Why Your Doctor Is Either Depressed or Retiring

Why Your Doctor Is Either Depressed or Retiring

Why Your Doctor Is Burned Out or Retiring There is a growing litany of acronyms and alphabet soup organizations and algorithms that are designed to confuse, obfuscate and subordinate physician discretionary thinking. Funneling physician thinking into more pre-defined and standardized patterns. With the notion that these patterns are always superior, more efficient and accurate.  More than traditional physician discretionary thought, observation and formulation of diagnosis and treatment plans. This dizzying array is one of the many reasons why virtually every…

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Compounding pharmacies – a vanishing breed

Compounding pharmacies – a vanishing breed

Compounding Pharmacies – Service like it used to be Why are my  prescription medication prices increasing and not reimbursed? Compounding pharmacies and the individualization of specific formulations is an integral part of antiaging, age management, functional medicine and similar holistic practices. There was a time in the distant past when most formulations were compounded. That is the source of the mortar and pestle that was so ubiquitous in all pharmacies. I think that symbol has vanished. The advantage of compounding…

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Minivelle Vivelle Shortages Explained

Minivelle Vivelle Shortages Explained

Minivelle and Vivelle continue to be in short supply in most pharmacies across the country.  Initially, I was not able to determine any reason. Nothing revealed by simple Google searches.  No FDA drug recalls.  Not evident from FDA drug shortage surveillance lists. Now, one of my astute and persistent patients was able to track down the reason.   The FDA has been very critical of testing and quality assurance methods for this product.  Adherence to CGMP.  Current Good Manufacturing Practices….

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Minivelle Vivelle Short Supply

Minivelle Vivelle Short Supply

Minivelle and Vivelle are severely backordered. We have not been able to determine the source of this short supply. It emanates from the manufacturer. This is not a local pharmacy problem it is not a distribution problem. For obscure reasons it is not being manufactured. We have not seen any recalls. The 0.1 mg dose is in most demand and in short supply. Many of you have been dispensed a generic form of estradiol patches. Mylan is the leading generic…

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Vitamin K, Calcification and GLA Proteins

Vitamin K, Calcification and GLA Proteins

Vitamin K2 is a potent anti-calcification nutrient via GLA protein carboxylation.  Let’s look at this process of calcification and the potency of these various forms of vitamin K2.   Then talk about the MK-4 vs Mk-7.    Which is best for you?   And why? Vitamin K2 forms There are currently three forms of vitamin K available. Vitamin K1 (phylloquinone) has been extensively studied. It is not the most potent form. Vitamin K2 is currently available in two forms. MK-4…

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Your Personal Supplement Prescription for Optimal Health

Your Personal Supplement Prescription for Optimal Health

Supplementation Regimen Can Optimize Your Health Patients often ask how do you maintain your health and youthfulness? What do you personally take? I need to walk the walk and practice what I preach.  I need to set an example for you. You can do this.  You may need our help and motivation.  There are many variations of this rigorous approach.  You do not need to follow this implicitly.   But the closer you can approximate this, the better your results. For…

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Anticoagulant Natural Alternative

Anticoagulant Natural Alternative

Natural Anticoagulant Regimen A natural anticoagulant routine. How could this benefit you? How can you implement this? Why is this a time-proven alternative to conventional approaches? Hopefully, you have read part1, part2, and part 3 of this 4 part series. Primers on coagulation and thrombosis. I have carefully explained the process of coagulation resulting in heart attacks and strokes. We have talked about platelet aggregation. Which then leads to fibrin aggregation. Which leads to the final clot. All clots cause…

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AntiPlatelet AntiCoagulant Drugs

AntiPlatelet AntiCoagulant Drugs

Coagulation and Anticoagulatant Therapy Read part I and part II of this series for background.  So you will have a basic understanding of coagulation pathways. Yes, it is complex. Remember, coagulation or clotting starts with platelet aggregation.  That initiates the complex coagulation cascade. This causes the mature thrombus or blood clot. Aggregated platelets with a thick fibrin mesh causes the thrombus.  The thrombus causes heart attacks, strokes or thrombophlebitis.  Here is the final complete picture: So let’s discuss anticoagulant therapy…

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Coagulation Heart Attack and Stroke – Part 2

Coagulation Heart Attack and Stroke – Part 2

It is necessary to understand the interaction of fibrin coagulation pathways and platelet aggregation. Once we understand these interactions we can then discuss current treatment modalities. My goal is to show you a more creative and natural approach to anti-coagulation. Initial Platelet Aggregation In part one I emphasized the importance of platelet aggregation as the initial step.  There is an initial injury to an arterial or venous wall.  As a response, activated platelets cause a clumping reaction to repair the…

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Coagulation Stroke Heart Attack Part 1

Coagulation Stroke Heart Attack Part 1

Heart Attack and Stroke Coagulation Basics Let’s talk about heart attack and stroke causes and the complexity of the underlying coagulation (clotting) pathways.    What a heady subject.    You need a PhD in medical hematology, just to fully understand the complexities of coagulation.   So let’s work through this step by step.  This will be a multi part series.  I will help you achieve a clearer understanding. None of us wants to suffer a heart attack or stroke! What…

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