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Angelina Jolie, The Latest in Receiving a PRP Facial

Superstar actress Angelina Jolie receives PRP Injections in her face to boost collagen.

Jolie is trying to keep her youthful beauty with the PRP Facial which improves collagen production. This platelet rich plasma was injected into the Jolie’s face which smooths out wrinkles and gives skin a glowing look.  Angelina Jolie is one of the most famous actresses to use PRP Injection on her face.

What Is Dermaplaning?

dermaplaning (3)

Because dermaplaning is a quick procedure with few to no adverse effects, it has quickly gained popularity among cosmetic medical providers across the country. Using a scalpel and a delicate touch, the provider simply abrades the surface of the skin using light feathering strokes. This is a great treatment to offer to patients who are pregnant or nursing who want a deep exfoliation, but are not allowed to use peeling agents on their skin because of the risk that the chemicals will be absorbed into the blood stream, and may be transferred to the fetus or the child. It is also a first choice for patients who have excess vellus hair on the skin. This hair often causes a buildup of dirt and oils in the follicles, so removing the hair gives the patient healthier looking skin.

Although merely an old wives’ tale, many patients are often concerned that the hair will grow back heavier and darker after dermaplaning. This is not the case. As long as the hair is superficial vellus hair, it will grow back at the same rate and texture as before the treatment.

Removing epidermal skin also allows products to penetrate more readily into the deeper layers. Physicians may recommend this treatment to prepare the skin for medical procedures such as laser treatments or deep chemical peels. It also may be used by estheticians to prepare the skin for superficial chemical peels or before a cleansing facial.

Dermaplaning is most often used on patients with rough, dry skin, superficial hyperpig­mentation, mild acne scarring, or fine lines and wrinkles. The treatment results in a more refined, smooth, “glowing” appearance.

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Why to Avoid Omega 6 (Polyunsaturated Fats)

Avoid High Omega-6 Polyunsaturated Fats

The human body is about 97% saturated and monounsaturated fat, with only 3% Polyunsaturated fats. Half of that three percent is Omega-3 fats, and that balance needs to be there. Vegetable oils contain very high levels of polyunsaturated fats, and these oils have replaced many of the saturated fats in our diets since the 1950s.

The body needs fats for rebuilding cells and hormone production, but it has to use the building blocks we give it. When we give it a high concentration of polyunsaturated fats instead of the ratios it needs, it has no choice but to incorporate these fats into our cells during cell repair and creation.

The problem is that polyunsaturated fats are highly unstable and oxidize easily in the body (if they haven’t already oxidized during processing or by light exposure while sitting on the grocery store shelf). These oxidized fats cause inflammation and mutation in cells.

In arterial cells, these mutations cause inflammation that can clog arteries. When these fats are incorporated into skin cells, their mutation causes skin cancer. (This is why people often get the most dangerous forms of skin cancer in places where they are never exposed to the sun, but that is a topic for another day!)

When these oils are incorporated into cells in reproductive tissue, some evidence suggests that this can spur problems like endometriosis and PCOS. In short, the body is made up of saturated and monounsaturated fats, and it needs these for optimal health.


Benefits of Micro-Needling

Micro-needling: Mini Skin Channels Delivering Maximum Skin Benefits

All medical treatments and technologies represent a collaboration between the procedure itself and the body’s own healing mechanisms. Micro-needling for skin rejuvenation and acne scar revision on both face and the body, is an elegant example of this.

In our practice, we have over 30 of the latest high-tech devices at our fingertips.  This includes: lasers, ultrasound and radiofrequency, all there to perform extraordinary, skin-refining miracles. But lately, it’s micro-needling, a non-traumatic, and relatively inexpensive update on existing technology using a device no larger than a chubby fountain pen, that has us all really excited.

