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Drugs That Cause Memory Loss

By Mila McManus, MD

Without question, prescription and over the counter (OTC) drugs are double-edged swords. While there are instances when pharmaceutical drugs are needed, in many cases there are safer ways to address symptoms and diseases without them. As a physician, I feel compelled to remind my patients to become well educated about what they are taking and why, as well as to understand the risks. In a world of risks, dying from a pharmaceutical drug reaction or side effect is among the highest risks from societal activities. Taking a food supplement or herbal remedy is among the lowest risks. Adverse drug reactions are now the fourth leading cause of death in the US. Getting struck by lightning is more likely to happen than to be killed by a supplement! [i]

One common side effect of many drugs is memory loss and cognitive impairment. If you or someone you love has experienced memory loss or cognitive issues, check to see if any of the prescriptions or over-the-counter (OTC) medications listed below are being taken. If so, consider other options.

Top 3 Types of Drugs That Cause Memory Loss or Cognitive Impairment[ii]

1. Anticholinergics – Acetylcholine is a neurotransmitter responsible for memory and learning. Low levels of acetylcholine cause forgetfulness, poor concentration and difficulty finding words. These drugs block acetylcholine. Many of these drugs start with the prefix “anti”. These include antihistamines, antidepressants, antipsychotics, antibiotics, antispasmodics and antihypertensives.</p

2. Sleeping Pills – Prescriptions such as Ambien, Sonata, Lunesta and OTC drugs such as Advil PM, Tylenol PM and Excedrin PM are used for pain and insomnia relief.

3. Cholesterol Lowering Drugs– Also called statin drugs, these are among the most profitable prescription drugs in the world. Memory issues have been so prevalent with this class of drug that it is now a requirement that memory loss be clearly listed as a side effect on the label. Included are Lipitor, Lescol, Crestor and Zocor. Generic brands all end in “-statin”. (don’t confuse with nystatin which is an anti-fungal medication and has nothing to do with statin drugs) Click here for more information about Cholesterol & Statin Drugs.

And these cause memory loss too….

4. Painkillers including morphine and codeine as well as naproxen found in brands such as Aleve and Midol Extended Relief.

5. OTC drugs for insomnia, such as Sominex and Unisom.

6. OTC drugs for allergies, such as Benadryl, Claritin, and Zyrtec.

7. OTC drugs for motion sickness, such as Dramamine.

8. OTC drugs for acid reflux, for example, Pepcid AC, Tagamet, and Zantac.

9. Benzodiazepines are a class of drug most commonly used to treat anxiety and insomnia and include Valium, Xanax, and Ativan.

10. Lithium, commonly used for bi-polar disorder, depression, eating disorders and other mental illnesses, clearly lists impaired memory and poor concentration as very common side effects.

11. Chemotherapy drugs

12. Barbiturates such as Amytal, Nembutal, Seconal and phenobarbital

13. Common treatments for Parkinson’s including amantadine, levodopa, pramipexole, rotigotine, ipinirole, scopolamine, atropine and glycopyrrolate.

14. Anti-epileptic drug, phenytoin

Every drug listed above has a host of other potential side effects in addition to memory loss or cognitive decline, so it is easy to see why drugs should be understood, and avoided whenever possible. As with any prescription drug, it is best to consult with your physician before changing or stopping any medication. Be aware and be well.

[i] http://www.positivehealth.com/article/nutrition/food-supplements-risk-even-less-than-lightning-strike

[ii] http://bebrainfit.com/drugs-memory-loss/

By Mila McManus MD|2018-09-21T10:18:36-06:00September 20th, 2018|Articles, General|

Cabbage and Pomegranate Salad

Edited from The Ketogenic Kitchen, by Domini Kemp and Patricia Daly

Serves 6-8

Ingredients:

1 large head of red or white cabbage, sliced or grated

½ teaspoon salt

Juice of ½ lemon or lime

2-3 tablespoons olive oil

2 pomegranates, seeds removed

1 red onion, finely diced

¼ cup chopped mint

Black pepper to taste

Directions:

1. Slice or grate the cabbage in a food processor (or purchase pre-shredded red or white cabbage in the produce section of grocery store).

2. Place the cabbage in a large bowl and season well with the salt, massaging it and tossing it into the slaw. Allow to sit for at least 10 minutes.

