Improve Focus and Memory with IV-NAD

AMAZING NAD (Nicotinamide Adenine Dinucleotide)

First discovered in the early eighteenth century, Nicotinamide Adenine Dinucleotide (NAD) is an essential ingredient in metabolic processes and reactions that occur in cells within the human body. All significant cellular events within the human body cannot occur without the presence of NAD. Examples of some processes that are dependent on NAD are glycolysis (the breakdown of glucose into pyruvate and hydrogen), citric acid or tricarboxylic acid cycle (the release of stored energy from carbohydrates proteins, and fats through the oxidation of acetyl CoA), the oxidation or breakdown of fatty acids, DNA repair, inflammatory responses, among many other processes. NAD usually undergoes either oxidation or reduction as it exerts its effects on the body's metabolic processes; the oxidized variant of NAD is referred to as NAD+.

Importance of NAD+ In the Human Body

As stated earlier, NAD+ is crucial for a number of key physiological processes within the human body. A deficiency in NAD+, or a disruption in NAD+ homeostasis in the body, may impair these physiologic processes, which may result in different illnesses or disease conditions. Discussed below are some of the many physiologic processes that are dependent on NAD.

Human Body Diagram

1) Genomic Stability

Daily, reactive oxygen species (ROS) and reactive nitrogen species (RNS) are released endogenously within the body; these substances cause damage to cellular DNA. In addition, exogenous factors such as carcinogens, chemical mutagens, as well as radiation may also result in cellular DNA damage. When cellular DNA damage occurs due to either endogenous or exogenous factors, genomic instability occurs, which may result in cancer development and an increased rate of cellular aging.

To minimize cellular DNA damage and its consequences, there is a process in the body known as DNA-damage response (DDR). DDR is a process that detects and repairs any damaged DNA in the body. DDR is a process that is highly dependent on NAD+; when amounts of NAD+ are low in the body, the DDR process is impaired, resulting in increased damage to the cellular DNA.

2) Genetic Expression

The means by which genetic information in cellular DNA is used to produce the relevant proteins or substances in the human body is known as genetic expression. Genetic expression is the process that is responsible for the development of all the physical features that define an individual, such as hair and skin color, among other physical characteristics.

One of the mechanisms by which genetic expression successfully occurs in the body is through modifying a product known as histones. Histone modification is a NAD+ dependent process; a deficiency in NAD+ levels may disrupt histone modification, which may impair genetic expression. NAD+ deficiency may also result in the methylation of cellular DNA so that genes are not expressed appropriately; this is known as genetic silencing.

3) Immunity and Inflammation

Studies have shown that NAD+ levels in the human body determine the extent as well as the effectiveness of immune responses during infection. Increased levels of NAD+ during an infection increase oxidative phosphorylation in macrophages, which makes them better able to neutralize the organism causing the infection.

4) Energy Metabolism

Several metabolic pathways in the human body result in the release of energy. Some examples of the energy metabolic pathways are glycolysis, tricarboxylic acid (Krebs) cycle, oxidative phosphorylation, fatty acid oxidation, and ethanol metabolism. All the energy metabolic pathways require the presence of NAD+ as a coenzyme to function properly, energy is generated and utilized by the body.

5) Circadian Clock

The circadian clock, also known as the biological clock or circadian rhythm, is an internal endogenous process that regulates the sleep-wake cycle in the human body. This internal clock helps the body adjust to different times of the day or the different seasons. The accuracy and effectiveness of the circadian clock are due in part to cellular levels of NAD+. A deficiency of NAD+ may disrupt the circadian rhythm and result in effects such as daytime sleepiness, restless sleep, hormonal imbalances, and mood alterations, among others.

6) Cardiovascular Function

The heart is the most metabolically active organ in the human body because it is constantly beating. Studies have shown that normal NAD+ levels are essential in maintaining the metabolic activity of the heart. Furthermore, in the event of a significant cardiac event such as a transient ischemic attack or myocardial infarction, normal levels of NAD+ help in the recovery from injury. Other studies have shown that a deficiency in NAD+ may result in cardiac disorders such as cardiac hypertrophy and fibrosis.

7) Kidney Function

Generally, renal function tends to decrease as people get older. It is suspected that reduced levels of NAD+ in the elderly may have a role to play in the reduction in renal function. Research has indicated increased protection against acute renal injury when individuals were given NAD+ supplements. In addition, NAD+ supplements stimulated the release of prostaglandin E2, which serves to improve renal function after an acute renal injury.

8) Liver Function

Normal NAD+ levels in the body are essential for the optimal functioning of the liver. Specific enzymes in the NAD+ pathways protect the liver from conditions such as hepatic fibrosis, nonalcoholic fatty liver disease, and nonalcoholic steatohepatitis. Several studies have been performed that show that giving individuals NAD+ supplements may boost the liver's overall health, protect it from toxic illnesses, and enhance its capacity for regeneration after a hepatic injury.

9) Neurological Function

NAD+ and its precursors have been shown to have a protective effect on the neurons in the brain after a significant neurological event such as a stroke. Having normal levels of NAD+ in the body is essential to the normal functioning and survival of cerebral neurons. Additionally, NAD+ supplements have shown some benefits in treating and preventing some neurodegenerative diseases, such as Alzheimer's disease; this is not definite, however, and there are several ongoing studies still exploring this possibility.

