Our Approach to GLP-1 Agonists

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Introduction

We know there is a lot of hype around weight loss injections, like GLP-1 agonists, and the impact they can make on overall health and wellness.

We always want to bring the best to Elite, so, after extensive research, we have created a functional weight loss program that we believe is both safe and effective and can provide lasting weight loss and health results. 

Our program isn’t just about prescribing medications, but teaching and providing tools for our clients to be successful in losing and keeping their weight off, while reaching their optimal health goals, too! There are a plethora of health benefits from weight loss peptides (outside of weight loss) that will probably shock you like it did, us.

Read more below about common weight loss injection FAQs, additional health benefits, and our overall approach to weight loss peptides. 

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**Important Disclaimer:

Before reading further, it is important to note that there are two ways to receive weight loss medications:

1. From a traditional/primary care provider through your insurance. This is if you apply and are a candidate for the medication. There is general criteria individuals must meet before they qualify for brand name, standard dose weight loss medications.

2. From providers like us! We use these medications for “off label” indications and individualized micro doses. This method is not FDA approved because we are not using, prescribing, or dosing the medication for the same reasons as above. We are using this medication for health optimization and longevity, through a customized program that includes coaching on diet, lifestyle, and exercise.

Table of Contents

What are GLP-1 Agonists?

GLP-1 (Glucagon-like Peptide-1) agonists, are typically used to treat type 2 diabetes and cases of obesity. In general, they work to mimic the effects of our natural GLP-1 hormones to help promote the feeling of being full and to regulate blood sugar levels after eating, to ultimately assist in weight loss. This is done by stimulating the pancreas to produce more insulin, slow down stomach emptying, and reduce appetite. 

In addition to the above, GLP-1 agonists help repair damage to our metabolism and repair pathways that are broken and leading to stubborn weight or health issues.

What are the benefits of GLP-1 Agonists?

There are many benefits of GLP-1 agonists (other than just weight loss), the most common are explained below:

  • Improved metabolic health: Weight loss medications can reduce blood sugar levels, lower blood pressure, and reduce cholesterol levels. In turn this can reduce the risk of heart disease, type 2 diabetes, strokes, and much more!
  • Total body longevity: Optimizing the body’s total health helps to reduce the risk of chronic disease.
  • Cellular regeneration: When our body’s cellular processes are working optimally, we are healthier individuals overall.
  • Reduced inflammation: Once blood sugar levels are leveled, inflammation within the body decreases.
  • Improved body composition & fat burning : When given the right dose and implementing diet and exercise, weight loss injections can reduce body fat percentages and increase muscle mass for an overall healthier body.
  • Improved mental health: Many people struggling with weight issues can have depression, anxiety, body dysmorphia, and lack of self confidence. Weight loss medications may play a role in helping people feel more confident in their bodies which can improve mental health. 
  • Appetite/Craving Suppression: Reduction in unhealthy cravings is beneficial overall

What is Tirzepatide?

Tirzepatide is a dual GLP-1 and GIP agonist peptide. These peptides are natural gastrointestinal hormones found in the GI tract released in response to eating. 

Tirzepatide improves glucose control by enhancing insulin secretion and (mostly) suppressing glucagon release, helping to lower blood sugar levels. It promotes weight loss through appetite suppression, slowed gastric emptying, and improved fat metabolism. Additionally, it may help improve cholesterol levels and offer some heart health benefits.

Read full medication info

Is GLP-1 the same as Ozempic?

Yes and no.  GLP-1 agonists are a class of peptides and Ozempic (Semaglutide) is one brand name that falls under the category of GLP-1 agonists. Semaglutide may be thought of as the “generic” name for the peptide and Ozempic is the brand name. Kind of like how Advil is a brand name drug for the generic drug ibuprofen. 

What are all the GLP-1 agonist medications?

There are many GLP-1 agonist medications on the market. Below are the most common, listed by generic name first with brand name in parentheses: 

Some of these peptides work differently in the body to aid in weight/fat loss. Read below for further explanation:

  • Semaglutide and Liraglutide are glucagon-like peptide-1 (GLP-1) receptor agonists that suppress appetite and slow down digestion to aid in weight loss.
  • Tirzepatide is a dual GLP-1 and GIP (glucose-dependent insulinotropic peptide) that has been shown to have a better effect on blood sugar regulation, appetite suppression, and fat metabolism with less side effects.
  • Orlistat is a medication that focuses on blocking fat, to prevent the absorption of dietary fat in the body.

Deciding which  is best for you may depend on several factors such as your baseline, goals, medical history, etc. It is best to speak with a medical provider on which option is best suited for you! 

The GLP-1 Agonist We Offer:

At Elite, we only provide the highest quality and safest products on the market, especially when it comes to medications. With that being said, after extensive research, we offer compounded Semaglutide and Tirzepatide in titrated, micro/low doses to our clients. Important note: This is not FDA approved because we are not using these medications in standard doses or for standard reasons, but rather for optimizing health, overall. The compounded peptides we use also have additional ingredients such as B12 to help with nausea and glycine to help maintain muscle mass. 

Safety is based on the provider’s screening and dosing, not solely on the medication itself. We also feel it is best to offer both options because we see clients as individuals, and decide what medication is best for them. 

 

Additionally, as part of our program, we provide tools and education on crucial foundational changes such as diet, exercise, and lifestyle habits.

Clients can expect individualized treatment plans that consider your current health and weight loss goals. We thoroughly screen to ensure clients are ready for treatment and are set up for success!

Bottom line: At Elite, weight loss is a 360 approach. With our program, we’ve taken the “guess work” out of it for you.

What does it mean to micro dose GLP-1 agonists?

To begin, the term micro dosing can be defined as:

 “The action or practice of taking very small amounts of a drug, in order to test or benefit from its physiological action, while minimizing undesirable side effects.” Dr. Tyna Moore. 

When someone receives a micro dose of a GLP-1 agonist, they are essentially utilizing a small dose of the medication to help jump start the metabolism and other health changes. 