3. Remove the seeds from the pomegranate. There are several good you tube videos showing how to do this and it’s very easy when done correctly.

4. Add the lemon or lime juice. Lemon juice will be more tart, lime juice a little smoother.

5. Then add the olive oil and toss.

6. Finally add the pomegranate seeds, diced onion, fresh mint and some freshly ground black pepper.

Notes and Serving Suggestions: Stores well in the refrigerator for several days. The red cabbage makes a fall festive color combination of red and green. Pairs well with lamb or fish.

Net Carbs: 13.3 grams

Fiber 7.1 grams

Protein 2.8 grams

Fat 6.9 grams

By Mila McManus MD|2018-10-01T07:43:36-06:00September 20th, 2018|General, Recipes|

Caramelized Onion Dip

From The Plant Paradox Cookbook, by Steven R. Gundry, MD. Page 85

Ingredients:
2 tablespoons extra virgin olive oil*
2 large yellow onions, thinly sliced
1 clove garlic, minced
1 tablespoon fresh thyme leaves
1 teaspoon fresh rosemary, minced
1 teaspoon iodized sea salt
1 teaspoon ground black pepper
Zest of 1 lemon
Juice of 1 lemon
2 cups plain coconut yogurt
Minced chives, garnish
1 jicama, peeled and cut into sticks for dipping

Directions:
1. Heat the olive oil in a large pan over medium low heat. Add the onions and cook, stirring
regularly, until onions are tender and translucent, about 8 minutes.
2. Add garlic, thyme, rosemary, sea salt, pepper, and lemon zest and continue to cook, stirring
regularly until onions are evenly browned, about 10-15 minutes. If garlic starts to brown,
reduce heat to low.
3. Stir in the lemon juice, then remove the pan from heat and let cool to room temperature.
4. Place the coconut yogurt in a bowl and stir in the cooled onion mixture until combined.
Transfer dip to a serving dish and garnish with chives. Serve with jicama sticks, other fresh
veggies, chips or crackers.

*TWIHW generally advises against cooking in olive oil. Alternative choices here are grass-fed ghee or
butter, or coconut oil.

By Mila McManus MD|2018-08-24T15:54:56-06:00August 24th, 2018|General, Recipes|

Digestive Kindness and Patience

When we decide to move from one diet to another, it is important to make the change slowly over a period of one to two weeks. It may not seem like a big deal to move from omnivore to vegetarian, or processed food to whole food, or elect to dramatically increase fats while reducing protein, but the pancreas and gallbladder, the two organs responsible for making the enzymes needed to digest the food you eat, will be unprepared to handle the initial change. Often a one time digestive discomfort is taken as a reason to not eat the food again, when all that is needed is a slower ramping up in quantity over time and perhaps a little digestive support.

Regardless of whether you are increasing fat, or adding meat to an otherwise vegetarian diet, a good way is to begin by adding in single bites or teaspoons. One bite of chicken or fish, or one teaspoon of coconut oil, for example. The next day or so, if no digestive discomfort presents itself, increase again by another bite or another teaspoon. Each day, the pancreas and gallbladder will become aware of the greater need for different enzymes and begin to adjust accordingly.

The older we become, the less productive our pancreas and gallbladder can become, so it may be necessary at some point to use supplemental digestive enzymes every time you eat, or for heavier meals that include more fat and protein. Whole food has many of its own enzymes, so you may find that just eating real food (vs. processed and fast) dramatically improves your digestion and comfort after meals.

Be patient and kind to your body.

By Mila McManus MD|2018-09-05T10:54:34-06:00August 24th, 2018|General, NANCY’S NUTRITIONAL NUGGET|

Tropical Traditions Organic Expeller Pressed Coconut Oil

At TWIHW we offer one of the best coconut oils in the marketplace today. Tropical Traditions Organic Expeller Pressed Coconut Oil is processed through an old tradition of physical refining using an expeller pressed mechanical extraction and a steam deodorizing process. 1 Many, less expensive coconut oils are made from moldy, old coconuts, called copra, 2 which are processed using chemicals such as hexane, to remove the mold and odor of coconut. Tropical Traditions does not use these solvent extracts and makes their oil from certified organic coconuts that have not been treated with chemicals or fertilizers. Additionally, they are certified non-GMO. As a result of this extraction method, the resulting coconut oil does not have a strong odor and taste of fresh coconuts, making it a perfect oil for food preparation. This coconut oil is liquid above 76°F and solid below that temperature, so it is not uncommon for coconut oil to be totally liquid or totally solid and anywhere in between, depending on the temperature of your home. As a saturated fat, it can withstand medium and medium high temperatures for cooking stove top while at the same time offering healthy nutritional benefits and mild flavor.