Benefits of IM/IV NAD Therapy

Given the integral role that NAD+ plays in all the body's major processes, as detailed in the previous section, it is essential to ensure that NAD+ levels are optimal. If there are signs of NAD+ deficiency, such as in pellagra, which manifests as dermatitis, dementia, or diarrhea, supplemental IV NAD therapy may be warranted. In addition to signs of NAD+ deficiency, there are other reasons for which an individual may consider receiving intravenous NAD+ supplementation; some of these reasons include the following:

1) Addiction Therapy

One of the most common reasons why IV NAD+ therapy may be considered in some individuals is in the management of addiction. IV NAD+ may benefit patients weaning off opioid, alcohol, chemical, or prescription drug dependencies; it may also serve to minimize the severity of withdrawal symptoms.

2) Improved Cognition

As has previously been stated, NAD+ has been shown to exert both protective and stimulatory effects on the brain. For this reason, IV NAD+ therapy may be administered to potentially enhance memory, improve concentration, improve the ability to focus, enhance brain regeneration, and improve overall neurological function.

3) Chronic Fatigue

IV NAD+ therapy has been used in the management of individuals with chronic fatigue and low energy levels. NAD+ is an essential cofactor in the glycolytic pathway and tricarboxylic acid pathways; these pathways result in Adenosine Triphosphate (ATP) production, which is the energy source of the human body. Through exogenous NAD+ supplementation, ATP levels in the body are increased which may have a resulting effect in boosting energy levels and reducing feelings of fatigue.

4) Athletic Performance

Due to its role in ATP production, some athletes have used IV NAD+ therapy to enhance their athletic capabilities and performance. IV NAD+ supplements may boost energy levels, improve cognition, and increase reaction times in athletes during competitions or other athletic events. In addition, studies have shown that NAD+ supplementation may assist in muscle development as well as muscle repair, leading to muscle hypertrophy and muscle hyperplasia.

5) Pain Management

One of the more novel reasons why some individuals receive IV NAD+ therapy is in managing pain. NAD+ is known to exert significant anti-inflammatory actions within body and may be used to reduce the inflammation that typically occurs with pain and, thereby, offer some relief from pain. Definitive. If you’re interested in hearing more or in receiving NAD as part of your treatment plan, please let us know. We do offer this at Re-EVOLVE MedSpa.

How Will Menopause Impact Intimacy?

Menopause and Intimacy

All women experience menopause differently, and many women experience changes in their sex life during this time. You may have heard about menopause impacting a woman’s ‘libido’ or sexual desire.

Some women may enjoy sex more because they no longer worry about what other people think and feel a sense of freedom as they age, or there is no longer a concern or need for birth control. While others may find they no longer feel sexual desire or no longer want to have sex, and that can be really upsetting. What causes a woman to change the way she once thought about sex?

Well, hormones play a big role in a woman’s life, and for many, menopause (often described as not having had a menstrual cycle in 12 months or more) may be the most difficult time.

Estrogen levels fall dramatically as a woman approaches and passes menopause; this can result in a wide array of symptoms. But most concerning are those women who suffer from Genitourinary Syndrome of Menopause (GSM). A newer, more inclusive term that describes various menopausal symptoms and signs such as these is listed here.

Genitourinary Syndrome of Menopause

Genitourinary syndrome of menopause is a chronic, progressive condition of the vulva, vagina, and lower urinary tract, which is characterized by the following signs/symptoms:

Vaginal Symptoms

• Vaginal dryness

• Vaginal irritation/burning/itching

• Thinning/graying pubic hair

• Vaginal pelvic pain/pressure

• Shortened narrowed vagina

• Loss of stretchiness

• Minor cuts (lacerations) near the opening

• Whitish discoloration to the vagina

• Decrease in size of the labia

Sexual Symptoms

• Painful sexual intercourse

• Decreased lubrication during sexual activity

• Bleeding after sexual activity

• Decreased arousal/loss of libido

• Inability to orgasm or painful orgasm

Urinary Symptoms

• Painful urination

• Urinary urgency

• Urinary incontinence (stress and urge)

• Recurrent urinary infections

• Urethral caruncle (red vascular growth on the urethra)

How do you treat GSM?

Well, initially, one could try topical lubricants and moisturizers. Topical lubricants and moisturizers can help improve symptoms of GSM by increasing hydration and lubrication of the vulvovaginal area. Lubricants and moisturizers are an important treatment option for those who may not be able to take estrogen to otherwise improve dryness and reduce pain.

But more severe cases may need Hormone therapy. What are the hormonal treatment options for vaginal atrophy (GSM)?

These may include:

-Estrogen therapy and dehydroepiandrosterone (DHEA) are more commonly used

-but other options can include testosterone and oxytocin therapy (BHRT- Bioidentical Hormone therapy) can also be very beneficial.

Treatment options can be taken by

• topical route (patches, creams, and gels absorbed through the skin)

• vaginal route (cream, gels, tablets, or ring, placed in the vagina)

• oral route (tablet, troches, swallowed or dissolved in the mouth)

And finally, always talking with your partner about your concerns can strengthen your relationship. Getting older and chronic health problems like heart disease or diabetes can affect your sexual health and how you feel about sex.

Some possible topics to discuss include:

• What feels good and what doesn’t

• Times that you may feel more relaxed

• Which positions are more comfortable

• Whether you need more time to get aroused than before

• Concerns you have about the way your appearance may be changing

• Ways to enjoy physical connection other than vaginal intercourse, such as oral sex

Feeling good about your body and sexuality is critical as you go through menopause. We would love to guide you through this season of life and help you be at your very best. To get started, you can schedule your free appointment today to keep your intimacy through menopause.

5 Top Exercises For A Full Body Workout

The 5 Top Exercises for a Fit and Full-Body Workout

In today's fast-paced world, finding time to dedicate to fitness can be challenging. However, achieving a full-body workout doesn't have to mean spending hours at the gym. With the right exercises, you can target multiple muscle groups simultaneously, maximizing your time and efficiency. Here, we explore five of the best exercises for a comprehensive full-body workout.