It is important to note that medications at lower, or micro doses, can have a different impact on the body compared to standard or higher doses. 

What are the benefits of micro dosing GLP-1 agonists?

Alongside minimal side effects, there are many other benefits from micro dosing GLP-1 agonists, this may include:

  • Lowering inflammation
  • Healing and repairing metabolism
  • Increasing longevity 
  • Ease of maintaining weight after stopping medication

We especially love micro dosing in our weight loss program because it provides flexibility and customization in how we treat and dose our clients. Each individuals’ needs are different and will change over the course of the program.

Overall, micro dosing is very unique and customizable compared to standard dosing.

How long should you be on weight loss medication?

The length of time someone is on a weight loss medication varies on their baseline health and weight goals. We want to emphasize two points here:

#1: Cycling/rotating on and off weight loss medications. This is beneficial because it keeps them potentized and working optimally.

  • Cycling on and off may look like: 3 months on, 1 month off OR 3 weeks on, 1 week off. The most important thing with cycling is during the “off phase”, appetite will return, so prioritizing heavy weight lifting/strength training and healthy balanced meals is key to maintaining. 

#2: MOST individuals will be healthier after stopping medications. How? Because their metabolism is repaired (so long as they continue weight lifting and nutritional changes).

How is Tirzepatide different from Semaglutide?

The main difference between Tirzepatide and Semaglutide is that Tirzepatide works on the GIP AND GLP-1 receptors, while Semaglutide works on the GLP-1 receptors. 

To break down the difference between GIP receptors and GLP-1 receptors read below:

How GIP receptors work:

  • Increases insulin, aka reduced blood sugar levels 
  • Improves fat metabolism and prevents fat storage 

How GLP-1 receptors work:

  • Enhances fat metabolism
  • Reduces appetite and cravings 
  • Lowers blood sugar levels

⭐️ In some cases, cycling/rotating between the two may be beneficial for clients and best results. 

What are the side effects of GLP-1 agonists?

Thorough screening and appropriate dosing by your provider can limit or eliminate side effects. A majority of these common symptoms can be mitigated by a healthy lifestyle and diet/nutrition, as well.

Mild side effects among them all include: 

  • Gastrointestinal issues: constipation, nausea, vomiting, diarrhea, bloating, gas, stomach pain/cramping, and general upset stomach 
  • Skin reactions: swollen, red or irritated skin at the injection site, or pigmentation (patches of darker skin)
  • Mental health: signs on depression, increase in anxiety, brain fog, fatigue, headache, and dizziness 

Serious side effects are RARE, and if you experience any of the following to call your provider ASAP: 

  • Kidney issues
  • Pancreatitis
  • Gallbladder issues
  • Thyroid issues 
  • Bowl obstruction
  • Severe and lasting stomach pain/cramping
  • Severe mental health such as thoughts of depression 
  • Blindness (in cases of existing diabetic retinopathy)

*Note: This is just a list of possible side effects. Side effects may vary per person. Always consult with your provider before taking medication, and if you experience unwanted side effects or are concerned about your health contact them ASAP.

What is the safest weight loss agonist?

Safety is based on the thorough screening and proper dosing of the medication and should be individualized for each person. AKA- the provider you see helps determines the safety of the weight loss medication. 

Our program at Elite provides total customization for weight loss, therefore we carry both compounded Tirzepatide and Semaglutide for “off label” reasons, because some people may respond better to one medication, have less side effect on another medication, or find best results cycling between the two. 

Bottom line, we see clients as individuals and customize their weight loss journey to fit their baseline and goals.

How long does it take to lose weight on a GLP-1 agonist?

You can expect some effect within the first 2-4 weeks. Weight loss during this time is modest. More noticeable weight loss typically starts within 1-3 months of starting compounded Tirzepatide/Semaglutide, when combined with lifestyle and nutritional changes.

Studies have shown (see full study below) health benefits with as little as 5% reduction of total body weight. GLP-1 agonist treatments have been shown on average to produce 20.9% loss of total body weight in approximately 1 year. Long term results are variable, and dependent on the individual.

Healthy weight loss in oder to limit side effects, is 1-2 pounds a week. 

View full study here

What happens after you stop weight loss injections?

Established foundational pieces such as diet, lifestyle, and exercise, are the tools needed to keep weight off after stopping medications. 

At Elite, we provide support during this transition through proper weaning and cycling on and off the medication if necessary.

Some research has noted that it is common to have an increase in appetite and changes to blood sugar levels can occur upon stopping. Some people experience weight regain, especially if the foundations of exercise, diet, and lifestyle changes were not implemented. 

Overall- not having proper support during this transition is often where people have had frustrations with their weight and regain. 

Learn more about Functional Medicine here

What is "Ozempic Face"?

“Ozempic Face” refers to the effects we sometimes see in patients’ faces after rapid weight loss. GLP-1 agonist medications are non specific and will cause weight loss in all areas of the body, this can include the face. “Ozempic Face” can be characterized with hollow cheeks, sunken eyes, and sagging skin, due to rapid weight loss, or fat loss, from the medication. Though weight loss in the face does not have a negative impact on your health, it can often leave people feeling frustrated, disappointed, or unhappy.

At Elite, we created a program for steady, healthy weight loss that reduces the risks of side effects including “Ozempic Face”. 

Weight loss can always result in changes to our appearance, but we offer many additional treatments that can be used to restore volume, build collagen, and tighten the skin if needed.

Can you take a GLP-1 agonists if you are not diabetic?

Yes, you can use GLP-1 agonists even if you are not diabetic. This is however, considered to be an “off-label” use, because GLP-1 agonists are typically prescribed for those with type 2 diabetes, obesity, or medical concerns. It is important to see a provider/clinic that is well educated on weight loss as a whole, rather than simply prescribing medications, because long-term weight management requires diet, exercise, and lifestyle changes even alongside using weight loss medications. 

