ECS Care CBD Oil By ECS Therapeutics

Why we use ECS Care CBD Oil?

At the Couri Center, Dr. Couri proudly uses ECS Therapeutics CBD Oil because they meet the highest quality standards:

  • ECS Therapeutics uses organically grown, non-GMO whole hemp plants, gently extracted without harmful solvents.
  • ECS Care extracts are blended with organic hemp oil that is cold-pressed from hemp seeds for added synergy and nutritional benefits.
  • ECS Therapeutics products are rigorously tested to ensure they are potent, pure and safe.  In addition to the testing during manufacture in their GMP compliant facilities, every batch of their products is third-party assayed by an independent, ISO-certified laboratory.  As part of a full analysis, testing confirms that our products contain only trace amounts of THC that can stimulate and nourish the body’s endocannabinoid system, but without causing undesirable “euphoric” effects.
  • With ECS Care products, you’re getting not only hemp-derived CBD but also nature’s phytocannabinoid complex.  ECS Care full-spectrum hemp products stimulate the body’s endocannabinoid system and interact with cell receptors to support balance in many important areas of health.

What is CBD Oil Used For?






Your provider can help you determine if CBD Oil is best for you and can guide you in determining the optimal dosage.  Schedule your visit today to learn more.


SUMMER 2019 Sale $50 OFF TLC™ Integrative Wellness Programs

Take advantage of our summer sale: $50 OFF all TLC™ Integrative Wellness Programs!  Sale ends August 30, 2019.

What is Total Lifestyle By Couri, TLC™

Science-based, TLC™ incorporates in-depth labs, nutrition, and exercise. TLC™ is based on traditional and integrative medicine principles.

Tailored just for you, TLC™ incorporates food sensitivity, hormone, metabolic and expanded lab profiles. Whether you need a boost to lose weight & improve eating habits or a comprehensive wellness program, we can help guide you.

In 2012, Dr. Couri, MD graduated from a 2-year Fellowship in Integrative Medicine at the University of Arizona under the direction of the all-inspiring Dr. Andrew Weil. Inspired to share the integrative principles gleaned from her Integrative Fellowship, with her patients, Total Lifestyle By Couri was born.  The TLC™ program combines the power of Integrative Medicine with the foundation of traditional Western Medicine for an unsurpassed experience that you will benefit from for years to come.

Is TLC™ a one-size-fits-all program?

No.  TLC™ is completely personalized!  Choose from a 60-minute integrative consultation, TLC™ Core, a 12-week program or TLC™ Plus, a robust 15-week program.  Each is customized just for you.  Schedule your complimentary consultation for details and to review pricing options.

How do I get pricing and learn more?

Vulvovaginal Atrophy: Early Treatment Improves Outcome By Dr. Kaleb Jacobs, DO

In a new study, published in March of 2019, researchers have concluded that treatment of vulvovaginal atrophy (VVA) in postmenopausal women should start sooner than later.

Common symptoms of VVA include vaginal dryness, vaginal pain inside, pain during intercourse and exercise, bleeding during intercourse or sexual contact or bothersome burning, itching, or irritation. Some women experience leaking of urine during this time (urinary incontinence) which can also be a symptom of vulvovaginal atrophy. All too often, these symptoms go left untreated either because women are not aware that treatment is available, or they may not realize the impact the symptoms can have long term. The loss of estrogen associated with menopause affects the vaginal tissue. Eventually, the tissue becomes dry and pale. Over time, the labia may become fused, and the vaginal opening can narrow. Intercourse or other forms of vaginal contact can become painful and distressing.  An essential part of the annual well-woman exam is for her gynecologist to inquire about sexual health and these symptoms in perimenopausal and postmenopausal women. It is equally important for women to report these symptoms early to avoid distressing long term effects. By delaying treatment, the changes become less reversible and possibly irreversible, regardless of therapy.

This recent study noted a significant reduction in these long term impacts in women treated with traditional systemic estrogen therapy for hot flashes and night sweats. These symptoms, more commonly associated with menopause can begin well before the vaginal atrophy findings are noted. It is this early exposure to estrogen treatment which is thought to reduce the long term changes of vulvovaginal atrophy.

While a woman bothered by hot flashes and night sweats, along with vulvovaginal atrophy can find relief of all of her symptoms with systemic estrogen therapy, if VVA is her only concern, then local topical vaginal estrogen may be a better option. Not all women are candidates for estrogen therapy. MonaLisa Touch vaginal laser therapy is another option for treating VVA.  MonaLisa Touchis ideal for menopausal patients, post-menopausal patients, and breast cancer survivors who are often unable to receive conventional treatments for these debilitating symptoms.  A conversation with your gynecologist can help determine if you are a candidate and if you may benefit from treatment.

