Welcome to our new Functional Medicine presentation where an expert will talk to us about Clinical Implementation of Functional Nutrition. Following this activity, participants would…
Welcome to our new Functional Medicine presentation where an expert will talk to us about Clinical Implementation of Functional Nutrition. Following this activity, participants would…
In this Functional Medicine podcast Dr. Alex Jimenez invites Master Hypnotist Eric Richmond CRNA, BCH, CI, RM and Connie Pemberton – retired RN to talk…
Welcome to our newest functional Medicine presentation, in this episode we will talk Testosterone Deficiency in Men. An expert will help us describe testosterone deficiency,…
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Welcome to our newest functional Medicine presentation brought to you by Dr. Alex Jimenez, in this episode we will talk about developing skills in working…
Welcome to our newest functional Medicine presentation brought to you by Dr. Alex Jimenez, in this episode we will talk about developing skills in working…
Welcome to part 3 of our Functional Medicine podcasts brought to you by Dr. Alex Jimenez. In this episode an expert will be discussing with…
Welcome to the newest edition of our Functional Medicine podcasts brought to you by Dr. Alex Jimenez. In this episode an expert will be discussing…
Fifty-four million adults currently suffer from Arthritis. In addition to that, about 9% of adults have some type of limitation attributed to Arthritis. The CDC predicts the number of those diagnosed with Arthritis will only continue to rise in the years coming. With autoimmune disease continually growing, it begs the question, “What are we doing to reduce these chances in our patients?”.
Arthritis
Arthritis is inflammation of the joints. With “Arthro,” meaning joint, and “itis” referring to inflammation, it is clear that joint inflammation is the symptom being referred to. Many conventional approaches to arthritis treatment are aimed at reducing the inflammation of the joints. These medications also come with a heavy dose of side effects, including kidney failure, gastritis, and bleeding in the stomach. Looking from a functional perspective, aiming to heal at the orthomolecular level, we pinpoint what is causing the inflammation in the first place. By resolving the overall inflammation in the body, evaluating the musculoskeletal system, and creating a holistic plan, we are able to naturally reduce what is causing the inflammation. With this plan of action, joint inflammation ultimately subsites as well.
Underlying Conditions
As with other autoimmune conditions, we see underlying factors associated with Arthritis. One of the main contributing factors is infection and imbalance of the gut microbiota. For over 100 years, researchers have been searching for the exact link between the arthritis-infection connection. It has been documented countless times in animals and humans that those with Arthritis have another type of infection. We know that in patients with RA (Rheumatoid Arthritis), there are polymorphonuclear (PMN) leukocytes. This association of joint neutrophilia with RA has implied infectious etiology.
DNA Sequencing
DNA sequencing was used to identify the bacteria on the mouth and in the intestines of participants with RA. This research has found that those who have an early onset of RA have had 4x more porphyromans gingivalis bacteria vs. the healthy controlled adults. Intestinal bacteria was also associated with inflammation and is more prevalent in patients who have RA. A specific test we use to test DNA is from DNA Life called DNA Health. We also use a stool test from Genova to detect inflammation and strains of bacteria in the gut. The balance between the gut and inflammation is substantial. There are countless studies documenting “leaky gut”. When the gut becomes so inflamed, the barrier becomes permeable, and small undigested proteins leak through the barrier back into the bloodstream. Our body sees these proteins as foreign invaders and sends white blood cells to attack. This process is what starts the inflammation. With continuous leakage and cells attacking our own body, the autoimmune diseases set in. With the help of the Genova test-we are able to create a program that helps reduce, repair, and replenish the gut. A sample resort of both tests are shown below:
[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”http://www.dnalife.healthcare/wp-content/uploads/2020/05/DNA-Health-Sample-Report-2020.pdf” /]
[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”https://www.gdx.net/core/sample-reports/gi-effects-2200-sample-report.pdf” /]
Hormones
Hormones are to ensure our bodies are properly functioning. It is common for those who have Arthritis to have a hormone imbalance as well. These hormones include DHEA, Pregnenolone, Natural progesterone, natural estrogens, human growth hormone, cortisol, melatonin, and more. Hormones are delicate and can be thrown off by a multitude of environmental factors. Even something as simple as perfume, scented body soap, and lotions can throw imbalance hormones. One hormone test we specifically use is the DUTCH Plus test from DUTCH. This is a combination of 6 urine and six saliva samples throughout a 24 hour period. This test shows us the exact numbers and fluctuations one has in hormones. A sample of this report can be seen below:
[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”https://dutchtest.com/wp-content/uploads/2020/01/DUTCH-Plus-Female-Sample-Report-Ref02252020.pdf” /]
A Functional Approach
When dealing with a disease such as Arthritis, there are six areas to be considered from a functional standpoint. The first being dehydration. Unfortunately, dehydration is widespread and causes the body to not function at its total capacity. We are able to track hydration levels at the intracellular and extracellular level of our patients with the use of our InBody 770 machine. The second aspect is food and environmental allergies. These allergies around us are impacting our genes and how we break down food particles. If we are sensitive to food, our gut is not properly digesting it. This leaves us with leaky gut syndrome and proteins leaking back into our bloodstream, resulting in inflammation. Third, hormone imbalances. As mentioned above, we can not improve our joints if we do not first assess the hormones. The fourth factor is infections. If we have previous infections, they may have altered our DNA or still be lingering around, leading to excess inflammatory factors. Fifth, nutritional imbalances. Similar to hormones, we need our nutrition to be fully functioning to properly allow energy creation and proper breakdown. If we lack micronutrients, our production and balance of energy will be offset. Finally, the last point to be evaluated is toxicities. Toxins surround us everywhere we go. They are in the products we use, the air we breathe, the food we eat, etc.