If you are seeking a more holistic or functional approach to weight loss, click the link below to book a consultation and talk with one of our providers. 

Book a consult here

Who should avoid GLP-1 agonists?

Below are a few common reasons why people should not take GLP-1 agonists or weight loss medications. Before starting any medications it is important to consult with a medical provider who goes through thorough medical history, screening, and blood work to ensure you are a proper candidate. 

  • Thyroid cancer, or a family history 
  • Type 1 Diabetes
  • Pancreatitis 
  • Liver disease  
  • Pregnant, breast feeding, or planning to become pregnant 
  • Severe gastrointestinal disorders 
  • Kidney disease 
  • Multiple endocrine neoplasia 
  • Allergic reactions to weight loss medications
  • People taking other medications that lower blood sugar

Our providers at Elite, take screening before any procedure/medication seriously, to avoid reactions or serious side effects. We are not afraid to say “no” when it is necessary. 

Are there natural supplements that work like weight loss injections?

There are some natural supplements that may help aid in weight loss, but it is unlikely that they will have the effects of weight loss medications. Some of these natural supplements include:

  • Berberine: A plant based compound that can help blood sugar balance 
  • Green tea extract: Contains natural caffeine, which may increase metabolism 
  • Chromium: A mineral that enhances insulin and turn food into energy

It is important to consult with a medical provider before taking any supplements. 

How much do GLP-1 agonists cost in Colorado?

The cost of GLP-1 agonist medications in Colorado depends on the type of medication and if you are using insurance, or not. It can cost, on average, anywhere from $200-$800 for a month long supply. It is important to note that health coaching and getting injections at an office (if you don’t want to inject yourself) can also cost more.

At Elite, we do not accept insurance, but many people will use their HSA cards for treatments. We also offer Cherry financing for budgeting options as well. 

Apply for Cherry Financing here

Why is Tirzepatide more expensive?

There are many factors that influence the cost of medications, including research, manufacturing, marketing, and development costs. There is currently no generic form of Tirzepatide, which means it is only produced by one company and therefore they are able to se the price. 

With that being said, we work to offer treatments that are safe and effective, bottom line. Some studies show that Tirzepatide is the best medication for medical weight loss because of its limited side effects, high safety profile, and proven results.  

Conclusion:

Utilizing GLP-1 agonists in micro doses in conjunction with diet, exercise, and lifestyle changes can be beneficial for someone on a weight loss journey. Our functional approach to weight loss injections prioritizes the overall health of someone without relying on a medication alone. We thoroughly screen clients, consult with them, and meet regularly through the program to ensure optimal results are met. 

Each program is individualized to each client’s needs, and we are here for support through it all!

 Link below to book a consult with one of our providers. 

Elite Medical & Aesthetics is a premier med spa located in Lone Tree, CO that takes a holistic approach for natural results. We pride ourselves in having an all nursing staff of NP’s that put safety as #1 priority.

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Weight Loss Injections in Lone Tree, CO
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Functional Aesthetics 101

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Introduction

Many of Elite’s staff members, and our clients, have gone through healing journeys with a functional medicine approach, and have found that treating the body as a whole, and addressing underlying causes, improves skin health, too. It’s all connected. You can’t fully treat the skin without addressing the whole body. 

What we do at Elite is termed “functional aesthetics”; which means, addressing the root cause of skin concerns and not just treating symptoms, such as: pre-mature aging, thin/crepey skin, acne, rosacea, liver spots, eczema, etc. 

Common “functional aesthetics” services you may see on social media, like: IV therapy, weight loss medication, and hormone replacement therapy (HRT) can make people feel great temporarily, but they do not directly address, nor cure, the root cause of common health and skin issues. (Which is exactly what functional medicine does 😉).

True functional medicine in aesthetics addresses the whole person, individually, by looking into lifestyle changes, diet, gut health, hormone imbalances, inflammation, cortisol spikes, stealth infection like infections/parasites, stress levels, and much more! Typically when there is health/skin issues it is rarely caused by one thing and/or fixed by one thing. The body is very interconnected, so it can be complex, takes time, and may need attention from a professional in the functional medicine field. 

📕 Keep reading below to learn more about:

  • Functional medicine and how it is being used in the world of aesthetics  
  • Red flags to watch out for in med spas who claim they are “functional” and “holistic”
  • How our office implements functional medicine, and more! 
Book a Functional Medicine Consult Here

Table of Contents

What is functional aesthetics?

Functional aesthetics is a combination of both:

1. Functional medicine: an integrative practice that addresses the root cause of illnesses/health issues rather than treating only the symptoms.

2. Aesthetic medicine: looks at a person as a whole and utilizes appropriate skin treatments, therapies, and (clean) injectables to help people feel and look their best.

 

An example of this might look like:

-A client comes in with severe acne and our providers talk about their gut health, hormone health, and stress levels and how these things contribute to the formation of acne. The provider formulates a functional medicine and aesthetic treatment plan that:

1. Diet and lifestyle changes that address common root causes of acne 

2. A customized treatment plan to help the acne heal faster that may include topicals at home and  VI Peels and/or IPL in the office. Later, once lesions are healed, we would add on microneedling or lasers to address any scars. 

3. Potential supplemental IV therapy to help the body detoxify while it is healing

This is a 360 approach to healing the acne with a functional aesthetic approach, rather than only prescribing pills or topical ointments. 

💜 Lastly, addressing underlying conditions before agreeing upon a treatment can save clients from adverse reactions! (aka they put you and your health first, and aren’t afraid to say “no”).

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What are common functional aesthetic treatments?

