Category: Blog

  • What Is Regenerative Medicine—and What Are Its Limits?

    What Is Regenerative Medicine—and What Are Its Limits?

    What do you think of when you hear the term “regenerative medicine?”

    Some people imagine a painful joint being revitalized through new cartilage. Some imagine blood draws and injections in “regenerative” clinics. Others think of experimental anti-aging treatments and products.

    For people searching for alternatives to surgery or to address conditions conventional medicine has not been able to relieve, regenerative medicine offers solutions that claim to be natural and effective. Unfortunately, the line between what regenerative medicine can actually do and its marketing language has become blurred.

    The science of regenerative medicine shows a more complex reality. It is time to dive into the data and discover what regenerative medicine can offer— and what its limitations are.

    What is Regenerative Medicine

    Regenerative medicine is a practice aimed at restoring or “regenerating” damaged tissue, cells, and organs, aiming for long-term function rather than just symptom management.

    It seeks to stimulate the body’s repair systems through lab-grown cells and scaffolds. The idea is to replace damaged tissues with healthy cells that help rebuild and repair the damaged structure.

    The term “regenerative medicine” emerged in the 1990s and grew in popularity in the 2010s with the rise of stem-cell clinics and its increasing normalization through athletes and celebrities.

    The most common regenerative treatment is platelet-rich plasma, a treatment where a clinician uses the patient’s blood to concentrate the platelets, then injects them into the patient’s joints, tendons, face, or scalp. Patients can also receive bone marrow aspirate concentrate treatment, where bone marrow is extracted from the back of the pelvic bone, centrifuged, and injected into the patient’s knee, hip, or shoulder. When people state that they receive “stem-cell” treatment, they are generally referring to these treatments.

    Regenerative Medicine- What the Evidence Shows

    On the other hand, some people dismiss “regenerative medicine” as a scam. In reality, traditional healthcare utilizes the principles of regenerative medicine through common treatments like bone marrow transplants, cartilage cell implants, and skin grafts.

    However, when people discuss regenerative medicine, they tend to be referring to in-clinic treatments like platelet-rich plasma. Unfortunately, these treatments tend to have modest results, mostly consisting of symptom relief. For example, using PRP to treat knee osteoarthritis has been found to reduce pain and improve function in patients at 6-12 months in mild to moderate stages of the disease, so the treatment may have meaningful short-term benefit. However, the effects are generally modest and do not have long-term benefits over traditional care.

    Patients may believe that approaches like platelet-rich plasma can rebuild joints and reverse arthritis. These approaches may reduce pain and inflammation in some people. However, they have not been shown to regenerate cartilage or cure arthritis.

    Some patients believe that because treatments come from their own cells, these approaches are safe treatments because they are “natural.” In reality, the use of unapproved regenerative products has led to complications like infections, collection-site injuries, and more.

    Other treatments like exosome and amniotic injections for conditions like back pain, arthritis, and chronic obstructive pulmonary disease (COPD) remain highly experimental and have not been approved by the FDA. Stories surrounding “miracle regeneration” from these treatments should be regarded as anecdotal.

    A Better Way Forward

    When people explore regenerative medicine, they are seeking a way to reduce pain in their daily lives, delay or avoid major surgery like a joint replacement, or stay in a sport they love. They want a way to address the problem, not just live around the symptoms. Unfortunately, regenerative medicine can become a way to manage symptoms while not addressing the core issue.

    Fortunately, through lifestyle changes, patients can get better results than anything out of a vial. For example, consistent guided physical therapy and strength training are far more effective for long -term joint health and strength than an injection regimen. Additionally, lifestyle adjustments like getting regular high-quality sleep, avoiding or quitting smoking, and building muscle mass can maintain healthy tissue and reduce degradation over time.

    Treatments like PRP can be used when other approaches have not worked, and patients utilizing them should understand that they reduce pain, not rebuild damaged cartilage. This approach offers an evidence-based plan for strengthening the body rather than just temporary symptom relief.  

    Final Thoughts

    More research is being done in regenerative medicine, but it is far more targeted than many of the treatments in a typical regenerative clinic. It can be defined as taking a particular cell or gene, putting it within a particular structure, and assessing the result. Instead of injecting substances into the body, the research revolves around approaches like cell implantation, gene therapy and editing, and tissue construction.

    Unfortunately, “regenerative medicine” has become more a marketing term than an accurate description of medical practice.

    At Rockwell Physicians, we want to get past managing your symptoms by helping you get to the heart of the issue. We offer regular checkups timed to address your questions and concerns, personalized nutrition and exercise plans, and even a weight loss program. We want to address the concerns behind regenerative medicine while providing you with evidence-based, effective care. Regenerative medicine can definitely have a place within traditional medicine, but without the necessary systemic lifestyle changes, it cannot provide the relief you are looking for.

    If you are ready to confront real problems instead of managing symptoms, or have questions about whether regenerative medicine could fit into your health journey, contact your provider at Rockwell to start the journey toward real long-term health and wellness.

  • Why “Food as Medicine” Isn’t Enough—And What to Do Instead

    Why “Food as Medicine” Isn’t Enough—And What to Do Instead

    If you have ever seen an Instagram reel claiming you can “eat your retinol” or a blog post stating you can heal your gut with turmeric, you have encountered the idea of “food as medicine,” an old idea that has come to the forefront of health and wellness conversations.

    The idea of “food as medicine” has risen in popularity because it highlights the importance of good nutrition and presents diet as the solution to people’s health issues. However, others dismiss it as a fad that persuades people away from seeking real medical care.

    Unsurprisingly, the truth is somewhere between these two attitudes. It is time to examine the reality behind the idea of “food as medicine.”

    Food As Medicine

    The idea of “food is medicine” often goes beyond a healthy diet. It suggests that people can treat or manage disease by eating the right kinds of foods.

    While the idea that diet plays a vital role in shaping health is an old concept, the saying “make food your medicine” is a relatively modern concept often misattributed to thinkers like Hippocrates. It encapsulates a real idea: that food and health are tightly linked.

    This notion and the misattribution have gone on to influence medical practice and policy, such as the development of “culinary medicine” in medical schools and the growing popularity of medically tailored meals.

    What It Gets Right

    The conversation around the idea of “food as medicine” is correct in its assessment that diet plays a crucial role in broader health and well-being, a factor many people feel that the broader healthcare system ignores.

    It also correctly pinpoints the fact that many conditions like cardiometabolic diseases and obesity are directly affected by diet. It also notes that certain conditions can be better managed and even improved through food.

    For example, studies indicate that people who followed a diet emphasizing fruits, vegetables, and low-fat dairy had lower blood pressure than those following a typical U.S. diet. Other trials have indicated that supported dietary habits for conditions like type 2 diabetes, celiac disease, and obesity can significantly help people dealing with these issues. However, these studies also tend to be small and last only a short time. More work is needed to confirm their results

    Additionally, “food as medicine” programs that provide medically tailored meals and groceries for people help improve diet quality and self-reported health.