First, just to clear any confusion when you hear the word ‘needling’, here’s what the technique is NOT:

  • Micro-needling is NOT an injection
  • Micro-needling is NOT a piercing
  • Micro-needling is NOT a DIY procedure

Micro-needling is a more sophisticated version of the Dermaroller – itself an excellent piece of medical technology. Both use a cluster of micro-fine needles, but unlike the Dermaroller, the micro-needling device allows the technician to vary the depth of the punctures without having to switch rollers. These super-tiny channels, invisible to the naked eye, do two things:

  1. Stimulate the body to produce new collagen and elastin, the skin’s connective tissue and the structural matrix responsible for smooth texture and elasticity
  2. Allow for active ingredients to penetrate exactly to the dermis where they can immediately get to work

When dealing with plumping, refining and smoothing the skin, it’s getting to the dermis that poses the greatest challenge. The deepest that most topical medications can penetrate to is the top layer of the epidermis.  (Sadly, UV light can penetrate all the way down to the dermis, which is why it is so damaging.) Coming from the other direction, any oral medication or supplement has to go through the digestive process before entering the bloodstream and getting to work.

Enter medical micro-needling that delivers undiluted actives exactly where they’re needed and with an attractive versatility. The number of treatments and the medicines used will vary from patient to patient and condition to condition, of course. For anti-aging patients who want to firm the face or neck, vitamin A and vitamin C are efficacious; a minimum of 4 sessions are required.  Depending on their severity, acne scars usually respond well to vitamin A as well and may take multiple procedures over many months to see dramatic results.

Micro-needling can also be used as an easy complexion pick-me-up. Combined with antioxidants and hyaluronic acid, micro-needling can deliver instant plumping, making it a great treatment to do a few days before a big event. But that comes with a big proviso that you’ve had it tested first to know for a fact that your skin can tolerate it. It’s not uncommon that after the first few treatments at least, your skin will be slightly red and may feel sunburnt.

This last point is an important one. Whether administered by a dermatologist, nurse or licensed aesthetician, medical micro-needling belongs only in the hands of a skilled professional trained in the technique. Perish the thought of anyone going around and poking their own face in pursuit of skin health and beauty.

Life happens but, in the right hands and with the right tools, it doesn’t have to show on your skin.

TRT: Review finds no evidence of cardiovascular risk


A review of literature published online in Mayo Clinic Proceedings (Jan. 26, 2015) has found no evidence that testosterone therapy increases cardiovascular risk, although one men’s health expert cautions that thorough patient counseling is necessary and that only a “well-controlled prospective study” will definitively answer questions surrounding testosterone and cardiovascular risk.

The review’s lead author, Abraham Morgentaler, MD, of Men’s Health Boston and Beth Israel Deaconess Medical Center, Boston, called it “the most comprehensive and definitive review to date.” 

RELATED: Long-term T therapy shows no prostate cancer risk

Dr. Morgentaler and colleagues found four journal articles since 1940 that suggest increased cardiovascular risk with testosterone use. Two of the four articles (JAMA 2013; 310:1829-36, PLOS One 2014; 9:e85805), which drew media coverage questioning testosterone therapy’s safety during the last 15 months, had “serious methodological limitations,” according to a Beth Israel Deaconess Medical Center press release.

The other two studies were flawed as well, the authors say. One was a placebo-controlled trial with “few major adverse cardiac events” (J Gerontol A Biol Sci Med Sci 2013; 68:153-60), and the other was a meta-analysis that included “questionable studies and [cardiovascular] events” (BMC Med 2013; 11:108).

New Treatments for Thinning Hair for Women

After 20 years of trying every drug, supplement, diet and procedure for hair loss — including driving four hours twice a week for laser therapy — Lina Telford, a graphic artist, gave up on her “comb over” (her description) and shaved her head. From then on, she alternated between a $1,500 wig and a $4,000 wig.

“When you hear people complain about having a bad hair day, you almost can’t bear it,” she said. “You’re like, ‘Honey, you have no idea.’ ”

In February, though, Ms. Telford, 46, flew from her home in London, Ontario, to Sarasota, Fla., for a new $1,400 hourlong treatment known as platelet rich plasma (P.R.P.), which is said to stimulate dormant hair follicles. The procedure involves drawing blood, spinning it in a centrifuge to extract the plasma, adding various nutrients (like more protein), then injecting the resulting mixture in one-inch intervals in a grid on the top of the scalp, which has been numbed with a local anesthetic.