Phase Angle
The phase angle is a snapshot of cellular health. We want our cells to be strong, healthy, and able to fight off infection. This comes from a solid cellular membrane. When an individual’s phase angle is around 7, we know the cells are healthy. However, in many cases, phase angles fall closer to the 4-5 range. A phase angle in this low range indicates that the cellular membranes are permeable and more susceptible to infection and early apoptosis (cell death). To improve overall phase angle, we must decrease visceral fat (the fat surrounding the organs) and increase our skeletal muscle mass to outweigh our weight and body fat mass. As previously mentioned, we use the InBody 770 machine to detect phase angle, visceral fat, water levels, inflammation, skeletal muscle mass, body fat mass, and BMI.
[embed]https://www.youtube.com/watch?v=047lML9ndPo[/embed]
Tie It Together
By approaching Arthritis and inflammation from these areas and considering these six factors, we are able to assess what the real source of inflammation is. This provides us with a great understanding of how to go about reducing inflammation and repairing the body in a functional way. The musculoskeletal system is intertwined with all areas of the body. It comes down to the cellular level.
We have discovered that everything is connected to the gut and phase angle. We did not associate joint pain with gut inflammation before, but now we see that it is all connected. We can start by feeding our bodies anti-inflammatory foods such as smoothies to reduce inflammation. -Kenna Vaughn, Senior Health Coach
References:
Brownstein, David. “Overcoming Arthritis.†Functional Medicine University . 2020.
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Tissues
The human body is composed of many tissues. Each organ in the body can be broken down into tissues. Tissues are sorted based on their basic functions. These include:
Epithelial Tissue
Connective TissueÂ
Muscle Tissue
Nerves Tissue
Muscle Tissue
Out of these tissue types, the only tissue that contracts is muscle. Muscle tissue is further broken down into skeletal, cardiac, and smooth. These tissues are contracted when stimulated.Â
Connective Tissue
Connective tissue has three types as well. Connective tissue proper, fluid connective tissue, and supporting connective tissue. However, all three of these connective tissue types are made up of the same components. They all include specialized cells, protein fibers, and ground substances.Â
The differences between these tissues can be seen in what subdivides them. For example, the fluid connective tissue is subdivided into blood and lymph, whereas supporting connective tissue can be divided into cartilage and bone. Lastly, connective tissue proper is divided into loose connective tissue and dense connective tissue.Â
The substance that connective tissue is composed of is a clear fluid. This fluid has a similar consistency to maple syrup but is clear and odorless. Its primary function is to fill the spaces between the cells and surround all fibers.Â
Loose and Dense Connective TissueÂ
The loose connective tissue binds many structures together. Loose connective tissue allows mobility. Dense connective tissue forms collagen that is strong and flexible. These fibers form branching frameworks for the rest of the body. With the fibers being parallel to each other and very tightly packed, there are forces applied to the issue. Dense connective tissue is responsible for forming tendons, ligaments, capsules of organs, and fascia.Â
Fascia
Fascia varies as its function is primarily based on location. Fascia forms individual muscle fibers and the portions between muscles. These sheets can be thin or thick. Fascia is flexible and can stretch. Fascia lies under the skin, and deep fascia lies overs the muscles. Therefore, it is important that we move fascia frequently. Over time, if we are not stretching, the fascia will become tighter and tighter and eventually restrict movement. Fascia is in every cell, tissue, and organ.Â
When fascia is functioning properly, it has a positive impact on the autonomic and central nervous systems. However, when it is impacted by poor posture, inflammation, or trauma, the fascia can become distorted and apply abnormal pressure to areas of the body.Â
Phase AngleÂ
