The Magic Behind the Couri Center By Dr. Michele Couri, MD, FACOG, ABIHM

Recently, the Couri Center was awarded for the 3rd consecutive year, Peoria’s Best of the Best Award for Obstetrics and Gynecology. We were genuinely honored and humbled to accept this award. Even though the plaque states, Dr. Michele Couri, as the recipient, I must say that it is truly my staff and our patients that rightfully deserve this award. First, I would like to extend my heartfelt thanks and appreciation to every single patient who took the time to vote for us. Your generosity and caring hearts are what makes it a privilege to care for and serve you. You have likely heard me say on numerous occasions that we have the very best patients in the world. For that, I am and forever will be grateful. Next, I would like to take this opportunity to personally thank each and every one of our staff for their selfless dedication to enriching and empowering the lives of our patients every day.

Co-physician: Alexandra Mathern, MD
Physician Assistants: Hope Placher, Renee Alwan-Percell, Deb Collins
Certified Nurse Practitioner, Doctorate of Nursing: Dana Humes Goff
Licensed Dietician/Exercise Physiologist: Leslie Rusch-Bayer
Nursing Staff: Theresa Bowles, Kristine Cox, Geni Randle, Gail Williams, Christine Gorman, Karen Kelley, Heather Dentino
MOAs: Lisa Dearing, Janet Rocke
Sonographer: Amber Katz
Lead Biller/Insurance Specialist: Rhonda Britton
Surgery Scheduler/Referral Coordinator: Alyce Couri
Front Office Personnel: Kelly Beeney, Deb Seyller, Donna Rademaker, Jacquelyn Collier, Susan Spears, Susan Korfias, Carina Schilling
Pellet Coordinator: Becky Descamps
Marketing Director: Cheryl Neumann
Phlebotomists/Lab Personnel: Carmen Reese, Betty Quotskyva
Esthetician: Leslie Ann Gilstrap
These ladies are undeniably some of the most talented women in their specialty.

Lastly, for those that are not aware of the history of the Couri Center, I would like to briefly share its story. First of all, our building that houses our office sits on the land that I and my five siblings grew up on as children. That land used to be our baseball diamond, our field for go-karting and snowmobiling, and a gateway to the mystical woods that used to exist at the north end of the property that made many a magical adventure for our imaginative little minds. You can say that the Couri Center, which came into existence in 2001, has been in my blood for as long as I can remember.

The Couri Center building recently underwent an expansion, adding an additional 3,500 square feet of space, providing more exam rooms, procedure rooms, and offices. That expansion was masterfully carried out by my brother Bob and his team of craftsmen at RJ Unes Construction. My father, John Unes, was a brilliant and impeccable carpenter and cabinet maker, and he, along with my brother, was instrumental in the construction of the original space in 2001. My dad took great pride in his work, never settling for mediocrity, never performing less than his potential, and never sacrificing quality as his customers always deserved the best. He passed those traits on to me and my siblings, and for that, I am beyond blessed. That mantra has served me well so far in my career of eighteen years.

Collectively, the contributions of my dad, my brother, my amazing staff, and most importantly, the trust and inspiration of our patients have made and continue to make my time at 6708 N. Knoxville as special as it was growing up. Thank you, and God bless.

To Your Health,

Dr. Couri

Hearty Chicken Stew with Butternut Squash and Quinoa

Hearty Chicken Stew with Butternut Squash and Quinoa is one of my favorite soups and anyone who’s tried it, has requested the recipe.  Besides being gluten free, it’s a vitamin-packed comfort food that is perfect for the cold winter months. Bonus:  it re-heats well, so make a double batch, you’ll be glad you did!

