Tag Archives: Platelet-rich plasma

Safe Autologous Stem Cell Transplant for Diabetes

March 1, 2015

According to a recent WHO report, diabetes is one of the top ten leading causes of death worldwide; in 2012 the global prevalence of diabetes was estimated to be more than 10% among adults. The most prevalent type of diabetes is the type 2 and it is rampant in adult population. It is reported that diabetes is the leading cause of renal failure and blindness in developed countries, a person suffering from diabetes also has high chances of having a limb amputated. The risk of limb amputation is 10 times higher in diabetic patients. It is also known that most diabetic patients develop hypertension and cardiovascular diseases, which account for high rates of morbidity and mortality among adult patients. Most patients receive treatment through oral medication but this is also dangerous since after sometime they become insulin dependent. Oral insulin medication is also not so effective since exogenous insulin cannot provide the tight glycemic control exerted by the pancreas-derived insulin secretion. Due to these myriad problems stem cell therapy can be very useful in replacing the affected cells and restore normal cell function normalizing insulin levels in the long run.

What is autologous stem cell transplant?

The body has stem cells in the bone marrow, in muscle tissues and also in the adipose tissues.  These stem cells turn into red blood cells, white blood cells, or platelets to help your body stay healthy. However there are situations when the amount of stem cells in the body is not enough to keep you healthy. This may be caused by some diseases like multiple myeloma or by aging. When this happens there will be need for supplementing the amounts of the stem cells so that they can be able to offer protection to your body. This calls for stem cell transplant which may be done by placing healthy stem cells in your body through an IV to restore the normal functions of the stem cells. at times the stem cells may be harvested from outside the body especially from placentas after successful normal delivery, however when this stem cells are sourced from within the body of the patient then it is referred to as autologous stem cell transplant. Autologous stem cell transplant is safer since the cells are from the body and therefore there is no risk of them getting rejected neither to induce unpleasant allergic reaction.

autologous stem cell transplant

How stem cells collected

In autologous stem cell transplants, the doctors use peripheral blood stem cell transplantation. With peripheral blood stem cell transplantation, the stem cells are taken from blood. The growth factor G-CSF may be used to stimulate the growth of new stem cells so they spill over into the blood. G-CSF is a protein that is produced naturally in the body. The blood is removed from a vein and passed through a machine that separates the stem cells. The machine then returns the remaining blood through a needle in the person’s arm or through a central venous catheter. This way of collecting stem cells is called apheresis. In adults, most autologous transplants use stem cells from blood. In a child, the decision whether to use cells from the bone marrow or the blood depends on the size of the child.

Mesenchymal stem cells work best for diabetes

In the past cell based therapy as used in treatment of diabetes began by use of islet transplantation have been successful in providing a source for insulin secreting cells. However this method has had its share of failures and disadvantages that created a vacuum that doctors hoped to be filled by a better cell based therapy. Some of the downs of the islet transplantations included; limited donors, graft rejection, the need for continued immune suppression and exhaustion of the donor cell pool. the search for a more reliable and sustainable source of insulin secreting cells made stem cell therapy a target as a promising alternative for islet transplantation in  diabetic patients who fail to control hyperglycemia even with insulin injection. Autologous stem cell transplantation may provide the best outcome for those patients, since autologous cells are readily available and do not entail prolonged hospital stays or sustained immunotoxic therapy. Among autologous adult stem cells, mesenchymal stem cells therapy has been applied with varying degrees of success in both animal models and in clinical trials.

autologous stem cell transplantCell-based therapies for diabetes mellitus had achieved lots of success with the application of islet transplantation from cadaveric donors, and the success of the Edmonton protocol back in 1999. Despite the success of islet transplantation in fighting diabetes more so for type 1, there were some drawbacks for example there was need to use immunosuppressive regime so as to favor graft acceptance and prevent rejection. It is with these loopholes that researchers sought to find better treatment with mesenchymal stem cells. Stem cell therapy is a solution to some of the drawbacks of islet transplantation especially the shortage of donors. Autologous stem cell therapy allows for a person’s on organs to be used in the transplant.