When focusing on the orthomolecular science of the body, we see how important tissue is. Fascia surrounds every cell, which can help determine cellular health. The phase angle is a snapshot at cellular health where we are able to see how healthy and strong an individual’s cells are. We want patients’ phase angles to be as close to a seven as possible. With a low phase angle (closer to 3 and 4), we see weakness in the cell. Below is a video that helps describes phase angle in more detail:Â
[embedyt] www.youtube.com/watch?v=WwbIsPNUYqs%5B/embedyt%5D
IT IS IMPORTANT TO HAVE HEALTHY CELLS AND HEALTHY TISSUE. WITH THE USE OF THE INBODY 770, WE ARE ABLE TO ASSESS PATIENTS’ MUSCLE MASS, BODY FAT MASS, AND PHASE ANGLE. THE INBODY IS NOT JUST FOR PATIENTS WHO ARE WORRIED ABOUT MUSCLE MASS BUT FOR EACH INDIVIDUAL WE SEE. IT PROVIDES IMPORTANT MARKERS EVERYONE SHOULD BE AWARE OF. -KENNA VAUGHN, ACSM-EP, SENIOR HEALTH COACH
References:Â
Grisanti, Ron, and Brad Hayes, DC  FDMT580G Myofascial Disruption Technique. Functional Medicine University, www.functionalmedicineuniversity.com/members/598.cfm. Â
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Online Appointments or Consultations:  https://bit.ly/Book-Online-Appointment Â
Â
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Â
Online Functional Medicine Assessment:Â https://bit.ly/functionmed
For cervical pain, there is often more than one cause and more than one course of treatment. To begin, the first step is to perform an inspection. The inspection can let us know if there is a deformity, instability, abnormal head posture, asymmetry, torticollis, or lower limb weakness. This is a crucial first step as it sets the tone for the course of treatment. Next, we have palpitation. This is where we examine if there is tenderness or masses. The areas to check are posterior in the midline, lateral, supraclavicular, and anterior. Midline tenderness in the cervical spine can be due to whiplash injuries and indicate more neck trauma. Range of motion is performed next. To obtain a proper diagnosis, we check the cervical motion in flexion (normal range is 80 degrees), extension (normal range is 50 degrees), lateral flexion (normal range is 45 degrees), and rotation (normal range is 80 degrees). Finally, we check for sensory. Sensory include numbness, tingling, burning, and pain in the neck, back, or extremities.Â
Causes of Neck Pain
Neck pain can be caused by a variety of things, as the list is long. However, the following list is used to rule out the most severe pathology to determine the root cause of a patient’s cervical pain.Â
Injury and Accidents- hyperextension and/or hyperflexion (whiplash)Â
Degenerative Disorder (osteoarthritis, degenerative disk disease, and spinal stenosis)Â
InfectionsÂ
Inflammatory Disorder (Rheumatoid arthritis, ankylosis spondylitis)Â
Tumors / Benign TumorsÂ
Cervical FracturesÂ
Inflammatory Disorders
As we take a closer look, we notice that at the root cause of any pain or discomfort occurring in the body is inflammation. Inflammation is needed to help the body heal. However, when inflammation is occurring for too long, problems begin to arise. Excessive inflammation begins to sends the wrong signals throughout our body, and additional hormones (like cortisol, the stress hormone) begin to be released. With additional cortisol, individuals begin to have trouble sleeping, weight gain, and headaches, eventually leading to an autoimmune disorder if not properly handled in the early stages. With inflammation running the body, orthomolecular health, and phase angle decline.Â
Phase AngleÂ
The phase angle is how health care professionals can monitor the integrity of cellular membranes. If the phase angle begins to decline, it has been linked directly to a decline in overall health. Similar to if phase angle increases, overall health is increasing. The integrity of cellular membranes is essential as cell survival depends on solid membranes. When the cellular wall is weak, it can collapse. From here, it is difficult for the body to take up the proper nutrients it needs. Additionally, with a weak cellular membrane, the cell is left with little to no protection from outside invaders. Stress impacts phase angle by causing individuals to release cortisol, be under adrenal stress, gain weight and decrease their overall health.