Like the long-suffering friend who inspired her to undergo the procedure, Ms. Telford quickly saw an improvement in her hair. New hair growth usually take at least four months, but at the two-month mark, she has already spotted some baby hairs. “Not a gazillion,” she said, “but it’s a start.” She’s planning to return for follow-up treatments every six months, and has high hopes of ditching the wigs and wearing her hair in a pixie.

Continue reading here….

Rotator Cuff Tear Treatments

Loyola Medicine researchers say that despite increasing medical knowledge, treating shoulder pain in baseball pitchers and other throwing athletes remains one of the most challenging tasks in sports medicine.

“The results of treatment are not as predictable as the patient, family, trainer, coach and doctor would like to think,” according to an article in the journal Physical Medicine & Rehabilitation Clinics.

There has long been a debate over the effectiveness of rotator cuff tear surgery. Numerous medical studies have shown that the re-tear rate of a surgically repaired shoulder could be anywhere from 20 – 90% depending on the patient circumstance.  Australian researchers, presenting at the American Academy of Orthopaedic Surgeons (AAOS) 2012 Annual Meeting  said that the failure rate they measured in 500 patients was 57%.

We see many patients in our office who have had a shoulder surgery with less than hoped for results. Worse are complications which may include increased stiffness, weakness, instability, and of course pain.

Now doctors are trying to answer surgical concerns post-operatively with growth factors, namely Platelet Rich Plasma Therapy (PRP)  and Stem Cell Therapy. In a new paper, doctors said that the goal of rotator cuff surgery is return of strength, mechanical stability and healing of the tendon-to-bone interface. Advances in the understanding of rotator cuff biology and biomechanics as well as improvements in surgical techniques have led to the development of new strategies that may allow a tendon-to-bone interface healing process, rather than the formation of a fibrovascular scar tissue. This is PRP, stem cells and other growth factors.

Rotator Cuff and Shoulder Injuries treated with Stem Cell Therapy, Platelet Rich Plasma Therapy, and Prolotherapy

If surgeons are eager to use PRP and stem cells in wound healing after surgery, why not be as eager to try it before the surgery? Shoulder injuries can be broken into two categories. The first category contains the common injuries cause by normal wear and tear. These injuries affect the tendons, which are main players in problems relating to rotator cuffs, shoulder impingement, osteoarthritis, and other disorders that cause pain or weakness, worsening with time. The symptoms of these injuries include tendon inflammation, tendonitis, and bursitis. Many turn to surgery for these common problems when prolotherapy shoulder treatments are safer and more convenient. Prolotherapy uses the body’s natural healing functions to regenerate soft tissues, limiting side effects and increasing immune properties.
The second type of shoulder injury is more serious, and involves completely tearing the tendon. In rare cases stem cell, PRP or Prolotherapy shoulder injections could treat these injuries as the sole method of treatment.

Most recently doctors in Switzerland compared PRP injections to cortisone in the shoulder. The doctors found good results for the PRP and were able to conclude that PRP njections are a good alternative to cortisone injections, especially in patients with contraindication to cortisone.1 Equally, in June 2015 new research suggested that bone marrow stem cell therapy showed encouring results in pain and motion relief for patients with rotator cuff and shoulder osteoarthritis. 

Shoulder injuries can be divided into two groups – more commonly is the wear and tear injury to the tendons. The shoulder tendons are main players in rotator cuff problems, shoulder impingement, shoulder osteoarthritis and disorders of pain and weakness that get worse over time.

Is it really a torn rotator cuff?

A proper diagnosis of shoulder pain is essential to determine the root cause of the problem and the proper method of treatment. Because many shoulder conditions are caused by specific activities, a detailed medical history is an invaluable tool. A physical examination should also include screening for physical abnormalities—swelling, deformity, muscle weakness, and tender areas—and observing the range of shoulder motion—how far and in which directions the arm can be moved.