 

Ingredients (Serves 6)

  • 1 1/2 lbs Chicken organic, boneless skinless breast
  • 1 1/2 lbs Butternut squash
  • 1/4 cup Flat-leaf parsley, fresh
  • 4 cloves Garlic
  • 1 1/2 tsp Oregano, dried
  • 1 14 ounce can Tomatoes, petite
  • 1 Yellow onion, medium
  • 3 1/2 cups Chicken broth
  • 3/4 cup Kalamata olives, pitted & quartered
  • 2/3 cup Quinoa
  • Black pepper, freshly ground to taste
  • 1/2 tsp Kosher salt
  • 1 tbsp Olive oil

Instructions

  • Steam the butternut squash until barely tender, about 10 minutes. Remove half of the squash pieces and set aside.
  • Steam the remaining squash until very tender, an additional 4 to 6 minutes. Mash this squash with the back of a fork. Set aside.
  • In a large saucepan set over medium-high heat, bring the chicken broth to a simmer.
  • Add chicken breasts, cover, and cook until chicken is cooked through, about 15-30 minutes.
  • Transfer the chicken to a plate and allow to cool. Pour broth into a medium-sized bowl.
  • Return the saucepan to the stovetop and lower heat to medium. Add olive oil.
  • Add onion and cook, stirring occasionally, until onion is starting to turn brown, 8 to 10 minutes.
  • Add the salt, minced garlic and oregano. Cook, stirring, for 1 additional minute.
  • To the saucepan, add tomatoes, butternut squash pieces, mashed butternut squash. Stir to combine.
  • Stir in reserved chicken broth and quinoa. Bring to a simmer, cover and cook until the quinoa turns translucent, about 15 minutes.
  • Shred the chicken with your fingers or a fork.
  • Stir the chicken, olives and pepper into the stew and simmer, uncovered, to heat, about 5 minutes.
  • Stir in parsley and serve.

What’s All the BEEF About?  By Leslie Rusch-Bayer, RD, LDN, CPT

What's all the beef about, beef article 2019 photo shutterstock_1199701960As a Registered Dietitian, I often have patients asking about different varieties of food. New foods hit the grocery store shelves every day, each one claiming to be “healthier” than the last. But are these foods so powerful that they will change health?  Ultimately, patients need to be given the proper information so they can make the best choice for their health. Let’s get started.

 

The process of producing beef has changed a lot since the 1970s. Thanks to technology and research, how cattle are raised, and when they are slaughtered have contributed to better, more efficient, beef products. Sometimes, these advances may also provide a better product that leads to improving your health.

 

But which beef product is best for your health? Marketing, advocacy groups, and even research create confusion when consumers are trying to pick the best product for themselves. Let me see if I can try and help you answer this question.

 

Let’s first discuss what is not affected by what a cow eats. If you are like me, you hate it when you are served a tough piece of steak. A juicy, tender piece of meat is usually preferred. Tenderness is not affected by what a cow consumes. The age of the cow at slaughter is what affects tenderness. Typically, the younger the cow, the more tender the meat.

 

Now, let’s move on and discuss the benefits of grass-fed beef. Grass-fed beef has been shown to have higher levels of conjugated linoleic acid and antioxidants (CLA). Additionally, in a study published in the British Journal of Nutrition, McAfee et al. report that a diet that includes grass-fed animals may improve the intake of omega-3 polyunsaturated fatty acids (PUFA). Why are these important?  CLA has been shown to improve body composition, cholesterol, and possibly prevent cancer. Antioxidants slow the “aging”  process and omega-3 PUFA are known to decrease inflammation and the risk of heart disease. A more common and bountiful source of omega-3 PUFA is fresh-caught, cold-water salmon. If you do not eat fish, nor do you want to begin eating fish, grass-fed beef would provide you with additional omega-3 PUFA.

 

The disadvantages of grass-fed beef include cost, taste, and possibly a decrease in sustainability. Grass-fed beef does tend to be more expensive than grain-fed beef. This can be approached in two different directions. Because of the cost, you may choose to purchase the less expensive grain-fed beef, or you may choose to purchase grass-fed beef, but consume smaller portions or less frequently. Because grass-fed beef consumes grass, it has larger amounts of vitamin E, which tends to have a different taste than grain-fed beef. You must try grass-fed beef to decide if you like it. If you do not like the taste of the product, there is no resolution other than purchasing a different product.

 

The effects grass-fed beef has on sustainability is a very touchy and political question. There really is no right or wrong answer. Each person will have to decide what they believe. Some say grain-fed beef consume less water and feed throughout a shortened lifespan and produce more edible beef per cow, while others believe cattle should eat what mother nature intended them to eat: grass.  No one can answer that question but you.