In autologous stem cell transplant the most effective mesenchymal stem cells are used to differentiate into insulin producing cells. The mesenchymal stem cells can be harvested in the bone marrows or in the adipose tissues where they are found in plenty. The mesenchymal stem cells have very many advantages when used as they have a high capacity to self-replicate and differentiate to bone and fat-forming cells and other tissue cells. They maintain the capacity of multilineage differentiation potential, both within and across lineage barriers. They are easy to cultivate and expand, and maintain pluripotentiality after prolonged culture conditions. For more information on diabetes, Visit us at AWAREmed Health and Wellness Resource Centre at Myrtle Beach, South Carolina. Dr. Dalal Akoury (MD) an expert in integrative and regenerative medicine will be able to help.

Safe Autologous Stem Cell Transplant for Diabetes

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Human Adipose-Derived Mesenchymal Stem Cells Reduce Inflammation

February 26, 2015

Human Adipose-Derived Mesenchymal Stem Cells Reduce Inflammation modulates Regulatory T Cells in Rheumatoid Arthritis

Mesenchymal stem cells are a rare type of cells that are multi-potent and can be isolated from the adipose tissues, bone marrow among other crucial sources.  These cells have very unique properties that have seen them become targets of very many medical therapies especially in treating degenerative diseases like aging and even joint diseases like arthritis. These cells have been found to be also very effective in modulating the functions of immune cells, including T cells, B cells, natural killer cells, monocyte or macrophages, dendritic cells, and neutrophils. T cells, activated to perform a range of different effector functions, are the primary mediators of many autoimmune and inflammatory diseases as well as of transplant rejection and graft-versus-host disease. Some of the well-defined T-Cell effector cells include; CD4+ (T helper cell) subsets Th1, Th2, and Th17 cells and cytotoxic T lymphocytes which are derived from antigen-specific activation of simple CD8+ precursors. In addition, naturally occurring and induced regulatory T cells represent CD4+ and CD8+ T-cell phenotypes that potently suppress effector T cells to prevent autoimmunity, maintain self-tolerance, and limit inflammatory tissue injury. The ability of adipose-derived mesenchymal stem cells to suppress the effector T-Cells and limit inflammation has made them very effective in treating rheumatoid arthritis which is characterized with inflammations around the joints. Typically, many immune-mediated diseases entail an imbalance between regulatory T cells and effector T cells of one or more phenotypes. Mesenchymal Stem Cells broadly suppress T-cell activation and proliferation in a controlled environment outside of a living organism via (Vitro) a plethora of soluble and cell contact-dependent mediators.  These mediators may work in two ways; first they can work directly on T cells or indirectly via modulation of antigen-presenting cells and other accessory cells. Mesenchymal Stem Cells administration has also been shown to be variably associated with beneficial effects in autoimmune and transplant models as well as in several human clinical trials. However, in a small number of studies Mesenchymal Stem Cells administration has been found to heighten T cell-mediated tissue injury. The multiple effects of Mesenchymal Stem Cells on cellular immunity may reflect their diverse influences on the different T-cell effector subpopulations and their capacity to specifically protect or induce regulatory T-cell populations.

Mesenchymal Stem Cells

 Mesenchymal stem cell modulation of T cell-mediated immune responses

To repeat for emphasis, the T cells are the primary cellular effectors of the adaptive immune system and their functional properties are central to antigen specificity and memory associated with cognate immunity, this therefore means that to a greater extent they are responsible for rejection of implanted cells of varied specificity.  Antigen-specific activation and differentiation of naïve T cells result in the generation of a range of T-cell phenotypes that may be defined by the acquisition of characteristic cytokine secretion profiles, cytolytic mechanisms, or counter-regulatory properties.

Following antigen-specific adaptive immune responses, a small proportion of activated T cells persist as memory cells and have the capacity to respond more rapidly and potently to secondary encounters with the same antigen. These memory cells may retain the effector phenotype imprinted upon them during primary activation. When these memory cells are appropriately coordinated and regulated, the diversity of T-cell effector phenotypes allows immune protection against a multitude of pathogenic microorganisms while maintaining self-tolerance and homeostasis. On the other hand, over exuberant pro-inflammatory T-cell responses may lead to auto-immune and allergic diseases, including multiple sclerosis, inflammatory bowel disease, type 1 diabetes mellitus, and asthma. Therefore it is crucial to have a modulatory strategy on the effector T-cells. Furthermore, life-saving treatments such as allogeneic bone marrow and solid organ transplantation may be complicated by alloantigen-specific T-cell immune responses, resulting in graft-versus-host disease (GvHD) or transplant rejection.

