TLC Fall 2018 Curious How TLC can change you?

Let’s face it.  The more you know about your health, the better equipped you are to achieve your wellness goals.  Dr. Michele Couri’s personalized, integrative wellness programs include:

  • detoxification
  • food sensitivity
  • hormone balancing
  • metabolic labs
  • nutrition
  • exercise

Curious how TLC can change YOU?   Schedule your free consultation today or call 692-6838.

Learn more

MedPax Customized Supplement Packets SALE

You are unique.  So are we.  Build a personalized daily vitamin pack with honest guidance and quality ingredients.

MedPax™ are customized to each patient’s individual supplement needs to maximize effectiveness and affordability. So, if you have a certain medical issue or constellation of symptoms that you want resolved, we can customize MedPax™ just for you.  Schedule your 30-minute private appointment today! Now only $199 Plus 20% off first 3 months supplement orders!  Ends 10-31-18.

SCHEDULE NOW

Convenient.  Personalized.  Affordable.  Easy.

MedPax™ Benefits:

  • MedPax™ is convenient. You can easily take your nutritional supplements on the go.
  • It takes the guesswork out of organizing and remembering if you took your supplements.
  • MedPax™ clearly tells you when to take your next dose.
  • You don’t have to ever worry about running out. Your MedPax™ can be automatically sent to you every 30 days.

 

 

Sauna Sale 2 for $50

It’s Time to Detox!  Take advantage of our 2 for $50 Sale now thru Oct 31 and shed calories, worries and stress.

BUY ONLINE NOW

Benefits of Infrared Sauna Therapy:

  • Detoxification
  • Pain Relief
  • Relaxation
  • Weight Loss
  • Lowers Blood Pressure
  • Improves Circulation
  • Skin Purification

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NIA24 Fall 2018 Sale

25% off NIA24 Rapid Depigmentation Serum and NIA24 Rapid Exfoliating Serum.  Sale $61.50 each/Regularly $82  Schedule your complimentary consultation today or 692-6838.  Ends 10-31-18.

NIA24 Rapid Depigmentation Serum

  • Continuous, deep delivery of Pro-Niacin® strengthens the skin barrier.
  • Pro-Niacin® is clinically shown to visibly improve skin tone, texture and hyperpigmentation.
  • Vitamin C helps to normalize melanin production while stimulating skin’s natural collagen production and providing powerful anti-oxidant protection.
  • Willowbark, a natural form of salicylic acid, helps to accelerate skin cell turnover, resulting in a reduction in the appearance of hyperpigmentation and smoother skin texture.
  • Hexylresorcinol, a potent tyrosinase inhibitor, helps to decelerate overactive melanin production,  resulting in the improved appearance of rapid depigmentation and skin tone.
  • Betaine, derived  aturally from Sugar Beets, soften skin and helps to minimizes transepidermal water loss, for an overall smoother, healthier looking complexion.

NIA24 Rapid Exfoliating Serum

  • Pro-Niacin® to strengthen and nourish the skin barrier.
  • Pro-Niacin® is clinically shown to visibly improve skin tone, texture, dark spots, sun spots and discoloration.
  • Prickly Pear helps to remove dry dull skin.
  • Willowbark, a plant extract, contains natural salicyns for gentle exfoliation.
  • Red Algae brightens the appearance of brown spots and discoloration.
  • Rose Bud, a natural antioxidant, helps reduce the appearance of enlarged pores.

50% off all Anti-aging Laser Treatment Packages & Laser Hair Removal Packages, Peoria, IL

SAVE Big this September with 50% off ALL Anti-Aging Laser Treatment Packages & Laser Hair Removal Packages at The Aesthetic Studio at The Couri Center.  Hurry!  Ends September 30, 2018!  

Anti-Aging Laser treatments & Hair Removal Packages treat:

  • Unwanted hair on the face & body
  • Unwanted pigmentation
  • Wrinkles & fine lines
  • Stretch marks & scars
  • Brown spots, age spots & sun spots
  • Rosacea & facial veins

Must use package by 2-29-19.  Not applicable with Studio Rewards.

