Retinoids: Your Skin Care Essential

2023-08-21T13:14:56+00:00August 21st, 2023|Adults, Direct Primary Care, Families, Family Medicine, Health Care, Public Health|

Skin Care Routines: The Lowdown on Retinoids

As we age, collagen production slows… causing wrinkles and signs of aging. Eating a diet rich in anti-oxidants, staying hydrated, using daily facial sunscreen and moisturizer are all critical components for a healthy skin care routine. Today we look at retinoids as a basic foundation for anti-aging skin care routines.

What are retinoids?

A derivative of vitamin A, retinoids can tackle everything from fine lines and pigmentation to acne. They achieve this by boosting the turnover rate of skin cells. Retinoids accelerate the rate of skin cell division and new cell growth which helps thicken the top layer. Retinols and other retinoids also work deep in the skin’s dermis layer to stimulate collagen and elastin production. These skin proteins naturally decrease with time, leading to thinning skin and other visible signs of aging. Boosting their production, then, allows retinoids to offer pro-aging support.

What’s Retinol?

When it comes to retinol and retinoids, plenty of people get a little confused — but with good reason. These two anti-aging ingredients aren’t entirely different. In fact, retinol is a sub-type of retinoid.

From reducing the appearance of wrinkles to easing the effects of sun damage retinoids can offer plenty of skin benefits. Retinoids most often describe more powerful prescription products, while retinol generally refers to weaker over-the-counter (OTC) formulas. OTC formulas tend to be less drying but they are still effective… if used consistently over long periods of time.

Feeling confident in our skin is an important part of well-being. At Roots Health DPC we support our patients on their wellness journey.

Should you use retinoid or retinol?

Before deciding, you’ll want to consider your skin type and the severity of the problem you’re trying to treat. Retinols are generally recommended for dry skin as they tend to be less drying and often are formulated with hydration ingredients.

Side effects of retinoids including irritation, redness, burning suggest an overly aggressive routine and can occur if you do not “ease your way” into retinoid use by starting slowly.

Contraindications to all retinoids include pregnancy, lactating, or trying to conceive.

How to use retinoids?

WHEN to put them into your skin care routine: at night after washing with a gentle cleanser. Start 3 nights per week and increase to daily after a few weeks if your skin can tolerate.

HOW to apply: use a pea-size amount when face is dry. Apply moisturizer afterward to avoid irritation. Using sunscreen on a daily basis is a MUST while applying retinoids.

ANYTHING ELSE? Check the ingredient list of your other skin care products, as retinoids can interact with other formulas and should not be used with benzoyl peroxide for example.

Combining retinoids with ethyl alcohol or acidic products, can dry out your skin and lead to redness and irritation.

If you have dry skin, creamier formulas can offer more hydration. If you have normal, oily, or combination skin, you might prefer a thinner gel consistency.

We are accepting a limited number of new patients.

Effective Migraine Treatments

2023-08-14T13:00:08+00:00August 14th, 2023|Adults, Family Medicine, Health Care, Public Health|

Treating Migraines: What works?

What medicines can help relieve migraine pain?

There are 2 main categories of medications for migraine treatments: abortive and preventive.

Abortive treatments focus on stopping the headache from becoming severe and relieve the headache pain. These treatments are best started as soon as the migraine is first noticed to be starting.

Preventive treatments are medicines that are taken daily to reduce how often headaches occur and aim to decrease the frequency of migraines.

 

Migraine diagnosis and treatment planning is unique and individualized based on symptoms and co-existing conditions.

Speaking to your physician about your migraines is imperative. When patients at Roots Health DPC have a migraine they know they can call or text their physician anytime and adjust the treatment as needed. Can you get ahold of your doctor when you need health care?

Once you have identified migraine triggers and made lifestyle changes, if your migraines are still affecting your well-being there are a plethora of options to review with your physician. We review a few of them briefly here.

Abortive Medications: Medications used to relieve migraine pain work best when taken at the first sign of an oncoming migraine — as soon as symptoms of a migraine begin.

Abortive medications include:

-Over the Counter Migraine relief medications that combine caffeine, aspirin and acetaminophen (Excedrin Migraine) may be helpful against mild migraine pain.

-Triptans: Class of meds including sumatriptan (Imitrex) and rizatriptan (Maxalt) treat migraines and are taken as pills, shots or nasal sprays.

-Dihydroergotamine (Migranal): Available as nasal spray or injection.

–Others: Lasmiditan (Reyvow) an oral tablet, Gepants class including Ubrogepant (Ubrelvy), and Zavegepant (Zavzpret) a nasal spray.

Preventive medications. These types of drugs are taken regularly, often daily, to reduce the severity or frequency of migraines.