 

Now to grain-fed beef. Cattle farmers and researchers report that grain-fed beef has higher amounts of good, heart-healthy fat called monounsaturated fat (MUFA). MUFA has shown to raise good cholesterol, improve the taste of beef, and reduce the risk of type 2 diabetes. Many research articles report that increasing CLA through grass-fed animals had no effect on cholesterol and other laboratory markers. This article concludes that spending the money on grass-fed products may not be providing any improvement in overall health. Grain-fed beef tends to be less expensive, and typically, people prefer the taste of grain-fed over grass-fed beef.

 

Before you decide on which type of beef your should consume, I encourage everyone to visit the World Research Cancer Fund website and read about the proper recommendations for how much red meat, no matter grass-fed or grain-fed, should be consumed. No matter the quality or type of red meat, the World Research Cancer Fund recommends no more than three servings per week. Processed meats should only be consumed on a rare occasion, if any.

 

Let’s ask some important questions to help guide you toward the right decision of which beef product is best for you:

  1. Do you currently have any diseases, risk of disease or laboratory markers that are outside normal limits?
  2. Do you dislike cold-water, fatty fish?
  3. Are you overweight?
  4. Do you already limit your intake of beef?
  5. Does your budget allow you to spend extra money on more expensive beef?
  6. Do you like the taste of grass-fed beef?

If you answered “yes” to at least three of these questions, you might find that choosing grass-fed beef may be a beneficial option for you. If you answered no to the majority of these questions, grain-fed or conventional beef may be the best choice for you.

Remember, there is no one choice that is right for everyone. Your choice of beef will not make any kind of substantial impact, good or bad, on your health, if consumed within the recommendations of the World Research Cancer Fund, however, the choice of beef you choose to consume may add to the benefit of the other healthy foods you consume that overall may lead to health improvement.

Before you can truly decide which type of beef to purchase, it may be of benefit to be updated on your current health. The Couri Center has created a one-of-a-kind lab panel that provides an overall, total-body look at one’s health. This lab panel is part of our TLC Integrative Consult. If you would like more information regarding our TLC program or would like to schedule a consultation to discuss your personalized nutritional options, please click here.

 

Leslie Rusch-Bayer, RD, LDN, CPT

 

 

 

Let’s Talk About HPV By Alexandra Mathern, MD

If you have seen a gynecologist since 2011, you likely have been tested for Human Papilloma Virus (HPV) at the time of your pap smear. The virus was first discovered in 1956, but it was not until 1986 that two specific subtypes of the virus were linked to cervical cancer. Currently, there are over 200 types of HPV. HPV 16 and 18 account for 60-75% of all cervical cancer cases worldwide. There are about 12 other types that account for the remainder of cervical cancer cases. These cervical cancer-causing HPV types are what are included routinely in pap smear collections in those 30 years old or older.

Approximately 80% of sexually active individuals will contract HPV during their lifetime. Just like any other virus that can infect the human body, the body has the ability to fight off the infection. Unlike other viruses, however, HPV infection is generally symptom-free. On average, it takes about 8-12 months for a healthy individual with a functioning immune system is to clear an HPV infection. Those less than 30 years old tend to be able to fight the infection off more quickly and completely. Therefore, a pap smear collected between 21 and 29 years old is not routinely run for HPV unless the pap smear is found to be abnormal. Because of the ability of most individuals to clear an HPV infection, treating each positive HPV result may result in overtreatment; however, the frequency of testing may be increased.

Cervical cancer screening is one of the most effective screening tests available across medical specialties in detecting and treating precancerous changes. The addition of HPV screening has further advanced the screening to the point that HPV testing/screening alone may be sufficient. In 2014-2015 HPV testing alone became an option approved by the FDA but is not yet routinely used. Due to this strong link between HPV and cervical cancer, an HPV vaccine has been developed against the HPV types most strongly associated with the development of cervical cancer. In the US, the vaccine is currently available for males and females between the ages of 9-26 years old regardless if already infected by HPV. The vaccine is so effective that in Australia (where there is a high rate of vaccination), high-grade precancerous pap smear results were significantly decreased in only three years of implementing the vaccination.

