Well-Woman care is a comprehensive approach to women's health that includes regular check-ups and screenings designed to monitor and maintain overall well-being. Typically, well woman care includes:

1. Annual Physical Exam: A general health assessment to evaluate physical and reproductive health.

2. Pelvic Exam: A check of the reproductive organs to identify any abnormalities.

3. Pap Smear: Screening for cervical cancer and HPV (human papillomavirus).

Pap Smears are an important part of health screening for women. The current guidelines for Pap smear and HPV testing for women, as recommended by the American College of Obstetricians and Gynecologists (ACOG) and the United States Preventive Services Task Force (USPSTF), are as follows:

• Age 21-29:

  • • Pap smear (cervical cytology) every 3 years.

    • HPV testing is not recommended for this age group unless indicated by abnormal Pap results.

• Age 30-65:

  • • Pap smear alone every 3 years.

    • HPV testing alone every 5 years.

    • Co-testing (Pap smear plus HPV testing) every 5 years is also an option.

• Over 65:

  • • Women who have had regular screenings in the past and are not at high risk may stop screening.

    • Those with a history of serious cervical pre-cancer should continue screening for at least 20 years after diagnosis.

4. Breast Exam: Clinical examinations and discussions about breast health and self-exams.

5. Sexual Health Assessment: Discussion of sexual health, contraception options, and sexually transmitted infections (STIs).

6. Lifestyle Counseling: Guidance on nutrition, exercise, stress management, and preventative care.

7. Screening Tests: Depending on age and risk factors, tests may include cholesterol, blood pressure, diabetes, and osteoporosis screenings.

Uterine Biopsy

A uterine biopsy, also known as an endometrial biopsy, is a procedure used to collect a small sample of tissue from the lining of the uterus (endometrium) for examination. Here’s some basic information about the procedure. It helps diagnose various conditions, such as abnormal uterine bleeding, endometrial hyperplasia, or cancer. It can also be used to monitor the effects of hormone therapy. An Endometrial Biopsy involves inserting a thin tube through the cervix into the uterus to collect tissue.

Birth Control Counseling & Management 

For women of childbearing age, birth control management is an important issue that affects a woman's overall sense of well-being. Avoiding pregnancy is an important goal of most women, until they are ready for family responsibilities.

The most common types of birth control available in the U.S. include:

1. Condoms: Barrier methods for both male and female, which prevent sperm from reaching the egg. They also provide protection against sexually transmitted infections (STIs).

2. Birth Control Pills: Oral contraceptives that contain hormones (estrogen and progestin) to prevent ovulation. They are taken daily.

3. Intrauterine Devices (IUDs): T-shaped devices inserted into the uterus by a healthcare provider. They can be hormonal (releasing progestin) or non-hormonal (copper IUD).

4. Implants: Small rods placed under the skin of the upper arm that release hormones to prevent ovulation. They can last several years.

5. Injectable Birth Control: Hormonal injections (like Depo-Provera) given every three months to prevent ovulation.

6. Patches: Hormonal patches applied to the skin that release hormones into the bloodstream. They are replaced weekly.

7. Vaginal Rings: Flexible rings (like NuvaRing) placed inside the vagina that release hormones to prevent ovulation. They are typically replaced monthly.

8. Emergency Contraception: Pills taken after unprotected intercourse to prevent pregnancy, effective within a few days (such as Plan B or Ella).

9. Natural Family Planning: Methods that involve tracking fertility signals (like basal body temperature and menstrual cycle) to avoid or achieve pregnancy.

10. Sterilization: Permanent methods, such as tubal ligation for women and vasectomy for men, that prevent future pregnancies.

Each method has its own effectiveness, side effects, and suitability depending on individual health and lifestyle factors. At Transformative Journey Healthcare, we understand the emotional and mental toll these kinds of decisions can have on women and couples. We provider family planning counseling and management and will help you figure out the best birth control method for you.

• Wellness Exams and Check-Ups: Comprehensive health assessments for men and women, including routine screenings and preventive care to promote overall health.

• Acute Illness Treatment and Management: Evaluation and treatment of sudden health issues such as infections, allergies, and other acute conditions.

• Chronic Disease Management: Ongoing management and support for chronic conditions such as diabetes, hypertension, asthma, and heart disease to enhance quality of life.

