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,…
The gut has a significant impact on the rest of the body systems. Research has shown an overlap in risk profiles when assessing the gut and its connection to the other human body systems. For example, the chronic health conditions linked to gut dysfunction are eczema, leaky gut, brain fog, headaches, inflammation, swelling, and an abundance more.Â
The Gut
The human gut is flooded with pathogens and bacteria. These gut pathogens are essential for health and proper function. The bacteria that infest the gastrointestinal tract is combined with both positive and negative commensals. The digestive tract associated with these microbes is known as the gut microbiome. The gut microbiome has an essential role in disease and overall health. There are over 1000 microbial species living within the gut.Â
The growth and involvement of the human microbiome begin at birth. An infant does not have many pathogens. However, at birth, they are quickly colonized. As infants pass through the mother’s birth canal, they are exposed to the mother’s microbiome. This process heavily influences the child’s intestinal flora. Infants who were born via cesarean section showed a reduced number of microbes by the age of just one month.Â
Additionally, the human microbiome contains genes that are linked to metabolic processes. The bacteria in the human gut produce essential nutrients such as vitamins and hold a high responsibility to synthesize amino acids. The lining of the gut consists of tight junctions. Over time, these tight junctions can become irritated if the bacteria is off balance or food is not being digested properly. When food becomes an irritant, it causes the body to create additional inflammation. The undigested food particles then begin leaking out of the gut, back into the bloodstream.Â
Inflammatory Pathways Impacted By Gut HealthÂ
The intestinal epithelium layer is the main component separating the immune system and the external environment. Cells alert threats from pathogens by signaling the immune system through receptors that are associated with specific bacteria in the gut. These responses lead to the release of peptides, cytokines, and white blood cells. These responses can even trigger cell death.Â
The gut-brain axis is communication that relies on neural, hormonal, and immunological signaling. This communication is directly related, and stress has been shown to influence the integrity of the gut and its production, ultimately leading to changes in metabolism.Â
IBS is abdominal pain or discomfort associated with inflammation and changes in gut habits. Those who have higher bad bacteria levels in their gut suffer from more inflammation and side effects associated with IBS.Â
Inflammatory pathways can disrupt many body functions. Some have been linked to metabolic diseases such as type 2 diabetes. Although type 2 diabetes is a complex disorder influenced by genetic and environmental factors, it may also involve the composition of the intestinal microbiota.Â
Gut Health and The Musculo-Skeletal SystemÂ
As previously stated, the gut microbiota is now recognized as a major contributor to health-related issues of the host. With imbalanced microbiota (associated with undernutrition, inflammatory and metabolic diseases, etc.), we see the influence of skeletal muscle and how it is impacted in relation to growth, performance, aging, and chronic diseases.Â
Conversely, microbial imbalance alters the intestinal barrier (leaky gut), allowing the passage of endotoxins (like undigested food particles and lipopolysaccharides). These endotoxins trigger innate immunity, leading to low-grade inflammation and, as a consequence, muscular disorders.Â
Additionally, we see muscle loss and weakness linked to increased morbidity and mortality recently related to systemic inflammation.
Chiropractic can be defined as “a system of healthcare which is based on the belief that the nervous system is the most important determinant of a person’s state of health.” Chiropractic treatments include the manipulation of the spine. With the manipulation of the spine, digestive disorders have seen improvement. Regular chiropractic visits are also shown to help decrease overall inflammation. Â
InBody
Considering the topic of inflammation, the use of the InBody 770 provides an ECW/TBW ratio. This ratio considers science down to the orthomolecular level and is an inflammation indicator. Additionally, the InBody 770 report shows a breakdown of the water in each limb. This chart is helpful in understanding and pinpointing where inflammation is occurring. Additionally, we use the InBody 770 to see a patient’s SMM (skeletal muscle mass), body fat mass, percent body fat, visceral fat (a risk factor indication related to heart attack, stroke, and type two diabetes), and phase angle. The video below provides more information on how a BIA analysis works to provide this information.