    What It Gets Wrong

    While the idea of food as medicine does bring up potentially helpful points, it can have devastating impacts for people who take it to an extreme point.

    For example, there have been documented examples of people refusing treatments for cancer such as surgery, chemo, or hormone therapy in favor of raw juice protocols or healing plants. Similarly, people trying to treat conditions like type 1 diabetes or schizophrenia and bipolar disorder solely through approaches like the keto diet or supplements will reject medications like insulin that they need, leading to long-term complications.

    Restrictive diets advertised as “healing” can also lead to malnutrition and encourage the development of eating disorders. This results with people skipping appointments and increasing the chances of medical complications.

    Finally, products like pills, gummies, or tinctures advertised as “food as medicine” are loosely regulated or unregulated and can be harmful to consume due to interactions with other medications. They can also be dangerous because of impurities from hidden drugs or toxins, missing ingredients or key ingredients substituted for cheaper alternatives, or contamination from heavy metals.

    “Food as medicine” stops being a helpful idea when it becomes a lifestyle or an advertising ploy.

    Another Way: Food and Medicine

    While it is important to acknowledge the role diet has on health, it is equally important to acknowledge that food cannot replace medicine. A balanced approach ensures that people have access to both the nutrition and medical care they need.  

    Thankfully,  more information and support are now available to assist people in improving their eating habits. For people struggling with their diet, taking steps to identify any condition sensitive to diet, to discover any specific nutrition issues they are experiencing, and to find a way to receive the food and/or counseling they require can provide the kind of specific improvements that the general advice of “eating better” does not.

    Additionally, having food delivered can be extremely helpful in certain situations, such as for people with a diet-sensitive diagnosis and/or who are unable to shop for food themselves.

    Additionally, medical nutrition therapy (MNT) has evidence-based clinical practice guidelines and assists people with specific issues such as prediabetes, hypertension, nutritional deficiencies, heart conditions, and more. By taking a balanced approach to both medicine and diet, people can gain the full benefit of both these elements working together instead of against each other.

    Final Thoughts

    There is no doubt that the food we consume has a massive impact on overall health. No pill or injection can replace the benefits of a healthy diet.

    However, the idea that some people push that food can replace the developments of modern medicine is as much a marketing ploy as the “drug pushers” they claim to hate.

    Perhaps, instead of “food as medicine”, a more helpful approach would be “food and medicine,” acknowledging the role that both play in our health.

    At Rockwell Physicians. We believe that good nutrition and good medical care, while playing different roles, are both essential for a person’s health. Our practitioners work with you to help develop practices that support your long-term wellness, like personalized nutrition plans and recommendations tailored to your specific needs.  

    If you are ready to discover the role food plays in your health journey, get in touch with your provider at Rockwell Physicians today!

  • Sleep Optimization, Explained: The Science vs. the Hacks

    Sleep Optimization, Explained: The Science vs. the Hacks

    In the modern world of social media, almost any area of daily life can be turned into content, including sleep. Today, “sleep optimization” has become a staple of health content. Its message of prioritizing sleep rather than treating it as an afterthought continues to resonate with audiences.  

    However, while it has brought the importance of sleep for health and function into the broader cultural conversation, sleep optimization also brought the unwelcome but unsurprising tide of influencers, “sleep hacks,” and products, turning rest into a complex performance without regard for the actual science.

    It is time to cut through the noise and look at what actually healthy sleep habits look like.

    What is Sleep Optimization

    While now popular online, “sleep optimization” predates the trend through the collision of factors like the development of new technology, a cultural backlash against the idea of “hustle culture”, and an increasing amount of data pointing to sleep as vital for health and broader performance.

    In fact, the brand of “sleep optimization” developed in the early-to-mid 2010s by borrowing technological language to frame sleep as a performance variable rather than a natural bodily process, framing it as something that could be quantified, tracked, and ultimately, controlled.

    This framing resonated with people because it touched on a real issue. Many people know they are not getting enough sleep, or that their sleep is consistently unsatisfying. Additionally, medical conditions like insomnia or sleep apnea make maintaining a consistent, healthy sleep schedule difficult.

    Sleep optimization seemed to acknowledge that reality and provide quantifiable steps to address the problem.

    What Sleep Optimization Gets Right

    The conversation around sleep optimization addresses some critical issues regarding sleep. Many people have developed habits hostile to sleep, such as having phones in bed, irregular waking-up schedules, and late caffeine consumption. Additionally, because of the busyness of modern life, many people tend to see sleep as an afterthought rather than a vital part of life.

    Sleep optimization presented a narrative of prioritizing daytime functionality rather than working on the bare minimum. It also emphasizes consistency, pointing out sleeping 8 hours is not enough if that sleep is fragmented and low-quality.

    Sleep optimization content offers tips like having a fixed wake-up time, regular exercise, tracking sleep patterns, and prioritizing a dark, quiet bedroom, all of which can improve sleep. It also can encourage people to get evaluated if they noticed unhealthy sleep patterns. This data is important for people dealing with undiagnosed conditions like sleep apnea.

    What Sleep Optimization Gets Wrong

    The biggest issue with “Sleep optimization” is that it has become more about monetization than actual advice. Influencers can turn routines and “sleep hacks” into monetary gain through product promotion and social media followings.

    Unfortunately, many claims about routines or products lack proper evidence and can even make the problem worse. For example, evidence suggesting mouth taping or jaw straps can improve sleep is limited and low-quality. The practice can actually worsen breathing for people dealing with undiagnosed sleep apnea. Additionally, products that treat sleep like a score can lead to people developing orthosomnia, an unhealthy preoccupation around getting whatever kind of sleep is “correct” as deemed by a tracker, which can lead to anxiety and (ironically) worse sleep overall.

    Additionally, trends like “sleepy-girl mocktails”,  high-dose melatonin gummies, or blue-light glasses have sparse scientific backing on their effectiveness.

    Much of the conversation around sleep optimization is marketing rather than science, overcomplicating sleep-promoting practices as law, even when they are useless or harmful.

    What Actually Helps With Sleep

    Unlike what many sleep optimization influencers suggest, a few simple habits can make a good night’s sleep attainable. Having a regular bedtime and wake-up time, paired with a short, repeatable “wind-down,” helps the body relax and build a rhythm, improving the chances of good sleep.

    Additionally, avoiding substances like caffeine during the late afternoon and avoiding alcohol and nicotine close to bedtime can strengthen general sleep health.

    Finally, keeping the bedroom cool, dark, and quiet and reducing blue light intake at night, including electronics like phones or television in the bedroom, can help avoid melatonin suppression and promote better sleep overall.

    None of these habits are “quick fixes” for bad sleep, nor are they cures for sleep conditions like insomnia or sleep apnea. However, for the average person, they are excellent first steps to getting the sleep their body needs.