• Minor Injuries: Treatment for minor injuries like cuts, sprains, and strains, including first aid and follow-up care.

• Laboratory Testing: Access to standard and specialty laboratory tests to diagnose and monitor health conditions, providing essential information for treatment decisions.

• Referral Services for Specialists: Coordination and referrals to specialists for further evaluation and treatment when needed, ensuring comprehensive care.

These services provide a holistic approach to healthcare, addressing both immediate medical needs and long-term health management.

 Lifestyle medicine uses six kinds of healthy behavior – a whole-food, plant-predominant eating pattern, regular physical activity, restorative sleep, stress management, avoidance of risky substances and positive social connections—to treat chronic conditions like heart diseases, stroke, type 2 diabetes, obesity, and multiple types of cancer. Lifestyle medicine is a powerful healing modality. 

Benefits of a Lifestyle Approach to Treat Disease:

• Empowerment: Lifestyle medicine encourages patients to take an active role in their health by making informed choices about diet, exercise, and other lifestyle factors, promoting a sense of control over their well-being.

• Holistic Approach: Patients often appreciate the comprehensive focus on various aspects of health, including physical, emotional, and social well-being, rather than just treating symptoms.

• Sustainable Change: Lifestyle medicine emphasizes long-term changes rather than quick fixes, helping patients to develop sustainable habits that can lead to lasting health improvements.

• Prevention: By focusing on preventive measures, patients can reduce their risk of chronic diseases, leading to improved quality of life and potentially lowering healthcare costs.

• Improved Health Outcomes: Many patients report significant improvements in their health conditions, including weight loss, better blood sugar control, and reduced reliance on medications.

In summary, lifestyle medicine is powerful because it fosters a proactive and collaborative approach to health, benefiting both patients and providers by promoting lasting change and improving overall health outcomes.

Bioidentical hormone replacement therapy (BHRT), also known as natural hormone therapy, uses hormones that are chemically and structurally identical to the hormones produced naturally by the body. BHRT can help replace hormones that the body no longer produces, which can help reduce symptoms and improve quality of life. 

Symptoms of hormone deficiency or imbalance include: 

Low Testosterone in both Men & Women:

• Fatigue: Persistent tiredness or lack of energy.

• Decreased Libido: Reduced interest in sexual activity.

• Erectile Dysfunction: Difficulty achieving or maintaining an erection.

• Mood Changes: Increased irritability, depression, or anxiety.

• Loss of Muscle Mass: Decrease in muscle strength or size.

• Increased Body Fat: Changes in body composition, including increased fat storage.

• Osteoporosis: Decreased bone density leading to a higher risk of fractures.

• Decreased Motivation: Reduced motivation or drive.

Low Estrogen in Women:

Irregular Menstrual Cycles: Changes in menstrual frequency or flow.

Hot Flashes: Sudden feelings of warmth, often accompanied by sweating.

Night Sweats: Excessive sweating during sleep.

Vaginal Dryness: Discomfort or pain during intercourse due to reduced lubrication.

Mood Changes: Increased irritability, anxiety, or depressive symptoms.

Fatigue: General feelings of tiredness or low energy.

Decreased Bone Density: Increased risk of osteoporosis and fractures.

Memory Issues: Difficulty concentrating or remembering things.

Both low testosterone and low estrogen can significantly affect quality of life. Bioidentical hormones can come in several delivery systems including troches (by mouth), cream, and inserted pellets. Pellets have the advantage as they are inserted every 3 months for women and every 6 months for men however, it is not a one size fits all. The best delivery system is the one that is right for you. 

Injections & IV Therapy - The injection of supplements and IV therapy offers rapid absorption, targeted delivery, and various health benefits, making it a valuable option for individuals with specific health needs, nutrient deficiencies, or those seeking enhanced performance and recovery. As with any medical treatment, it's essential to consult with a healthcare provider to determine the appropriateness and safety of these therapies for individual circumstances.

Vitamin B12 - also known as cobalamin, is a water-soluble vitamin that is essential for various bodily functions, including red blood cell formation, nerve function, and DNA synthesis. We offer both cyanocobalamin and methyl-cobalamin injections for those with absorption issues. 

Health Benefits:

Energy Production: B12 plays a crucial role in converting food into energy by aiding in the metabolism of carbohydrates and fats.