Common aesthetic treatments that are being be classified/marketed as “functional” may include therapies/treatments like: 

  • IV therapy 
  • Hormone replacement therapy (HRT)
  • Weight loss management, such as Ozempic/Semaglutide injections

These treatments alone do not fully address root causes of symptoms within the body, however they can have a “time and place” during the healing process and may have overall health benefits. Most importantly, if a practitioner jumps to these treatments without addressing things like:

  •  Diet, lifestyle, stress, gut health, detox pathways, sleep issues, hormone imbalances, etc. they are not practicing functional medicine, they are prescribing a “quick fix”, or simply selling add on treatments, that only help temporarily. 
  • Of note: if this is what you are looking for, or what your clinic does, that is cool too, but it is important to not sell/advertise it as functional medicine.
Learn More About Functional Medicine Here

What is Hormone Replacement Therapy (HRT)?

Hormone replacement therapy is a treatment used to help relieve hormonal symptoms temporarily, usually associated with the transition to menopause (*more below), but can be used with other hormonal imbalances, too. Synthetic hormone pellets are medically placed into the buttock region and slowly release targeted hormones into the body. Overall, this treatment is designed to replace lower levels of female hormones.

Is Hormone Replacement Therapy functional medicine?

In our opinion, hormone replacement therapy (alone) is not considered functional medicine. While this is a commonly used intervention for unwanted hormone symptoms, it comes with side effects and does not fully address, or fix, the underlying cause of the hormonal imbalances to begin with. PLUS, even though appropriate HRT treatments run blood work labs, these labs only indicate the imbalance(s), not what is causing those imbalances. 

🌱 A holistic and functional med approach to hormone regulation might look like:

  • Someone balances their body naturally through addressing gut health, sleep, stress, detox pathways, etc. and is still showing imbalanced hormone levels. In this case, HRT COULD potentially be a beneficial treatment, in conjunction with the lifestyle changes, while the body continues to heal. And this approach would require a lot less of the synthetic hormones than if it was the first, and only, treatment option offered for the hormone issues.
  • *Note: we understand that menopause is a “root cause” of hormone imbalance for women, but all of the side effects of menopause, though common, do not mean they are normal. Meaning, that many symptoms of menopause can be treated naturally, and then if hormones are needed, less can be used. 
  • When possible, we also always advocate for bioidentical hormone replacement therapy over using synthetic hormones. 

What are weight loss Injections?

Common weight loss management injections, Ozempic & Semaglutide, help to lower blood sugar by assisting the pancreas to make more insulin. This process causes the body to feel less hungry and thus, lose weight due to a suppressed appetite. These injections are originally used  for type 2 diabetes, but are now used for many alternative reasons, even for those without a diagnosis, to lose weight quickly.

Are Ozempic injections functional medicine?

No, weight loss injections such as Ozempic are not considered functional medicine because they do not address the underlying causes within the body that is making people struggle with losing weight. These type of injections are proven to be a “band-aid” fix to weight loss because once someone stops getting the injections, the weight comes back (especially if someone is not implementing diet and exercises changes while on the medication). 

Additionally, there are many unwanted side effects with weight loss injections such as gut issues, severe heartburn, hormonal imbalances, thyroid issues including cancer, and chronic inflammation which can make people feel even worse and lead to other issues within the body (like a domino effect). 

*Of note: this medication is intended for type 2 diabetes and can be a beneficial medication for those  with type 2 diabetes or other health complications associated with obesity. Always consult with your practicing provider about any medication use or questions.*

🌱 A holistic and functional med approach to weight loss might look like:

  • Working with a specialist on lifestyle interventions, mental health/food addiction, eating a customized diet, following an exercise plan, and running necessary tests to see WHY the body is not able to naturally lose healthy weight. Then, following that treatment plan for “X amount of time” to see how the body responds. Many people tend to feel better when they take this approach to weight loss, overall and see other health benefits as well! Plus, it is a long term solution to weight loss rather than a quick fix that might not provide lasting results.

What is IV Therapy?

IV Therapy is a medical procedure that delivers fluids, medications and vitamins/minerals into the body directly through a vein. Many aesthetic clinics use IV therapy to give clients “cocktails” of vitamins/minerals to help support anti-aging, healthy hair and skin, and nail quality. While medical IV’s are used to administer medications and fluids quicker to the body for several reasons.  

Is IV Therapy functional medicine?

IV therapy itself, is not functional medicine, but it can be a supportive tool to administer vitamins and minerals that are needed for the body to heal or detox. Again, working with a functional med expert is the first step to addressing the issues within the body to know what exactly is out of balance and needs attention. Without diving deeper into the root cause(s), getting an IV full of vitamins and minerals that the body doesn’t need is not totally beneficial, and can be expensive! 

🌱 A holistic and functional med approach to IV therapy might look like: 

Working on gut health and detoxing a sluggish liver that is causing an array of issues such as: acne, gut imbalances, and sleep problems, and getting an IV that contains glutathione to help further support the liver detox practices. IV therapy can work great in conjunction with functional med practices to give the body a boost, but knowing what the body needs is the first step to correctly and successfully getting the full benefits of an IV customized to you.

Please note that many clinics use cheap, synthetic vitamins in their IV infusions. Be sure to ask about what kind of vitamins they use, specifically methylated B vitamins vs synthetic B vitamins. 

What is an example of functional aesthetics in a clinic?

An example of an aesthetic office practicing functional medicine may look like this: 

  • A woman comes in and has concerns about hormonal issues such as severe acne and melasma but also mentions that the fatigue, bloating, and irregular cycles are really bothering her as well.

Instead of prescribing hormones (HRT) right off the bat, the practitioner looks at the her as a whole (ie: her stress levels, diet, lifestyle, toxic load, gut issues, cortisol etc.) and suggests simple, yet effective, lifestyle changes to implement ASAP. 

  • They decide to wait on doing any type of treatments, besides a customized skincare routine to help manage acne and melasma topically, and refers her to a functional med specialist while explaining that unless she balances her body naturally her acne/melasma will not completely go away with topical skincare/treatments.
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Is blood work considered functional medicine?

Running blood work is a helpful tool that can be beneficial with navigating how the body is functioning, but it isn’t the “end all, be all” of functional medicine. Functional medicine goes beyond blood work, in fact there are MANY tests that are helpful when taking a deeper dive into understanding the body such as a Dutch test, stool and urine test, HTMA test, etc. 

