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What is a Ketogenic Diet and What are its Benefits

A keto diet is a high-fat, moderate-protein, and low-carb diet. It is designed in such a way that you get more calories from fat and protein than from carbs, which will essentially cause your body to go into a metabolic state known as ketosis.

Ketosis refers to the state where your body depletes its glycogen (or sugar) stores, causing it to find alternative sources of fuel. With a keto diet, your body (liver) is forced to process the high fat and protein food you consume for energy, resulting in weight loss. Reducing your carbohydrates intake significantly improves the ability of your body to burn fat (convert fat into ketones in the liver) for energy.

Types of Keto Diet
There are several variations of the ketogenic diet that feature low-carb intake, including:

The standard keto diet (SKD) – Constitutes 75% fat (high-fat), 20% protein (moderate protein), and 5% carbs (low-carb).
The cyclical ketogenic (CKD) – Alternates 5 days of the SKD diet with 2 days of higher carb refeeds (the routine can vary)
Targeted ketogenic diet (TKD) – Allows you to increase your carbs intake for your workouts
High-protein ketogenic diet (HKD) – Features a higher protein intake than the SKD, so your meals contain 35% protein, 60% fat, and 5% carbs.

There are other variations of the keto diet, though the SKD is the most popular.

Benefits of the keto diet
Epilepsy control – The ketogenic diet was originally designed to reduce/prevent seizures in children where medication was ineffective.
Weight loss – Researchers have observed that the keto diet is more effective than most low-fat diets. It doesn’t require you to track your food or even count calories because of the higher protein intake. The keto diet increases ketones and lowers blood sugar and insulin (fat-storing hormone) levels, which further enhances weight loss.
Fuel for the brain – The keto diet provides increases ketones supply to the brain which improves focus and concentration
Less stomach problems – People on a keto diet report significantly less bloating, stomach cramps, and low risk of diarrhea
Better type II diabetes control – Reducing carbs intake allows for better control of blood sugar and significantly improves insulin sensitivity
Improved physical endurance – The keto diet forces your body to draw energy from the abundant fat stores
Prevents cancer – Carbs are converted to glucose in the body, which fuels cancer cells. Reducing carbs intake would, therefore, deny cancer cells of the energy they need to grow.
Prevents acne – Carbs increase the production of growth hormones like insulin and IGF, which cause acne. Reducing your carb intake would naturally reverse this.

Contact us today
Any drastic change in your diet is potentially harmful to your health. Before starting your new diet, we recommend that you visit Evolve Healthcare to discuss your goals with one of our physicians or nutritionists. This is particularly important if you want to start the keto diet as a way to manage heart disease, diabetes, or hypoglycemia.

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Bioidentical Hormone Replacement Therapy

Biodentical hormone replacement therapy (BHRT), is an increasingly common procedure that introduces hormones into your body to resolve the symptoms associated with hormone decline or imbalance. These hormones are chemically identical to those produced in your body, and include testosterone, progesterone, estrogen, and adrenal hormones.


The hormones used in BHRT are “natural” and identical to those produced in your body, which makes them safer for our clients. Our treatments have proven to be beneficial to people of all ages, especially women in the perimenopause or menopause stages to help them manage the associated symptoms that include:

  • Night sweats
  • Hot flashes
  • Memory loss
  • Mood swings
  • Sleep problems
  • Weight gain
  • Low libido and pain during sex

Bioidentical hormone replacement therapy can also help to reduce the risk of cardiovascular disease and bone loss, and help to manage other problems associated with:

  • Aging – by improving skin hydration, elasticity, and thickness and reducing wrinkles
  • Cancer – by restoring normal estrogen levels and providing relief from treatment-related symptoms including insomnia, migraines, low libido, and incontinence
  • Thinning hair
  • Exhaustion and less energy
  • Reduced concentration, memory problems, brain fog

Before trying bioidentical hormone replacement therapy, we recommend that you first discuss other treatment options with our Evolve Healthcare physicians Woodland Hills or Calabasas, such as diet, exercise, stress management and others. Depending on your case, we may integrate BHRT in your treatment plan to optimize your health and recovery.


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Glutathione: The Miracle Antioxidant


It’s a strange word but most people are starting to hear it more and more. This is mainly due to the fact that Glutathione is an increasingly popular antioxidant that has so many preventative health benefits and properties that can combat a wide range of diseases and health concerns.