Nervous System Support: It is vital for maintaining healthy nerve cells, helping in the production of myelin, which protects nerves and ensures proper signal transmission.

Red Blood Cell Formation: B12 is essential for the production of red blood cells, helping prevent anemia and ensuring adequate oxygen transport in the body.

Mood Regulation: Adequate B12 levels are associated with mood regulation, and deficiencies may contribute to symptoms of depression and cognitive decline.

Vitamin D - a fat-soluble vitamin that is crucial for bone health and overall well-being. It can be obtained through sunlight exposure, dietary sources, and supplements.

Health Benefits:

Bone Health: Vitamin D aids in the absorption of calcium and phosphorus, essential for maintaining strong bones and preventing conditions like osteoporosis.

Immune Function: It supports the immune system and may help reduce the risk of infections and autoimmune diseases.

Mood and Mental Health: Some studies suggest a link between vitamin D levels and mood regulation, with low levels associated with increased risk of depression.

Chronic Disease Prevention: Adequate vitamin D levels have been associated with a reduced risk of certain chronic diseases, including cardiovascular disease and some cancers.

Toradol (Ketorolac) - a nonsteroidal anti-inflammatory drug (NSAID) used to treat moderate to severe pain, often post-surgery or due to injury. It works by inhibiting the production of prostaglandins, chemicals in the body that mediate inflammation and pain.

Uses:

Pain Relief: Effective for short-term management of pain, particularly in acute settings.

Postoperative Pain Management: Commonly used for managing pain after surgical procedures.

Considerations: Toradol is typically not recommended for long-term use due to potential side effects, including gastrointestinal issues, kidney problems, and increased risk of bleeding.

Zofran (Ondansetron) - is an antiemetic medication that helps prevent nausea and vomiting, particularly related to chemotherapy, radiation therapy, and surgery. It works by blocking serotonin receptors in the brain and gastrointestinal tract, which are involved in the vomiting reflex.

Uses:

Nausea and Vomiting: Effective for managing nausea and vomiting associated with cancer treatments and postoperative recovery.

Gastroenteritis: Sometimes used off-label for nausea due to viral infections or gastroenteritis.

Migraine Headache Treatment: Zofran can also be used as part of the treatment regimen for migraine headaches, helping to alleviate associated nausea and vomiting that often accompany these attacks.

Considerations: Generally well-tolerated, but some side effects may include headache, dizziness, and constipation.

Kenalog (Triamcinolone) - is a corticosteroid medication used to reduce inflammation and suppress the immune response. It works by inhibiting the release of substances in the body that cause inflammation, providing relief from symptoms.

Uses:

Inflammatory Conditions: Commonly prescribed for conditions such as allergies, asthma, arthritis, and skin disorders.

Injections: Often administered via injection to target specific areas of inflammation, such as joints or soft tissues.

Considerations: Long-term use can lead to side effects such as weight gain, osteoporosis, and increased risk of infections.

Skinny (Slimming) Shots -  "Skinny shots" or "slimming shots" refer to injectable supplements that are often marketed for weight loss and fat burning. These shots may contain a combination of vitamins, amino acids, and other compounds believed to enhance metabolism and support weight loss efforts. Common ingredients include B vitamins (like B12), L-carnitine, amino acids, and other nutrients that may boost energy and metabolism.

Potential Benefits:

Increased Energy: Ingredients like B12 can enhance energy levels, potentially supporting more active lifestyles.

Metabolism Support: Some ingredients are thought to aid in fat metabolism and help suppress appetite.

Convenience: For individuals who have difficulty taking oral supplements or wish to enhance their weight loss efforts, injections can be a convenient option.

Considerations: It's important to consult with a healthcare provider before starting any weight loss injections. The effectiveness and safety of these shots can vary, and they should be used in conjunction with a balanced diet and regular exercise for best results.

Summary

Each of these substances serves specific health purposes, from nutritional support (Vitamin B12 and D) to managing symptoms of pain and nausea (Toradol and Zofran) and addressing inflammation (Kenalog). Slimming shots may offer additional support for weight management

IV Therapy

1. Vitamin C

• Uses: Often used for its antioxidant properties, Vitamin C supports the immune system, helps with collagen production, and can aid in wound healing.

• Benefits: It may also help reduce the duration and severity of colds and is sometimes used in higher doses for its potential anticancer properties.