🧘‍♀️ More importantly, functional medicine usually begins with implementing basic lifestyle and diet changes first (even before running tests or adding in supplements) because these lifestyle changes are the foundations to a healthier body and can make a huge impact, alone. 

Additionally, most “normal ranges” for blood work testing is very broad, doesn’t always give a definitive answer, can showcase “normal levels”(even if there is something goin on), and can oftentimes be misleading. Keep in mind that normal labs doesn’t equal a healthy person. Even abnormal labs, or abnormal hormone levels on labs, don’t indicate what the root cause is of those abnormalities, it just simply shows that there’s something abnormal. There is a much more complex issue going on within the body that needs to be addressed and analyzed by a professional in the field. 

Is "common" and "normal" the same thing?

The terms “common” and “normal” are not the same thing! In today’s society it is common to see women struggle with acne, painful periods, PMS, etc, but it is not normal. Our bodies are not supposed to experience these type of painful symptoms, and it is definitely not ok for them to be labeled or misinterpreted as “normal”. Oftentimes, these “common” symptoms are ignored when they should be listened to, because they are a way the body is communicating with you that something is off. 

Functional medicine practitioners take a deeper look into “why” these symptoms are occurring and address the root cause(s) which is different for everyone. When someone is able to balance their body and address all functions (since they are all interconnected) many symptoms start to improve and lessen. This is healing from within, which takes time and more than a few HRT and IV therapy treatments like being marketed today. 

Red Flags to look out for:

🚩 We have seen a trend of these common red flags in clinics/med spas that claim they are “functional” and “holistic” when in reality, they would not be doing or offering these things if they were truly practicing (or believe in) functional medicine:

  • They offer you traditional soda, candy, processed treats and non-organic coffee in the afternoons 
  • The products that they use in their office and skincare products are filled with “parfum” and “fragrance”
  • The providers immediately prescribe a pill or a “quick fix” without addressing potential root causes or referring you to a functional med specialist

Why do these things 👆 matter?

These details mentioned above matter greatly! If a clinic was truly practicing “functional aesthetics” then they would not offer these things, because they do not support a healthy body. 

Read below for further explanation:

  • Refined sugars, processed foods, seed oils, generic caffeine, and artificial dyes found in office “treats” and drinks contribute to: inflammation, hormone imbalances, skin issues such as acne, spiked cortisol levels, gut issues, and so much more. Instead, swap these generic/unhealthy things for organic, non-toxic options that are much healthier and do not contribute/feed inflammation and other issues. 
  • A lot of popular, name-brand skincare products, candles, and air fresheners that are used and offered in clinics contain “fragrance” and “parfum” which are endocrine disruptors and proven to wreck havoc on hormones. 
  • If a practitioner immediately defaults to prescribing a pill or a “quick fix” to band-aid symptoms without looking into root cause(s) or diving deeper into things like: detox pathways, stress levels, gut microbiome imbalances, toxic load, sleep issues etc. they are actually practicing the opposite of functional medicine, they are using Western medicine’s approach “pill for an ill”. Therefore, they cannot be claiming to be doing “functional medicine”.

At Elite, we take the time to educate our clients on why we do not offer or carry products like this in our office, that way they can be aware and make these changes in their personal lives, too. 

How we do things at Elite Medical & Aesthetics:

At Elite, we find it is important that our entire office aligns with our beliefs on taking a holistic approach to not only aesthetics, but lifestyle too. 

💜 Some of the key things we do in our office, and have done since we first started, include:

  • Offering the cleanest products on the market for our clients when we do agree to do a procedure. We research and trial each product we offer to our clients to ensure it meets our standards and provides beautiful, natural results. If we wouldn’t use it on ourselves, we wouldn’t offer it to our clients.
  • We have all natural treatment options such as NeoLifting, EZ-Gel injections, IPL/laser/peels, microneedling, and PRP/PRF. There are many natural aesthetic treatments that can provide beautiful results for clients.
  • We refuse treatment, and refer out, when a case is above our level of functional med expertise. We are not afraid to say “no” to clients, which is part of our morals of being honest and truly caring about our clients and their well-being over an aesthetic treatment or money. We always say “people over profits”. 💜 
  • All of our office cleaning supplies are non-toxic. Because we are a medical office, cleaning happens multiple times a day, and therefore using quality non-toxic cleaning products and soaps is a non negotiable to keep our staff and clients safe from toxins and fragrances that many people encounter when using generic cleaning supplies.
  • We only offer real, clean, organic drinks and snacks (and they are delicious too 😉). We opt for cleaner snack and drink brands such as Spin Drift seltzer waters, Unreal coconut chocolates, organic herbal teas, and always use filtered water for drinking. We also have organic, grass-fed beef sticks to accompany the chocolates to prevent a sugar crash. 
Learn more about our values

How we practice functional aesthetics:

We take the time to look at each client as a whole and screen them thoroughly to rule out any possible underlying causes that might lead to adverse reactions with treatments. We also listen to clients and get to know them so that if there are symptoms associated with skin concerns we are educating them on ways to address it internally, too. 