The shoulder is really a combination of several joints, combined in such a way by an intricate arrangement of muscles and tendons, that provides the arm a wide range of motion, flexibility and stability.
The rotator cuff is a group of four shoulder muscles that surround the top of the upper arm bone, the humerus, and holds it in the shoulder joint. These muscles are responsible for moving the arm in various directions, and unlike the massive deltoid muscle of the upper arm, are smaller and generally more vulnerable to injury. The four muscles and tendons of the rotator cuff are the supraspinatus, infraspinatus, teres minor, and subscapularis. It is the supraspinatus that is most commonly inflamed or torn.

When one thinks injections into the shoulder, steroid injections come to mind because they may achieve good short and medium-term benefits in many patients with varying types of chronic shoulder pain. However, most patients, if given the choice would opt for a more permanent solution and that choice is not clearly defined in most cases Stem Cell Therapy,Platelet Rich Plasma Therapy and Prolotherapy. These injection therapies given by a trained physician who will gently inject into the shoulder hoping to accelerate the body’s own inflammatory response to repair the tendons.

By isolating the areas of the tendons that are damaged, and injecting these spots, the doctor is calling the natural injury repair mechanism of the body to the spot of deterioration. The cure is the new, controlled inflammation. This will stimulate a new collagen matrix, making the tendons stronger, thicker, and restoring them to their normal pain free state.

Even in 100% tears these treatments may be the preferred treatment and help prevent retearing. In this scenario, surgery to repair devastated tissue might be the only option. Prolotherapy can accelerate healing and strengthening of the surrounding ligaments and tendons that are usually stretched or partially torn in such an impact injury.

Bio-Identical Hormone Replacement Therapy (BHRT) For Women

You may be suffering from hormone deficiency or female hormone imbalance. Hormones play a crucial role in the functioning of your body. Their levels and balance are extremely important to your health, mood, and well-being.

As a woman ages, her body becomes less effective in producing these vital hormones. Hormones fall to unhealthy levels creating a hormone imbalance in your body.Menopause, adrenal fatigue, and other hormone syndromes are all characterized and caused by improper hormone levels. Female hormones must stay in perfect hormonal balance in order for your body to function optimally.

Hormone deficiency in women often causes the following symptoms:

  • Fatigue
  • Irritability
  • Depression
  • Weight gain
  • Hot flashes
  • Night sweats
  • Mood swings
  • Lower sex drive
  • Vaginal dryness
  • Loss of bone density
  • Joint pain
  • Low stamina
  • Poor memory
  • Inability to focus
  • Low levels of immunity
  • Lack of skin elasticity

Historically, these symptoms were regarded as normal signs of aging and were considered inevitable and untreatable. However, latest research has revealed that it is really the improper levels of female hormones that are responsible for many of these ailments.

This understanding of the importance and function of the female hormone balance and harmony has led to the development of modern Bio-Identical Hormone Replacement Therapy for Women.

Restore Hormone Balance with BHRT

Bio-Identical Hormone Replacement Therapy for Women (BHRT) uses hormones that are identical, on a molecular level, to the natural hormones occurring in your body. The goal of BHRT is to supplement low hormone levels and to restore the critical hormone balance in your system.

By restoring hormones to appropriate levels, BHRT can help eliminate many symptoms associated with menopause, adrenal fatigue, and other hormonal imbalances.

Benefits of BHRT for Women

Those suffering from hormone imbalance can greatly benefit from bio-identical hormone replacement therapy. BHRT can help women:

  • Improve energy levels
  • Enhance mood
  • Restore sex drive
  • Boost memory
  • Reduce depression
  • Decrease hot flashes
  • Alleviate night sweats
  • Eliminate mood swings
  • Stop vaginal dryness
  • Regain skin elasticity
  • Soothe joint pain
  • Oncrease stamina
  • Strengthen the immune system

Get Help Today

BHRT combined with lifestyle modifications, changes in diet, and increased levels of exercise can have a positive impact on your health, improve your quality of life, and help you look better and feel younger. Hormone replacement therapy requires a holistic approach in an attempt to slow down the aging process, stay healthy, and live longer.