2. Vitamin B Complex

• Uses: This includes a combination of B vitamins, such as B1 (thiamine), B2 (riboflavin), B3 (niacin), B6 (pyridoxine), B12 (cobalamin), and folate.

• Benefits: B vitamins are essential for energy production, brain function, and overall metabolic health. They can help reduce fatigue, improve mood, and support cognitive function.

3. Magnesium

• Uses: Often administered for muscle relaxation, to alleviate migraines, and to support cardiovascular health.

• Benefits: Magnesium is important for muscle and nerve function, blood glucose control, and bone health. It can also help reduce anxiety and improve sleep quality.

4. Calcium

• Uses: Commonly used for bone health, especially in individuals with osteoporosis or those who have difficulty absorbing calcium through diet.

• Benefits: Calcium is crucial for maintaining strong bones and teeth, and it plays a role in muscle function and nerve signaling.

5. Glutathione

• Uses: Known as a powerful antioxidant, glutathione is often used to reduce oxidative stress and support detoxification processes in the liver.

• Benefits: It may improve skin health, enhance immune function, and support overall wellness.

6. Hydration Solutions (Electrolytes)

• Uses: IV hydration therapy often includes electrolytes like sodium, potassium, and chloride to rehydrate patients, especially those who are dehydrated due to illness, exercise, or heat.

• Benefits: Proper hydration is essential for maintaining bodily functions, regulating temperature, and supporting muscle and joint health.

7. NAD+ (Nicotinamide Adenine Dinucleotide)

• Uses: Increasingly popular for its potential anti-aging benefits, NAD+ is involved in energy metabolism and cellular repair.

• Benefits: It may improve energy levels, enhance mental clarity, and support overall vitality.

8. Zinc

• Uses: Often used to support immune function and promote wound healing.

• Benefits: Zinc plays a crucial role in immune response, protein synthesis, and DNA synthesis.

9. L-carnitine

• Uses: Typically used for its role in fat metabolism and energy production, especially for individuals looking to enhance athletic performance or weight loss.

• Benefits: It may help improve exercise performance and reduce muscle soreness.

10. Tri-Immune

• Overview: Tri-Immune is a combination IV therapy that typically includes a blend of vitamins, minerals, and antioxidants designed to boost immune function and overall health.

• Uses: It is often used to enhance the body’s defense against infections and support recovery from illness.

• Benefits: By providing a concentrated dose of immune-supporting nutrients, Tri-Immune can help improve energy levels and promote overall wellness.

11. MICC (Methionine, Inositol, Choline, and Carnitine)

• Overview: MICC is a combination of amino acids and nutrients that support fat metabolism and liver function.

• Uses: It is commonly used in weight management and detoxification protocols to assist with fat loss and improve liver health.

• Benefits: MICC can help enhance energy levels, improve metabolic function, and promote healthy liver detoxification processes.

12. Iron Infusion

• Overview: Iron infusions are used to treat iron deficiency anemia, a condition where the body does not have enough iron to produce hemoglobin, which is crucial for carrying oxygen in the blood.

• Uses: This therapy is typically administered to individuals who cannot tolerate oral iron supplements or require rapid replenishment of iron levels, such as those with chronic blood loss, malabsorption issues, or during pregnancy.

• Benefits: Iron infusions can effectively restore iron levels, improve energy, alleviate symptoms of anemia (such as fatigue and weakness), and enhance overall health and well-being.

Summary

Outpatient IV therapy supplements are used for a variety of health benefits, including immune support, hydration, energy enhancement, and overall wellness. Tri-Immune and MICC are valuable additions for those looking to boost their immune system and support metabolic health, respectively. These therapies can be particularly beneficial for individuals who may have difficulty absorbing nutrients through oral means.

At Transformative Journey Healthcare, we use an evidence-based approach to weight loss. This approach is not about a quick fix or fad diets. It is about healthy, sustainable weight loss and weight maintenance. If you have ever struggled with weight issues, you are aware of the conflicting information and the difficulties associated with behavioral/habit change. Our provider, Michelle Smith, started studying human nutrition in 1985 and has vast knowledge in healthy dietary patterns and successful weight loss. She has designed this program with the latest evidence in weight loss approaches that work, not just in the short term but for life. 

Successful, sustained, healthy weight loss involves a combination of various components that work together to create a balanced and effective approach.