    Final Thoughts

    In a busy and chaotic world, the idea of deep, refreshing sleep can feel like a pipe dream. “Sleep optimization,” while voicing many people’s exhaustion and frustration, turned rest into content and questionable “hacks” into the secret to sleep.

    The truth is that a few simple habits can help most people find the rest they are looking for. While they do take planning and discipline, a deliberate effort to give your body the rest it needs will give you the energy you need to not just survive your day, but thrive.

    If you have deeper concerns about your sleep, providers at Rockwell Physicians can work with you to find better ways to sleep, such as performing home sleep studies to diagnose sleep apnea. We recognize that sleep is the foundation of health and well-being, so we want to partner with you to enjoy the quality rest you deserve.  

  • 6 Myths About Food Dyes (And the Facts Behind Them)

    6 Myths About Food Dyes (And the Facts Behind Them)

    Food dyes have become the subject of fierce health controversy, with some people considering anything with food dye as practically poison. Others dismiss those concerned about food dyes as fearmongering “health nuts.”

    However, because of the contentions, it has become increasingly difficult to determine fact from fiction: are food dyes “toxic”? Are they actually banned in Europe? Or are they completely harmless?

    It is time to examine some of the biggest misconceptions about food dyes and look at the facts:

    Myth 1: Food dyes are used in the US but banned in the EU, meaning the EU takes health and safety more seriously than the US.

    Fact: Both the US and the EU regulate dyes; however, they regulate different sets of dyes. Additionally, many popular U.S. dyes (such as Red 40 and Yellow 6) are permitted in the EU, though they require a warning label.

    Myth 2: “Natural” food coloring is safer than synthetic food dye

    Fact: The data around the impact of natural food colors is lacking. Their safety is assumed rather than demonstrated through data. For example, natural color sources, like carmine and certain plant extracts, can cause allergic reactions. Natural alternatives can also be less stable and introduce contaminants unless carefully controlled.

    In the end, safety comes down to the purity of the substance, not necessarily on its source.

    Myth 3: Food dyes are completely harmless and have no long-term effects

    Fact: The long-term effects of consuming food dyes in humans are still somewhat unclear. Current research shows particular dyes are broken down in digestion into chemicals called “aromatic amines”, and this process may be a primary way they cause harm.

    In animal studies, some types of yellow dyes did raise blood sugar and damage the intestinal lining. A current study in humans examines the possibility of a link between these dyes and type 2 diabetes. However, the current evidence is highly limited. Recent studies in California indicate that synthetic food dyes could be associated with adverse behavioral effects in children.

    However, these studies are not definitive because the effects were still modest, and not every child was affected. One analysis concluded that the evidence was too inconsistent to make a quantitative risk assessment.  

    Myth 4: Current FDA acceptable daily intakes for food dyes mean the consumer can consume with no effects.

    Fact: The acceptable daily intakes are based on older studies that do not take into account the behavioral effects these dyes can have on children. Current ADIs are based on evidential gaps rather than settled conclusions. Some have suggested that these ADIs should be updated to account for these behavioral effects.

    Myth 5: Synthetic food dyes are known carcinogens for humans

    Fact: The claims around food dyes and carcinogens originate from several animal and in vitro studies. For example, Blue 1 was observed to cause kidney tumors in mice, and Blue 2 and Citrus Red 2 were linked to brain and bladder tumors in animal models.  However, questions have been raised about some of the older animal studies regarding possible contaminants skewing the results.

    Myth 6: Removing synthetic food dyes would reduce rates of issues like diabetes, obesity, and ADHD.

    Facts: Synthetic food dyes are generally used in ultra-processed foods. Therefore, any benefits would come from a reduced consumption of these foods in general rather than specifically the food dyes. Asserting that food dyes directly contribute to these health issues surpasses the current scope of evidence.

    The Reality of Food Dyes

    While there is little evidence supporting many of the most popular ideas, there are emerging concerns about their long-term effects. The evidence on adverse behavioral effects in children is strongest among human studies, with data indicating that some food dyes have a small but real effect on kids’ neurobehavior. One study suggests that roughly 8% of children with ADHD may have dye-related symptoms. However, these findings were susceptible to publication bias, and other studies show small and uncertain effect sizes.

    While they currently only appear in animal studies, some common dyes can contribute to damage processes that can be linked to colon cancer, though researchers say more study is necessary to determine a cancer link. Additionally, a large human study indicated that a higher intake of food colorings overall was linked to a small increased risk of overall cancer and postmenopausal breast cancer. However, the stronger links were between caramel color and beta-carotene, which are a different class of dyes.

    Final Thoughts

    As the debate around food dyes continues, it is important to remember the current limits of the data. At this point, there is not enough data to determine the long-term effects of food dye consumption on human health.

    For people concerned about food dyes and their health, focus on reducing consumption of ultra-processed foods and replacing them with minimally processed, healthy foods, since these will have the greatest positive impact on their overall health.

    If you are interested in improving your overall health but do not know where to start, talk with your provider at Rockwell Physicians. We would be happy to discuss any concerns about diet and nutrition and provide you with the information you need to eat with confidence!

    https://pubmed.ncbi.nlm.nih.gov/41954817

  • Beyond BMI: Body Composition Metrics for Real Weight Loss

    Beyond BMI: Body Composition Metrics for Real Weight Loss

    When most people think of weight loss, they generally think about BMI. They think of long, strenuous work and restrictive dieting with the number on the scale not budging. With these metrics, it is very easy to become discouraged and give up, believing that no matter what you do, results are just not happening.

    Or, even if the numbers start dropping, you still feel tired and sick and start wondering if all the effort is worth it.

    If you can relate to either of these scenarios, the answer may go beyond simple scale numbers. In fact, often it is not because you are not working hard or doing; you might just be working with the wrong data.  

    If you are ready for real information and real results, it is time to go beyond BMI and get real information about your health. It is time to look at body composition metrics.

    BMI vs. Body Composition

    BMI was originally developed as a tool for statistical analysis, to categorize the “average”, not as a diagnostic or clinical tool. In contrast, body composition metrics utilize clinical data from a wide range of populations, including children, older adults, and people struggling with obesity, although the tests can be skewed by factors like age, hydration, and sex.

    However, BMI cannot take into account an individual’s body needs. It cannot distinguish between bone, muscle, and fat, and so misclassifies people such as athletes as “obese” and underestimates adiposity in older adults because of lowered muscle mass.

    BMI provides a very general picture of weight, meaning patients often receive general recommendations that focus mainly on dropping the numbers on the scale. It cannot explain why two people with the same BMI have different health outcomes and cannot provide the necessary data to create an effective weight loss plan, making weight loss recommendations imprecise and vague.

    Today, more practitioners are moving away from BMI as an isolated diagnostic tool and towards body composition metrics, helping patients and practitioners to work together to develop a plan that focuses on overall health and wellbeing rather than just weight loss.

    What Are Body Composition Metrics

    Body composition metrics are key data points providing a detailed and holistic picture of patient health, providing information on the tissues most impactful to patient. These details allow practitioners allows them to assess their patients’ health accurately and provide helpful recommendations.