Study finding

Mesenchymal Stem Cells and InflammationIn a research study done at School of Medicine, University of Seville, Seville, Spain by Gonzalez-Rey E, Gonzalez MA, Varela N, O’Valle F, Hernandez-Cortes P, Rico L, Büscher D,  and Delgado M  it was found that human adipose-derived mesenchymal stem cells suppressed the antigen-specific response of T cells from patients with rheumatoid arthritis. Human adipose-derived mesenchymal stem cells inhibited the proliferative response and the production of inflammatory cytokines by collagen-activated CD4 and CD8 T cells. On the contrary, the numbers of IL10-producing T cells and monocytes were significantly augmented upon human adipose stem cell treatment. The suppressive activity of human adipose-derived mesenchymal stem cells was cell-to-cell contact dependent and independent. Human adipose-derived mesenchymal stem cells also stimulated the generation of FoxP3 protein-expressing CD4 (+) CD25 (+) regulatory T cells, with the capacity to suppress collagen-specific T cell responses. Lastly, human adipose-derived mesenchymal stem cells down regulated the inflammatory response and the production of matrix-degrading enzymes by synovial cells isolated from patients with rheumatoid arthritis.

The study had sought to find out the immunosuppressive activity of human adipose-derived mesenchymal stem cells on collagen-reactive T cells from patients with rheumatoid arthritis.  The method used involved investigating the effects of human adipose-derived mesenchymal stem cells on collagen-reactive RA human T cell proliferation and cytokine production as well as effects on the production of inflammatory mediators by monocytes and fibroblast-like synoviocytes from patients with rheumatoid arthritis. Stem cell therapy is a promising approach to treatment of degenerative diseases like arthritis but still you will need an expert in degenerative medicine. Dr. Dalal Akoury (MD) an expert in integrative and regenerative medicine will be able to help. Visit us at AWAREmed Health and Wellness Resource Centre at Myrtle Beach, South Carolina

Human Adipose-Derived Mesenchymal Stem Cells Reduce Inflammation modulates Regulatory T Cells in Rheumatoid Arthritis

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Saving your skin this summer from further decay

December 30, 2014

Saving your skin this summer from further decay – The most endangered organ the Skin

Saving your skin this summer from further decay

Saving your skin this summer from further decay. Make adjustment to your skincare routine during summer for a more beautiful look of your skin.

One of the most endangered human assets is the body’s largest organ the skin. This is also the organ that expresses ones beauty because it is what the face will first come into contact with. How good we protect it will determine how beautiful we will look both from the inside and outside. The skin is very vulnerable in all seasons and therefore saving your skin this summer from further decay would be very necessary. For sure summer would be the perfect time to start over, recharge, and relax. As the temperature changes, your beauty skincare routine should too. You may not need to put aside all your spring skincare products, just update your regimen with these tips to protect your skin from the warm, humid and sunny months. Doctor Dalal Akoury a skincare professional and also the founder of the home of beauty for all seasons AWAREmed Health and Wellness Resource Center explains a few tips for saving your skin this summer from further decay.

She says that the first thing to do is to make adjustment to your skincare routine. For example you will need to exfoliate your skin 3 times per week to get rid of any spring flakiness and change to a slightly lighter moisturizer for the protection of your skin from the warmer weather. Even as you make these adjustments, it is still very important that you maintain the use of spf30 sunscreen daily to protect skin from the sun’s damaging rays.

Saving your skin this summer from further decay – Cleanse

Because the beauty of your skin and the face to be specific is our focus, and with warmer weather approaching, washing your face must be the first item to prioritize in your skincare routine. Instead of a moisturizing cleanser, chose a more clarifying oil-absorbing cleanser. Ensure that you don’t use a cleanser with any detergent (SLS). The common foaming agent found in many skin care face washes sodium laurel sulfate (SLS) is the same ingredient found is dish washing soap and laundry detergent. These ingredients can be extremely harsh and frustrating to the skin, therefore get all the information about the ingredient of any product you use. It would be advisable that you use a soothing and purifying facial cleanser that is natural and non-drying. Look for ingredients such as silver and salicylic acid as well as resveratrol (super anti-oxidant and detoxing). These cleansers will not only dissolve make up and dirt, but will leave your skin calm, clean and clear thereby saving your skin this summer from further decay.