Nutritionally, coconut oil is high in a medium chain fatty acid, namely lauric acid, which converts easily to monolaurin in the human body 3. Monolaurin is found in mother’s breast milk and strengthens a baby’s immune system. Monolaurin works in and on the body as an antibacterial, anti-fungal and antimicrobial, thus helping the body to fight against harmful bacteria, fungus and other pathogenic microbes. This medium chain fatty acid, unlike long chained fatty acids, have been shown to have no negative impact on triglyceride and cholesterol levels 4 and in fact, offers many favorable benefits. Coconut oil is also full of balanced electrolytes helping to support a balanced pH and muscle function in the body. The meat of coconut is one of the healthiest options for a nutrient dense, higher fiber food,
helping to provide satiation and regularity. Coconuts also offer high levels of manganese, potassium and phosphorus.

Our coconut oil can be used for many uses beyond cooking, including as a base for homemade toothpaste (oil-pulling), deodorant, make-up remover and other cosmetic uses as well as many other household uses. A foremost thinker on coconut oil is Bruce Fife, ND., a nutritionist and naturopathic physician. He has researched and written numerous books on the benefits and uses of coconut oil and is a great resource to learn more on this topic.

________________________________________________________________________

[1] https://healthytraditions.com/about/

[2] https://www.noble-house.tk/en/products/food/conventional-fats/extra-virgin-organic-coconut-oil/copra

[3] https://foodfacts.mercola.com/coconut.html

[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4878196

By Mila McManus MD|2018-09-05T11:01:01-06:00August 22nd, 2018|General|

Ketogenic Diet

10 Good Reasons to Try It…

The Ketogenic Diet is the current diet-of-the-moment. Unlike many fad diets, the Ketogenic Diet is therapeutic in nature and can benefit many people in many ways.

Who would benefit?

A Ketogenic Diet is well worth considering by anyone facing serious health challenges including
neurological issues or disease, mood disturbances, digestive problems, blood sugar regulation issues
including diabetes and insulin resistance, and those who need to lose weight. It is also a great option for generally healthy individuals who want to supercharge their health. Ketogenic eating has anti-aging and anti-cancer effects.

Ten Benefits of following a Ketogenic Diet besides weight loss include:

1. Optimize brain function and mental clarity
2. Stop food cravings
3. Anti-cancer strategy
4. Improve the gut biome
5. Improve energy
6. Increase muscle mass
7. Reduce or reverse insulin resistance
8. Reduce inflammation
9. Promote cellular detoxification
10. Slow down the aging process

What is nutritional Ketosis?

The Ketogenic diet is named after the biological state of ketosis, which is achieved when the human
body reaches a fat-burning state. Most Americans eat so many carbohydrates that the body always has a
plentiful supply of glucose to use for fuel. As a result, the body forgets how to
efficiently burn fat. By reducing carbohydrate fuel, the body is forced to
become an efficient burner of body fat and dietary fat. Fat is a cleaner source of fuel for the body
and produces less oxidative stress than carbohydrates.

What are the key aspects of a Ketogenic Diet?

Ketogenic diets have 4 main components.

They are:
1. low carbohydrate
2. high fat
3. adequate protein
4. combined with some degree of fasting.

Carbohydrates are primarily sourced from vegetables with good fiber content yet low carbohydrate content. There are a couple of fruits included as well, however grain, sugar and most dairy are excluded. Total net carbohydrate intake is usually recommended to be at or below 50 grams, a target that should be reached in a step like fashion over one to two weeks.

Fat content is high and very specific in source. Strong emphasis is placed on avoiding refined oils, trans
fats, and fats high in Omega 6 inflammatory oils. Recommendations are for fats to be anywhere from 50-80% of total caloric intake (e.g. 1200 calorie diet in which 600-960 calories come from healthful sources of fat). Caution should be used in reaching these levels of fats, accomplishing this by slowly increasing fat intake over several weeks to allow the pancreas and gallbladder time to adjust to a higher fat diet. Healthy fats provide satiation, improved mental clarity, and an excellent source of fuel for energy. They also help to balance overall cholesterol levels, reduce inflammation, and promote weight loss.