Preventative Options include:

-Blood pressure-lowering medications: beta blockers such as propranolol and metoprolol. Calcium channel blockers such as verapamil.

-Antidepressants. A tricyclic antidepressant, amitriptyline.

-Anti-seizure drugs. Valproate and topiramate (Topamax).

-Botox injections. Injections about every 12 weeks help prevent migraines in some adults.

–Others: Calcitonin gene-related peptides (CGRP) monoclonal antibodies are newer medicines given monthly or quarterly by injection, some gepants are used daily.

If you are looking for board-certified physician care that takes time to address all of your health care needs in a comprehensive manner…. Schedule an introductory call today.

Migraine Headaches

2023-08-07T13:38:06+00:00August 7th, 2023|Adults, Direct Primary Care, Families, Family Medicine, Family Practice, Health Care, Public Health|

Is it a Migraine Headache?

Migraines can cause throbbing pain, usually on one side of the head. These headaches are often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Attacks can last for hours to days, and the pain can interfere with daily activities.

What is an Aura?

A warning symptom, an aura, can occur before the headache. An aura might be visual disturbances, such as flashes of light, or other disturbances, like tingling on one side of the face, arm or leg or even difficulty speaking.

Risk Factors for Migraines

Family history: If you have a family member with migraines, then you have a good chance of developing them too.

Sex. Women are three times more likely than men to have migraines..

Age. Most people have their first migraine during adolescence, but migraines can start at any age, usually before age 40.

Hormonal changes. Headaches can begin around menstruation. They can change during pregnancy or menopause. Migraines generally improve after menopause.

Are you looking for a board-certified physician who you can just text to answer your medical questions when you don’t feel well?

Triggers for migraines

Certain Drinks and Foods . Alcohol and excess caffeine can trigger migraines.

Stress triggers migraines. Stress includes feeling overwhelmed at home or work. But you can also become stressed by exercising too much or not getting enough sleep.

Senses: Loud sounds, bright lights , or strong smells may trigger migraines.

Hormonal changes. Fluctuations in estrogen, such as around menstrual periods, pregnancy and menopause can worsen migraines.

Illness. Infections, such as the cold or the flu, may trigger migraines, especially in children.

Weather changes. A change of weather or barometric pressure can prompt a migraine.

Medications. Some medications, including oral contraceptives, can trigger migraines

Keeping a Journal of your migraine symptoms can be a key to treatment planning.

Do you recognize the value of high-quality board-certified care with a physician you trust and can reach easily?

health insurance does not equal health care

2023-07-31T15:23:27+00:00July 31st, 2023|Direct Primary Care, Public Health|

Health Insurance ≠ Health care

“I pay high monthly premiums for health insurance… shouldn’t it cover my health care costs?”

The reality is… it does not.

If you are like many, you are frustrated with the fact that you wait days to weeks to be seen and have additional out of pocket expenses every time you need to use your insurance card. These additional costs come in the form of copays and deductibles that can really add up quickly. Out of pocket expenses often approach thousands of dollars every year before your “insurance” will cover any costs. For example, if you need an MRI… you could end up paying thousands of dollars before your insurance will even start to cover any costs.

Discover how Roots Health Direct Primary Care can alleviate your frustrations of waiting for days or even weeks to be seen, and then deal with additional out-of-pocket expenses.

What is insurance for then?

Like any insurance product… it protects against catastrophe. If you have an accident or illness that causes you to be hospitalized, you will need to be covered. What coverage you choose… whether a high deductible plan or a health share plan or other options is something that you, as a savvy consumer, will want to take the time to understand.

Auto insurance is an illustrative example. You would not use it to fill up the gas tank or change the oil. Why? If you made an insurance claim every time you filled up the gas, your car insurance premiums would sky rocket. The health insurance industry is one of the most profitable industries in the world for this reason. They have sold America on the belief that they need to use their health insurance card to get health care and this allows them to increase the premiums every time you pull out that card.

Insurance has become unaffordable for many. The number one leading cause of bankruptcy in the US is medical bills. Think about that. If values were aligned to provide people with products that kept them healthy… would the “thing” that is supposed to keep them well cause them financial ruin?

The reality is that Health Insurance does not equal health care.

There are many ways to insure against catastrophe that do not cost an arm and a leg. Better health care does not need to be expensive. DPC provides a simple straightforward health care solution that aligns the incentives to keep you well and get you the care you need. The care is higher quality: a direct relationship with your physician without all the “go-betweens.” The care is convenient: you have care when you need it without waiting. The care creates significant savings on out of pocket costs: Labs, medications, and imaging are provided at discounted pricing with MRIs starting at $250.00 and basic labs under $5.00 each.