Ways To Help Your GutÂ
THERE ARE MANY WAYS TO IMPROVE GUT HEALTH AND REDUCE INFLAMMATION. I HIGHLY RECOMMENDED HAVING LAB TESTING DONE TO TEST YOUR MICROBIOTA AND SEE WHAT STRAIN STRENGTH AND TYPE OF PROBIOTICS WILL HELP YOUR BACTERIA. ASIDE FROM THAT, EATING FERMENTED FOODS AND AVOIDING INFLAMMATORY TRIGGERS WILL REDUCE INFLAMMATION AS WELL. ANOTHER TEST I RECOMMENDED IS A FOOD SENSITIVITY TEST. THIS TEST WILL SHOW WHAT FOODS YOU ARE HAVING REACTIONS TO, AND THE SEVERITY OF THE DAMAGE CAUSED EACH TIME YOU INGEST THEM. -KENNA VAUGHN, ACSM-CEP, SENIOR HEALTH COACHÂ
Sample reports for both of these tests are shown below:Â
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[wp-embedder-pack width=”100%” height=”400px” download=”all” download-text=”” url=”https://www.vibrant-america.com/secure/home/DownloadDoc?video_id=2&document_id=1&doc_mime_type=pdf&doc_name=MK-0026-11%20Gut%20Zoomer%203.0%20Sample%20Report” /]
References:Â
Bull, M. J., & Plummer, N. T. (2014). Part 1: The Human Gut Microbiome in Health and Disease. Integrative medicine (Encinitas, Calif.), 13(6), 17–22. Â
Gizard, F., Fernandez, A., & De Vadder, F. (2020). Interactions between gut microbiota and skeletal muscle. Nutrition and metabolic insights, 13, 1178638820980490. doi.org/10.1177/1178638820980490Â
Segen JC. Dictionary of alternative medicine. Stamford: Appleton and Lange; 1998. Â
Welcome to the last part of our newest functional Medicine presentation brought to you by Dr. Alex Jimenez, in this episode we will talk about…
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…
The human body is more complex than scientists understand. Constantly, new research is being conducted and published that dives deeper into the bodies of multiple systems, uncovering new thought-provoking information. As of late, a lot of research is being conducted revolving around the human gut/gastrointestinal system. Originally thought, the gut was made to store and digest food. However, now we see that the gut is the real mastermind behind everyday bodily functions. The gut has now been linked to headaches, inflammation, and autoimmune disease.Â
BackgroundÂ
The digestive tract is one of the essential immune support organs. In fact, it is the immunological powerhouse that houses more than 80% of our antibody-producing cells. This means that our gut is the first line of defense when it comes to unwanted antigens. The gut is so powerful that researchers began to question and test its true abilities.Â
The GutÂ
The thought of the body having two brains sounds fictional, but scientists have begun referring to the gut as the body’s “second brain.†Researchers found that the brain in the human skull, working with the Central Nervous System (CNS) and the gut working with the Enteric Nervous System (ENS), can function separately. Although the two use the same “hardware,†the ENS can manage every aspect of digestion and is a nearly self-contained network of neurotransmitters and proteins.Â
Just throughout the small intestine, there are more than 100 million nerve cells. If you combine the number of nerve cells in the human GI tract, you will find that there are more nerves in the gut than there are in the human spine. This allows the ENS the capability to help with ION transport and GI blood flow.Â
Nearly every substance the body contains to control the brain can simultaneously be found in the gut. One of these substances being serotonin. 95% of serotonin is housed in the gut. A cell referred to as the enterochromaffin squirts serotonin into the wall of the gut, which then communicates with the nerve cells to get things moving. 90% of communication occurring is from the gut to the brain. When we take this into consideration with chiropractic care, we see how it is all connected. Chiropractic care focuses on the musculoskeletal system. The musculoskeletal system includes bones, muscles, tendons, ligaments, and soft tissue. All of these work together to support your body’s weight and help you move to perform daily functions. Injuries, disease, and aging can cause pain, stiffness, and other problems with movement and function. The muscular system is an organ system that consists of skeletal, smooth, and cardiac muscles. Smooth muscle is what lines the interior of the gut. As we know, the muscle systems in vertebrates are controlled through the nervous system. In fact, studies have shown that chiropractic care helps to reduce constipation, low back pain, and overall well-being. This study shows how the gut and digestive systems are directly connected to chiropractic care.
Inner Defense SystemÂ
As previously mentioned, the gut is our inner defense system. The mucosal layer that is associated with lymph node tissue is our primary source of immunological function. Gut-Associated Lymphoid Tissue (GALT) is the first to see foreign invaders and put up a fight. GALT produces two levels of defense, the most abundant being secretory IgA. Secretory IgA binds to antigens to provide protection against microbes.Â
It is important to note that secretory IgA in itself is NON-Inflammatory. However, when secretory IgA is fighting, it sends off signals for help from other immune cells, such as IgG and IgM, which do produce an inflammatory response.Â
Most individuals who have an autoimmune disease have worn-out IgAs. The goal of the gut and its defense system is to keep nutrients in while bouncing antigens off. In the case of autoimmune diseases, we see nutrients leaking out and antigens coming in.