Complimentary Consultation and Pricing:

For more information and specific pricing based on your areas of concern, please schedule your FREE 15-minute consultation now:  info@couricenter.com or call 692-6838.

Vegetable Stuffed Sole with Dill Butter

Serves 4: Power Foods Cookbook

Ingredients:

1 large carrot cut into matchstick strips

1/2 red bell pepper, cut into matchstick strips

1 zucchini, cut into matchstick strips

2 T water

4 (5-ounce) sole fillets, each halved lengthwise

1/4 t salt

4 t unsalted butter, softened

1 1/2 T chopped fresh dill

1 t grated lemon zest

1/4 t fennel seeds, crushed

Lemon wedges

 

Directions: 

  1. Preheat oven to 400 degrees. Spray 9 x 13-inch baking dish with nonstick spray.
  2. Combine carrot, bell pepper, zucchini, and water in medium microwavable dish. Cover and microwave on High until crisp and tender, about 3 minutes.  Drain and let stand until cool enough to handle.
  3. Place sole fillets, skinned side up, on work surface and sprinkle with salt. Place about 1/2 cup of vegetable mixture at wide end of each fillet.  Roll up jelly-roll style and place seam side down in baking dish.  Cover dish with foil and bake until sole is just opaque in center, 12-15 minutes.
  4. Meanwhile, stir together butter, dill, lemon zest, and fennel seeds in small bowl.Spread fish fillets evenly with butter mixture.  Serve with lemon wedges.

Dr. Couri’s Favorite Antioxidants By Dr. Michele Couri, MD, FACOG, ABIHM

If I could recommend my favorite supplements and skincare products, I would have to say that those rich in antioxidants are my pick.   Every day, our bodies, especially our skin, which is our largest organ and our main line of defense from environmental toxins, are exposed to the harmful effects of free radicals. Free radicals are unstable molecules that damage cells and contribute to aging and disease. Antioxidants can counter free radical activity.  Some of the most powerful antioxidants include Vitamin E, Vitamin C, beta-carotene, and resveratrol.

 

Vitamin E: d-alpha tocopherol. A fat-soluble vitamin present in nuts, seeds, vegetables and fish oils, whole grains (esp. wheat germ), fortified cereals, and apricots. Vitamin E has been shown to help strengthen the immune system and can reduce the incidence of menopause related hot flashes. Remember that Vitamin E is a natural blood thinner, so if you are currently taking a blood thinner, consult your physician before starting Vitamin E.  I recommend 800 mg of mixed tocopherols daily.

Vitamin C: Ascorbic acid is a water-soluble vitamin present in citrus fruits and juices, green peppers, cabbage, spinach, broccoli, kale, cantaloupe, kiwi, and strawberries.  Vitamin C is critical for collagen production, as well as for the production of new cells and tissue.  We lose collagen as we age, so supplementing with Vitamin C can be an important part of our anti-aging regimen.  I recommend 2,500 mg of Vitamin C daily.

Beta-carotene is a precursor to vitamin A (retinol) and is present in liver, egg yolk, milk, butter, spinach, carrots, squash, broccoli, yams, tomato, cantaloupe, peaches, and grains. Because beta-carotene is converted to vitamin A by the body there is no set requirement, but I recommend 15,000 IU of beta-carotene daily.  Beta-carotene will be present in your high-potency multivitamin.

 

Taking a good quality, high-potency multivitamin as well as supplementing with the above mentioned antioxidants should be a part of your daily wellness routine.  However, supplements should never replace eating a healthy diet rich in vitamins and antioxidants.  There is absolutely no substitute for what nature intended us to get from our food, especially a diet rich in colorful vegetables and fruits.

 

The importance of antioxidants applies to the health of our skin as well as our entire body.  I will share with you my favorite antioxidants for the skin, products that I consider “must haves”.  I will never go without these products as they have made an incredible difference in the health of my skin.

