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What’s Really Causing Atherosclerosis in Older People? What is actually causing atherosclerosis in older patients?  Is it just cholesterol?  Or is it a pre-diabetic/insulin resistant state or perhaps inflammation?  What is the major contributor and how do these factors work together? The question of whether age-related lipid changes (decreased HDL, increased LDL) are causative of atherosclerosis or […]

New Treatments for Coronary Artery Disease In a previous blog, I discussed the Coronary Artery CT Angiogram and why you should have one done.  Many people who do this test discover they have plaque in their coronary arteries and wonder what to do about it. The conventional treatment for known plaques in the coronary arteries

Here are some frequently asked questions and answers about hormone pellet therapy.  For more information on pellet therapy and to watch videos of pellets being inserted, click here.   What is Pellet Therapy?  Pellet therapy is the insertion of bioidentical hormone pellets made of testosterone and estrogen (estradiol) under the skin to restore optimal hormone

Insulin Resistance: Causes, Effects, and Management Strategies Insulin resistance, a condition where cells fail to respond to insulin properly, is a significant health concern worldwide.  Insulin resistance is the main precursor to a host of chronic medical disorders, including dementia, hypertension, obesity, cardiovascular disease, erectile dysfunction, type 2 diabetes, cancer, chronic kidney disease, PCOS, fatty

Linda K is a 65 year old female patient who has a history of osteoporosis due to menopause.  She has been a patient since 2014, when she was 7 years post menopausal and 55 years of age.  At that time, she had been treated with Fosamax, a conventional medicine used to treat osteoporosis, and her

Here are the top 10 questions (well, actually 13) I am asked about menopause when discussing it with new patients.  For more information on the specific ways we treat menopause at Optimal Wellness MD, please click here. What is menopause?  Menopause is the time in a womans life, on average 50 years of age, when

I thought it would be helpful to go through a case study of a typical male patient with erectile dysfunction/low testosterone, describe his concerns, how I treated him and the results he achieved after only a few weeks time.  I chose him because he is fairly typical of the male patients I see at my

There is great confusion in the media, the general public, and even among doctors about the natural bioidentical hormone called progesterone and the drugs called “progestins.”  When I see a new female patient who would benefit from progesterone, I typically have to explain what progesterone is, what it does naturally in the body, and how

To learn more about hormone replacement and balancing for women, please click here: Female Hormone Replacement. Frequently I am asked about hormone safety by patients interested in hormone replacement therapy (HRT), which typically includes estrogens (usually a combination of estradiol+estriol), progesterone, and testosterone since these are the hormones that are lost or significantly decline after

The goal of current approaches to anti-aging in humans is to reduce the excess growth and development signal to the cells and enhance the repair system of the cells in order to maximize DNA repair and increase autophagy.  Autophagy is the normal process used by the body to remove defective proteins, cell components, and even