InBody
In order to gain a better understanding of the health of our patients, we use the InBody 770. This allows us to assess health down to the orthomolecular level. With the use of the InBody, we can see phase angle, visceral fat (higher visceral fat has an association with type 2 diabetes, heart attack, and stroke), intracellular water, extracellular water (this is related to inflammation and swelling), lean muscle, and percent body fat. These numbers are critical when considering a health condition, especially if the extracellular water is high. We see a direct overlap in risk profiles with excess extracellular water to other inflammatory diseases and markers.Â
With more research shining a light on these, we see the true the gut and how it comes into play with autoimmune disease and inflammation.Â
[embedyt] www.youtube.com/watch?v=_6_sG_JV-0Q%5B/embedyt%5D
THE GUT IS GENUINELY SO POWERFUL AND HIGHLY OVERLOOKED. I CAN SPEAK FROM EXPERIENCE IN HAVING AN AUTOIMMUNE CONDITION WHERE NOT A SINGLE DOCTOR MENTIONED MY DIET OR MY GUT! NOW, KNOWING THIS INFORMATION AND BEING SURROUNDED BY PATIENTS WHO SUFFER FROM A DISEASE SIMILAR TO MINE, IT IS THE FIRST PLACE WE LOOK. THE GUT IS THE POWERHOUSE AND SHOULD BE TREATED AS SO. -KENNA VAUGHN, SENIOR HEALTH COACHÂ
ReferencesÂ
University, Functional Medicine and Ronald Grisanti , directors. Physiology of the Gut Associated Lymphoid Tissue, Enteric Nervous System and Mucosal Barrier. Functional Medicine University – The Leader in Online Training in Functional Diagnostic Medicine, 2010,.
Rédly M. (2001). The effects of chiropractic care on a patient with chronic constipation. The Journal of the Canadian Chiropractic Association, 45(3), 185–191.Â
[zrdn-recipe id=”43″] www.simplysorghum.com/recipe/view/227/sorghum-breakfast-bowl Recipe posted by: Simply Sorghum
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…
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 it comes to Neuromusculoskeletal disorders, many techniques are available for one to learn. Some of these techniques include:Â
Activator methodsÂ
Applied Kinesiology
Atlas SpecificÂ
Meric SystemÂ
Network ChiropracticÂ
Pro-AdjusterÂ
And Many MoreÂ
As a healthcare practitioner, upwards of 90% of your consultations involve a clinical investigation. The most often asked questions to patients include “How long have you had the pain?†and “What aggravates the pain?†However, it is imperative to determine the best course of treatment for patients. To properly do this, you do a functional history that includes all dimensions of wellness, not just physical and pain. These questions include:Â
Past Medical HistoryÂ
Occupational StatusÂ
Social StatusÂ
Medication HistoryÂ
Surgical HistoryÂ
Identifying non-neuro muscular disorders the patient may have like diabetes, fibromyalgia, rheumatoid arthritis, and cancerÂ
Understanding all areas of injury is vital due to neurological referred pain. Neurological referred pain occurs when signals get mixed in your neurological wiring. Sensory inputs from different areas of the body combine into single neurons (the nerve cells) in the spine. In the spine, they are integrated and modified before being sent to the brain. To properly assess and have successful treatment, one must identify the proper tissue that has been compromised.Â
Along with this, there are perpetuating factors that can lead to downfalls as well.Â
Mechanical Stresses
The stresses that directly impact pain and the skeletal system include short leg, hemipelvis, long second metatarsal, short upper arms, postural stresses, misfitting furniture, poor postures, abuse of muscles, and immobility.Â
Short leg is seen frequently and puts a biomechanical strain on the supporting muscle. This creates a distortion of axial alignment. The main muscle impacted is the quadratus lumborum. This muscle being compromised is one of the most overlooked sources of low back pain. Once this is identified, the shoulder girdle should be evaluated next. If individuals are suffering from low back pain frequently, nutritional inadequacies should be considered.Â
There are research studies done showing nutritional deficiencies to be associated with chronic neuromusculoskeletal system disorders. For optimal health, we focus on the body down to the orthomolecular components. These include:Â
B1
B6
B12
Folic Acid
Vitamin C
CalciumÂ
PotassiumÂ
IronÂ
MagnesiumÂ
InBody
Part of obtaining a full history is having patients undergo an InBody scan. This scan focuses on body composition and inflammation. It provides a full report of water, percent body fat, phase angle, visceral fat, basal metabolic rate, ECW/TBW and contains multiple segmental analysis sections. The InBody 770 high power technology to accurately assess patients.