1. Squats

Squats are a fundamental compound exercise that engages multiple muscle groups, including the quadriceps, hamstrings, glutes, and core. Performing squats not only strengthens the lower body but also improves overall stability and balance. To perform a squat correctly, stand with your feet shoulder-width apart, keep your chest up, and lower your body as if sitting back into a chair. Aim to lower until your thighs are parallel to the ground, then push through your heels to return to the starting position.

2. Deadlifts

Deadlifts are another compound movement that targets the posterior chain, including the lower back, glutes, hamstrings, and traps. They are highly effective for building strength and muscle mass in the entire body. When performing a deadlift, start with a barbell on the ground in front of you. Bend at the hips and knees while keeping your back straight, grip the barbell with hands shoulder-width apart, and lift the weight by extending your hips and knees. Maintain a neutral spine throughout the movement and avoid rounding your back.

3. Push-Ups

Push-ups are a classic bodyweight exercise that strengthens the chest, shoulders, triceps, and core. They can be modified to suit different fitness levels, making them accessible to beginners and challenging for advanced athletes. To perform a push-up, start in a plank position with your hands shoulder-width apart and your body in a straight line from head to heels. Lower your body by bending your elbows until your chest nearly touches the ground, then push back up to the starting position.

4. Burpees

Burpees are often hailed as the ultimate full-body exercise, and for good reason. This dynamic movement engages multiple muscle groups simultaneously, making it incredibly efficient for a comprehensive workout. Whether you're a beginner or a seasoned fitness enthusiast, incorporating burpees into your routine can yield significant benefits. From cardiovascular conditioning to strength building and calorie torching, burpees offer a plethora of advantages in just one movement.

First and foremost, burpees are a fantastic cardiovascular exercise, elevating your heart rate rapidly to improve cardiovascular endurance. By incorporating explosive movements like jumping and squat thrusts, burpees effectively target the cardiovascular system, enhancing lung capacity and overall stamina. Moreover, the intensity of burpees can be easily adjusted to suit individual fitness levels, making them accessible to a wide range of individuals. Additionally, burpees engage major muscle groups including the chest, arms, shoulders, core, and legs, promoting functional strength and muscle development. This holistic approach not only enhances physical performance but also contributes to overall functional fitness and athleticism.

5. Planks

Planks are an isometric exercise that targets the entire core, including the abdominals, obliques, and lower back. They also engage the shoulders, chest, and glutes, making them an effective full-body exercise. To perform a plank, start in a push-up position with your hands directly beneath your shoulders and your body in a straight line from head to heels. Hold this position, focusing on engaging your core muscles and keeping your hips level, for as long as possible.

Incorporating these five exercises into your workout routine can help you achieve a comprehensive full-body workout in minimal time. Remember to prioritize proper form and technique to maximize effectiveness and reduce the risk of injury. Whether you're a beginner or a seasoned fitness enthusiast, these exercises offer versatility and scalability to suit your individual needs and goals. So, lace up your sneakers, grab some weights, and get ready to elevate your fitness journey with these powerhouse moves!

Get To Know The Good Carbs From The Bad

Carbohydrates or “carbs” get a lot of attention these days, and it’s no secret that carbs can affect your blood glucose (blood sugar). You might be wondering if you should eat less of them or even eat them at all. You’re not alone! Carbs come in many different forms, but the main three are starch, fiber, and sugar. When purchasing packaged food, the term “total carbohydrate” refers to all three of these types. Learn more about nutrition labels. So how much is the right amount?

Let’s start with the basics. All food is made up of three main nutrients: carbohydrates, protein, and fat. You need all three to stay healthy, but each person needs a different amount. When choosing carbs, the key is choosing complex carbs—the ones that give you the most bang for your buck in terms of vitamins, minerals, and fiber. Complex carbohydrates are digested slower, therefore they are less likely to cause a rapid spike in your blood sugar like refined carbohydrates. Examples are whole grains and legumes.

Processed foods tend to be high in carbs, especially refined carbohydrates, while also being very low in vitamins, minerals and fiber—giving carbs a bad rap. However, choosing fewer processed carb foods and paying attention to how much you are eating can make a big difference in your blood sugar and overall health. Now, let’s dig into the types of foods that have carbs—and how to choose higher-quality sources.

Starch

Try to target whole, minimally processed carbohydrate foods. If you’re using the Plate Method, foods in this category should make up about a quarter of your plate. Foods high in starch include:

• Starchy vegetables like corn, winter squash and potatoes

• Legumes and pulses, including lentils, beans (like kidney beans, pinto beans

  and black beans) and peas (think split peas and black-eyed peas)

• Grains including foods made from wheat like noodles and pasta, bread and crackers, as well as rice and others

Whole grains are just that: the whole plant that has been harvested and dried with little processing. They provide fiber as well as essential vitamins, including B and E, and other minerals needed for optimal health. Examples include oats, barley, bulgur, quinoa, brown rice, farro, and amaranth. At least half of your daily grain intake should come from whole grains.

Wondering what the deal is with “refined grains”? Basically, these grains are processed to remove the outer layers and most nutritious parts of the grain, meaning that we’re missing out on all the beneficial fiber, vitamins and minerals that the whole grain would typically provide. To avoid diseases caused by vitamin and mineral deficiencies, there are laws in place to make sure that essential vitamins and minerals be added back in during processing—this is what “enriched” means when you see it on the Bottom line: when reading the ingredient list, look for products that list “whole grain” or “whole wheat” as the first ingredient as opposed to “enriched.”