8 Secret Superfoods for Weight Loss

Imagine you had your own weight-loss posse—a dedicated entourage of slim-down authorities whose entire lives were devoted to helping you look great.

Imagine you had your own weight-loss posse—a dedicated entourage of slim-down authorities whose entire lives were devoted to helping you look great.

Well, in a way, you do. And your entourage is a lot bigger than just Turtle, E and Drama. In fact, you have somewhere around 80 trillion boosters hanging around, 24/7, ready to help with your every weight-loss goal. They’re your gut microbes, and they live in your digestive tract, managing your hormones, battling bad bugs, and helping you draw nutrients from your food. And now, a new study has found that a humble mushroom that’s been used for centuries in Chinese medicine may give your weight-loss entourage a hand in helping to keep you slim.

The study, published in Nature Communications, suggests that the Ganoderma lucidum, also known as reishi or lingzhi, slowed weight gain in animal studies by altering the bacteria in the beast’s gut. The researchers suggested the mushroom could eventually be used in the treatment of obesity.

But if mushrooms aren’t your thing, no worries. We’ve discovered 7 more belly-flattening superfoods you’ve never heard about but should be eating. Chow down—your entourage will thank you!

Secret Superfood #1

Black Sapote

Known as the “chocolate pudding fruit,” black sapote tastes like … chocolate pudding. No wonder it’s an Eat This, Not That! favorite! Deceptively rich and creamy, a 100-gram serving has 130 calories and 191 mg of vitamin C, or twice that of an orange. (That’s a mic drop, chocolate pudding.) A study published in Food Research International found black sapote to be a good source of carotenoids and catechins, which spur the release of fat from fat cells and helps the liver convert fat into energy.

How to Enjoy It: Originating in South America, black sapotes can be found in Florida and Hawaii, and certain growers online will ship them within the U.S. Devotees swear by them for low-cal pies and smoothies. Speaking of smoothies, melt fat with each sip by making the The Best Weight-Loss Smoothie Ever, powered by new research inZero Belly Diet.

Secret Superfood #2


Dubbed the next big thing in grains, teff has some calling it “the new quinoa,” and Lisa Moskovitz, RD, says that label is well deserved. “It’s a more complete amino acid-packed protein than quinoa itself,” she says. “That makes it great for anyone who wants to keep calories low and protein high.” Moskovitz says the health benefits don’t stop there. Teff is “also a good source of fiber, in addition to containing 30 percent of your daily value of blood-pumping iron.” All that fiber and protein add up to one key element in your slim-down efforts: appetite control. And it gets better: one study listed its benefits, among others, as beneficial to those with an iron deficiency, as well as a fantastic wheat supplement for people with diabetes. This great grain won’t be a secret much longer.

How to Enjoy It: Cook teff as a simple side dish with some Parmesan, onions, fresh garlic and tomatoes, or use it as a base for breakfast porridge. Add honey, fruit, and unsweetened coconut flakes for some additional flavor and crunch!

Secret Superfood #3


With ancient grains trending, this one will battle quinoa and teff for space at your table. Native to the Middle East, kamut, also known as Khorsan wheat, is rich in heart-healthy omega-3 fatty acids, high in protein and low in calories. A half-cup serving has 30% more protein than regular wheat (six grams), with only 140 calories. Eating kamut reduces cholesterol, blood sugar and cytokines, which cause inflammation throughout the body, a study published in theEuropean Journal of Clinical Nutrition found.  “This whole grain has plenty to offer,” says Moskovitz. “It packs in a good source of zinc, iron and B-vitamins, all of which will help keep your energy levels high so you can burn more calories throughout the day, aiding your weight-loss efforts.”

How to Enjoy It: Toss it into salads or eat it as a side dish on its own. A quick tweak like that can have you melting fat fast—along with these Zero Belly Diet-secrets on 14 Ways to Lose Your Belly in 14 Days.