The takeaway is that the vaginal symptoms of menopause are common, can have long-lasting consequences if left untreated, and should not be viewed as a taboo topic. Treatment of vulvovaginal atrophy should be initiated at its early stages to prevent irreversible changes.


Dr. Kaleb Jacobs


The Couri Center Welcomes Deborah Collins, M.S., PA-C

Training/Education: Deborah Collins, M.S., PA-C

Meet Deborah Collins, M.S., PA-C.  Dr. Michele Couri, and the Couri Center team proudly welcomes Deborah to our practice, May 2019.  Deborah received her Physician Assistant training at the University of Southern California, Los Angeles in 1997. She completed her Women’s Health and Internal Medicine training at the West Los Angeles Veterans Administration, UCLA in 1999. She subsequently worked in Community Health Clinics specializing in Family Planning, Obstetrics and Family Medicine for nearly 15 years. Read more on training/education

Deborah is excited to join the Couri Gynecology Center, where she can incorporate her family medicine background, while expanding her knowledge of Integrative and Functional Medicine. We hope you enjoy learning more about her in the following interview.

Interview Q & A with Deborah Collins, M.S., PA-C:

What is one word you would use to describe yourself? Adventurous.

What are you most proud of?  My three wonderful children.

 How do you recharge?  By having coffee with a friend or going for a walk.

Do you like to cook? What is a favorite recipe? I love to cook!  Homemade Chicken Enchiladas is my favorite.

Which sports teams do you root for? I used to be a Padres fan, but now I am a cubbies fan!

If you were to tell one person “Thank You” for helping me become the person I am today, who would it be and what did they do?  Probably my mom! She always worked hard and was a great example to me. She was a Chief in the United States Navy who served 20 years of Active Duty.

 What movie or novel character do you most identify with?  “Patch Adams.” Developing compassionate connections with my patients is what brings me joy. I also have a pretty humorous side and can be quite silly at times. I sincerely feel that laughter is an essential part of healing, and simply good for the soul.

 When are you the happiest? When I am spending quality time with my family.

 If you really knew me, you’d know…. that I love adventures and traveling.

 What would you most regret not having done by the end of your life? I have no regrets, and I am blessed beyond measure – anything else is a gift!

 What characteristic do you most admire in others? Integrity and honesty.

What are you most passionate about?  Helping others pursue their dreams, and watching them succeed.

 What one memory do you most treasure?  Holding my father’s hand while he passed away.

 What would a “perfect” day look like for you?  Breakfast with my children, going for a beautiful hike or a walk as a family, followed by a short nap. After that, I would prepare dinner for some good friends, coupled with a nice bottle of wine and a delicious dessert to end the evening.

 What’s the most important lesson you’ve learned in the last year?  Since I had a house fire in 2018, I learned that “things” don’t mean much to me. Everything is replaceable, except your family and pets. I don’t put as much value into objects anymore. Life is so much simpler!

 If you could volunteer your time, what would you do? I would serve Veterans in some capacity.

 What is your favorite season?  Why?

I love the summer because I love to be outside, barbecuing, swimming, gathering with friends/family.

 If you had just one box for all your stuff, what would you put in it?  Funny, I have actually had to do this. I put all my family pictures, important papers, Military medals/coins, grandmother’s jewelry all in one box.

 What type of music do you enjoy? I love all genres, but probably Hip-Hop above all.

What is your least favorite exercise? Probably running.  What’s your go-to workout?  I like the Arc Trainer or Elliptical

 Favorite book(s)?  Any Biography, I love to learn about people!” Self-Help books, “Letting Go,” “The Secrets of Forgiveness,” “The Grief Handbook,” “Lean In.”  Nonfiction: “Educated” by Tara Westover, “This is Going to Hurt” by Adam Kay, and of course, The Bible by God.

We have so many incredible female patients here at the Couri Center.  What would you most like to share with them?  I would like them to know that I am a relatable woman who has endured heartbreaks and joys over my lifetime, as they may have. I am probably the most open-minded person they will ever encounter. I consider it an honor to get to know them individually, and feel their healthcare journey begins with a partnership between the two of us, to help them achieve their goals.


Deborah is accepting new and existing patients. Schedule today at 309-692-6838 or visit

Pain Relief for Endometriosis By Dr. Kaleb Jacobs, D.O.

Endometriosis is treated with medications, but are you taking the right one?

Women with endometriosis classically present during their reproductive years with pelvic pain, painful menstrual periods, and painful sex. Some women may be diagnosed with endometriosis after being evaluated for infertility or an ovarian mass (endometrioma), independent of pain. Painful menstrual periods are typically described as dull or crampy pelvic pain that typically begins one to two days before a woman’s period. Pain usually persists throughout the menstrual period and can continue for several days afterward.