Saving your skin this summer from further decay – Exfoliate

Did you know that your body shed off dead skin cells at a very high speed every minute on a daily basis? Because of this, exfoliation becomes very important. If these are not disposed, the skin will look dull, dry and un attractive. It may not matter the quality of body lotion you use, if you don’t exfoliate you will never get that glamorous skin and especially when you are moving from spring to summer if you want to reveal a fresh young complexion then grab a gentle facial exfoliator and hit the shower. The steam will gently soften your skin and allow the scrub to easily slough off dead dull skin. Gently rub your exfoliator in circular movements on your face for 2-3 minutes and rinse with warm water. Continue to do this 2-3 times a week for beautiful skin.

Saving your skin this summer from further decay – Treat & Prevent Pigmentation

Now that summer is approaching we want to also transition into effortless and minimal make-up. Nothing looks worse than the sun reflecting on caked on make-up that’s attempting to cover up an uneven complexion. So now is the time to not only lighten uneven pigmentation- but prevent it as well. Try wearing a lightening gel or treatment underneath your moisturizer. Look for ingredients like Bellisperennis extracted from a Daisy flower that works to lighten and brighten spots as well and protect the skin from reacting to the sun and developing future damage. This is a genius breakthrough ingredient and I would recommend that you use it at most twice daily however if you have very sensitive skin, then apply it once and preferably in the evenings.

Saving your skin this summer from further decay – Nourish & Protect

While we appreciate that oil free products may not be the solution, some oils are healthy for your skin after all your skin needs to be nourished with certain oils. For instance, olive oil is considered very beneficial for the health of your skin alongside flax oils and grape seed oils for their cosmetic ones. What must be avoided are mineral oils instead go for cosmetic grade flax seed oil and grape seed oil rich in anti-oxidants and omega-3 fatty acids that are often found in hydrating serums. These help in nourishing the skin from the inside out and also help balance and control skin’s natural oil production.

Finally don’t forget your body. Summer is the season for tank tops, shorts, halter tops and other reveling clothing. You should focus on transitioning the skin on legs, arms, chest, and shoulders too. The following steps may be very helpful for glowing skin throughout your body:

  • Exfoliate your entire body in a warm steamy shower 2-3 times a week.
  • Apply good quality body oil as soon as you get out apply on damp skin for best absorption. If you shower in the morning follow with a layer of sunscreen spf30 to protect your skin.
  • Treat body blemishes as you do facial ones. This mean have a spot treatment handy for little pesky body breakouts- so nothing gets in between you and your summer wardrobe.

Remember that the largest organ needs care all round and the involvement of the experts at every stage is very important.  Saving your skin is Dr. Akoury first priority. The decision made by doctor Akoury to create a medical center whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power is actually meant for you. It is in Dr. Akoury’s practice to focus on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. With this great expertise, this is the place to be. Therefore, schedule for that appointment with doctor Akoury today.

Saving your skin this summer from further decay – The most endangered organ the Skin

 

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Erectile Dysfunction: Causes and Cure

December 29, 2014

Erectile Dysfunction, Causes and Cure

Erectile dysfunction is one problem that has seen even the most masculine men wet pillows with tears behind closed doors. This is a problem that will continue to haunt men if they fail to seek immediate help. Erectile dysfunction also known as impotence refers to a situation when a man can no longer get or keep an erection firm enough for sexual intercourse. Having an erection trouble once in a while is not necessarily a cause for alarm but if erectile dysfunction is an ongoing problem, it will not only cause stress and depression but will also cause relationship problems as well as affect your self-confidence. Erectile dysfunction sounds like failure or weakness to many men. It gives them a feel of inferiority and may go a long way in affecting their way of expressing themselves. Erectile dysfunction affects men even beyond the boundaries of the bedroom as it lowers their self-esteem leaving them with an inferiority disease. In most cases erectile dysfunction is caused by deficiency in the testosterone hormone. Testosterone hormone is majorly produced in the testes and is the hormone that is entirely responsible for sexual drive in a man. Without this hormone any man will not be able to have the urge to have sexual intercourse and even if he was to have sex just out of responsibility he will not be able to achieve an erection that can last long enough to optimally perform the sexual intercourse act. The levels of this hormone however vary with age. As one is aging the levels of this hormone will go down and this is just normal however incase the levels of this hormone are flooring at an early age it can be solved by going for testosterone therapy which may help to restore the normal testosterone levels in a man.

