicidal thoughts.

  • Hypersensitivity to Semaglutide or any of the excipients:

    • Disodium phosphate dihydrate, propylene glycol, phenol.

Allow us the opportunity to help you in your weight loss journey. Schedule an appointment today.

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MICRONEEDLING

Microneedling by DermalogicPro is a minimally invasive procedure for your skin that triggers the body's wound healing process. By using fine needles to make miniscule, evenly spaced micro-injuries, the treatment stimulates the healthy tissue surrounding the Microneedling wounds to repair the damage. This triggers the production of collagen and elastin - rebuilding the skin's dermal structure and helping to reduce the appearance of wrinkles and texture irregularities such as acne pitting or stretch marks.

We can use PRF (platelet-rich fibrin), as well to add advanced healing properties with more white blood cells, stem cells, growth factors and a higher platelet concentration.

Let us help you achieve younger looking skin - schedule with us today.

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NANOINFUSION

Nanoinfusion by DermalogicaPro is a non-invasive procedure that involves the use of a pen style modality and nano-tips instead of needles. It uses very tiny cones formed of stainless steel that do not penetrate the skin but do help with resurfacing and product infusion. This is an alternative treatment for clients who do not want any downtime or who may be contraindicated to Microneedling. It can also improve skin texture, boost hydration as well as address signs of premature skin aging. The most immediate, visible change in the skin is a hydrating glow. Schedule with us today.

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PRF HAIR RESTORATION

PRF (platelet-rich fibrin) is a powerful, non-surgical treatment to help restore hair regrowth. PRF has advanced healing properties with more white blood cells, stem cells, growth factors and a higher platelet concentration. PRF requires a small amount of blood to be collected then spun to produce the PRF serum. Once the serum has been collected, shallow injections are made into thinning areas of the hair. These PRF injections cause hair follicles to grow by stimulating your own stem cells while promoting and accelerating tissue regeneration and healing. If your thinning hair has been concerning, schedule an appointment with us.

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