Next time you find yourself at the Gynecologist’s office for your pap smear, rest assured that that uncomfortable experience is quite possibly the most effective testing offered today as screening to prevent cancer.

Dr. Mathern

 

 

References:
Palefsky, J., UpToDate: Human Papilloma Infections: Epidemiology and Disease Associations. Updated June 2018. Literature review Sept 2019.
Cervical Cancer Screening. ACOG Practice Bulletin #168. October 2016.
CDC: Centers for Disease Control and Prevention. Cervical Cancer. Last Reviewed Jan 2019.

ginger roasted pumpkin + quinoa salad w/ mint, chilli + lime


ginger roasted pumpkin + quinoa salad w/ mint, chilli + lime recipe

Compliments of MyDarlingLemonThyme.com

Ingredients (serves 2-4 or more as a side)

1 kg piece of pumpkin
1 tablespoon finely grated fresh ginger
2 green or red chilies, finely chopped
2 cloves garlic, finely chopped
2 tablespoons olive oil
2 teaspoons pure maple syrup
a handful of finely chopped coriander (cilantro) roots and stems, optional
Fine sea salt and freshly ground black pepper

1 cup quinoa
1 1/2 cups water

The juice of two limes (or large lemon)

A good handful each of fresh mint and coriander (cilantro) leaves
toasted pumpkin (pepita) seeds

 

Preparation

Pre-heat oven to 400F. Peel pumpkin, remove the seeds and cut into even chunks approximately 2-3cm wide. Combine pumpkin with ginger, chili, garlic, olive oil, maple and coriander roots and season well with salt and pepper. Combine well before turning out onto a large oven tray. Bake for 25-30 minutes, turning once or twice or until the pumpkin is lovely a golden and soft right through. Remove from the oven and set aside to cool slightly.

Meanwhile, place quinoa into a fine-mesh sieve and rinse well. Bring the water to the boil in a small saucepan before adding the quinoa, covering with a lid and reducing the heat down to a gentle simmer. Cook for 10-12 minutes until the water has been absorbed and the quinoa is tender. Remove from the heat, leave the lid on and set aside to steam for a further 5 minutes before fluffing up with a fork.

When both the pumpkin and quinoa are cooked, combine the two in a large bowl, making sure you scrape any lovely bits of ginger and oil from the bottom of the roasting tray into the bowl too. Squeeze over the lime, stir through the herbs, season with more salt and pepper if desired and scatter over the pumpkin seeds to serve. You can eat this warm or cool the pumpkin and quinoa first before stirring through the herbs and serve at room temperature.

Enjoy!

Osteoporosis: How to Prevent a Silent Killer By Deborah Collins, PA-C

Every year more than 200 million people will suffer from Osteoporosis, and 3 million new US cases will be diagnosed. In fact, half of all adults 50 years and older, are at risk of breaking a bone and should be screened before they require medication. The reason Osteoporosis is often overlooked is because there are usually no symptoms. “You cannot feel your bones becoming weaker.” It is for this reason that it is often called “a silent disease” until a fracture occurs.  What is especially alarming is that 80% of the people who suffer a fracture over the age of 50, will not be advised to be tested or treated for Osteoporosis.  If you knew that your risk of a fracture was equal to the combined risk of breast, uterine, and ovarian cancer, would that change your mind about the importance of early screening?

At the Couri Center, our providers recognize the importance of your bone health. It is just as important to us as your breast and cervical cancer screenings.  We want to help PREVENT you from this disease before a fracture occurs. In fact, we have customized Couri girl MedPax supplements for this very purpose!  Couri girl Osteopenia is for women diagnosed or at high risk of developing osteopenia and Couri girl Osteoporosis, is for women diagnosed with osteoporosis.

Unfortunately, 24% of hip fracture patients, over the age of 50, will die in the first year following a hip fracture. Osteoporosis is not only costly, but it can be deadly. However, with early intervention, it is not only preventable but treatable.  If you have any one of the following risk factors, please have a conversation with your provider and consider a simple test for screening.