 

One of my absolute favorite skin care products is Vitamin C serum.  A high-potency Vitamin C serum or cream should be the first product you apply to freshly cleansed skin in the morning so that it can be absorbed immediately. Use just enough to cover the skin, as too much Vitamin C on the skin can be irritating, especially for sensitive skin. I recommend waiting five minutes to allow the Vitamin C to be absorbed by your skin before you apply any other facial product.  Once absorbed by the skin, Vitamin C offers advanced environmental protection from free radicals and improves the appearance of fine lines and wrinkles, loss of firmness, and brightens the skin’s complexion.  The Vitamin C serum that I use and highly recommend is C E Ferulic from Skinceuticals (now available at the Couri Center).

Another one of my favorite antioxidants for the skin is Retinol Cream.  Retinol is a weaker version of retinoic acid, a high potency Vitamin A cream.  Retinol can reduce fine lines and wrinkles and helps fade the appearance of age spots and blemishes.  It is able to help slough off old skin cells and stimulates new cell formation.   I encourage the use of Retinol nightly as part of your skin care routine.  If you have trouble with Retinol irritating your skin, try using it 2-3 times weekly instead of every night and work up to using it nightly.  Since Retinol can cause photosensitivity to the skin, do not use Retinol if you are currently undergoing laser procedures like laser hair removal.  Also, make sure to use a good quality sunscreen every single day. My favorite sunscreen is Nia24 Sun Damage Prevention UVA/UVB.  Two of my favorite Retinol products are Skinceuticals Retinol and Nia24 Intensive Retinol Repair (all available at the Couri Center).

 

Lastly, another one of my favorite antioxidants for the skin is Resveratrol.  Topical Resveratrol, a potent antioxidant found in red grapes, has been shown to protect us against the harmful effects of ultraviolet radiation and free radicals. Topical Resveratrol can also enhance skin’s radiance and elasticity.  The Resveratrol serum that I use every night before moisturizing is Resveratrol BE by Skinceuticals (now available at the Couri Center).

 

If you have any questions about which supplements are right for you, please come in and talk with our Registered Dietitian Leslie Rusch-Bayer.  If you need help personalizing your skin care regimen, come in and talk with our Licensed Esthetician Leslie Gilstrap.  We are here to help you in any way we can.

 

To Your Health,

Dr. Couri

 

 

 

 

 

 

Low Libido By Dr. Kaleb Jacobs, DO

Sexual problems are highly prevalent in women with an estimated 40% of women reporting concerns in one way or another. This can take many forms including a lack of sexual desire, impaired arousal, the inability to achieve orgasm, or pain with sex.  Depending on the primary concern, the diagnosis and treatment will vary.

A sexual “disorder” is persistent or recurrent and causes distress to you. It may have an impact on your relationship with your partner.  Issues concerning desire, arousal, orgasm or general decrease in sexual satisfaction can be related to other medical conditions.  For this reason, these concerns should be brought to the attention of your gynecologist so evaluation can be started and treatments discussed.

Hypoactive Sexual Desire Disorder (HSDD) or “female sexual interest/arousal disorder” is a condition which includes, among other symptoms, decreased interest in sexual activity. It may manifest in reduced initiation of sexual activity or being unreceptive to a partner’s attempts to initiate sexual activity.  Everyone’s level of interest in sexual activity is different and if this is not concerning or causing distress to you then it should not be considered a problem. If, however, you find this lack of interest distressing or find it impacts your relationship, then there are possible treatments available.

Non-medical therapies are available, and often these are sufficient depending on the root cause of the issue. These can include counseling or pelvic floor physical therapy.