Fiber

Fiber comes from plant-based foods, including fruits, vegetables and whole, intact grains. Fiber acts like your body’s natural scrub brush—it passes through your digestive tract, carrying a lot of bad stuff out with it. It also keeps us feeling full, and helps lower cholesterol. Those aren’t the only benefits: eating foods higher in fiber can also improve your digestion, help you manage your blood sugar and reduce your risk of heart disease.

People with diabetes and those at risk for diabetes are encouraged to eat at least the same amount of dietary fiber recommended for all Americans. The Dietary Guidelines for Americans (DGA) recommend a minimum of 14 grams of fiber per 1,000 calories.

Good sources of dietary fiber include:

• Pulses (like lentils and peas) and beans and legumes (think navy beans, small white beans, split peas, chickpeas, lentils, pinto beans)

• Fruits and vegetables, especially those with edible skin (like pears and apples)

• and those with edible seeds (like berries)

• Nuts—try different kinds (pumpkin seeds, almonds, sunflower seeds, pistachios and peanuts are a good source of fiber and healthy fats, but be mindful of portion sizes, because they also contain a lot of calories in a small amount!)

• Whole grains such as:

• Quinoa, barley, bulgur, oats, brown rice and farro

• Whole wheat pasta

• Whole grain cereals, including those made from whole wheat, wheat bran and oats

Foods that are naturally high in fiber and contain at least 2.5 grams are often labeled as a “good source,” and foods labeled as “excellent source” contain more than 5 grams of fiber per serving.

While it’s best to get your fiber from food, talk to your diabetes care team to determine if you should consider a fiber supplement.

Sugar

Sugar is another source of carbs. There are two main types:

• Naturally occurring sugars like those in milk or fruit

• Added sugars, which are added during processing, like in regular soda, sweets, and baked goods

Added sugars, when consumed with solid fats and excess energy intake, have been linked to health concerns, including overweight and obesity, type 2 diabetes or prediabetes, inflammation, and cardiovascular disease. You may have heard added sugars referred to by other names—or seen one of these listed in the ingredients on a food label. Dextrose, fructose, lactose, table sugar, beet sugar, honey, corn syrup, turbinado, and agave are some of the many names for added sugars.

Finding the amount of sugar: Did you know that you can find the amount of both added and naturally occurring sugars listed in the new nutrition facts label? Learn how to decode the label.

Sugar Alcohols

Another item you may find on some foods’ nutrition facts label under total carbohydrates are sugar alcohols. Sugar alcohols are sweeteners that have about half the calories of regular sugar. Despite their name, they are neither a sugar nor and alcohol. They occur naturally in certain fruits and vegetables, but some are man-made and are added to processed foods. Many foods labeled "sugar-free" or "no sugar added" have sugar alcohols in them.

Sugar Substitutes

There are so many products on the market now that are referred to as sugar substitutes. Most of these are nonnutritive sweeteners, which means that one serving of the product contains little or no calories or impact on blood glucose. Because these sweeteners are sweeter than sugar, they can be used in smaller amounts. The U.S. Food and Drug Administration (FDA) has reviewed several sugar substitutes and has approved or recognized them as safe for the public, including people with diabetes. These are:

• Saccharin (Sweet’n low)

• Neotame (Newtame)

• AcesulfameK (Sunett, Sweet One)

• Aspartame (NutraSweet, Equal, Sugar Twin)

• Sucralose (Splenda)

• Advantame

• Stevia

• Luo han guo (monk fruit)

Most of these products are not broken down by the body; this means they pass through our system without providing calories. For some people, using these products is an alternative to sugar. The potential decrease in calories and carbs could lead to better long-term blood sugar, weight, and cardiometabolic health (think, heart and metabolism).

A word of caution—claims like "sugar-free," "reduced sugar" or "no sugar added" are not necessarily carbohydrate-free or lower in carbohydrate than the original version of the food. We recommend that you read the Nutrition Facts label to understand how many carbs and calories you are eating.

It’s also important to know that at this time, there is no clear evidence to suggest that using sugar substitutes will help with managing blood sugar or weight or improving cardiometabolic health in the long run. So here’s the bottom line:

• Sugar substitutes are effective alternatives to sugar for some people, but not a perfect fit for all—it’s a personal choice.

• If you want to reduce your sugar or sugar substitute intake, start slowly.

• For example, start by replacing one soda or juice with water or a no-calorie drink at a time.

• Water will always be a great choice! If you start feeling bored with water, you can always spruce it up with fruits or herbs like this sparkling strawberry mint-infused water.

What are “Net Carbs?”

While you might see it on some food packaging, the term “net carbs” does not have a legal definition and is not used by the Food and Drug Administration or recognized by the American Diabetes Association. The FDA recommends using total carbohydrates on the nutrition facts label.

“Net carbs” are determined by subtracting any fiber or sugar alcohols on the label from the total carbohydrates. This is assuming that fiber and sugar alcohols are not absorbed or metabolized, but this is not always true, and some are partially digested and, therefore, still provide calories as well as impact blood sugar. The equation used to calculate net carbs is not entirely accurate because the contribution of fiber and sugar alcohols to total carbohydrates depends on the types present. The type of fiber or sugar alcohols used is not indicated on the nutrition facts label, therefore the type of fiber or sugar alcohols used is not indicated on the nutrition facts label, therefore the effect on blood glucose and possible insulin therapy adjustments cannot be determined precisely.

For this reason, we recommend using the total grams of carbohydrates and closely monitoring your blood sugar when consuming foods high in fiber or sugar alcohol to determine how they affect your body. Learn more about “net carbs” and other nutrient claims you might find on the nutrition facts label.

To learn more about how we can help you, schedule a Free appointment today. We’ll assess your health history and goals to help you determine the best next step in your health journey.

Corbett APRN, CNM, MSCP, NAMS Certified Provider

Learn more about how to address chronic migraines.