What is Glutathione?

Glutathione is an antioxidant produced in cells. It’s comprised largely of three amino acids: glutamine, glycine, and cysteine.

While vitamins C and E are the most well-known antioxidant supplements, because they neutralize free radicals, glutathione has the added benefit of being a powerful antioxidant because glutathione exists within the cell. Glutathione is found in every type of cell, including cells in the immune system. Glutathione helps to fight against disease, which is why proponents of the supplement suggest it works against cancer and other diseases.


What are the benefits?

  • Fights free radicals in the body by reducing oxidative stress
  • Anti-aging properties
  • Improves mental health and clarity
  • Improves quality of sleep
  • Reduces effects of stress
  • Clarifies the skin
  • Maintains energy productions
  • Activates enzymes
  • Improves skin conditions (such as Psoriasis, eczema, etc.)
  • Improves insulin resistance
  • Reduces symptoms of Parkinson’s Disease
  • May help fight autoimmune disease
  • Builds and strengthens the immune system
  • Rebuilds damaged amino acid chains

* Although you can ingest Glutathione orally, it is more effective if given through injection.


**To see all the amazing benefits, as well as how Glutathione works in your body, read GSH: Your Body’s Most Powerful Protector by Jimmy Gutman MD, FACEP**

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Acupuncture for Jaw Pain Relief

Why acupuncture is effective for Jaw Pain Relief?
 TMJ (Temporal Mandibular Joint Pain) may result from muscle overload from trauma or repetitive activities that cause abnormal stress on specific muscle groups. Clinically, patients complain of tenderness, headaches, restricted movement of the jaws, muscle stiffness, and weakness.
-Acupuncture directly stimulates the release of endorphins and neurotransmitters. These are naturally occurring substances that help dampen and block pain perception by the brain.
– Research has determined the recommended acupuncture points,  frequency (weekly), and duration (30 minutes per session) of acupuncture treatment for TMJ-related problems has been documented to help muscle relaxation and reduce muscle spasms, if the spasms are muscular in origin.  Acupuncture can also help minimize TMJ “clicking” by relaxing the lateral pterygoid muscles, and therby reducing the anterior displacing force on the meniscus.
–  Acupuncture relieves muscle spasms and decreases pain and swelling, releasing the jaw naturally for the joint to move freely. Additional points help flush toxins, boost immunity, calm the mind and balance the other systems within the body such as digestion and sleep all in one treatment.
–  Temporomandibular disorder (TMD) is clinically characterized by pain in the masticatory muscles of the temporomandibular joint (TMJ).
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Reducing Stress with Acupuncture

We all know that life is can be stressful. But did you know that Acupuncture can help relieve stress?
The body secretes an assortment of hormones into the bloodstream as a reaction to stress, acupuncture blocks the chronic, stress-induced elevations of hormones and calms the fight or flight response. Acting on areas of the brain known to reduce sensitivity to pain and stress, as well as promoting relaxation and deactivating the ‘analytical’ brain, which is responsible for anxiety and worry

Regulating levels of neurotransmitters (or their modulators) and hormones such as serotonin, noradrenaline, dopamine, GABA, neuropeptide Y and ACTH; hence altering the brain’s mood chemistry to help to combat negative affective states. Stress activates the sympathetic nervous system, while acupuncture can activate the opposing parasympathetic nervous system, which initiates the relaxation response.
Research at UCLA showed stress related high blood pressure reduced when subjects were treated with acupuncture.
Acupuncture for anxiety works faster than therapy and keeps you medication free!  Some prescription drugs can have serious side effects and can lead to dependency.  Because it regulates the body’s chemical balance acupuncture can even prevent people from needing medication at all.
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Weight Loss with Acupuncture

Acupuncture is just for pain management right? No!
How does Acupuncture help you lose weight?
– Prevents food cravings
– Suppresses appetite
– Increases metabolism
– Burns fat
Recent studies have shown that when acupuncture is combined with traditional methods of weight loss (reduced calorie diet and appropriate physical exercise.), patients lose more weight.  Acupuncture helps give you an extra boost along the way!
Needles act to stimulate the release of endorphins, the body’s natural “feel good” hormones. This can create a calming, relaxing effect, which counteracts the need for excessive eating brought about by increased stress, frustration or anxiety.
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What Can Botox Do For You?