 Here are some of the ways we practice this:

  • We screen every client for underlying conditions and address these issues before doing ANY procedure. This is especially important because doing an elective aesthetic procedure on someone with a high histamine response, poor stress responses, sickness, etc. can increase the potential for someone to have an immune response or reaction to a treatment/procedure. 
  • We offer functional medicine consults and treatment plans. Ali, NP and owner is seeing clients for functional medicine cases and provides thorough treatment plans to help address underlying causes of unwanted symptoms. For advanced cases, we have a network of full-time functional medicine providers to refer out to. 
  • We educate on lifestyle changes and offer resources for change and a deeper dive into health and wellness. Our providers take pride in knowing enough information/research on functional medicine and how the body operates on a functional level to educate clients on basic lifestyle changes that can make a huge impact on people. This may include things like diet, exercise, gut health, hormone health, managing stress, and more. 
  • We talk about getting to the root cause, rather than just treating symptoms. Taking the time to explain to our clients about root causes and how they can take the right steps to feeling their best is important to us and crucial for total client care and safety. We do not offer “quick fixes” in our office. 
  • All of our skincare products are paraben-free, phalate-free, cruelty-free & fragrance-free. The number one toxin found in MOST skincare and beauty products is “fragrance”. It causes an array of issues within our bodies and hormones. Just because a popular brand name skincare product is on the market, does not mean it is the safest. Read more about this topic on our blog, by clicking the pink button below 👇 
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How we are educated on functional medicine:

Our entire staff takes the time to research and read about functional medicine practices so we can all educate clients throughout each encounter with us, from the initial phone call, to the procedure, and the follow up. 

How do we hold ourselves accountable and do this? 

  • We have a monthly bookclub which has incorporated many books that focus on lifestyle and functional medicine practices/mindsets like: Dirty Genes, Hormone Intelligence, Good Energy and the Pegan Diet. 
  • Ali, MB and Kelsea have personally worked with functional medicine experts including women’s hormones and gut health expert, Marisa Faye, so they have personal experiences that they can attest to, speak upon, and explain the improvements and changes in their own healing journeys. This has been extremely relatable for clients and one another, and it is fun “healing together”, sharing progress, and new tools (we oftentimes geek out on this together 🤓). 
  • Ali, NP has completed functional medicine trainings and courses to help clients look and feel their best, naturally! Ali & Kelsea are currently working on functional aesthetic protocols for the clients in the office. 

While we are able to help clients with functional aesthetics, and the core principals of functional medicine in general, for severe cases we will often refer clients out to full time functional medicine practitioners. 

Is functional medicine complex?

Yes, functional medicine is very complex. It takes years of schooling and training for someone to be a functional med expert.

Not to mention that each case is different and takes different tools to understand and navigate through. Functional medicine is patient-centered, in-depth, and integrative on many levels and it takes dedication, commitment, and persistence before results start to show, both from the practitioner and the client. 

That often is why it is common to see practitioners prescribing a pill or a quick fix, because people tend to feel better initially, but this feeling is only temporary.

Conclusion:

All in all, our providers at Elite are dedicated to help our clients feel and look their best with a combination of both aesthetic treatments and a functional medicine approach. 

We offer an array of functional medicine services, natural treatments, and wellness services to compliment our holistic approach. 

Learn more about these below!

View our services

Elite Medical & Aesthetics is a premier med spa located in Lone Tree, CO that takes a holistic approach for natural results. We pride ourselves in having an all nursing staff of NP’s that put safety as #1 priority.

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Acne: Treatments, types, & causes

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Introduction:

 

According to the American Academy of Dermatology, acne is one of the most common skin conditions in the United States, affecting up to 50 million Americans yearly.  It is actually common in all Westernized nations, affecting 85% of adolescence according to MDedge, but no acne has been found in certain developing countries. Why is that?

Keep reading to gain a better understanding of acne, it’s types, causes, and best aesthetic treatments at Elite Medical and Aesthetics to help.

Table of Contents

What is acne?

Before we get into all of the details of acne, let’s start with the basics, what is acne anyway? Acne is an inflammatory condition of the sebaceous glands (oil and sweat producing glands) characterized by pimples. It is most common in teens and in developed countries (more on this below). 

What are the different types of acne?

Although there are many different types of acne, to keep it simple, we will group them into 4 different categories: blackhead/whiteheads, pustules, nodules, and cysts. Below is a definition table to show the different types of acne.

Blackheads/whiteheads

 Blackheads are tiny clogged pores that have oxidized turning them black. Whereas whiteheads are clogged pores that have not oxidized and are still covered by skin.

Pustules

Smaller, inflamed bumps that are filled with pus from an overproduction of oil and built-up bacteria. Can feel tender to the touch.

Nodules

Swollen and hard bumps or knots that the eye can see, but there is no whitehead or pus. 

Cysts

Inflammatory, pus-filled boils or knots that are deep under the skin and never come to a head.

What type of acne is most common?

While each individual is different, the most common types of acne are blackheads, whiteheads, and pustules. This type of acne can occur at any stage of life (male or female) due to the natural oil production of skin and it occasionally clogging pores.

What type of acne is most likely to scar?

If you pick at any of these acne lesions, chances of scarring is high. However, if you do not pick at the skin, cysts and nodules are more likely to scar because they lie deep within the skin for longer periods of time causing inflammation. If you do experience acne scarring, do not worry it is treatable! Read more about acne scarring below.

Read about acne scarring here

Why is acne more common in the United States?

According to MDedge, NO acne has been found in developing nations living under Paleolithic conditions, but around 85% of adolescence in 1st world countries have acne. The amount of acne found in developed countries cannot be explained by genetics either. Rather, our diets and lifestyle create an inflammatory condition that leads to a cascade within the body that is also showing up on the skin (as acne). Remember that our skin is often a reflection of our inner health. 

What are Paleolithic conditions anyway? This is a diet without preservatives, refined or manufactured foods, processed dairy or artificial ingredients. It’s basically a hunter/gatherer diet. So if following this diet think that if you can’t hunt it, gather it, or make it up in your kitchen yourself, don’t eat it. People following this diet/lifestyle are also usually more active. If you have to hunt or gather your food that means you’re walking and moving quite a bit!

What age can you get acne?

You can get acne at any age! Although, the most common age range to get acne is 14-19 because that is when most people experience hormonal changes called puberty. During puberty, oil glands become more active and combined with inflammation = Acne. However, Acne can appear on infants and can continue into adulthood, too.

What is adult acne?