    Additionally, body composition metrics most effectively address the real-world clinical gaps that patients and physicians are experiencing. They reveal patients’ hidden risks, such as distinguishing between normal-weight obesity and sarcopenic obesity and provide information for targeted interventions. This has the potential to improve treatment response and supports longevity and functional health goals.

    Metrics include Fat Mass and Fat Mass percentage, the absolute fat mass and percentage of total body weight that is fat. This helps distinguish between actual fat loss and unhealthy weight loss, loss of muscle.

    It also measures Skeletal Muscle Mass to find anything that could affect strength and mobility and could increase the risk of injury.

    It also distinguishes between visceral and subcutaneous fat, since visceral fat is linked to issues such as insulin resistance, inflammation, and cardiovascular disease.

    Body Composition Metrics and Weight Loss

    Body composition metrics help providers set precise health targets, such as reducing visceral fat or increasing muscle mass, and create personalized health plans for patients.

    Additionally, body composition gives patients a clear idea of what is happening in their bodies. So even when the scale number does not move, patients can track their progress and retain motivation to stay consistent on their weight loss journey. This information also provides physicians with the information they need to create effective treatment plans and guard against side effects such as reduced muscle mass.

    In fact, studies comparing BMI and body composition metrics demonstrated that body composition provided superior prognostic information regarding muscle mass and cardiometabolic risk factors, although it does appear any superiority when it comes to issues like diabetes prediction.

    Weight loss is a difficult and frustrating process. However, with body composition metrics, patients can have confidence that their efforts are paying off.

    Body Composition Metrics and Rockwell Physicians

    Weight loss can only be as effective as the information behind it. By utilizing the body composition metrics provided by the SECA scale, we at Rockwell are going beyond BMI to give our patients actual data about their health.

    We collect data using the SECA scale, a specialized scale that provides a quick, non-invasive method of measuring body composition. Our practitioners then assess the results and work with you to create a specialized nutrition and exercise plan and, in some cases, an injection plan for you to achieve optimal results.

    Because this procedure can be regularly repeated, patients can see and track their progress. Additionally, SECA provides patients with an easy app to access their results.

    You are unique. Your weight loss journey should be too. Body composition metrics take you beyond the generalizations of BMI to the facts so you can get the results your body deserves.

  • Beat the Heat: Heat Illness Prevention, Symptoms, and Treatment

    Beat the Heat: Heat Illness Prevention, Symptoms, and Treatment

    Most of us regard the heat as an annoying part of summer activities, something to complain about rather than worry about.

    However, heat can be more than just an annoyance; it can have dangerous effects. From dehydration and nausea to overheating, heat illness can become anything from a mild annoyance to something life-threatening.

    Knowing what heat illness is and how to prevent it can make the difference between a fun day and a trip to the hospital. Fortunately, with a few simple steps, heat can go from being a pressing concern back to a mild annoyance.

    What Is Heat Illness

    Heat illness occurs when high temperatures, humidity, and/or physical exertion overwhelm the body’s normal cooling methods, leading to rises in core body temperature.

    Groups most at risk for heat-related health issues include older adults and young children, people dealing with chronic conditions, outdoor workers, and people with low-income or poorly air-conditioned housing.

    Levels of Heat Illness

    While heat illness includes conditions like heat rash, heat edema (mild swelling in the extremities due to heat), and heat syncope (temporary fainting or near-fainting due to heat exposure), heat illness has three main forms. Heat cramps are painful muscle cramps or spasms because of heavy sweating, leading to electrolyte loss.

    Heat exhaustion is more severe than heat cramps, with symptoms including heavy sweating, weakness and fatigue, dizziness, nausea, cool and clammy skin, and a fast, weak pulse. Additionally, body temperature is usually elevated but is still below 104°F. Like heat cramps, it is common among outdoor workers or people not acclimatized to heat.

    If not treated, heat exhaustion can quickly turn into heat stroke, the most dangerous heat illness. While there are fewer cases than heat exhaustion, it is a medical emergency and should be treated urgently. Symptoms include a body temperature above 104°F, a rapid pulse, and confusion. While hot and dry skin is a classic sign of heat stroke in older patients, younger people can experience exertional heat stroke, characterized by profuse sweating and wet skin. In its most severe forms, it also leads to confusion, slurred speech, seizures, and a loss of consciousness.

    Most heat-related urgent care or non-hospitalized ED cases involve heat exhaustion, with spikes in June and July, and younger adults, men, and outdoor workers account for most cases.

    How To Treat Heat Illness

    Heat cramps and exhaustion can be treated fairly easily. Rehydrating and replenishing electrolytes are the most important steps, as well as assisting the person to a cool area and helping them remove any tight or restrictive clothing. Massages can help with heat cramps and taking a cool shower or wiping down with the patient cool, wet cloths can help relieve the symptoms of heat exhaustion. If the symptoms do not respond to treatment and/or begins vomiting, then the patient must go to an urgent care, since vomiting prevents rehydration, increasing their risk for heat stroke. Additionally, the patient’s airway and breathing should be assessed; heat stroke often causes breathing to be rapid and shallow. The patient’s pulse should also be checked for signs of low blood pressure.

    However, if the patient begins to experience an altered mental state, such as confusion, slurred, or combativeness, 911 should be contacted immediately. Heat stroke can be life-threatening and can lead to organ or brain damage, especially if at or above 105 °F or with delayed treatment. For heat stroke, standard treatment requires that the patient should be submerged in cold or ice water. However, if submersion is not possible, ice packs or cold, wet cloths should be applied to the neck, groin, and armpits to quickly cool the patient.

    Heat Illness Prevention Tips

    To prevent heat illness, it is essential to hydrate proactively and remain in a cool environment if possible. Checking the heat index, which combines measurements of air temperature and relative humidity to determine how hot it can feel to the human body, is also helpful for people to decide the risks of heat illnesses and prepare accordingly.

    While consuming water is necessary, electrolyte replacement is also an important but often-forgotten part of hydration. While heavy sweating and dehydration are obvious, overhydration with plain water can dilute blood sodium. Additionally, medical conditions like kidney issues, adrenal problems, or other chronic illnesses, and particular medications like certain medications, laxatives, or diuretics can all lead to low levels of electrolytes.

    Mild symptoms of low electrolyte levels include muscle cramps or spasms, fatigue, dizziness, headache, nausea, irregular heartbeat, and palpitations.

    Consuming sports drinks, electrolyte packets or tablets, or solutions like Liquid I.V. easily restores electrolyte levels.

    Final Thoughts

    For most of us, heat is simply an annoying backdrop to long summer days. However, heat illness can quickly turn your fun in the sun into a medical emergency.

    However, with some simple planning, the weather can go back to being a simple annoyance. Even small adjustments, such as stocking up on electrolyte mixers for drinks or bringing fans to outdoor events, can make a difference.