Many think of Botox as a cosmetic procedure that turns your face into a “frozen fish.” This perception is actually false. If done right, Botox can yield very natural and positive results. Botox uses nerve signal blockers, which relaxes the muscles. In turn, this diminishes the look of lines and wrinkles.


Fighting fine lines and wrinkles


Botox used for an eyebrow lift


Botox just isn’t for cosmetic purposes. It’s growing popularity is also due to its benefits in treating hyperhydrosis (excessive sweating), migraines, face spasms/twitches, and Bells Palsy.

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Acupuncture: The benefits behind the needle

Acupuncture? What’s that?

Acupuncture is a technique in which practitioners stimulate specific points on the body—most often by inserting thin needles through the skin. It is one of the practices used in traditional Chinese medicine.

The health benefits of Acupuncture include (but are not limited to):

  • Depression
  • Anxiety
  • Panic attacks
  • Insomnia
  • Smoking cessation
  • Addiction
  • Dizziness/headaches
  • Fatigue
  • Constipation
  • Diarrhea
  • IBS
  • Colitis
  • Nausea/Vomiting
  • Acid reflux
  • Weight management
  • Ashtma
  • Sore throat
  • Pneumonia
  • Sinusitis
  • Allergise
  • Shortness of breath
  • Back/knee pain
  • Arthritis
  • Bone/Nerve pain
  • PMS symptoms
  • Menopause



Our licensed Acupuncturist Denise DuRoss takes great care in assessing each patient. 



Through techniques such as traditional Acupuncture, cupping, and moxibustion, Denise has helped many patients achieve relief for many of their chronic symptoms. 




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How the Institutionalization of Medicine Has Destroyed the Doctor-Patient Relationship

As I reach the conclusion of an over decade-long training process to become an internal medicine physician, I find myself facing a dilemma I really did not expect. I am one of the few internists pursuing primary care and am hoping to build my own private practice.

Yet, while my training has prepared me to care for the sickest patients, I really don’t understand how to get paid for my work. The long and complicated medical training process does little to prepare young physicians for real world practice where a plethora of insurance, billing, documentation and pharmaceutical companies prey on naïve young physicians. Instead of teaching young doctors how to be independent leaders in their communities, medical training (pre-med, med school, residency, fellowship) remains stuck in archaic modalities of learning and communication, slow to adapt to modern technologies in a rapidly evolving world. As physicians complete lengthy training, we struggle to take our wealth of knowledge and experience to the community to build bonds to heal people, and instead we increasingly become frustrated employees with a diminishing role and no voice. The system is broken and we need current and future physicians to lead the evolution of health care.

Medical delivery is so fragmented with bureaucracy and specialization that both patients and physicians become exhausted attempting to traverse the convoluted landscape. We eventually take shelter in whatever comfortable scenario we can find, despite mounting frustrations with the breakdown of the doctor-patient relationship. The uncertainty and fear of rising and unpredictable expenses, coupled with loss of time and productivity, drive doctors to choose jobs within massive health care organizations rather than smaller private practices, despite the growing discontent with the loss of autonomy and choice in all aspects of patient care.

Patients and physicians so often share the same frustrations in this corporate medical environment. Short office visits due to overloaded schedules and unrealistic expectations push both doctors and patients to rush through issues instead of taking time to understand each other and build rapport. Increasingly redundant and burdensome documentation requirements drive a wedge, often in the form of a physical computer screen, between doctor and patient, further fracturing the bond. As physicians and patients try to choose the best treatment options, we soon find ourselves drowning in pre-certification forms, denials for payment and frustrating telephone conversations with insurance agents. The overly complicated system of billing and coding, marred with unfamiliar vocabulary, cumbersome paperwork and subtle legal complications, stands as a massive road block to physicians and patients alike and limits our ability to provide individualized care focused on each patient’s needs.

Instead of the the doctor-patient relationship, we develop relationships with health care systems which clearly lack the ability to provide compassionate, thoughtful patient-specific care. This depersonalization creates an environment full of inconsistencies, redundancy and dilution of responsibility. Patients become less trusting of their health care providers, as they watch the demotion of physicians from society leaders and forward thinkers to employees struggling to find their own way through all the muck.