[embedyt] www.youtube.com/watch?v=WwbIsPNUYqs%5B/embedyt%5D
Â
THE HUMAN BODY IS VASTLY INTERTWINED AND HEALTH CARE PROVIDERS SHOULD BE LOOKING AT EVERY AREA IF YOU ARE EXPERIENCING PAIN OR DISCOMFORT. A DETAILED HISTORY CAN HELP DOCTORS GET TO THE ROOT SOURCE OF YOUR PAIN. -KENNA VAUGHN, ACSM-EP, SENIOR HEALTH COACHÂ
References:Â
Dr Ron Grisanti,D.C “Insiders Guide.†Functional Medicine University (FMU).Â
Williams FH. Neuromuscular complications of nutritional deficiencies. Phys Med Rehabil Clin N Am. 2008 Feb;19(1):125-48, vii. doi: 10.1016/j.pmr.2007.10.006. PMID: 18194754. 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
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
[zrdn-recipe id=”34″] www.simplysorghum.com/recipe/view/220/apple-cinnamon-newtons Recipe posted by: Simply Sorghum
Stress can be defined as any external or internal challenge that disrupts homeostasis in an individual. How stressed an individual feels varies depending on their coping skills and mechanisms. For most, stress is anything that causes a flight or flight response. There are several emotions that cause individuals to feel this flight or fight response. A few possibilities are:
Bitterness
Resentment
Retaliation
Anger
Trauma
Betrayal
Rage
DepressionÂ
GossipÂ
Self-hate
Being rejectedÂ
LonelinessÂ
ShameÂ
A stressor produces different mixes of the nervous system and hormonal responses. One stressor may lead to the nervous system activation releasing catecholamines, but small amounts of adrenaline and cortisol. However, another stressor may result in the opposite reaction. In studies performed, it is stated that there are direct relationships between behavior, the brain, and immunity. One association that is well studied is the relationship between autoimmune diseases and self-hatred. By attacking ourselves with our own harsh words and negative thoughts, we see a direct relationship corresponding to an autoimmune response, ultimately ending in autoimmune disease. The study can be viewed below:
Dangers of Excessive CortisolÂ
Cortisol is released in times of stress. It is necessary, but when too much cortisol is released for too long, the body sees side effects. The adrenal glands are consistently producing cortisol. Cortisol stimulates the conversion of noradrenaline to adrenaline. This creates an increased amount of adrenaline in the blood. Cortisol also blocks the conversion of the T4 thyroid hormone. Due to this, individuals under stress may develop systems of hypothyroidism. Additionally, cortisol suppresses the production of T-cell activity. This increases the risk of infection.Â
Another study states that animals genetically susceptible to insulin-dependent diabetes (Type 1 Diabetes) developed the disease more frequently when they were subjected to stress. While under stress, the elevated cortisol levels in the bloodstream block insulin, making it difficult to control blood glucose. Â
Phase AngleÂ
Stress plays an essential factor in phase angle as it disrupts homeostasis. The phase angle is a snapshot at cellular health that provides practitioners with the integrity of your cellular membranes. The healthier an individual is, the higher their phase angle, making it harder for inflammation and infection to infiltrate. The more stress an individual is under, the higher their cortisol is. This increases their blood glucose level and can result in a higher body fat percentage. These combined decrease cellular health and cause a permeable cellular membrane. We evaluate and monitor our patient’s phase angle by using an InBody 770 machine. The anthropometric measurements show us where inflammation is and other significant numbers such as visceral fat, basal metabolic rate, and segmental water analysis.Â
[embedyt] www.youtube.com/watch?v=WwbIsPNUYqs%5B/embedyt%5D
Diagnostic TestingÂ
Although we utilize many different diagnostic lab companies, we use the Adrenal Hormone Report from Doctors Data to measure cortisol levels. A sample report is shown below:Â
Â
Â
CORTISOL IS NECESSARY, AND STRESS IS A NATURAL RESPONSE TO PROTECT THE BODY. HOWEVER, WHEN WE SEE THE “STRESS RESPONSE” ON FOR TOO LONG, WE KNOW OTHER ISSUES ARE GOING ON. IT IS CRUCIAL TO REMEMBER TO RELAX, TAKE TIME TO FOCUS ON DEEP BREATHING, MEDITATION OR YOGA, AND UNWIND. -KENNA VAUGHN, ACSM-CEP, SENIOR HEALTH COACHÂ
References:Â
Maier SF, Watkins LR, Fleshner M. Psychoneuroimmunology. The interface between behavior, brain, and immunity. Am Psychol. 1994 Dec;49(12):1004-17. doi: 10.1037//0003-066x.49.12.1004. PMID: 7818221.Â
Dr Ron Grisanti,D.C “Insiders Guide.†Functional Medicine University (FMU).
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
Â
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