Adequate protein refers to the importance of getting enough protein without getting too much.
Most people will need between 30-70 grams of protein a day, spread throughout the day. This includes
protein from plant and animal sources. According to Dr. Mercola, in his book Fat for Fuel, excess
protein can stimulate a regulatory pathway in the body which can promote growth of cancer cells and
can convert to glucose, thus negatively impacting blood sugar and insulin levels (pp. 47-48). As with
carbohydrates and fat, source and quality of protein matters.

Finally, fasting is an integral part of teaching the body to burn fat efficiently. By working toward a slow
reduction in carbohydrates while at the same time increasing healthy, undamaged fats and introducing a fasting state 4-5 times a week, the body becomes an efficient burner of healthy fats instead of carbohydrates.

Once the body is “fat adapted”, meaning able to burn fats efficiently, recommendations are to then
cycle in and out of nutritional ketosis by feasting on higher carbohydrate vegetables and fruits once or
twice a week to maintain metabolic flexibility.

To minimize side effects and maximize benefits from the ketogenic diet, we recommend seeking guidance
from a nutrition expert knowledgeable about this diet. We also recommend that you read a book to ensure good
understanding and proper implementation.

Dr. Ron Rosedale (www.drrosedale.com) and Dr. Joseph Mercola (www.mercola.com) are both
proponents of this kind of diet for healing and good health. Information for this article has been taken
from these websites and Dr. Mercola’s book Fat for Fuel, published in 2017 by Hay House, Inc.

By Mila McManus MD|2018-09-05T10:40:37-06:00August 22nd, 2018|Articles, General|

“I feel so blessed to have you as my doctor.”

I feel so blessed to have you as my doctor.

” I feel so blessed to have you as my doctor and REALLY appreciate your passion and commitment – may God bless you for all you do❣️ “- from B.P.

By Mila McManus MD|2018-09-20T20:25:19-06:00August 21st, 2018|General, Testimonials|

Cognitive Health Assessment

We are SO excited to offer this new Cognitive Health Assessment by Cambridge Brain Sciences,

a leading provider of simple and powerful online brain health assessment solutions.

Watch Dr. McManus explain in this 2 minute video:

Watch now.

Why you should test:

Quantify cognition

See a quantitative and objective measure of your cognitive health to help complement any existing subjective assessment methods you’re using as part of your care.

Track cognitive trends

See how your cognitive health is progressing, or detect early indications of cognitive decline that you may be worried about.

Educate yourself

Educate yourself and your family members on the core areas of cognition-like short-term memory, reasoning, attention, and verbal ability-that are fundamental to your quality of life.

Call our office at 281-298-6742 to purchase your test ($49-79)

and we’ll email you the link to take the test in the comfort of your home or office, at your convenience.

By Mila McManus MD|2018-08-03T12:14:25-06:00July 30th, 2018|General|

“I feel like I turned a corner this last week.”

I feel like I turned a corner this last week.

“I’m feeling much better this week. Not near as much pain or nervousness as before and more energy and clarity in my thinking. I actually felt good enough to work on my taxes and get them to the CPA!

My sleep improved dramatically.

Like I said, my pain levels are dramatically down. Not completely of course, but I’ve had 2 muscle relaxers in 5 or 6 days compared to 3 times a day.

I feel like I turned a corner this last week.”

Thanks,

By Mila McManus MD|2018-08-21T14:36:47-06:00July 25th, 2018|General, Testimonials|

State of the Art Testing: Optimized Treatment and Prevention

By Mila McManus, MD

When I founded The Woodlands Institute for Health & Wellness in 2004, there were far fewer useful and affordable tests to utilize with my patients. In Functional Medicine, our goal is to identify the root causes of disease while working to build overall optimal health. Functional medicine is observing the uniqueness of each person. It is, in fact, individualized medicine. The human body is intricate and complex which can make the search for root causes in unique people a step by step, sometimes arduous process of elimination and trial and error. Thankfully, over the last decade, significant advancements in our understanding of the gut biome, immunology, nutrition and genomics have resulted in very advanced and affordable tests which tell us about you as an individual. This leads to personalized and optimized treatment plans with better health outcomes. Not only do many of these tests lead us to the root causes of symptoms and disease, but also help to identify genetic mutations, predispositions for disease, and help to detect problems early. Below are descriptions of many of the tests we offer here, many of which are new.