A serious lack of leadership exists in the medical community with respect to political change and the public health agenda. Instead of coming together, we physicians remain fragmented in groups and organizations focused on either individual specialties or outsider interests. While the role of physicians in America’s health care delivery process becomes ever more narrow, I worry that we will have to watch the Headless Monster we have created ravage our society economically, emotionally and ultimately physically, if we do not mount a response. We must form a unified voice of reason that will help bring back the focus to the individual, their doctor and the delicate interpersonal relationship that is the pillar on which all quality medical care is founded.

As a medical student, it is important to realize how the industrialization of medicine will shape your future career. The large health care systems that dictate patient care nowadays also dictate how physicians are reimbursed and rewarded for their work. By this, I mean that payers want you to think that you need them more than they need you. If they can convince you of this, they can pay you less and get cheap labor in order to increase their bottom line and ultimately increase profits for them. The unnecessary rules and red tape limit our professional autonomy, eliminating the doctor-patient relationship that medicine was founded upon. Clearly, this comes at the expense of you and your patients. However, if we strive to treat patients the way they deserve to be treated — humanistically and uniquely — and to reestablish the real mission of our profession and what it truly means to be a doctor, then we can start to get our freedom back.

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5 Ways to Thrive in Your Medical Training

1. Practice with eyes wide open. Don’t let the system fool you. You’ll get many different, often contradictory, pieces of advice as you go through your training. The choices never end: which specialty to choose, how to study, where to practice, what to do with your free time. All of these decisions must come from a place inside yourself. Don’t let the “gunners” fool you into thinking you have to commit 100 percent of your time to studying. Don’t let the naysayers dissuade you from pursuing primary care specialties like internal or family medicine because the average income is less or that there is less associated prestige. The goal is to follow your heart regardless of anything else because a career in medicine is hard and if you don’t enjoy what you’re doing, you’ll end up unhappy in life.

2. Focus on your own health. Love yourself. People go into medicine, for the most part, to be of service to society and take care of other human beings in a meaningful way; however, this is impossible if you’re unhealthy and unhappy. Stay committed to your passion for sports, music, art or whatever else it may be. Don’t be fooled into thinking that if you sacrifice these things while you’re in medical school or residency, you can get them back later. You’re missing the point here. You’ll lose many, many years of potentially meaningful experiences and when the time comes to reintroduce these things back into your life you’ll find the struggle daunting. Remember that you set an example to every patient and colleague you work with intellectually, physically, emotionally and spiritually.

3. Do not make relationship decisions based on your training timeline. This one is tricky. You’ll often see that in 4th year of medical school many people get married. Why? Perhaps it’s because there is such an abundance of love, but I argue it’s actually because medical students have gone through a very trying time together and when it’s time to move away for residency, people are afraid to lose what they have gained. Take your time and realize that this is a long life and things will change. You’ll eventually finish training and you’ll be back to “the real world” where many other challenges await. There’s no need to rush into more commitments. Step back and don’t get caught up in the emotion of it all. Take your time with relationships. Remember, you can still Couples Match and not get married. It could save you much heartache down the road. Of course, this is easier said than done.

4. Never forget your mortality. Every single physician you work with is also mortal. We tend to venerate those older, wiser physicians above us because we strive to be in their position within the hierarchy of medicine. This is a remnant of the past, though. We’re all one big medical community and your teachers are struggling with the same issues you are. They too often have no idea what’s going on with the health care system or what’s coming in the near future. They too struggle with addiction, depression, isolation, fear, etc. Times are changing and it’s time for the younger generation to help lead the way in opening lines of communication about the psychological, emotional and physical stresses physicians face.

5. Most importantly, remember that each patient you encounter is an individual with varying needs and goals. Treat everyone with compassion and patience. Try to meet your patients’ needs instead of imposing your own ideas on them. In a previous article, I wrote about how we’ve dehumanized medicine and have essentially destroyed the doctor-patient relationship. It’s up to young doctors to try to repair this damage and focus on building rapport with patients in order to understand what they really need. Let go of the science and the recommendations for a moment. See the person sitting in front of you (yes, even put the computer down!). Help them find what they’re looking for when they come to see you. The interpersonal piece of medicine is where you’ll truly make a difference in someone’s life.

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