    If you have any specific concerns about the effects of heat on your health, feel free to contact our office at 804-897-6140, so we can help you get back to enjoying your summer!

  • NAD Supplements: Longevity Hack or Wellness Tool?

    NAD Supplements: Longevity Hack or Wellness Tool?

    With the recent rise of the longevity movement, conversations about healthy aging, “biohacking”, and the reversal of biological age have become mainstream, supported by influencers, longevity clinics, and a booming supplements market.

    At the center of these conversations is NAD and its supplements, advertised as the key to human longevity. However, while evidence certainly points to NAD supplements having some benefits, it is important to sort through the claims surrounding them to understand their true clinical benefits and limitations.

    What is NAD

    To understand NAD supplements, it is essential to understand the role of NAD in the body. NAD is a coenzyme essential for breaking down food into energy, regulating blood sugar, metabolism, and similar functions, and even helping repair damaged DNA and activating proteins linked to inflammation control and longevity. It plays essential roles in brain health, muscle function, and cardiovascular performance.

    However, NAD levels tend to naturally decrease as the body ages, although obesity, poor diet, inflammation, and sedentary lifestyle can also contribute.

    Researchers interested in longevity have looked into ways to boost levels of NAD in the body in order to slow the effects of aging. The most common way is through NAD supplements.

    What are NAD Supplements

    While researchers have been examining the role of NAD in the body since the early 1900s, its potential for longevity-boosting was recognized in the early 2010s, with supplements commercially available not long after.  It exploded in popularity in the 2020s through celebrity promotion and the rise of the longevity movement.

    Because NAD is generally not absorbed well if taken directly, precursors like NR and NMN are utilized instead.

    Not all NAD precursors are designed to do the same thing. While a precursor like Niacinamide has the strongest clinical data concerning its effectiveness in reducing conditions like skin cancers, NR supplements have been studied for their effects on aging and cardiometabolic effects, but the evidence based remains fairly limited. Other supplements, like NMN, are showing promise but require more extensive research to determine whether they have clinically significant effects.

    Research surrounding NAD precursors and supplements is still fairly recent, so definitive results about any long-term benefits remain inconclusive. They definitely raise NAD levels in the blood and tissue.

    Overall, these supplements are inexpensive and widely available, making them an affordable option for patients. Additionally, their safety profile is excellent, with no serious adverse events in most clinical trials. Though they are safe, the supplements can have mild, transient side effects such as nausea, headaches, and muscle pain.

    NAD Supplements: The Results and Limitations

    The clinical data concerning the effectiveness of NAD supplements in improving health reveals the supplements’ strengths and limitations. Some studies have pointed to improved metabolic health, increased muscle strength, and reduced fatigue, while others have found that these outcomes are not significant enough to be regarded. Other trends have also pointed toward better blood pressure and reduced inflammation, with other evidence pointing to benefits for specific conditions. However, the evidence regarding aspects like slower aging or rejuvenation is inconclusive.

    The studies indicate that NAD precursors are most effective for older, healthy people who are seeking to improve their muscle function and general vitality. Additionally, people with metabolic issues have seen benefits regarding insulin sensitivity and energy metabolism.

    Finally, patients struggling with chronic fatigue have reported reduced fatigue and improved quality of life.

    On the other hand, the current evidence does not indicate that younger, healthy individuals generally see significant benefits from NAD precursors, notably because their NAD levels are adequate and have not been reduced by age or bodily damage.

    Additionally, the results indicated that patients who paired NAD supplements with lifestyle habits such as regular exercise and a healthy diet tended to have better outcomes than patients who relied solely on the supplement. However, each person’s reaction to the supplementation is unique, leading to different outcomes between patients. The overall efficacy of NAD precursors has also been lower than originally theorized, so patients should adjust their expectations accordingly. The current evidence suggests that while the supplements can support a healthy lifestyle, they are not a replacement.

    NAD Supplements and Your Health Journey

    While NAD supplements are generally safe, they should be approached cautiously. Like with any other supplement, NAD precursors can have more drastic side effects for pregnant women because of concerns or patients with certain medical conditions or taking certain medications. Additionally, people actively in chemotherapy or radiotherapy should avoid these supplements all together, and patients with a high risk of cancer should proceed with caution.

    Because more research is needed into the clinical benefits of NAD supplementation, most physicians tend to recommend increasing NAD levels through diet and exercise rather than supplementation. Foods high in vitamin B3, such as poultry, green vegetables, fish, and peanuts, quality sleep, and regular exercise, such as resistance training and aerobic exercise, can all help increase NAD levels. Additionally, avoiding alcohol consumption, limiting ultra-processed foods and excess sugar, and not smoking will help avoid depleting NAD levels.

    Final Thoughts

    Many people view NAD supplements as either a “longevity hack” or just a wellness fad. The truth lies somewhere in between.
    NAD supplements have the potential to improve the quality of life for people struggling with the effects of aging. By supporting the body’s ability to produce energy and repair DNA, they can support health and overall wellness, particularly in older patients. However, while these supplements can certainly have benefits, the popular promises about them are not fully backed by the available data.

    If you want to know if NAD supplements could support your health journey, get in touch with our team! We are happy to work with you to cut through the noise of advertising and social media and discover if NADs are right for you!

  • 7 GLP-1 Myths Debunked: The Truth About Weight Loss & Safety

    7 GLP-1 Myths Debunked: The Truth About Weight Loss & Safety

    GLP-1s have become a popular option for people struggling with weight and weight loss. However, despite the popularity of these medications, myths about them still linger on social media and mainstream dialogue. Worries about cancer, “Ozempic face,” and muscle loss are common among patients considering GLP-1s for their weight, with people wondering if the costs outweigh the potential benefits.

    However, current data indicate that when properly utilized within a larger health plan, GLP-1s are a safe and effective tool for people struggling with obesity and obesity- related issues.

    Check out the most common misconceptions about GLP-1s and the real facts behind them:

    Myth #1: GLP-1s are a “magic pill” for weight loss.

    Clinical trials have demonstrated that meaningful and sustained weight loss for patients occurs when paired with lifestyle changes such as increased exercise and diet modifications. Without these changes, patients risk regaining the weight if they choose to stop taking the medication.

    Even with these lifestyle changes, GLP-1 weight loss tends to be gradual, with a fairly rapid decrease followed by a plateau. GLP-1s are helpful tools, but they should not be treated as a replacement for a healthy lifestyle.

    Myth #2: GLP-1s are only for people with Type 2 diabetes.

    While GLP-1s were originally developed to help patients with Type 2 diabetes, medications like Tirzepatide and Semaglutide are being used to treat patients dealing with a range of obesity related issues, such as hypertension, obstructive sleep apnea, and heart disease. It is important to discuss your concerns with your clinician so they can determine whether your health conditions qualify you for GLP-1s.

    Myth #3: People on GLP-1s will immediately regain all the weight and lose the benefits once they stop treatment.