COLOGUARD Colon Cancer Screening is one of our newest test and a welcomed alternative to the traditional, and unpopular, colonoscopy. The test kit is used at home and is a stool collection which does not require bowel preparation, dietary restrictions or medications to complete. The test uses advanced multiple-marker, stool DNA technology to detect colorectal cancer and advanced adenomas. It is 92% sensitive for detection of colorectal cancer and analyzes patient stool for the presence of 11 molecular markers, including hemoglobin and DNA markers and can detect pre-malignant neoplasia at early onset of abnormality. Patient Profile: Intended for adults, 50 years or older, who are at typical average-risk for colorectal cancer. Offers an excellent screening for colon cancer without the hassle of a colonoscopy. A positive test result would, however, lead to a colonoscopy. It’s recommended every 3 yrs and is covered by most insurance companies, including Medicare. You are NOT a candidate if you have a history of colon polyps, and family history of colon cancer, or if you have inflammatory bowel disease (i.e., Crohns, Ulcerative Colitis).

COLOR test: Genetic Risk for Cancer is tested by examining 30 genes including BRCA1 and BRCA2 to help women and men understand their risk for common hereditary cancers, including breast, ovarian, colorectal and pancreatic cancer. Patient Profile: Individuals with a family history of cancer, or those who want to make intentional proactive lifestyle and healthcare choices to avoid or minimize risk for cancer.

IvyGENE: Cancer screening for breast, colon, liver and lung cancer is available by blood draw in our office. Patient Profile: Individuals with lab markers suspicious for cancer and/or at the recommendation of the medical practitioner.

Genetic risk detection for heart disease tests for coronary artery disease, myocardial infarction and congestive heart failure risk. Patient Profile: Individuals with a family history or uncontrollable hypertension.

Wheat Sensitivity Testing is done at the highly sensitive peptide level and can confirm Celiac disease, leaky gut caused by wheat allergy, and WGA related Vitamin D deficiency. The test also allows for tracking of the healing process for leaky gut. Patient Profile: Individuals with digestive disturbances, fatigue, chronic headaches, low vitamin D, joint pain or numbness in fingers, arms or legs, leaky gut syndrome or skin inflammation.

Gut microbiome evaluation examines bacteria, fungi and parasites, identifying imbalances and pinpointing potential risks associated with imbalances. Patient profile: Individuals with IBS, Autoimmune disease, skin conditions, food intolerances, joint pain and inflammation, fatigue, and nutrient deficiencies.

Neural Zoomer is a test designed to assess an individual’s reactivity to neurological antigens. Results provide a comprehensive set of autoimmunity markers, from a single blood draw. Neurological risk for demyelination antigens, blood brain barrier disruption, optical and autonomic nervous system disorder, peripheral neuropathy, brain autoimmunity and neural genetics (available upon request) are assessed. The results allow for early risk detection to motivate the patient to improve lifestyle and information to guide the medical practitioner to an optimal treatment plan. Test provides ability to track progress. Patient profile: Individuals with ataxia, sensory loss, neuropathic pain, muscle pain/spasm/weakness, brain fog, chronic pain, orthostatic hypotension, photosensitivity, and autoimmune disease.

IBS-D and Small Intestinal Bacterial Overgrowth test confirms IBS-D and SIBO and allows tracking of progress following treatment. Patient profile: Individuals with abdominal pain, bloating, diarrhea, flatulence, abdominal distension and weakness.

Lectin and Aquaporin Sensitivity test measures the body’s IgG & IgA immune responses to both specific lectins and aquaporins. Immune responses to lectins and aquaporins can result in microbial imbalances, damage of the gut lining and provoke delayed immune responses. This test is specific and defined for 16 commonly consumed high lectin foods and 7 aquaporin foods that often trigger autoimmune responses in the body. Patient profile: Individuals with known autoimmune disease, those who struggle to lose weight, or have bloating, gas, abdominal cramps, painful and swollen joints, fatigue, skin rashes, hormonal fluctuations, nausea or allergy like symptoms.