We monitor a patient’s phase angle with the use of the InBody 770. This advanced machine allows us to not only track the phase angle of our patients but many other areas of their health as well, including but not limited to intracellular and extracellular water.Â
When treating the body with a functional medicine approach, it is necessary to give the body at least three months. A 3-month protocol allows the body a chance to get in sync with itself again, re-build the foundation and get back to the basics without inflammation. To begin, a case history is needed. This detailed history allows the practitioner to determine what diagnostic lab work will be most beneficial for you.Â
Hormone BalanceÂ
Many patients have some degree of hormone imbalance, especially females. Females’ cycles and hormones are typically imbalanced due to contraceptives such as birth control pills, patches, or shots. For tracking hormone levels, we use a diagnostic lab test from DUTCH. The DUTCH plus test uses a 24-hour collection method consisting of urine and saliva samples. This allows us to track and follow hormones all day to give us the best picture of what is occurring. Below is a sample of a male and female DUTCH Plus test.Â
Next Steps
The results of the DUTCH Plus test often come back with some degree of irregularity. This test, along with the detailed history form, allow us to create a custom protocol per patient. The treatment protocol involves natural supplements, dietary adjustments, and lifestyle changes. For hormone balance, one of the best supplements to use is chaste tree. This natural supplement helps with:Â
 PMS symptoms
 Dopamine
 those who have heavy bleeding
 irregular, short, or long cycles
 pain during ovulation
 Acne
Is safe for lactation, so it can be used to help reduce baby bluesÂ
Dietary AdjustmentsÂ
When it comes to balancing hormones, it is crucial to consume healthy fats. Omega 3s are the building blocks the body needs to reduce inflammation and combat symptoms of menopause. Additionally, foods that contain selenium are important. Selenium is an antioxidant that helps to remove free radicals that cause damage to the body. A list of foods to consume while balancing hormones include:Â
SalmonÂ
MackerelÂ
SardinesÂ
TunaÂ
Chia Seeds
Brussel SproutsÂ
AvocadoÂ
WalnutsÂ
Hemp Seed
Flaxseeds
Eggs
Coconut OilÂ
Lifestyle Changes
One of the biggest endocrine and hormone disturbances come from the daily products we wear and use. Perfume is a major trigger to the endocrine system and scented laundry detergent, aluminum deodorant, body wash, and air fresheners. By removing these disturbances you are getting rid of a slow poison and reducing your chances of thyroid disruption. Additionally, changing to an all-natural deodorant, body washes, and free clear laundry detergent will help your body heal. This article by Patel shows how harmful these scented products really are:Â
 “…It has been observed that this fragrance-laden unhealthy lifestyle runs parallel with the unprecedented rates of diabetes, cancer, neural ailments, and teratogenicity…”Â
To many people’s surprise, even cleaning products advertised as organic or antibacterial contain these toxic chemicals. As a general rule of thumb, stay away from scented products.Â
Additionally, regular exercise and stress management will help the body maintain homeostasis, reduce inflammation, and produce good sleep hygiene for optimal healing.Â
Phase AngleÂ
Phase angle is a snapshot of an individual’s cellular health. The lower the phase angle, the more permeable and fragile the cellular membrane is. This means that individuals are more susceptible to infection, inflammation and will not be able to attack a virus as well. Those who have high phase angles have strong cellular membranes that are hard to infiltrate. When a virus enters the body, those with a high phase angle can fight off the virus and inflammation easier. Phase angle is important because if the endocrine system is off-balance, your body is already at war with itself. Hormone imbalance combined with a low phase angle is a recipe for disaster. We can improve a phase angle by reducing visceral fat (the fat held around the internal organs)
[embedyt] www.youtube.com/watch?v=WwbIsPNUYqs%5B/embedyt%5D
In today’s society, everything smells “good”. These fragrant chemicals are being pumped into everything and constantly disrupting the endocrine system. Many people do not realize this but “clean” does not have a smell. Clean is not lemon fresh or fresh laundry. That is the chemicals. Clean is odorless. It has become so normal to cover up scents that trash bags are now infused with scents, when in reality, if the trash can smells, you just need to take it out. The first step is to get rid of all these added chemicals in the home. Ditch the plug-in air fresheners and get plants to naturally clean your air instead. -Kenna Vaughn, ACSM-EP Senior Health Coach
References:Â