Erectile Dysfunction

Causes of Erectile Dysfunction

To achieve an effective erection that can last long enough to satisfy a woman or long enough for procreation several factors come to play. Male arousal is a very complex process. Here are some of the causes of Erectile Dysfunction.

Stress- this is one of the psychological factors that has been found to cause erectile dysfunction. Sex begins in the brain and so when the brain is worked up clogged by stress then it may become very difficult achieving an erection. Other psychological factors that may cause erectile dysfunction include anxiety and depression.

Low Testosterone Levels

Testosterone is a major cause of hypogonadism. Testosterone is the necessity for a man to be sexually active. When levels of testosterone decline the urge to have sex declines and so is the ability of an erection to last long enough to perform satisfactory sex. Low testosterone levels also causes dump moods which may not have very good effects on a man’s ability to erect. However there are natural ways that can be employed to help restore testosterone levels and resolve the whole problem of erectile dysfunction. One of the ways through which an erectile dysfunction caused by low testosterone levels be solved is going for testosterone replacement therapy.

Other causes of erectile dysfunction include;

  • Certain prescription medications
  • Tobacco use
  • Alcoholism and other forms of substance abuse
  • Treatments for prostate cancer or enlarged prostate
  • Heart disease
  • Clogged blood vessels (atherosclerosis)
  • High cholesterol
  • High blood pressure
  • Diabetes
  • Obesity
  • Parkinson’s disease
  • Multiple sclerosis
  • Wounds in the penis

Erectile Dysfunction Testing

There are very many causes of erectile dysfunction and therefore it is important for tests to be done to reveal the cause of the disease before giving any therapy. There are also very many tests that can be done to show the cause and the state of your erectile dysfunction. Some of the tests that can be done include;

Urinalysis-Analysis of urine can provide lots of information, including information on protein, sugar and testosterone levels. Abnormal measurements of these substances can indicate diabetes, kidney disease or a testosterone deficiency, all which can cause ED.

Penile biothesiometry– This test involves the use of electromagnetic vibration to determine sensitivity and nerve function. A decreased sensitivity to these vibrations may indicate nerve damage.

Vasoactive injection– During this test, an erection is produced by injecting special solutions that cause the blood vessels to dilate allowing blood to enter the penis.

Dynamic infusion cavernosometry– This test is used for men with ED who have a venous leak. During this test, fluid is pumped into the penis at a predetermined rate. By measuring the rate at which fluid must be pumped to attain a rigid erection, doctors can determine the severity of the venous leak.

Erectile Dysfunction

Erectile Dysfunction Treatment  

Just like there are several causes of erectile dysfunction so are the treatments available. However the biggest challenge in treating erectile dysfunction is that most men are ashamed to discuss this issue with their doctors. When that is done the doctor may avail you the best treatment for your situation.

Here are some of treatments;

Penile Implants- penis implants offer a permanent solution to erectile dysfunction. There are more types than you may think. Your doctor will help you choose the best for you.

Erectile Dysfunction Surgery– though not so popular a surgery can help fight erectile dysfunction as it improves the blood flow to the penis hence improving erections.

Nutritional Supplements– there are some nutrients that must be available in the body at good levels so as to make erection last. These minerals may include zinc and calcium. These minerals can be supplemented to help save the situation.

BHRT–Bio-identical hormone replacement therapy can help men regain their youthfulness and sex drive of their 30’s through BHRT. Bio identical Hormone Replacement Therapy restores hormones to physiological levels to support brain, nerves, heart, vessels, skin, bones, and other body’s systems functions for all have hormone receptors.

Find help

Erectile dysfunction can damage your confidence and your relationship. If you are troubled by ED Low testosterone may be the cause, and BHRT may be the cure. To get started with testosterone replacement therapy, please call (843) 213-1480 or contact Dr. Dalal Akoury.