Understanding Headaches and Migraines

Are you struggling with frequent headaches or migraines? A surprising solution might lie in a treatment more commonly associated with cosmetic procedures. Neuromodulators, known for their aesthetic benefits, have shown promising results in alleviating chronic migraines.

The Role of Neuromodulators in Migraine Relief

Approved by the FDA for migraine prevention, certain neuromodulators can offer significant relief, particularly for those who haven’t found success with other medications. These injectables work by relaxing the muscles in key areas like the brows, eyes, forehead, and neck, thereby reducing both the frequency and intensity of migraine attacks. They achieve this by blocking neurotransmitters responsible for muscle contraction, which not only eases tension in the muscles but also disrupts the pain pathways related to headaches.

Post-Treatment Care

After receiving neuromodulator injections for migraines, it's important to take it easy. Avoid strenuous activities and excessive heat for 24-48 hours. A period of rest, ideally around four hours post-treatment, is recommended. This is a great opportunity to unwind and perhaps enjoy some of your favorite movies.

Are the Injections Painful?

While any injection can cause some discomfort, neuromodulator treatments for migraines are generally well-tolerated. To minimize discomfort, a numbing agent can be applied beforehand. Discuss any concerns with your provider to ensure your comfort is prioritized during the procedure.

Potential Side Effects

While side effects are not universal, some patients might experience temporary redness, swelling, or discomfort at the injection sites. Mild head pain, neck stiffness, and soreness are also possible but typically transient.

Frequency of Treatments

A standard treatment involves injections around the head and neck, typically repeated every three to four months. Many patients report a noticeable decrease in headache frequency and severity within weeks of their initial treatment, although results can vary.

Ongoing Medication Requirements

Post-treatment, you may find a significant reduction in headache severity and frequency. While some may still require medication, often it is at a reduced dosage. Studies indicate that many patients experience at least a 50% improvement in headache pain following treatment.

Effectiveness for Different Headache Types

While neuromodulator injections are particularly effective for chronic tension headaches and migraines, they may not be suitable for all headache types. For example, headaches stemming from sinus issues might not respond to this treatment. However, if you experience a squeezing sensation, pain originating or extending down the neck, or headaches concentrated across the forehead, neuromodulators could be beneficial.

Determining Your Eligibility

To be considered for this treatment, you should meet certain criteria:

• Experiencing headaches for 15 or more days per month.

• Suffering from ongoing headaches for over six months.

• Lack of significant improvement from other treatments, including prescription medications.

To explore this treatment option, schedule a complimentary consultation. We’ll assess your health history and goals to determine if neuromodulator injections are the right step in your journey toward relief from chronic migraines.

Corbett APRN, CNM, MSCP, NAMS Certified Provider

Misconceptions About Testosterone for Women

Misconceptions About Testosterone Replacement Therapy for Women

Unfortunately, there are a lot of myths and misconceptions about testosterone therapy for women. All the misinformation out there has made a lot of women afraid of starting testosterone replacement therapy, even if their blood tests show they have deficient testosterone levels. Here are some of the myths and facts you should know about testosterone for women:

Myth: There’s No Research on Testosterone Replacement Therapy (TRT) for Women

Many people believe that no one has really studied testosterone replacement therapy for women. While it’s true that there’s less research into testosterone for women than for men, there are still a lot of really good scientific studies out there, with more being conducted to date. That’s how we know which symptoms TRT can relieve in women. Therefore, there is good quality research into testosterone for women, and we’ll only keep learning more as more researchers focus on this treatment option.

Myth: Testosterone Only Helps with Low Libido in Women

Another common misconception is that testosterone replacement therapy is only helpful for women suffering from low sex drive. While it’s true that testosterone has been shown to have a positive effect on low libido in women, the benefits don’t stop there. Many studies have found other improvements in symptoms like those we detailed above. Remember, there are testosterone receptors throughout the body, and this hormone affects practically every tissue. There is a reason that our bodies produce it, and it’s not just for a healthy sex life. It can help with many parts of our health and overall well-being.

Myth: Testosterone in Any Dose will Cause Masculinization

Many women are afraid of starting hormone replacement therapy with testosterone because they’re scared of masculinization with things like facial hair, deepening voices, and other side effects. This can happen if a female is given to high of a dose of testosterone. However, when properly managed, an optimal testosterone dose, depending on a woman's age and current levels, generally doesn’t cause these side effects. Remember that our bodies actually convert a lot of testosterone to estrogen and that we need a certain amount of testosterone in the body. We will work with you to find the right dose for you so you don’t need to worry about masculinizing side effects.

To get started, schedule a free appointment today. During this appointment, we will review your current health issues and goals and determine the best next step for you on your health Journey. Most of our patients decide to move forward with our diagnostic appointment, where we measure their hormone levels to determine if they have low testosterone and are a good candidate for hormone replacement therapy.

Corbett APRN, CNM, MSCP, NAMS Certified Provider

Why Testosterone is Important For Women

Testosterone plays a critical role in our bodies. While you might know about estrogen and progesterone, it’s important to also know about how testosterone affects us as women. Even though it’s known as the male hormone, our ovaries produce both estrogen and testosterone. Unfortunately, women can suffer from low testosterone, just like with any other hormone, and it can cause problems:

• Low testosterone symptoms often include:

• Low sex drive

• Vaginal dryness

• Low bone density

• Low muscle mass

• Increased fat mass

• Fatigue

• Mood changes like depression and anxiety

If you are experiencing any one of these symptoms, testosterone replacement therapy may prove beneficial to counteract age-related decline in testosterone.