Simply, adult acne is any type of acne from mild to severe that appears after the age of 25 (post-adolescent). In some cases, people will continue to get acne well into their 30’s, 40’s, and 50’s+. Women tend to get adult acne more often than men because of the hormonal stages they can experience: pregnancy, mensuration, & menopause. “Adult on-set acne” can also occur from stress, environmental factors, and genetics. More information on acne causes below!

All about acne

At what age does acne go away?

Generally speaking, acne starts to go away in peoples mid-20’s, but every individual is different. Some people may experience acne later in life, and some may never get acne. Reminder that acne is a skin condition, and is different than getting a pimple every now-and-then which is part of being human 🙂 .

What causes acne?

While we wish there was a one-size-fits-all answer to this question, it is completely individualized. Scientifically speaking, the way acne is formed is through an excess amount of oil (sebum) production and dead skin cells that clog the skin’s pores (thus gathers built-up bacteria). But, it is important to learn why the excess oil production is happening within the body.

  • However, there are several different factors that can trigger acne in people. Some of the main causes linked to acne may include: stress, diet, hormones, & environmental factors. Keep reading below for more in-depth information! 
  • Reading above that acne doesn’t exist in developing countries following a Paleolithic lifestyle really makes you think though!

Does stress cause acne?

Yes, stress can be a cause/trigger of acne. When the body is stressed out, in flight-or-fight mode, it releases stress hormones like cortisol and androgens. These stress hormones increase production of the skin’s sebum and oil, and also increase inflammation in the body, thus leading to or worsening acne in some individuals.

What does stress acne look like?

While there is no specific way stress related acne looks, it can tend to appear more inflamed and the skin will also look more oily. This will look different for each person, but depending on the level of stress and duration of stress, it can be a mixture of pustules, nodules, and even cysts at times.

What are ways to help manage stress acne?

Stress is an inevitable part of life, but finding ways to help reduce stress is crucial not only for acne but also overall health. Here are some ways to help manage stress:

  • Meditating- even guided meditations are helpful
  • Journaling
  • Gratitude
  • Exercising 
  • Talking with trusted family/friends
  • Therapy 
  • Walking outside/grounding with nature 
  • A calming hobby such as hiking, fishing, drawing etc.
  • Deep breathing exercises
  • Taking a bath or getting a soothing massage
  • An act of self-care, whatever fills your cup!
  • Living more in the now, rather than past or future

Does diet effect acne?

There are studies that show that following a balanced, low-glycemic (low-sugar) diet can lead to less acne and reduce total body inflammation (a culprit to acne). This isn’t necessarily a “diet”, but rather a healthy way of nourishing your body for optimal health and hormone regulation. Usually, this includes eating foods like the following:

  • Vegetables
  • Quality animal proteins
  • Fruit 
  • Grains
  • Legumes or beans
  • Limiting sugar, alcohol, vegetable oils, dairy, and gluten
  • Eating organic produce or soaking in vinegar prior to consuming

What foods can trigger acne?

If you are struggling with acne it is best to avoid or limit:

  • Dairy– due to hormones and increasing inflammation in the body
  • Gluten– leads to conditions like leaky gut= increases inflammation
  • Sugar– affects hormones and increases inflammation
  • Caffeine–  increases stress hormones and inflammation
  • Vegetable oils, and processed foods– fat is not the problem but the wrong kind of fat, such as super inflammatory PUFAs in vegetable/seed oils can contribute to acne

What foods can help acne?

Like mentioned earlier, eating a balanced, whole diet that includes: vegetables (especially dark leafy greens), fresh fruits, probiotic rich foods (kimchi, sour kraut, yogurts), fish/salmon, chicken, whole grains, beans, almonds, sweet potatoes, and seeds like flax, chia, pumpkin and sunflower. Also, ensuring that your body is well hydrated with water, herbal teas, and electrolytes is important.

There are also helpful herbal supplements and vitamins that may reduce acne, but it is best to consult with a provider for individual concerns.

Do hormones affect acne?

Yes, hormone fluctuations can be a major cause of acne, also known as “hormonal acne”. This can happen all throughout the different stages of human life. Even infants can experience hormonal acne as they start growing. Hormonal  acne is especially seen at time of puberty, pregnancy, menstruation, menopause, and even in cases of PCOS, endometriosis, and other hormonal medical condition.

  • Remember that just because something is common, does not mean that it is normal! If hormones are out of whack leading to acne this is a symptom of an underlying cause. Likely diet and lifestyle changes are needed to correct. 

What is hormonal acne?

Hormonal acne is linked to the body’s hormone fluctuations and imbalances. More specifically, hormonal acne is a result of your body producing more androgens, such as testosterone, than it actually needs. Which in turn causes the skin to produce more oil and acne. This type of acne tends to be more inflammatory and cystic formed along the chin and jawline, but can look different for everyone.

What are triggers of hormonal acne?

While triggers for each individual may vary, there are some main triggers and causes of hormonal acne, which include:

  • Stress
  • PCOS
  • Pregnancy
  • Puberty
  • Excessive sugar, dairy, or gluten consumption
  • Some birth control methods 
  • Inconsistent menstrual cycles 

Is hormonal acne preventable?

Hormonal acne is preventable, and treatable, but it can take a lot of work. Many people assume they are victims of circumstance if they get acne during their teen years. Especially if they are told that their parent and sibling had it too and it’s just “genetics”. However, the more we learn about holistic treatments, and getting to the underlying cause of conditions, the more we learn that we do have control over our health.

 

In the case of teen acne, consider that there are many factors leading up to acne that used to be considered genetic and now we think could be environmental that lead to acne such as:

  • Conditions in-utero: How did Mom eat during pregnancy? Was she super stressed? These conditions set the stage for our health in early life. Not within our control at that time but can be helped later in life. 
  • Mom’s microbiome: we inherit mom’s microbiome when coming out of the vaginal canal during birth. Was this microbiome healthy? Was it more or less prone to acne?
  • Diet and lifestyle early on: did we eat a lot of fruits and veggies or did we eat a lot of birthday cake?
  • Weight and activity: were we an active kid with healthy body weight or did we mostly play video games and eat potato chips?