 

Erectile Dysfunction: Causes and Cure

 

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Pain Management with Injections

December 27, 2014

Injections for Pain Management

Injections for Pain ManagementPain management is crucial especially in treatment of such diseases that are characterized by chronic pain such as cancer and arthritis. Pain management is also important part of treatment especially in situations where the patient is to go through intense like during chemotherapy for cancer patients or after going through surgery.  Nobody will like to have intense pain maim him for even the least amount of time. People like to be happy and avoid anything that may bring them pain. However in some instances there has to be pain for a much serious health problem to be solved. To manage pain certain drugs are used that helps you to endure the pain, unfortunately most of these are addictive and so as you are using them to manage pain you are at risk of addiction. Opiates are the mostly used drugs in pain management and they work well in ensuring that your pain is moderated if not done away with completely. The nature of these drugs however requires that they be administered by a professional since they are very rewarding and before long the patient may become addicted to them or even dependent on them. There is however one disadvantage of using opiates in pain management; Due to their rewarding nature they can be easily abused and a treatment that once began on the right foot may end up being another nightmare in a person’s life hence there is need for actions to be taken to help patients not to be addicted to this pain drugs.

The medical researchers however did not stop at opiates but went step further to come up with other treatment methods that can be employed to help in treating pain  patients and these involves the use of injections .  In most cases whenever a person has pain in any part of the body, he may be encouraged to try physical therapy or to go for a cortisone injection which normally helps but if all these failed then you need a different approach to tackling the pain. Proliferative therapies like the prolotherapy, Prolozone and the platelet rich plasma therapy (PRP) are a good way to deal with pain but are little known.

Prolozone

Prolozone is a form of proliferative therapy. Proliferative therapy generally involves the injection of natural substances into the affected area. When done properly, these injections stimulate the release of growth factors and formation of new collagen in the affected area. The prefix “prolo” refers to this stage of new tissue growth or “proliferation.” As the body forms new collagen, the treated ligaments and tendons become thicker and stronger and more capable of doing their work. Proper alignment, stability, and function are restored, and typically the pain subsides.

Prolozone therapy uses ozone which is a form of oxygen but with three oxygen atoms. The ozone has a very powerful regenerative ability that helps in treating the damaged connective tissues. When the ozone is injected, it improves the oxygen circulation and delivery to the damaged cells. Prolozone therapy also helps not only by strengthening the tendons and the ligaments but also by rebuilding cartilage in the treated joints. Prolozone therapy was by pioneered Dr. Frank Shallenberger.

Patients enjoy Prolozone therapy as compared to other proliferative therapies like prolotherapy since with Prolozone the number of individual injections is less based on the area treated as compared to the number of injections in prolotherapy. The solution is dispersed over a larger area compared to prolotherapy, due to the injection of ozone gas. This has made Prolozone more preferred by people who do not want many injections

Platelet rich plasma therapy (PRP)

This is a safe non-surgical procedure that helps those with injuries in the tendons or suffering from osteoporosis. This treatment utilizes platelets from the patient’s own blood to rebuild a damaged tendon or cartilage. It has been successful in not only relieving the pain, but also in jumpstarting the healing process.

Platelet rich plasma therapy (PRP)

During this therapy the patients’ blood is drawn and placed in a centrifuge for 15 minutes to separate out the platelets. The platelet-rich plasma is then injected into the damaged portion of the tendon or cartilage with the guidance of an ultrasound machine. This treatment is one of the best non-surgical procedures that can be used against pain plus it takes short time for the patient to heal completely. Averagely patients take three months to be able to return to the activities they were performing before the injury that resulted in the pain.

IV therapy for chronic pain

IV nutritional therapies might have been used in chronic pain management for quite a time and have showed impressive results.  Dr. Dalal Akoury (MD) treats patients with chronic pain on a daily basis and has found that some people who suffer from extensive inflammation or degeneration from rheumatoid arthritis, osteoarthritis, fibromyalgia or other auto-immune problems may just be lacking some of the vital minerals and vitamins in the body and therefore an IV vitamin and mineral therapy might just work well for them.

IV therapy involves administering the minerals, vitamins that the body lacks through and IV drip. The same might be used to administer some medicine that may help to heal the injured tissues and facilitate formation of new tissues.

Finally

With the injections for pan management you will not only experience liberating relief for weeks with but also are helpful in finding the long-term pain solution. Injections are so simple and low risk they should be in the pain-management discussion for everyone. To discuss how therapeutic injections can free you of pain and improve your long-term outlook, please call (843) 213-1480 or contact Dr. Akoury Dalal

Injections for Pain Management

 

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