At Re-EVOLVE MedSpa, we start by moving your low testosterone into the normal, even optimal range, depending on age. A woman's body produces about one-tenth to one-twentieth of the amount of testosterone that the male body does. This means that the normal testosterone range for women is between 15 ng/dL and 70 ng/dL. Suppose your testosterone level is below the normal range around perimenopause and post-menopause. In that case, we may recommend testosterone replacement therapy to boost levels into that healthy range and increase your quality of life.

Balancing Your Testosterone May Increase Sex Drive

Testosterone plays a critical role in sex drive for both men and women. In fact, testosterone replacement therapy is commonly used to treat hypoactive sexual desire disorder (HSDD), which is a type of sexual dysfunction many women suffer from. HSDD is a condition where you have low or no libido, so you may not experience any sexual thoughts or fantasies, feel disinterested in sex, lose interest during sex, have a hard time reaching orgasm, and may even try to avoid sex altogether. If this is you and you’re experiencing low sex drive, then testosterone replacement therapy may be an option to improve your sex life.

Testosterone Replacement Therapy Can Improve Vaginal Health

Another common symptom you might notice during menopause is vaginal dryness. This is where you have less natural lubrication. The tissues of the vagina may also begin to thin. This can cause tearing and discomfort during sex or even just from everyday activities like walking. Studies have found that testosterone can help improve vaginal lubrication, decrease vaginal dryness, and strengthen the vaginal wall.

Testosterone Hormone Replacement Therapy Can Improve Bone Health, Muscle Health, and Fat Distribution

Another reason you might consider testosterone is to strengthen your bones, build lean muscle, and burn fat. Testosterone affects how strong and dense your bones are how big and strong your muscles are, and can even affect where you store fat. Low testosterone in women is associated with weaker bones, loss of muscle mass, muscle weakness, and more visceral (belly) fat, which is associated with metabolic issues. Increasing your testosterone to normal, even optimal ranges, with testosterone replacement therapy can reduce these risks. You may feel stronger, look leaner, and enjoy a lower risk for issues like osteoporosis and metabolic issues tied to belly fat.

Testosterone Can Improve Mood and Energy

Many women with low testosterone levels experience debilitating fatigue and mood changes like depression and anxiety. In fact, low testosterone is often mistaken as depression or high stress because of these symptoms. However, the good news is that increasing testosterone levels to normal ranges can help you feel more energetic and may boost your mood so you can enjoy your everyday activities.

To get started, schedule a free appointment today. During this appointment, we will review your current health issues and goals and determine the best next step for you on your health Journey. Most of our patients decide to move forward with our diagnostic appointment, where we measure their hormone levels to determine if they have low testosterone and are a good candidate for testosterone replacement therapy.

Susan Corbett APRN, CNM, MSCP, NAMS Certified Provider

How to Regain Your Desire for Intimacy

Struggles with Intimacy - Emily’s Story

This is an all too common situation that medical providers have heard hundreds, yes, hundreds of times! But for Emily, this is not common at all. This seems unusual, and she feels she may be the only one suffering from her condition. She feels alone and scared, wondering what is wrong with her body.

This issue has become so problematic it has begun to cause her emotional symptoms and is now negatively affecting her relationship with her spouse. She suffers in silence. What is causing Emily to feel this way? Her lack of desire for intimacy, loss of desire for sex, and inability to have an orgasm (or robust orgasm) have caused a deep insecurity within herself. To make matters worse, just the thought of intimacy with her spouse creates a sense of anxiety and resistance inside her when her spouse begins to broach the subject. She knows he doesn’t understand and that he takes this situation personally.

Finally, Emily mustered up the courage to talk with her OB-GYN about her concerns, only to be told. “This is common in women your age, or after having children, your hormones are off.” The OB-GYN said it is likely due to being tired or lacking communication with her partner. And the ever so common, “it’s likely in your head! Often, women suffer from anxiety and depression, and as a result, this will lead to issues like the ones you are experiencing.”

What Emily needs to know is she’s not alone. And yes, there are treatments and options.

Low Libido in Women

The medical term for low sex drive and lack of interest in sex is hypoactive sexual

desire disorder (HSDD).

• 59% of women report that they have a low sex drive or HSDD that hurts their relationship with their partner.

• 85% of women said low sexual desire hurts intimacy levels with a partner.

• 66% of women report that low sexual desire impacts their relationship communication.

What Causes Women to Have a Low Sex Drive?

Here are just a few causes:

• Lack of sexual desire

• Aging-related decline

• Perimenopause/menopause hormonal imbalances

• Hormone deficiency or low levels of testosterone

• Painful intercourse caused by vaginal dryness

• Being overweight or obese

• Urinary incontinence

A Great Solution to The Problem

Our treatment is a safe, non-invasive solution offered through a small, nearly painless injection (feels like a pinch) into the vagina, improving blood flow and circulation and stimulating vaginal and clitoral rejuvenation.

The treatment protocol regenerates vaginal tissue, including new nerve endings and blood vessels. By increasing blood flow to the areas responsible for sexual pleasure, including the G-Spot, clitoris, and vagina, the treatment can significantly increase your clitoral and vaginal sensitivity.

What are the benefits of our treatment?

• Increased sexual desire

• Stronger and more frequent orgasms

• Increased natural lubrication

• Decreased urinary leakage

• Decreased pain during sex

• Enhancement of skin on the vulva

• Increased vaginal tightness

• Recovery from childbirth

• Recovery from vaginal surgery

Treatment of lichen sclerosis, a condition where the skin on the vulva may itch, possibly lead to atrophy.

Suppose you’re your story is a lot like Emily’s. You struggle with low sex drive, low libido, sexual dysfunction, or incontinence. In that case, our treatment is a simple, non-invasive, drug-free treatment that can quickly lead to an improved sex life and relationship with your partner. If you think that this treatment might be right for you, reach out to Susan Corbett, APRN, CNM Certified Provider, and leading expert in women’s health, to see if our treatment is right for you. Schedule your free appointment to get started today.