Patel S. Fragrance compounds: The wolves in sheep’s clothings. Med Hypotheses. 2017 May;102:106-111. doi: 10.1016/j.mehy.2017.03.025. Epub 2017 Mar 22. PMID: 28478814. Â
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Â
Online Appointments or Consultations:  https://bit.ly/Book-Online-Appointment


Â
Online Physical Injury / Accident Intake Form: bit.ly/Fill-Out-Your-Online-History


Â
Online Functional Medicine Assessment: bit.ly/functionmed
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Disclaimer
Â
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.  Read More…
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
Welcome to our podcast, in this edition we resume with our topic of melatonin featuring Dr. Alex Jimenez and Nutritionist Ana Paola RodrÃguez Arciniega discussing…
Detox
Detoxification is part of the body’s response to environmental stressors. In order for the body to properly detox, protein is essential. Physiologically speaking, detoxification is a secondary function in terms of protein allocation. In a proper detox, there are multiple phases/steps.Â
Step 1: mobilization from fat-based storage sitesÂ
Step 2: metabolism (phase 1 and 2 enzymes in the liver)Â
Step 3: elimination via kidneys and GI Tract (phase 3)Â
Lifestyle
The first lifestyle change that occurs along with a detox is to reduce environmental stressors. This ensures the body is not working overtime when it does not need to. Ways to reduce environmental stressors include:Â
Reduce toxic exposureÂ
Reduced processed foods
Reduce proinflammatory foods
Reduce caloric intakeÂ
Reduce excess worry and stressÂ
Next, patients will begin to introduce habits into their daily lifestyle. These introductions are critical for detoxification success.Â
Quality, whole foodsÂ
Meditation, yoga, exercise, music, etc.Â
SleepÂ
Other healthy habits that reduce stress and worryÂ
Detoxification has both a physiological goal as well as a biochemical goal. Biochemically speaking, the goal is to mobilize toxins we have stored in fatty storage deposits (heavy metals, etc.) and eliminate them via the bile (from the liver) through the stool or urine (from the kidneys). Additionally, a detox will help to reduce inflammation and improve mental clarity.Â
It is important to note that the nervous, endocrine, and immune system are all vastly connected and the stimulation of one can commonly trigger responses in all.Â
By decreasing the inflammation and toxic load in the body, individuals’ phase angle may benefit. Phase angle is how health care professionals can monitor the integrity of cellular membranes. If the phase angle begins to decline, it has been linked directly to a decline in overall health. Similar to if phase angle increases, overall health is increasing. The integrity of cellular membranes is essential as cell survival depends on solid membranes. When the cellular wall is weak, it can collapse. From here, it is difficult for the body to take up the proper nutrients it needs. Additionally, with a weak cellular membrane, the cell is left with little to no protection from outside invaders.Â
InBody
We monitor a patient’s phase angle with the use of the InBody 770. This advanced machine allows us to not only track the phase angle of our patients but many other areas of their health as well, including but not limited to intracellular and extracellular water.Â
[embedyt] www.youtube.com/watch?v=WwbIsPNUYqs%5B/embedyt%5D
PHASE ANGLE IS ONE OF THE BEST WAYS TO GET AN INSIDE PERSPECTIVE OF WHAT IS ACTUALLY HAPPENING INSIDE THE PATIENT’S BODY. THERE ARE MANY PATIENTS WHO APPEAR HEALTHY BUT HAVE A LOW PHASE ANGLE. BY SEEING THIS, WE ARE ABLE TO MAKE PREVENTATIVE LIFESTYLE CHANGES. -KENNA VAUGHN, ACSM-EP, SENIOR HEALTH COACH
References:Â
Bosy-Westphal A, Danielzik S, Dörhöfer RP, Later W, Wiese S, Müller MJ. Phase angle from bioelectrical impedance analysis: population reference values by age, sex, and body mass index. JPEN J Parenter Enteral Nutr. 2006 Jul-Aug;30(4):309-16. doi: 10.1177/0148607106030004309. PMID: 16804128. Â
Klein AV, Kiat H. Detox diets for toxin elimination and weight management: a critical review of the evidence. J Hum Nutr Diet. 2015 Dec;28(6):675-86. doi: 10.1111/jhn.12286. Epub 2014 Dec 18. PMID: 25522674.Â
Additional Online Links & Resources (Available 24/7)


Â
Online Appointments or Consultations:  https://bit.ly/Book-Online-Appointment


Â
Online Physical Injury / Accident Intake Form: bit.ly/Fill-Out-Your-Online-History


Â
Online Functional Medicine Assessment: bit.ly/functionmed
Â
Disclaimer
Â
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.  Read More…
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico
Today Dr. Alex Jimenez, Clinical Nutritionist Ana Paola Rodriguez Arciniega, and Senior Health Coach Kenna Lee Vaughn discuss the function of Chronobiotic molecule, Melatonin. Discussion:…
As part of our personalized medicine approach in our offices, we take our remote patient monitoring and virtual health software beyond the technology to provide…