Once a diagnosis is established, low-dose continuous birth control pills are commonly prescribed as a first-line hormonal treatment for pain caused by endometriosis. This simple treatment is highly effective when initially prescribed. Some women, however, may experience a recurrence of pain. If this occurs, another treatment approach is needed.

Progestin-only medications are hugely useful in the treatment of pain caused by endometriosis. High-dose progestin-only medications suppress the hormones secreted in the brain [luteinizing hormone (LH) and follicle-stimulating hormone (FSH)] which in turn suppresses ovarian synthesis of estrogen. This, in turn, results in low circulating levels of estrogen and removes the stimulus that exacerbates endometriosis disease activity. High-dose progestins also directly suppress cellular activity in endometriosis implants. This type of medical therapy can be administered orally in pill form, by injection, and as an intrauterine device (IUD).

Gonadotropin analogues reduce pelvic pain caused by endometriosis by suppressing the brains secretion of LH and FSH, again reducing ovarian synthesis of estrogen. In the past, these medications were only available in injection form, but recently an oral pill form has come on the market.

Newer research is investigating medications frequently used in breast cancer survivors that block estrogen in a unique way, however, more data is needed before this treatment will be available in clinical practice.

Pelvic pain from endometriosis can be a struggle during a woman’s life, but there are many medications available if her current regimen is not working. Most women will find relief if they are evaluated and begin a new treatment from a different class of medication. Millions of women in our country have pelvic pain caused by endometriosis and by using every available hormonal agent, we will improve the treatment of pelvic pain caused by endometriosis. We are here to help you feel your best, please contact the Couri Center for evaluation of any concern you may have.

Kaleb Jacobs, D.O.

Harmonie: customized hormone balancing

Do You Recognize the Symptoms of Hormone Imbalance?  Take the Quiz:

Anti-Aging at the Couri Center:

The proper balance of hormones is vital to a woman’s health. Recent studies show that women are experiencing menopause at much earlier ages. By age 40, most women are totally depleted of normal levels of estrogen and have lost nearly all their progesterone and more than half of their testosterone. While a normal part of aging, these changes can greatly affect the way we feel. Untreated, imbalanced hormones cause a variety of undesirable symptoms:

Symptoms of hormone imbalance:

  • Anxiety/Depression
  • Fatigue/Loss of energy
  • Weight gain
  • Decreased libido/Sex drive
  • Hot flashes/Night sweats
  • Hair loss
  • Insomnia
  • Loss of muscle tone
  • Brain Fog/Loss of memory
  • Irritability
  • And more…

Meet harmonié: The Couri Center’s Bioidentical Hormone Replacement Therapy treatment. If you suspect fluctuating hormones are causing undesirable changes in your body, it’s very easy to get your hormone levels checked.  Click below or call the Couri Center 309 692-6838.

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October 2018 Pelvic Duet FREE Class


SAVE THE DATE!  Attend our FREE educational talk on our exclusive Pelvic Duet.  Our Pelvic Duet includes two state of the art technologies in women’s health:  MonaLisa Touch for vaginal dryness &  painful intercourse and EMSELLA for all types of urinary incontinence.

Don’t miss out!  This is your opportunity to hear from women who have been treated with these therapies and ask questions of Dr. Michele Couri.

RSVP today.

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.



Dr. Kaleb Jacobs



MedPax: Custom Monthly Supplements

Dr. Michele Couri, FACOG, ABIHM has personally created several customized MedPax™ (individualized daily supplement dosing packs) based on the most common symptoms and conditions patients discuss with Couri Center providers.

Couri girl MedPax™ are available for:

  • Bone Health (Osteopenia and Osteoporosis)
  • Heart Health (elevated cholesterol)
  • Menopause Relief
  • PMS Management
  • Gut Health
  • Mood and Anxiety
  • Stress and Sleep Issues
  • Hair, Skin and Nails
  • Inflammation and Joint Pain
  • Diabetes
  • Athletic Performance

MedPax™ are able to be further 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 (other than the ones listed above) that you want resolved, we can customize MedPax™ just for you.

How it works:

After reviewing your medical history and any pertinent lab work, we will make recommendations for appropriate supplements for you. After we meet with you, we will input our recommendations for your personalized MedPax™ securely online to Xymogen®. You will then receive your supplements shipped directly to your house.

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.

If you would like to find out if Couri girl MedPax™ are right for you, email or call 692-6838 to set up an appointment to learn more. Or if you are tired of buying several different bottles and brands of supplements to achieve optimal results, switch to MedPax™ and let us make it easier and more effective for you to achieve your goal. And our Earth will thank you — less bottles in our beautiful oceans!