Susan Corbett APRN, CNM, MSCP, NAMS Certified Provider

Is Stress Causing Your Skin to Age?

You Deserve to Look and Feel Amazing!

In the hustle and bustle of a woman's life, stress becomes an unwelcome companion—juggling responsibilities at work, caring for loved ones, and managing a home. What many may not realize is that stress doesn't just take a toll on your mental well-being; it can significantly impact your skin.

The connection between stress and skin conditions has been recognized since ancient times, and recent clinical observations underscore the link between psychological stress and various skin issues. From acne and eczema to rosacea and psoriasis, stress can even lead to habits like skin-picking, leaving behind dark spots and scarring.

Elevated stress levels trigger inflammation and an upsurge in free radicals, culminating in skin damage and premature aging. Wrinkles, fine lines, loss of elasticity, diminished volume, and uneven pigmentation become the unwelcome outcomes.

Notably, stress induces an increase in cortisol levels and a decrease in collagen production. Consistently elevated cortisol inhibits the skin's ability to produce collagen, hyaluronic acid, and essential lipids like ceramide, further accelerating skin damage.

Self-care is not just a luxury; it's a necessity. Let's prioritize some "ME time" in our daily routines. Remember, putting yourself first isn't selfish; it's a sign of sanity. Now, let's explore some effective treatments to care for both yourself and your skin.

1. Retinoids: Unlock the Power of Vitamin A

Prescription-strength retinoids, derived from vitamin A, play a pivotal role in boosting immunity and enhancing skin health. These creams neutralize free radicals, offering a range of benefits such as reducing inflammation, unclogging pores, minimizing wrinkles, and regulating cell growth on the skin's surface.

2. Hydroquinone Cream: Illuminate Your Skin

Prescription-strength hydroquinone cream effectively lightens dark spots or patches on your skin, addressing hyperpigmentation and discoloration caused by various skin conditions like freckles, melasma, and aging.

3. Chemical Peels: Renew Your Skin's Glow

Chemical peels are a powerful solution for wrinkles, discolored skin, and scars. Whether on the face, neck, arms, or hands, these peels exfoliate dead skin cells, aiding in the healing of sunspots, freckles, and pigmentation issues. From treating conditions like melasma and rosacea to combating changes from sun damage, chemical peels provide a spectrum of benefits, with deeper peels delivering more dramatic results.

4. Treatment: Say Goodbye to Wrinkles

Our treatment isn't just about minimizing wrinkles; it's a preventive measure, too. By blocking nerve impulses and relaxing muscle contractions, injectables can prevent the formation of dynamic wrinkles caused by consistent muscle movements. It also diminishes existing lines around the forehead, eyes, and mouth. The cosmetic improvements are visible within 10 to 14 days, and the effects last for four to six months.

5. Dermal Fillers: Revitalize Your Skin Naturally

Dermal fillers, harnessing the power of hyaluronic acid, provide instant and noticeable results. Derived from substances naturally present in your body, hyaluronic acid keeps tissues hydrated and lubricated. Dermal fillers add volume, softening the appearance of lines and wrinkles, and rejuvenating your skin with a natural, softer look.

Your radiant and revitalized self is within reach. Invest in self-care, embrace these treatments, and let your amazing look reflect the radiance within. Remember, you deserve to feel and look AMAZING.

You can schedule your free appointment today to find out what’s best for your skin.

Susan Corbett APRN, CNM, MSCP, NAMS Certified Provider

What Is One of The Best IV Therapies?

One of the Most Raved About IV Therapies is the Meyers Cocktail, and here’s why

The Myers’ Cocktail IV is a nutrient infusion that is delivered directly into the bloodstream via intravenous infusion. This therapy was developed by Dr. John Myers, a physician who believed that many health conditions could be traced back to nutrient deficiencies in the body. Today, Myers’ Cocktail IV is used by doctors and medical professionals around the world as a powerful and effective way to treat a range of health problems.

The Myers’ Cocktail IV is a mixture of vitamins and minerals that are essential for optimal health. The exact contents can vary somewhat depending on the practitioner, but typically, the infusion includes high doses of vitamin C, vitamin B12, selenium, magnesium, and calcium, among other nutrients. These are all essential nutrients that play crucial roles in various bodily functions.

One of the key benefits of the Myers’ Cocktail IV is that it delivers these essential vitamins and minerals directly into the bloodstream, bypassing the digestive system. This means that the body can absorb and utilize these nutrients more efficiently, leading to faster and more effective results.

The Myers’ Cocktail IV is often used as a complementary therapy for a range of health conditions, including chronic fatigue syndrome, fibromyalgia, asthma, allergies, and even cancer. It can also be used to boost the immune system, improve athletic performance, and enhance overall health and wellness.

Key Ingredients in the Myers’ Cocktail IV

The Myers’ Cocktail IV contains a variety of essential vitamins and minerals, including:

• Vitamin C: an important antioxidant that helps to protect the body against damage from free radicals.

• Vitamin B12: essential for maintaining healthy nerve cells and producing DNA.

• Magnesium: important for healthy muscle and nerve function.

• Calcium: vital for strong bones and teeth and plays a role in muscle and nerve function.

• Pyroxidine

• B5-Dexapanthenol

• Thiamin

• Riboflavin

• Niacin

• Calcium Gluconate

Intravenous Delivery for Maximum Absorption

One of the key benefits of the Myers’ Cocktail IV is that it is delivered directly into the bloodstream via intravenous infusion. This means that the nutrients are quickly and efficiently absorbed into the body without passing through the digestive system first. This is particularly important for individuals with digestive issues or malabsorption problems, as they may not be able to absorb nutrients from food or oral supplements effectively.