    While patients on GLP-1s often revert to a previous baseline, there is variability within patient response. Patients who utilize healthy lifestyle habits, such as a high-protein diet and consistent exercise, tend to maintain the benefits of GLP-1 usage. However, for many patients, obesity is a chronic condition, so many take GLP-1s as a long-term medication, similar to blood pressure medications.

    Myth #4: GLP-1s cause extreme muscle loss.

    Any rapid weight loss, whether from diet, surgery, or medication, can reduce fat and lean muscle. GLP-1s do not “melt muscle.” In fact, the lean muscle mass lost is comparable to that of other methods involving calorie restriction. Conditions like “Ozempic face” are more generally due to rapid overall volume loss rather than specifically GLP-1s.

    Patients concerned by this effect should talk to their physician about mitigation strategies to help strengthen and preserve muscle, such as a high-protein diet,  resistance training, and strength exercises.

    Myth #5: GLP-1 usage has side effects that are either unbearable or completely harmless.

    While GLP-1s are safe to use, they can have side effects such as nausea, vomiting, diarrhea, or constipation. However, these symptoms are usually moderate, dose-related, and improve over time. More serious risks are rare. Patients are also generally concerned about side effects like muscle loss. While GLP-1 use can lead to some muscle loss, this effect can be mitigated with proper lifestyle management. Others claim it can worsen mental issues and even lead to suicidal ideation, but this claim is not supported by current data. However, physicians should regularly monitor patients for physical and emotional changes and adjust the patient’s regimen accordingly.

    Overall, GLP-1s are a safe and effective treatment, but patients should inform their physician of any side effects they may be experiencing.

    Myth #6: All GLP-1s are the same.

    GLP-1 medications differ in aspects like dosing, patient efficacy, and specific approvals. Their differences allow physicians to specialize the medication type and dosage frequency for each patient’s individual needs and goals.

    Myth #7: GLP-1s cause thyroid cancer, pancreatitis, or other severe health risks.

    The most recent large human studies, meta-analyses, and registries show no consistent causal increase in thyroid cancer risk in people on GLP-1s, and no credible evidence shows links between increased pancreatitis or pancreatic cancer. While some studies have noted a moderate increase in gallbladder issues, these issues result more from rapid weight loss than from something specific to GLP-1s. The current evidence shows that the benefits of GLP-1s for cardiovascular health and other obesity-related issues outweigh the risks.

    GLP-1s at Rockwell

    GLP-1s are a powerful tool available for people struggling with their weight. The available data indicate that many of the fears around GLP-1s are not supported by evidence. While concerns such as muscle loss and side effects are legitimate, with appropriate lifestyle adjustments and dosage, the overall benefits can far exceed the disadvantages.

    At Rockwell, we believe in providing patients with all the tools they need to succeed in their weight loss journey. That is why we provide a team to work with you to draw a personalized GLP-1 dosage plan, nutritional recommendations, and exercise routine to maximize your chances of success. Additionally, regular check-ins with your provider give you the chance to voice any concerns you may have about the treatment.

    If you want to learn more about GLP-1s at Rockwell, call and set up an appointment with your provider. We are excited to help you discover weight loss that actually works for you!

  • Sciton BBL: Real Results Your Skin Deserves

    Sciton BBL: Real Results Your Skin Deserves

    Let’s face it: we are obsessed with our skin. From the multi-step skin routines that dominate social media to the before-and-afters of plastic surgery, the possibilities offered are endless. However, few bother to focus on actual skin health, addressing symptoms rather than root causes.

    The good news is that the surgeries, the social media 20-step skin routines, and expensive serums that may or may not work are not the only way to beautiful, healthy skin.

    Sciton BBL, a form of light therapy, provides the results patients are looking for through a series of quick, painless, and non-invasive treatments that work with the body’s natural healing to restore the skin.

    With the ability to treat anything from sun damage to skin laxity to moderate forms of acne, Sciton BBL is the option for patients who want real results for their skin.

    What is Sciton BBL

    Sciton led the way in pulsed light treatments through the development of BBL (BroadBand Light) technology, expanding it to include treatments for acne, hair removal, and skin improvement. In 2024, they launched the BBL HEROic, a smart pulsed light device for enhanced performance and treatment outcomes.

    The device emits quick, high-intensity pulses of light into the skin. Practitioners can adjust the filters to customize the treatment to fit the patient’s skin needs. For example, the melanin present in pigmented spots and sun damage absorbs the shorter wavelengths, while hemoglobin in blood vessels and rosacea absorbs particular wavelengths that allow the vessels to coagulate and fade. These breakdowns trigger the body’s healing response, forcing it to produce fresh collagen and elastin, improving the skin’s texture and overall appearance.

    Who Would Benefit from Sciton BBL

    Sciton BBL has increased in popularity among clinicians due to its customization options and ability to deliver treatments with enhanced speed and comfort. With a variety of options like the HEROic, it provides choices for patients who want long-term results without invasive procedures. The sessions last between 15 and 60 minutes, depending on the areas being treated, and they require minimal downtime, with most patients experiencing mild redness and/or swelling. For the best results, patients are encouraged to receive an initial series of 3-5 treatments with maintenance treatments occurring 1-2 times a year.

    What Makes It Unique?

    Sciton BBL utilizes a wider wavelength range, allowing it to target multiple issues in one session and for deeper penetration. Its most advanced system, BBL HEROic, in addition to having greater power and cooling capacity than other IPL devices, also includes technology such as motion sensors to ensure a uniform treatment and adapt energy delivery. It also includes advanced contact cooling to increase comfort during even high-energy treatments. Patients have described the laser as feeling like a “warm, snapping sensation” with minimal pain or discomfort.

    Sciton BBL: Skin Rejuvenation

    While the common view may be that treatments like BBL HEROic have purely cosmetic benefits, research suggests that BBL treatments can shift aging-related genes in treated skin to support long-term anti-aging benefits with regular treatments.

    One study suggested “that “rejuvenation” at a molecular level has also occurred, with a number of genes linked to the aging process being altered in expression after treatment to more closely resemble young skin. Hence, it is possible that the clinical phenotype represents a functional rejuvenation (at least in the short term), rather than just a cosmetic mimic of youthful appearance.” A follow-up study confirmed that people who received regular BBL treatments could delay signs of skin aging and damage while preserving a natural look.

    Sciton BBL: Acne Treatment

    Additionally, Sciton’s Forever Clear BBL, available through the HEROic system, is used to treat acne by using a combination of blue light to target bacteria and kill them at the source, yellow light to calm inflammation and redness, and infrared light to stimulate the skin’s natural healing process and improve any texture or scarring. Practitioners have found that the treatment helps reduce active breakouts, prevent new issues, and reduce overall inflammation and scarring. It has been noted as an effective alternative for patients with mild to moderate inflammatory or pustular acne looking for alternatives to antibiotics and topical treatments. Many patients notice visible improvement after a single treatment; however, optimal results occur after 3-6 treatments spaced 1-4 weeks apart.