People are choosing health care that serves them best.

“The kissing disease”

2023-07-17T13:28:01+00:00July 17th, 2023|Adults, Direct Primary Care, Families, Family Medicine, Family Practice, Health Care, Public Health|

Mono, mononucleosis, is known as the “kissing disease.” This viral infection occurs in teens and young adults. It is spread through saliva and travels through groups living in close quarters, making outbreaks happen most frequently in dormitory living. It commonly causes a sore throat, but it can cause fatigue fever and swollen lymph nodes throughout the body.

What are the symptoms of mono?

Recognizing symptoms is essential for early diagnosis and effective care:

• Fatigue

• Fever

• Headache

• Muscle weakness

• Night sweats

• Sore throat

• Swollen lymph glands in your neck and/or underarms

• Swollen tonsils

Of note, these symptoms can be present in other diseases including Hodgkin’s Lymphoma, a type of cancer in young adults. It is important that you get an accurate diagnosis whenever you are sick. We recommend that you always seek care from your board-certified physician when it comes to your health and well-being.

Can you get into your board-certified physician quickly and easily when you need to see your doctor? At Roots Health DPC you can text your doctor directly for care when you need it.

What is the best care for Mono?

Supportive care is recommended generally to alleviate symptoms and facilitate smooth recovery. Most people recover from mono after about two weeks, though some symptoms may persist for longer.

Anti-inflammatory medications can help manage throat pain

Fluids to hydrate and nutrients to boost your immune system

Rest is crucial to prevent complications and aid recovery

Warm compresses to painful lymph nodes

Corticosteroids can be used in severe cases for tonsil swelling

Complications of mono include temporary inflammation of the liver (hepatitis), jaundice (yellowing of your skin and darkening of urine) or an enlarged or ruptured spleen.

Find Expert Board-Certified Care at Roots Health DPC Whenever You or Your Loved Ones Need Care.

Your Tiredness Explained

2023-07-10T14:05:23+00:00July 10th, 2023|Adults, Direct Primary Care, Family Medicine, Health Care, Public Health|

How tired is too tired?

What is the difference between “being tired” and the diagnosis of fatigue?

Tiredness happens to everyone — it’s expected after certain activities or at the end of the day. A good night’s sleep solves the problem.

Fatigue is an ongoing daily lack of energy: excessive whole-body tiredness not relieved by sleep. It can stop someone from functioning normally and affects a person’s quality of life.

What causes fatigue?

Lifestyle Factors. Taking an honest inventory of things that could be causing your fatigue is the first step toward relief.

Evaluating exercise, nutrition, alcohol use, and medications and routines can have an enormous impact on levels of fatigue.

Modifications can often dramatically impact levels of fatigue.

Medical Conditions. Speak to your doctor for an evaluation if you have fatigue.

Anemia: a common blood disorder that makes it hard for your blood to move oxygen to your organs. No oxygen, no energy.

Thyroid problems: this gland in your neck regulates your metabolism and energy levels. When the thyroid gland out of whack, you’re out of whack.

Depression: undiagnosed/untreated depression can rob your brain of the chemicals needed to work at its best.

Many other medical conditions including: Infections, Sleep Apnea, and Heart or Lung Disease can manifest the symptom of fatigue as well.

Recap:

Fatigue is never normal. Get back to living the life you want to live…seek care from your physician and get to the root cause of the problem so that you can start recovering and boost your energy levels.

Looking for a physician who listens and takes the time to answer all of your questions? At Roots Health DPC we offer unrushed comprehensive visits. Your wellness is our priority.

Recognizing Emergency Warning Signs For Headaches

2023-06-19T14:46:18+00:00June 19th, 2023|Adults, Direct Primary Care, Family Medicine, Health Care, Public Health|

Headaches Unveiled

Headaches are common… but What are the Emergency Warning Signs that tell you to seek care Immediately?

Almost everyone has had a headache at some point.  Headaches can be due something as simple as uncontrolled allergies to something as serious as a life-threatening aneurysm. 

Here we review the most common headache causes AND what the most concerning warning signs are that help you know when you should seek immediate care.

You never have to think about avoiding the hassle or going down the google rabbit hole again. Roots Health DPC makes health care simple and convenient for you and your family to just call or text your doctor.

The most common type of headaches is “tension-type” headaches.

Tension-Type headaches are most often caused by one of the following:

  • excessive caffeine intake
  • alcohol intake
  • vision problems

Correcting the underlying problem relieves these headaches.

When should I be concerned about a headache?