Furthermore, intravenous delivery allows for higher doses of nutrients to be administered, which can be especially beneficial for individuals with severe deficiencies or chronic health conditions.

Boosting Cellular Function

The Myers’ Cocktail IV's nutrients can also help boost cellular function throughout the body. For example, magnesium is involved in over 300 enzymatic reactions in the body and is essential for muscle and nerve function as well as energy production.

Health Benefits of Myers’ Cocktail IV

• Increased Energy Levels

• Enhanced Immune System Function

• Improved Mental Clarity and Focus

• Reduced Symptoms of Chronic Conditions

• Faster Recovery from Illness and Injury

Overall, Myers’ Cocktail IV is a safe and effective way to improve overall health and wellness. Whether you suffer from a chronic illness, are active and looking to boost performance, or want to feel your best, Myers’ Cocktail IV may be able to help.

You can schedule your free appointment today to determine if the Myer’s CockTail IV Therapy is right for you.

Susan Corbett APRN, CNM, MSCP, NAMS Certified Provider

What Is Vitamin IV Therapy

Vitamin IV therapy, also known as intravenous micronutrient therapy, delivers a potent blend of minerals and vitamins directly into your bloodstream, ensuring immediate bioavailability for your body.

Did you know that approximately 92% of Americans suffer from vitamin or mineral deficiencies? If you're like most people, you've likely been taking a daily multivitamin or supplement for years. However, there's a crucial fact: your body absorbs only about half of the nutrients from these supplements as the digestive tract breaks them down. The solution? IV Infusion Therapy is the exclusive method that achieves 100% absorption by bypassing the digestive tract entirely.

Unlock a Healthier You with IV Therapy

IV therapy offers a myriad of benefits, including:

• Accelerated weight loss

• Alleviation of hangover symptoms

• Treatment for specific nutrient deficiencies

• Detoxification of your body from toxins and free radicals

• Boosted energy levels

• Enhanced cardiovascular health

• Anxiety relief and promotion of relaxation

Furthermore, Vitamin IV therapy has gained recognition as a potential treatment for various medical conditions such as fatigue, fibromyalgia, diabetes, asthma, depression, anxiety, migraines/headaches, hangovers, dehydration, cardiovascular disease, aids in red blood cell production, delivers protective nutrients against illnesses like viruses, COVID, and the flu, helps maintain hydration, addresses frequent infections, and reduces inflammation.

Discover Rapid and Customized Results

Unlike oral or traditional medications, IV nutrition ensures swift results. Administered directly into the veins, IV therapy is considered safe and highly effective by many medical professionals. Tailored to meet the unique health needs and desires of each patient, this form of therapy stands as a beacon of health and vitality. Don't miss out on the transformative benefits of Vitamin IV therapy—experience the difference today.

You can schedule your free appointment today to find out if IV Therapy fits you.

Susan Corbett APRN, CNM, MSCP, NAMS Certified Provider

Managing Hormone Imbalances

The 2022 annual meeting of the North American Menopause Society (NAMS) commenced with a powerful assertion: "A tsunami is coming."

In the United States alone, there are sixty-four million women aged 50 and older, with half of the female population being 40 and above. On average, a woman can anticipate spending 50% of her life grappling with perimenopausal or menopausal symptoms. These symptoms encompass a range of issues such as menstrual irregularities, unwanted hair growth, fatigue, hot flashes, night sweats, mood changes, decreased sex drive, vaginal dryness, sleep disturbances, weight gain, brain fog, anxiety, depression, and more unfortunate challenges. Regrettably, these symptoms vary from mild to debilitating for some women, impacting not only their health but also relationships, employment, financial stability, and overall quality of life.

It's surprising that only about 50% of women recognize that their symptoms are linked to hormone imbalances. Of this 50%, only 60% seek treatment, and astonishingly, only 75% actually receive the treatment they need.

In the United States, there exists a significant shortage of qualified practitioners who are both educated and willing to address hormonal imbalances and provide necessary therapies. Shockingly, it is estimated that only two-thirds of providers feel confident in treating menopausal women. As of 2022, there were only 1300 NAMS specialized trained Menopause Providers, leaving women substantially underserved.

At Re-EVOLVE MedSpa, we specialize in identifying, treating, and supporting your hormone imbalances for as long as needed.

You can schedule your free appointment today to find out if hormone balancing is right for you.

Susan Corbett APRN, CNM, MSCP, NAMS Certified Provider

The Dangers of Obesity

Excess fat, a dynamic and harmful tissue, releases over 80 different peptides, enzymes, and hormones into the bloodstream, contributing to various health issues. These substances can elevate inflammation, leading to an increased risk of dementia, heart disease, strokes, and diabetes. Moreover, they enhance joint degeneration, amplify overall body pain, and heighten the likelihood of cancer.

As we age, our anabolic hormone production declines, along with metabolic and intracrine hormones, making it progressively challenging to shed excess fat. These hormonal shifts slow down our metabolism, reducing calorie burn and hindering the development of vital lean tissues, such as those in the brain, heart, lungs, cartilage, muscles, ligaments, tendons, and skin. Consequently, the body tends to accumulate fat instead of building lean tissues. Traditional approaches like simple diet and exercise prove ineffective, especially for individuals over 50.

At Re-EVOLVE MedSpa, we address these underlying deficits to facilitate healthy and sustainable weight loss.

You can schedule your free appointment today to take the first step in getting rid of those unwanted pounds. 

Susan Corbett APRN, CNM, MSCP, NAMS Certified Provider