    While Sciton BBL has been compared to other skin-tightening treatments, like SkinPen and Tempsure Envi, BBL is a more flexible option for patients with multiple concerns, whereas Tempsure Envi and SkinPen are more specific to certain skin concerns.

    Currently, Sciton BBL uses smart filters to target specific skin concerns, enabling precise customization for optimal results.

    The HEROic contains a built-in sensor that tracks the handpiece’s position, speed, and orientation. This data allows the system to automatically adjust pulse placement and timing to ensure uniformity, ensuring consistent results.

    Rockwell and BBL Sciton

    At Rockwell, we believe in providing patients with treatments that address the root causes rather than just symptoms. That is why we have incorporated Sciton BBL Htreatments at Rockwell so that patients can not only look their best, but also feel their best.

    BBL HEROic can not only give people’s skin a new lease on life but also address concerns like aging and acne with a fast, simple, and non-invasive procedure.

    If you are interested in discovering how Sciton BBL could transform your skin, set up a consultation to start getting the results your skin deserves!

  • Dietary Supplements: Everything You Need to Know

    Dietary Supplements: Everything You Need to Know

    They are a common sight at most grocery stores; long lines of supplement containers, making promises to “support your immune system,” “boost your energy,” or even “prevent cognitive decline”. Supplements have become a common part of people’s health and wellness to address deficiencies, such as a lack of vitamin B or iron.

    However, a lack of rigorous regulation and loose marketing practices leads patients to consume products that, at best, offer no health benefits and, at worst, cause health issues. People have even suffered from long-term harm through ingesting supplements containing contaminants.

    It is now essential for patients to understand the regulations around supplements, what the advertising for supplements actually means, and where to find reliable information about supplements.

    Supplements and Their Regulations

    The FDA classifies supplements as a special category of food with less stringent requirements than drugs or conventional foods. The FDA does not review or approve supplements for safety and effectiveness. In fact, most products are sold without informing the FDA. The responsibility lies with the companies to ensure a safe and effective product.

    According to FDA guidelines, supplement companies cannot claim their products can treat, cure, or prevent diseases. Additionally, any health claims, such as the product “supports immune health,” must be substantiated and authorized by the FDA.

    The FDA can take action against unsafe, adulterated, or misbranded products after they reach consumers. Unfortunately, some people have suffered from health issues from the consumption of adulterated and tainted products containing unapproved pharmaceutical ingredients and contaminants, including heavy metals and bacteria.

    Patients should consult with their physicians about which supplements are safe to consume and understand how to spot high-quality and trustworthy supplement brands.

    Searching for Supplements – What to Look For

    Because of the lack of regulation, private companies and nonprofits have stepped up to provide the information that consumers need to identify quality product. For example, one indication is the seal of the United States Pharmacopeial Convention, a nonprofit organization of scientists that sets high-quality standards for medicine, food ingredients, and dietary supplements. The USP facilitates a voluntary program where supplement companies can test their products and facilities.

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    Companies that meet these standards include the official “USP Verified” seal on their labels. Additionally, the organization maintains a list of brands that meet their standards and the stores where they can be purchased. This list includes brands such as Nature Made, Kirkland Signature, and TruNature.

    Similarly, NSF International is a nonprofit organization that certifies supplements such as fish oil and multivitamins. It also contains a “Certified for Sport” program that certifies supplements, including protein powders, amino acids, and creatine.

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    The seal’s presence indicates the product is unadulterated and contains the ingredients listed on the label.

    Other laboratories, including ConsumerLab and LabDoor, routinely test a range of supplements and publish reports on their findings, although they do charge for access to their reports.

    Caveats to Consider

    While these non-profit organizations and labs provide invaluable information, consumers still need to exercise caution when purchasing products. For example, some supplement companies print the letters “USP” on their labels in place of the official seal, claiming to produce their products in accordance with USP standards. However, the organization has not vetted these products.

    Consumers looking to purchase supplements should also avoid products with marketing targeted toward weight loss, energy, immunity support, or brain health, since they have weak or mixed evidence and are not approved by the FDA.

    Before purchasing a supplement, consumers should also check for fillers or “proprietary blends,” ingredients without specified amounts. They should also purchase products available at retailers such as pharmacies. Most importantly, they should also consult their physician before starting supplements, since certain supplements can interact adversely with certain medications and affect lab test results.

    Final Thoughts

    Supplements can be helpful for many patients in maintaining their health. They can correct deficiencies such as vitamin D, vitamin B12, and iron deficiency, bolster bone and heart health, and support fetal development during pregnancy. However, consumers must exercise caution when purchasing supplements, selecting ones with sufficient evidence supporting their benefits and avoiding ones that make grand promises with only weak and mixed evidence to support their claims.

    If  you are interested in supplements, consult with a practitioner at Rockwell Physicians to get the supplements that will actually give you the health benefits that they claim.

  • Diabetic Nerve Pain Controlling Your Life? StemWave Has the Solution.

    Diabetic Nerve Pain Controlling Your Life? StemWave Has the Solution.

    Diabetes is one of the most common chronic conditions in the U.S., affecting around 40.1 million people of all ages, around 12% of the population. When most people think of diabetes, they usually just consider aspects such as a more restrictive diet and issues with insulin.

    However, people struggling with diabetes often have to endure an additional devastating side effect: intense chronic nerve pain. This debilitating pain is diabetic neuropathy, a condition caused by nerve damage resulting from diabetes.

    Patients dealing with neuropathy are offered medications and lifestyle changes. However, a growing body of work now suggests there may be another therapy that is non-invasive and effective in easing the pain and inflammation of diabetic neuropathy: shockwave therapy.

    What is Diabetic Neuropathy

    Neuropathy is a broad term for a condition that includes the damage and dysfunction of nerves in the peripheral nervous system (anything not involving the brain or spinal cord). Diabetic neuropathy appears when high blood sugar levels damage the nerves over time, with patients with a long history of diabetes at higher risk of developing the issue.

    High blood sugar over time can damage the blood vessels that supply oxygen and nutrients to the nerves, leading to their injury or death.

    It affects around 50% of people with both type 1 and type 2 diabetes. Patients with poor blood sugar control, high cholesterol, obesity, or who are older have an increased risk of developing neuropathy.

    Patients with diabetic neuropathy can experience different types of symptoms or even be asymptomatic, depending on the type and the nerves damaged. People with peripheral nerve damage can experience tingling, sharp/stabbing pain, sensitivity, muscle weakness, and a loss of balance or coordination. Autonomic neuropathy can lead to digestive issues, blood pressure changes, and heart rate abnormalities. Proximal damage can cause severe pain in the hips and thighs and weakness in the leg muscles. Finally, focal neuropathy can cause sudden, severe pain, weakness, and even paralysis in specific areas, such as facial Bell’s palsy.

    Currently, there is no way to fully reverse diabetic neuropathy, but early interventions have been shown to help prevent worsening conditions and complications. Physicians generally recommend tighter blood sugar control and lifestyle changes, such as a healthy diet, exercise, and limited alcohol consumption. They also might prescribe medications to treat pain and other symptoms.