  • All women age 60 and over, independent of risk factors
  • Menopausal females under the age of 60 who have risk factors such as:
  • Low body weight< 130 pounds
  • Prior fracture- non-traumatic or low trauma as in falling from standing height or spine compression fractures. Basically, a break over the age of 50
  • High-Risk medication use – steroids, chemotherapy agents, Tamoxifen, Depo-Provera >5 years, anti-seizure medication
  • Chronic disease associated with bone loss (Hyperparathyroidism, Malabsorption, Malnutrition (Bulimia/anorexia), Premature Menopause, Hyperthyroidism, Chronic Liver Disease, Rheumatoid Arthritis, Diabetes
  • Regular alcohol use, more than 3 drinks a day
  • Cigarette smokers

Here are a few tips to prevent Osteoporosis

  • Eat a healthy diet and exercise regularly, which can help slow or stop the loss of bone mass and help prevent fractures.
  • Talk to our registered dietitian to make sure you are getting enough calcium and Vitamin D in your diet.
  • Get a screening bone density test, which is the best way to diagnose low bone mass before it becomes Osteoporosis.
  • Let us help you determine a treatment plan. If your screening test indicates that you may have Osteoporosis, or have other significant risk factors for breaking a bone, call the Couri Center to schedule today:  309 692-6838.

 

 

Are You The One In Ten? By Dana Humes Goff, APRN, CNM, DNP

Did you know that it is estimated that 10% of women may be affected with polycystic ovarian syndrome (PCOS), but are undiagnosed? PCOS is a hormonal disorder common among women who have infrequent, absent, or prolonged menstrual periods; excess facial or body hair; and excessive weight gain.

The exact cause of PCOS is unknown. Early diagnosis and treatment, along with weight loss, may reduce the risk of long term complications related to PCOS, such a type 2 diabetes, heart disease, and infertility.

In addition to those mentioned above, other complications to PCOS include miscarriage or premature birth; liver inflammation caused by fat accumulation; metabolic syndrome; sleep apnea; abnormal uterine bleeding; endometrial cancer; and obesity.

To diagnose PCOS, your health care provider will analyze your blood to measure hormone levels, glucose, cholesterol and triglycerides, and insulin levels. A pelvic sonogram will also allow for evaluation of the uterine lining and ovaries.

Once diagnosed, treatment for PCOS includes lifestyle changes with a healthy diet and exercise since even a modest reduction of body weight can improve the condition. A dietary consultation with a registered dietitian can help your nutritional status and provide helpful strategies, as well as, suggest food sensitivity testing, which can help you achieve lifestyle goals.

Other treatment options include low dose birth control pills or cycling on a natural progesterone to achieve a hormone balance and regulate menses. If glucose or insulin levels indicate cell resistance to insulin, an oral medication such as metformin can help to avoid type 2 diabetes and help with weight loss.

Other medications such as spironolactone and Vaniqa can help with the effects of excessive androgen on facial hair growth. Laser hair removal and other procedures to remove unwanted facial and body hair are also options.

You can help to decrease the effects of PCOS by maintaining a healthy weight, limiting simple carbohydrates, which can increase your insulin levels, and being active.

So, if you or a loved one feel you may have symptoms of PCOS, please contact your health care provider or come and see us at the Couri Center so we can identify and develop an individualized plan of care for to live your best life.

 

Dana Goff

 

 

Sauna Detoxification

 

Sauna Detoxification

Sweating is good for you and is one of the body’s safest and most natural ways to heal and maintain good health.  Infrared saunas generate a sweat 7 x more detoxifying than a traditional sauna. Researchers have long told us how the body sweats out toxic substances, including heavy metals. As long as you maintain proper hydration, the more you safely sweat, the more toxins you’ll expel from your body.

Click below to schedule or learn more:

What is infrared sauna therapy?

Infrared light (experienced as heat) is the invisible part of the sun’s spectrum with the ability to penetrate human tissue to produce a host of health benefits.  Because infrared sauna therapy heats the body directly rather than simply warming the air, it raises the core body temperature and produces a deep, detoxifying sweat at the cellular level, where most toxins reside. Far infrared also aids in blood pressure reduction & weight loss, burning up to 600 calories in one 40 minute session.