Genetic testing which, while similar to the popular 23 & Me, provides a deeper level of medical information upon which a provider can formulate treatment protocols. Many genetic mutations directly impact the methylation and detoxification pathways in the human body. Knowing the mutations allows the provider to guide the patient in addressing chronic medical conditions by using nutrition and nutrient supplementation as well as other treatment protocols. The test includes testing for MTHFR and other genes in methlyation pathways, COMT, genes related to detoxification, inflammation, and more. It’s done through a cheek swab from a home test kit. Patient Profile: Individuals with diagnoses, symptoms, or lab data indicating a tendency toward cardiovascular diseases, neurological disorders (e.g. depression, Alzheimer’s, autism spectrum, migraines insomnia), metabolic conditions (diabetes mellitus, kidney diseases, multiple chemical sensitivity, metabolic syndrome), musculoskeletal disorders (osteoporosis), macular degeneration, and cancers.

Comprehensive nutrient analysis measures functional deficiencies at the cellular level. It is an assessment of how well the body utilizes vitamins, minerals, amino/fatty acids, antioxidants, and metabolites. It also provides treatment recommendations to improve the deficiencies to enable the production of enzymes, hormones, and other substances essential for proper growth, development and good health. Patient Profile: An excellent first assessment to ensure proper supplementation as well as an excellent starting point to assess overall cellular function and needs. Also used when symptoms have not resolved with diet and supplements.

Heavy Metal Testing provides an analysis of the levels of toxic metals and essential elements in urine after administration of a metal detoxification agent. This provides an indication of the accumulated toxic burden on the body. Low level exposure to toxic metals and essential elements can result in significant retention in the body and can be associated with a vast array of adverse health effects. Patient Profile: Patients with known exposure to heavy metals, unresolved allergies, seizures, unusual neurological symptoms, metabolism issues such as inability to lose weight, history of dental work, and compromised immune function.

Food sensitivity testing helps to identify if the immune system is out of balance, irritated and up-regulated, causing it to attack our food as if it were a threat. Tests identify what foods are causing these inflammatory responses which most often result in a variety of symptoms. Results allow the patient to remove foods which irritate the immune system so that it can be balanced and down-regulated as well as provide some insight to the provider as to the degree of gut inflammation. Patient Profile: An excellent first assessment for anyone with issues of the digestive system, skin, respiratory system, migraines, muscle or joint pain, low energy, mood swings, anxiety, poor sleep, or children with failure to thrive.

Environmental Allergy Testing is a skin prick, intradermal test for 40 airborne environmental allergens including weeds, grasses, trees, dust mites, mold spores and animal dander. Test also includes wheat, corn, egg, milk, yeast, soy and oat. Intradermal testing is more accurate and sensitive than most typical blood tests for IgE allergies to foods and inhalants. Test results allow for the personalized preparation of allergy drops (not shots!) containing the antigens you need, no matter where you travel. Administering small amounts of these antigens daily will train your immune system to accept the allergens instead of fighting them. Patient Profile: Individuals who suffer with sneezing, post-nasal drip, coughing, sore throat, snoring, headaches, poor sleep, dark circles under eyes, itchy eyes and nose, bloody nose, decreased sense of smell, decreased sense of hearing, eczema or other skin rashes or bumps, fatigue, and/or frequent upper respiratory infections.

Neurotransmitter Testing evaluates the levels of neurotransmitters that directly impact daily life function related to pleasure, reward, mood, alertness, calmness, learning, libido, appetite, energy, attention, aggression, and sense of wellbeing. Patient Profile: Individuals who struggle with anxiety/panic attacks, depression, negativity, easy agitation, low mood, fatigue, impulsive behaviors/addiction, sleep disturbances, hyperactivity, PMS or PMDD and/or poor concentration/focus.

Cognitive Health Assessment by Cambridge Brain Systems provides simple and powerful online brain health assessment solutions. Patient Profile: Individuals who want to quantify cognition, track cognitive trends and want to educate themselves.

Metabolic Rate Analysis (aka Metacheck) allows you to quickly and accurately learn your resting metabolic rate. Patient Profile: Individuals wanting to know how their metabolism is truly working, i.e. how many calories are burned daily at rest, and with exercise.

Consult with your medical provider for suggestions and guidance regarding which test or tests may help to optimize your treatment plan and expand your knowledge about your health!

By Mila McManus MD|2022-10-10T17:06:59-06:00July 25th, 2018|General|

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