    StemWave and Diabetic Neuropathy

    StemWave therapy utilizes acoustic waves to stimulate the body’s healing process. The waves reduce the sensitivity of affected neural pathways, reducing the pain signals sent to the brain. StemWave also breaks down scar tissue that can compress nerves and improves blood flow, increasing the delivery of oxygen and nutrients and supporting damaged nerves. Additionally, chronic inflammation contributes to nerve damage and pain, and StemWave has been shown to lower pro-inflammatory cytokines and increase anti-inflammatory mediators. Patients have reported a reduction in swelling and pain, with long-term therapies helping regulate inflammation and supporting healing.

    Both these factors contribute to increased tissue repair and long-term pain reduction.

    Shockwave therapy has been shown to be effective in reducing pain for a wide variety of conditions and has a minimal risk of complications when properly implemented, making it an attractive treatment option for both physicians and patients.

    Studies have not definitively shown that shockwave therapy can reverse nerve damage; however, they have demonstrated that it can ease the symptoms of neuropathy and reduce other factors that contribute to nerve damage.

    The data regarding the effectiveness of StemWave therapy for diabetic neuropathy is still emerging since research has been limited to smaller and shorter studies. However, these studies have shown promise for sustained increases in patients’ quality of life and reductions in damage.

    Final Thoughts

    Diabetic neuropathy has a devastating effect on millions of people already struggling with their health, for while lifestyle changes like diet and exercise can help manage diabetes, they cannot undo the damage to their nerves. Medications can provide some relief, but their effectiveness varies, only provides moderate relief, and requires ongoing use.

    In contrast, shockwave therapy, while more research is required,  has demonstrated that it can provide real relief from pain and real recovery, reducing factors that cause the damage leading to the nerve pain so many people suffer from.

    Rockwell Physicians has always sought to approach healthcare holistically. By including StemWave therapy in our services, we offer patients an effective alternative for pain management.  We want to work with you with the intention of moving you from mere pain control to pain relief. StemWave technology presents a path to relief that genuinely improves overall health and well-being.  

    So, if you have been dealing with diabetic neuropathy and are looking for relief beyond medications and diets, contact Rockwell Physicians today. Shockwave therapy may be exactly the answer you have been looking for.

  • GLP-1s Revolutionized Weight Loss. Here’s What It Means for You.

    GLP-1s Revolutionized Weight Loss. Here’s What It Means for You.

    When Ozempic first appeared on the market in 2017, weight loss treatment changed forever. Many people regarded it as their way to quick and easy weight loss. Forget exhausting exercise regimens or diets; a simple injection gave them all the benefits of weight loss without the challenges.

    Since 2017, the FDA has approved roughly 6 to 7 GLP-1 medications for chronic weight management, and many practitioners have incorporated them into their patient care.

    However, with increased use, physicians and patients are also discovering that GLP-1s are not a magic “quick fix” for chronic obesity yet can still prove extremely effective when integrated into a larger health plan.

    What Are GLP-1s?

    GLP-1 medications are mimics of the natural hormone, which helps regulate blood sugar digestion and appetite. After eating, the body releases GLP-1 hormones to help the body digestion by amplifying the insulin release, lowering blood sugar spikes, acting on receptors in the brain to reduce hunger, and slowing food’s exit from the stomach.

    However, people contending with conditions such as obesity or type 2 diabetes often deal with impairments to the GLP-1 system, which can lead to reduced GLP-1 production and diminished responsiveness to GLP-1. Unfortunately, this leads to a reduced insulin boost and greater blood sugar spikes and glucose levels. It also weakens the brain’s satiety cues and increases feelings of hunger, which can lead to overeating and further damage to GLP-1 production and response.

    This is when GLP-1 medications such as Semaglutide and Tirzepatide come into play. These medications bind to the GLP-1 receptors found in the gut, brain, and other areas of the body and amplify the effects of the natural hormone, allowing the body to regain its ability to regulate insulin production, glucose levels, and satiety cues.

    How Effective are GLP-1s for Weight Loss?

    GLP-1s have proven highly effective for weight loss, with many patients achieving at least a 5% loss, clinically meaningful for health benefits, with the possibility of reaching over 15%, with overall reduction varying on the medication.

    The median use of these medications by patients is between 10 and 11 months, possibly because weight reduction is quite rapid within the first 6 months and tends to plateau at around 18 months.

    People often stop GLP-1 use due to cost, “injection fatigue,” or side effects like nausea and diarrhea, though these tend to be mild. Some patients are also concerned about muscle loss and bone damage. However, these side effects are still under investigation and current evidence suggests that this loss can be mitigated through diet and exercise.

    However, studies have noted that many people on GLP-1s who choose to get off the medication regain around 60% of the weight within a year, though the amount can vary depending on the medication and length time on the medication. To avoid this, some patients choose to make GLP-1s a permanent part of their health plan.

    However, while the primary focus on these medications is concerning weight loss, GLP-1s have provided patients with type 2 diabetes and/or who require chronic weight management a range of additional, lasting benefits. Studies have noted greater glycemic control, with significant and sustained reductions in fasting glucose occurring within the first 12-18 weeks. Additionally, patients across BMI ranges saw a reduction in adverse cardiovascular events and higher kidney protection. Patients also noticed improvements in blood pressure, obstructive sleep apnea, and fatty liver disease.

    Who Should Consider GLP-1s?

    While most practitioners recommend lifestyle changes such as diet and exercise for patients, GLP-1s become an option when those changes have proven insufficient.

    The FDA approves GLP-1 treatment for patients with a BMI over thirty or for patients with a BMI over twenty-seven with a comorbidity such as hypertension or chronic kidney disease.

    Patients dealing with Type 2 diabetes do not need to meet a specific BMI requirement since GLP-1 can help improve blood sugar control and has a low hypoglycemia risk.

    Additionally, physicians may utilize GLP-1s for uses beyond weight loss; for example, Semaglutide was approved to reduce major adverse cardiovascular events, and Tirzepatide was approved to help with moderate to severe obstructive sleep apnea in adults with obesity.

    GLP-1s and Weight Loss at Rockwell Physicians

    Many people see the weight regain statistic and understandably feel discouraged, wanting to maintain their weight loss results but unhappy about the notion of prolonged medication use.

    However, that is what makes Rockwell Physicians’ weight loss program exceptional. We do not solely on GLP-1s or focus only on weight. Instead, we work with you to develop a personalized nutrition and exercise plan so you can achieve not just lasting weight loss results but improved overall health.

    We believe that weight loss is not about quick fixes, but long-term results. Our program goes beyond BMI and fat loss to focus on your overall health and wellness.

    Want to learn if GLP-1s are right for you? Call 804- 897-6140 to schedule your consultation today. You are unique. Your weight loss journey should be too! We cannot wait to work with you so you can get the results that you want!