Painful intercourse can be the cause of HSDD.  Rather, women avoid sexual activity out of fear of pain and discomfort than lack of interest. In menopause, we find that lack of estrogen leads to atrophy and thinning of vaginal tissue. We call this genitourinary syndrome of menopause. Treatments include local, topical hormones like estradiol or dehydroepiandrosterone (DHEA).  Ospemifene is an oral hormone “modulator” that has an effect on vaginal tissue and is specifically labeled for painful intercourse in women. A non-hormonal and non-drug option is also available.  Pulsed CO2 laser therapy like that which is delivered by the MonaLisa Touch™has shown promise in many observational studies.

HSDD that is not due to vaginal dryness and painful intercouse may be treated with an oral medication called flibanserin. This prescription medication is non-hormonal and has to be taken daily.  In studies, the medication has shown modest improvements in symptoms and on average only increased satisfying sexual events by one (1) each month.  In addition, the medication can cause low blood pressure and fainting. It is also advised that women not drink alcohol while taking this medication since it can make these side effects worse. Often, women do not wish to begin this treatment or continue it due to these side effects and the limited improvement in symptoms.

Low androgen levels in women may be responsible for low sexual desire and HSDD.  Testosterone levels in women begin to fall as women age, similar to the decline seen in men. While there are commercially available (FDA approved) products for men, there are none in the United States for women. As well, a women’s testosterone level is about 10% that of men, so using products formulated for men poses concerns for excessive dosing.  In Australia, a transdermal product (AndroFeme®) has been specifically formulated for women, but in the United States, off-label, compounded products are often used to improve the symptoms of HSDD.  Adverse effects of androgen therapy in women are rare but can occur, which is why a complete evaluation of your symptoms and medical history is necessary before treatments are initiated.

There are many other options available for women with symptoms of low libido, both prescription and nonprescription, pharmacologic and nonpharmacologic. If you have concerning symptoms, please call to schedule an appointment to review.

 

Best,

Dr. Kaleb Jacobs

 

 

I Said NO to Incontinence By Renee Alwan Percell, MMS, PA-C

My first job as a physician assistant was at a community health center where I conducted many adult exams. I had several young mothers talk to me about their stress or urge incontinence. I remember thinking, “that will never happen to me”. I thought my pelvic floor muscles were pretty tough. I regularly did yoga and Kegel exercises so I assumed I would not be plagued with leaking urine.

After my 2nd child, I joined a fitness class similar to Cross Fit in an attempt to get my pre-baby shape back. I loved the routine, but every time I had to jump rope, sprint, or jump on a barrel, I would leak a little or sometimes a lot of urine. I was in the company of fellow women who suffered similar symptoms, but I was embarrassed to the point that I stopped the exercise class. I found myself feeling like I needed to empty my bladder right before I knew I’d be doing anything strenuous; playing soccer with my boys, running up the stairs, lifting heavy objects. I just accepted it as part of my daily routine.

Last week I was waiting for my Daily Method class to start and out of habit headed for the restroom where I was met by a long line of women, no doubt also wanting to avoid any incontinence. While standing in line, I realized that now that I completed my Emsella treatments, maybe I didn’t need to be in this line anymore! Sure enough, I made it through class without any incontinence! Now I notice all the things that I would avoid or alter in my day-to-day life to avoid stress incontinence.

If you would like to know more about incontinence, please read Dr. Couri’s recent article where she discussed types of incontinence and Emsella; the latest FDA-cleared treatment.  Emsella is a chair that you sit on for 28 minutes and it strengthens your pelvic floor. In those 28 minutes the chair delivers over 11,000 Kegel exercises through non-invasive electromagnetic stimulation.  The Emsellais indicated for any woman who is looking for a solution to their urinary incontinence.  If you have a pacemaker, heart condition, any metal in your body, are pregnant or have hip replacements, you may not be a candidate for this treatment.

I am so thankful for our Emsella treatments! I can now do activities without thinking about where the restroom is and I can exercise with confidence!  If you would like more information on the Emsella offered exclusively at the Couri Center, I encourage you to go to our website for a listing of FREE educational classes or make an appointment with one of our providers.

Be Well,

Renee Alwan Percell, MMS PA-C