Everything above affects our Epigenetics: what genes are turned off and on based on our lifestyle. We could have a gene that predisposes us to acne that we “turn-off” from a healthy lifestyle or turn-on from a healthy lifestyle. If we were set up with a disadvantage because Mom was super stressed during pregnancy and ate a lot of fast food, or passed on an unhealthy microbiome, it will take more work to correct but it is doable! We have a lot more control than we think. 

  • Consider working with a holistic nutritionist like Marisa Faye to get to the root cause! Especially if suffering from adult acne. 

Is spironolactone good for hormonal acne?

Spironolactone is often prescribed to treat hormonal acne and is affective for people so long as they continue taking the drug. If they stop, the acne will come back because it doesn’t address the underlying cause. This drug works by decreasing hormones (androgens) in the body that contribute to acne. 

Again, this drug does not cure acne and only treats the symptom of excess androgens without helping the underlying cause of why androgens are high in the first place (hormone imbalances). 

What environmental factors trigger acne?

There can be several different environmental factors that can trigger acne. From the weather to cosmetic products, listed below are some of the main contributors to avoid if possible:

  • Extreme weather: hot, cold, dry, humid 
  • Pore clogging cosmetic ingredients: mineral oil, talc etc
  • Cosmetics that contain hormone disruptors, see Chemtrust
  • Pollution
  • Bacteria on pillow cases, towels, makeup brushes 
  • Touching your face with dirty hands 
  • Not cleansing the skin 
  • Excessive sweating (without proper cleansing after)
  • Over exfoliation or using harsh products 

What are the best aesthetic acne treatments?

Luckily, there are several different acne treatments than can help with active acne, acne scarring, and prevent future acne. However, it is important to note that topical products and treatments can only work as well as taking care of your body as a whole. When combined together, acne can be beat! Read more for our treatment recommendations for acneic skin.

Do chemical peels help acne?

Chemical peels can help with active acne and acne scarring. Most chemical peels such as VI Chemical peel contain ingredients like salicylic acid to clean the pores of excess oil and sebum. The chemicals work deep within the epidermis, which causes the skin to tighten and flake or peel off after about 4-5 days which lessens acne.

Learn more about VI Peel

Does IPL help with acne?

Yes! IPL, also known as intense pulse light, helps with killing the bacteria-causing-acne within the skin. Not only does this help with active acne, but it can also help with the PIH (post inflammatory hyperpigmentation) that can be left after a pimple has healed.

All about IPL

What skincare ingredients help with acne?

This can be individualized, that is why we recommend seeing a professional to get a customized skincare plan. In general, Benzyol Peroxide or Salicylic Acid are the gold standard ingredients that fight acne causing bacteria. It is also important to use a foaming cleanser twice a day, oil-free moisturizer, and SPF everyday. A good skincare routine alongside treatments are very beneficial for acne prone skin and help prevent future acne. 

Shop Elite skincare

Do facials help acne?

Monthly facials are a great way to reduce acne because of the proper exfoliation, LED light therapy, and radio frequency that is offered in an Elite Acne Facial. Professional facials also include extractions that clean the skin’s pores and speed up the healing of current acne/pimples.

Explore skincare treatments

How can I get rid of acne fast?

 

Even though there is no “cure acne fast” method, there are some helpful tips and tricks that can alleviate the blemishes and speed up their healing time:

  • Do not pick at the blemishes
  • Apply ice to help calm inflammation and redness
  • Apply a spot treatment that has Benzyol Peroxide 
  • Use a pimple patch 
  • Apply products with Salicylic Acid in them to dry out the blemish 
  • Schedule an LED light therapy session. Blue LED light kills acne bacteria
  • Radio frequency 
  • Consume a healthy diet and lots of water/herbal teas
  • Avoid/limit sugar until breakout has cleared up
  • Manage stress 
Also consider working with a professional to help get to the underlying cause of your acne otherwise symptoms will just keep coming back!

What are the best acne treatments for teens?

Teen acne sometimes needs to be treated differently due to the age of the individual and what is safe for their skin. We highly recommend getting all teens on a simple skincare routine first. This should include products with ingredients like 

  • Salicylic Acid 
  • Benzyol Peroxide 
  • SPF
  • Gentle cleanser

Next, with consent of a parent, getting monthly customized facials that have LED light therapy, professional extractions, appropriate exfoliation, and radio frequency can help alleviate the acne and prevent it. Occasionally, depending on the severity, mild chemical peels and spot treating with IPL may be necessary. It is best to consult with a provider for teen acne, to make sure safety is priority! It will also take a family effort to clean up diet, improve gut health, decrease stress, and decrease inflammation! 

Learn more about skincare routines (by age) below.

A guide to skincare by age

How can I treat body acne?

Treating body acne is relatively the same as treating facial acne. In fact, you can even be a little more aggressive on the body because it is typically thicker skin than the face. At Elite, we recommend using our acne body wash 2x a day which has AHA/BHA exfoliants, a topical retinol, and using the medicated acne gel (with 5% benzyol peroxide) to spot treat. Going further than topicals, it can also be beneficial to get chemical peels, such as the VI Peel, on the body as well. Finding an appropriate way to shower or cleanse the skin after workouts is also important when dealing with body acne such as back-acne. 

For a complete body-acne routine, scheduling a consultation with a medical provider is key!

Schedule a consult

When should I see a provider for acne?

We recommend seeing a provider if the acne is worsening, not progressing with topical products, or you simply aren’t sure how to treat your acne. It can be extremely overwhelming seeing the amount of product and information on the web and social media. Typically, mild acne will clear up with topical products and lifestyle changes, but persistent, severe acne will need a diagnosis and a treatment plan customized to you. 

If you are located in the Denver, CO area, schedule a consultation below to talk with one of our providers today. You deserve to feel confident in your own skin! We are here to help. 

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