What are the other health benefits of a full-spectrum infrared sauna?

Relaxation

Relaxation is more important to health than most people realize. The American Institute of Stress estimates that 75 to 90% of all visits to primary care physicians are for stress-related problems. Long-term stress is the cause of countless physiological effects on the body, including increased blood pressure, weight gain, and weakening of the immune system.  Infrared saunas have been designed to encourage the purest form of relaxation and stress reduction.

Weight Loss

Maintaining a healthy weight is important to your overall quality of life. In a 2009 study, infrared saunas were shown to help lower weight and waist circumference in just a three month period. The common theme among subjects in the study was that far infrared sauna use was similar to moderate exercise but “much more relaxing”.  Therefore, infrared saunas can be an effective lifestyle adjuvant for those who cannot participate in traditional exercise programs due to medical conditions such as osteoarthritis, cardiovascular or respiratory problems.

Heart Health/Lower Blood Pressure

In the U.S. alone, one in three adults suffers from heart disease, stroke or some other form of cardiovascular disease in their lifetime. High blood pressure increases your risk of getting heart disease, kidney disease or serious stroke.

Only infrared saunas have been clinically determined to provide one of the best, natural ways to lower blood pressure. In a 2005 clinical study by the University of Missouri Kansas City, Sunlighten’s Solocarbon heaters were shown to lower blood pressure through a program of 30-minute infrared sauna session 3 times per week. The study concluded that Sunlighten infrared sauna therapy dilated blood vessels and reduced the volume of their inner lining, thus increasing circulation to promote healthy blood pressure.

Pain Relief

You too can toss the pain pills and step into a healing infrared sanctuary to relieve tension and relax muscles. Infrared sauna’s heat works by penetrating joints, muscles, and tissues, increasing circulation and speeding oxygen flow. By reducing soreness on nerve endings, our infrared heat reduces muscle spasms and helps the body heal itself naturally.

Anti-Aging/Skin Rejuvenation

Rejuvenate your skin while also receiving all of the other health benefits associated with Sunlighten’s leading infrared sauna therapy. A study published in The Journal of Cosmetic and Laser Therapy showed significant improvements in skin appearance after just 12 weeks of sauna skin therapy using near-infrared technology.     Participants experienced a reduction in wrinkles and crow’s feet, as well as improved overall skin tone, including softness, smoothness, elasticity, clarity, and firmness.

Cell Health/Immunity

Infrared therapy stimulates the circulatory system, causing the heart to beat more vigorously and blood vessels to dilate, which help cleanse the circulatory system and more fully oxygenate the body’s cells.

Better blood circulation means more toxins flow from the cellular level to the skin’s surface to improve cell health, aid in muscle recovery and strengthen the immune system.

Sunlighten’s research-backed near infrared heating technology can strengthen the immune system. In fact, a NASA study showed this same near infrared therapy, delivered by LEDs deep into body tissue, can quadruple cell health and tissue growth.

Wound Healing

Skin plays a vital role in the protection of our bodies from the external environment. When broken, it is important to repair it quickly to prevent infection or further problems. Studies conducted by NASA concluded that NIR LED light significantly promotes faster cell regeneration, wound healing and human tissue growth. Human cell growth increased by 155%-171% in some cases and wound size decreased by 36%.

Learn more about our relaxing infrared sauna’s built-in media center, including Pandora Radio, Netflix and multiple tracking features to calculate calories burned during your sessions!

 

The ABCs of CBD By Renee Alwan Percell, MMS, PA-C

About CBD- What is it?

Cannabidiol (CBD) was discovered in 1940. It is a chemical component of the Cannabis sativa (cannabis plant) and constitutes up to 40% of the extracts of the plant. Unlike THC (found in marijuana) it does not have psychoactive properties, which mean it cannot give you a high. Studies have confirmed CBD does not interfere with psychomotor and psychological functions in humans since it is not the part of the plant that creates psychoactive symptoms. In the last decade, there has been a notable increase in the scientific literature on CBD that shows its benefits in anti-inflammatory and neuroprotective effects.  CBD is used for diverse conditions including relieving pain, reducing anxiety and depression, alleviating cancer-related symptoms; Parkinson’s related symptoms, seizures, and multiple sclerosis.