Secret Superfood #4


These opaque lychee-like fruits taste like grape and pear, and their nutritional profile is equally refreshing: A 100-gram serving has 140% of the RDA of vitamin C, only 60 calories and no fat. And they have a growing reputation as a superfood: A study published in The Journal of Food and Chemical Toxicology found that longan fruit extract was as effective at neutralizing free radicals—destructive molecules that can lead to cell aging and DNA damage—as Japanese green tea extract!

How to Enjoy It: Fresh longans are available from online importers and at

Secret Superfood #5

Pu-erh Tea

This fermented Chinese tea can literally shrink the size of your fat cells! To discover the brew’s fat-crusading powers, Chinese researchers divided rats into five groups and fed them varying diets over a two month period. In addition to a control group, there was a group given a high-fat diet with no tea supplementation and three additional groups that were fed a high-fat diet with varying doses of pu-erh tea extract. The researchers found that the tea significantly lowered triglyceride concentrations (potentially dangerous fat found in the blood) and belly fat in the high-fat diet groups. It’s a natural fat-blaster, along with barberry, rooibos and white tea.

How to Enjoy It: We love Pu-erh so much, we made it part of our brand new weight-loss plan, The 7-Day Flat-Belly Tea Diet and Cleanse! Test panelists lost up to 10 pounds in just one week!

Secret Superfood #6


You’ve eaten it in sushi and reluctantly tried snacking on the dried stuff. But seaweed, a superfood, comes in many forms, none more convenient than dulse. It’s edible seaweed high in many vitamins and minerals, known specifically for its high iodine content, which helps keep your thyroid functioning properly. “Without sufficient levels of iodine, your thyroid function becomes impaired and it’s harder for your body to burn fat,” says nutritionist Dana James of Food Coach NYC, who suggests sneaking sea vegetables into your diet at least three times a week. You can find it at the supermarket in flake form sold in small shakers, like spices.

How to Enjoy It: Use it as you would a spice and in place of salt! Shake onto salads, vegetable dishes, pastas, baked potatoes, corn on the cob and soups.

Secret Superfood #7


Pronounced “koo-pwah-soo,” this has been called the “next great superfruit,” a “pharmacy in a fruit” and “Brazil’s new chocolate,” and the cupuaçu indeed shows promise as a weight-loss weapon. The fruit, which looks like a coconut and tastes like chocolate, pineapple and pear, is rich in vitamin C, B vitamins and amino acids. According to a study published in The Journal of Natural Products, cupuaçu contains several compounds that can boost your health and aid your weight loss efforts: nine antioxidants, including catechins, which trigger the release of fat from fat cells; quercetin, which activates a protein in the body that can burn fat and prevent it from forming; and polyphenols.

How to Enjoy It: The superfruit has been creeping northward; it’s been spotted in Florida, although powdered and frozen-puree versions have popped up for sale online. Get your hands on one and juice it—the unique flavor makes for a refreshingly sweet and healthy breakfast cocktail. Pair it with your favorite breakfast, as long as it’s not one of theseWorst Breakfast Foods for Weight Loss.

Secret Superfood #8

Chia Seeds

Chia seeds—now a mainstream, not-so-secret secret superfood—produce the top-notch energy you need to fuel busy work days through a powerful trifecta of nutrients. “Chia seeds give you stable energy because of their great ratio of protein, fats and fiber combined with the fact that they’re low-carb,” says Carolyn Brown, MS, RD at Foodtrainers. “They won’t cause spikes and drops in blood sugar or insulin levels, preventing cravings and overeating later.” That means you’ll be that much more likely to walk past the vending machine on your way back from your 2 pm meeting without stopping to drool—or worse, buy.

Get the Benefits: Bring a chia-based snack to work that you can reach for (guilt free!) if the midafternoon yawns hit hard. Try making chia pudding with ½ cup chia seeds, 2 cups unsweetened almond milk and vanilla extract to taste. Play around with your spice rack to find your favorite combo–just be sure to avoid too much added sugar! In a rush? Stock up on Chia Pods for a quick grab-and-go snack.