Headaches can be a sign of a life-threatening emergency. The following signs are reasons to seek care immediately:

  • It is the all-time worst headache ever
  • The headache is worst upon waking
  • There was loss of consciousness
  • Uncontrollable vomiting
  • Loss of vision

Patients at Roots Health DPC get the care they need when they need. You deserve to have high quality health care that you can rely on. Avoid the hassle of the traditional health care system. Enroll today. Space is limited.

Brain Health Matters

2023-06-12T14:05:04+00:00June 12th, 2023|Adults, Direct Primary Care, Families, Family Medicine, Family Practice, Health Care, Mental Health, Public Health|

Brain awareness JUNE 2023

Brain health matters… it helps to keep us sharp and staves off the effects of dementia. There are lots of great things you can do to keep your brain healthy and there has never been a better time to start than now!

Keeping Your Brain Strong ‍

Eating Healthy, Exercising Daily, Getting Plenty of Sleep, Paying Attention to Your Mental Health and Socializing with others are critical components to brain health. Today we are going to focus on the most important Tip for Brain Health: Continuing to Learn New Skills.

Your Mind Matters. Your Brain Health is critical to your Well-Being. Are you looking for a physician that cares for the Whole Person? At Roots Health we are changing the way health care is done.

Use it or Lose It.

Become a lifelong learner to keep your brain active and healthy. Engage in activities that stimulate your brain!

Every time you learn something new you build new connections between your brain cells and the more stimulated your brain is, the more active it becomes. Challenging the brain is key.

  • travel to new places
  • learn a new language
  • take a course
  • play a new game: puzzles, chess, workbooks
  • read a book
  • draw or paint
  • listen to new music
  • learn new recipes
  • play a musical instrument: piano is thought to engage both left and right brain at the highest level

More than ever, it’s important to take care of our minds in the same way we take care of our bodies. At Roots Health DPC, we help patients by prioritizing health and wellness so they can reach their goals in life. Limited space available. Join today.

Tips for Early Detection of Skin Cancer

2023-05-15T14:01:40+00:00May 15th, 2023|Adults, Families, Family Medicine, Family Practice, Health Care, Public Health, Uncategorized|

What are the skin changes you should not ignore? Skin cancer is the most common form of cancer in the United States. Knowing how to do a skin self-exam and what the warning signs are for melanoma are the key for decreasing risk. Follow these tips to increase your chances of spotting skin cancer early, when it’s most treatable.

How to perform a skin self-exam

Examine your body in a full-length mirror-Examine your body front and back in a mirror, then look at the right and left sides with your arms raised.

Look at your underarms, forearms, and palms-Bend your elbows and look carefully at your forearms, underarms, and palms.

Look at your legs, between toes, and soles of your feet-Look at the backs of your legs and feet, the spaces between your toes, and the soles of your feet.

Use a hand mirror to examine your neck and scalp-Examine the back of your neck and scalp with a hand mirror. Part your hair for a closer look at your scalp.

Use a hand mirror to check your back and buttocks-Finally, check your back and buttocks with a hand mirror.

If you notice any new spots on your skin, spots that are different from others, or spots that are changing, itching or bleeding, make an appointment to see a board-certified dermatologist.

Get your FREE SKIN CANCER SCREENING IN MAY with board certified dermatologist, Dr Kiracofe!

Remember the “ABCDE rule”

Note changes in moles or birthmarks that can be warning signs of melanoma, the deadliest form of skin cancer.

A-Asymmetry where one half looks different from the other

B-Borders of the mole that are irregular or not sharply demarcated

C-Color is varied from one area to another

D-Diameter over 6mm (the size of a pencil eraser)

E-Evolving or changing in size shape or color

Are you looking for High Quality health care with a board certified physician that you know and trust? Set up an initial complimentary consultation to learn more about how we always put patients first.

Protecting Your Skin

2023-05-09T02:34:01+00:00May 8th, 2023|Adults, Direct Primary Care, Family Medicine, Health Care, Public Health|

SKIN CARE this SUMMER

Summer is almost here…. and with it comes lots of outdoor activities. Protecting your skin from the sun is imperative. Did you know that skin cancer is the most common type of cancer?

The good news is that skin cancer can be prevented and it can almost always be cured… when it’s found and treated early.

4 Simple Skin Cancer Prevention Tips:

-Seek the shade between 10am-4pm

-Do NOT get a sunburn

-Use broad spectrum sunscreen SPF 30 or higher and reapply after 2hours

-Examine your skin once a month

Get your FREE SKIN CANCER SCREENING IN MAY with board-certified dermatologist, Dr Kiracofe.

Are you looking for High Quality health care with a board certified physician that you know and trust? Set up an initial complimentary consultation to learn more about how we always put patients first.

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