But how does it work?

The Endocannabinoid System (ECS) regulates bodily functions. It helps the body maintain homeostasis or balance. If there is an imbalance in the body, the endocannabinoid system (ECS) will release neurotransmitters to address the problem. There are numerous receptors in the ECS that help the brain, organs, connective tissues, glands, and immune cells function smoothly. CBD1, for example, is a receptor in the brain, spinal cord, peripheral nervous system, and gastrointestinal tract that plays a role in memory, pain, emotion, and hunger. Endocannabinoids are naturally released when insult occurs and bind like lock and key to these receptors to reduce pain. TCH and cannabidiol act like the naturally occurring endocannabinoids and bind to these receptors to produce the same effect- alleviating symptoms. Similar to how our immune system works in our body to react to harm of the body, the ECS also works to keep our body neither deficient nor overloaded.

Can I have some?

When the ECS is functioning normally, a person will enjoy a healthy mental state, without pain, and have proper digestive function. The ECS can become unbalanced, however. In conditions like obesity or diabetes, the ECS will go into overdrive, flooding our system with endocannabinoids to try to combat the problems these diseases cause such as fatigue, trouble sleeping, anxiety. In doing that, inflammation may occur as our systems receptors become overloaded. CBD will work against this overload, relieving symptoms, and restoring balance. For example, if you experience anxiety, CBD bind to receptors and tells your body to calm down.

It is also hypothesized that the body can become endocannabinoid deficient which manifests most commonly as chronic pain through migraines, IBS, fibromyalgia. Data has shown that supplementing with CBD can bring the ECS back to normal functioning levels, relieving pain symptoms.

You should talk with your health care provider if you are interested in trying CBD for guidance on dosing and to discuss your specific concerns. It is also essential to get your CBD from a reputable source. Quality can vary greatly, so going to a trusted supplier is best.  We recommend ECS Therapeutics CBD Oil, available here at the Couri Center Retail Center. If you have questions, schedule a visit with your provider at the Couri Center!

Be Well, Renee Alwan Percell, MMS, PA-C

Why You Should be Using NIA24 Treatment Catalyst Facial Oil By Leslie A. Gilstrap, Licensed Esthetician

NIA24 treatment catalyst facial oil girlKeeping your body and skin well hydrated is so important.  One of my favorite NIA24 products is our Treatment Catalyst Facial Oil.   Summer or winter, it works well year round. When you hear the term “facial oil”, you may be tempted to think OH NO- I don’t want to put oil on my face—but listen to all the great benefits this facial oil can offer you.

NIA24 Treatment Catalyst helps reduce sun damage, hyperpigmentation and allows your current products to absorb and retain benefits further then using them alone. Nourishing and fortifying, NIA24 Treatment Catalyst enhances and accelerates the results of other skincare products.

Our skin is made up of water and sebum (oil from the skin). So, facial oil can work with your skin instead of against it, keeping it balanced, soft and comfortable.  In most cases its all about balance.  Too much sebum can result in clogged pores and possible breakouts. Too little sebum can result in dry, tight and flaky skin.  In this case, its best to use a facial oil to keep your skin properly balanced.

Over exfoliation from products like granular cleansers, acidic cleansers and peels can strip the skin of its natural moisture barrier.  Your skin may try to compensate for this stripping (loss of moisture) by over producing sebum, which as mentioned, can lead to clogged pores and breakouts. If you think your skin may be imbalanced, try adding a facial oil like NIA24 Treatment Catalystto your routine and help restore your skin’s normal ph balance. Using the right high-quality facial oil will actually help cut through the excess oil that may accumulate.

I have found with loyal use of the Treatment Catalyst Facial Oil that my skin has continued to stay glowing, balanced and clear.  Your skin can be too, just give it a try or as always, I’m here for a complimentary consultation if you have any questions.

Run don’t walk to get your NIA24 Treatment Catalyst Facial Oil. Supplies won’t last long!

To healthy skin,

Leslie Ann Gilstrap, Licensed Esthetician