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Even if you haven’t been following world news the last couple of months, you may have noticed a shortage of toilet paper this weekend while shopping. That’s all due media attention on COVID-19.

Our goal at P3 is to be a source of education and action for your health.

Here’s the scoop on COVID-19, aka the Coronavirus. The main concern is for individuals with suppressed immune systems, like the elderly and people with chronic illness. It is passed between people who are in close contact with one another (within 6 feet) and through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land on people and surfaces and be inhaled into the lungs.

Symptoms of COVID-19 are similar to the flu. Within two to fourteen days after exposure people can experience fever, cough, and shortness of breath. Then the virus can move into the lungs and cause respiratory concerns that can ultimately turn into pneumonia and for high-risk individuals can result in death.

We know reading, “can result in death” may invoke anxiety and stress. That is not our intention. Again, the risk of death is for individuals that are already immune compromised.

Let’s focus on what you, your loved ones, and community can do to support our immune systems and live a life that reduces the risk of contracting COVID-19, and other viruses for that matter.  

Wash your hands with soap for a full 20-seconds.

  • Build the habit when you arrive to your destination and leave to wash your hands. Consider lotion if hands are getting dry or cracked to maintain a strong skin barrier.  

Do not use hand sanitizer.

  • We do not recommend hand sanitizer as it dries the skin and hand washing does a better job at killing microbes. Keep reading to see what we recommend below.

Limit sugar since it feeds viruses and bacteria.

  • Limit sugar intake, yes, alcohol counts as a sugar. For overall health limiting sugar is beneficial. For viruses it is critical. Sugar hinders our immune system’s ability to work at optimal capacity.

Do not touch your face.

  • Remember viruses are transmitted through particles from person-to-person. This can be from a cough/sneeze or touching common surfaces and then touching your face (mouth, nose or eyes). Keeping your hands away from your face and washing them often will reduce your risk.

Open windows.

  • If the weather is warm enough, we encourage natural ventilation. Get air circulating in your home, office, etc.


  • If you feel like you are starting to become sick, rest. Your body needs to focus on fighting off the foreign invader.

Optional: Wear a mask.

  • Masks are best used for those that are sick to help them from spreading the virus. But it can help to not touch your face while wearing one. Make sure you are wearing the mask properly, so particles are staying out of your mouth and nose.  

Increasing antioxidants and supplement support can be critical to keep you healthy during this time.

At P3 we have put together a COVID-19 supplement bundle.

  • Briotech Topical Skin Spray – Use as a hand and surface sanitizer. Spray the solution onto a cloth and wipe down common surfaces like phones, headphones, doorknobs, computer mouse, etc.
  • EHB from Integrative Therapeutics – This product packs a punch with Vitamin A, C, and Zinc along with other immune supporting properties.
  • L-Glutathione from Ortho Molecular – Is the ultimate antioxidant and support for your immune system.
  • Biocidin from Bio-Botanical – Supports the microbiome to lower infections and inflammation through a combination of botanical medicines.
  • Zinc Supreme by Designs for Health – Can give added Zinc support for immune health. Our recommendation when adding zinc to your routine is to evaluate all supplements to assess how much zinc you are taking in total.

For prevention we recommend:

  • Briotech Topical Skin Spray – Use as needed
  • L-Glutathione from Ortho Molecular – 1 capsule per day
  • EHB from Integrative Therapeutics – 3 capsules per day
  • Zinc Supreme from Designs for Health – 1 capsule per day with food
    • Goal for total Zinc is around 30-60mg for prevention

When symptoms start to occur:

Call your medical provider for further examination. Please note that the following doses should only be followed for two weeks max.

  • Briotech Topical Skin Spray – Use as needed
  • L-Glutathione from Ortho Molecular – 1 to 3 capsules per day
  • EHB from Integrative Therapeutics – 3 capsules per day, three to four times per day, with or without food
  • Biocidin from Bio-Botanical – Work up to 10 drops 3 times per day (30 drops total), take 30 minutes before meals
  • Zinc Supreme from Designs for Health – 1-2 capsules per day with food
    • Goal for total Zinc is around 60-90mg for immune support

We encourage those of you that are on biologic medication (used for treatment of ulcerative colitis, rheumatoid arthritis and other autoimmune diseases) to be aggressive in your prevention. 

For P3 members, you can come by the office (Monday-Friday 8am to 5pm) to purchase supplements or call/text the office and we will place the order on your Fullscripts account for delivery.

For more information about COVID-19 check out The Centers for Disease Control.

Tell us… What are you doing to keep your immune system in tip top shape?




Using a SkinPen device we make controlled micro-injuries that stimulate your body’s natural wound healing process. The purpose of this treatment is to generate new collagen and skin tissue for smoother, firmer, more toned skin. Microneedling is mostly used on the face and may treat various scars, wrinkles, and large pores.

Face – $275

Face & Decolletage – $350

Back of Hands – $200

Microneedling + PRP:

Face (aka, “Vampire Face Lift”) – $750

Face & Decolletage – $1,000

Back of Hands – $700

 *Click here for more information about PRP Facelifts at P3


Platelet-rich plasma (PRP) therapy uses injections of a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles and joints. In this way, PRP injections use each individual patient’s own healing system to improve musculoskeletal problems.

Vaginal Rejuvenation – $750

Hair Restoration – $850

Beard – $550


A procedure where a natural irritant is injected into the soft tissue of an injured joint. Supporters believe that it may provide significant relief for joint or back pain. The disruption to the lives of those who experience joint and back pain can be serious.

*For more information about this procedure, click here:

Single Joint -$250

Joint Add on – Same Visit $100

Amniotic and Cord Blood Stem Cells:

Personalize Treatment Plan – Price Varies By Product

Perineural Injections:

Perineural Injections (PIT) is a proven safe, effective treatment for patients who may not be candidates for joint replacement surgery or biologic options.

By appointment, by area – $150

*Pricing is for one single visit. For some procedures, it is recommend 3 treatments to achieve full effectiveness. We have discounted packages.  Please inquire to the front desk or your provider to more information.



Does Alzheimer’s Disease or memory loss run in your family?

Do you sometimes experience forgetfulness, brain fog, finding words, name recall, forgetting key details of a conversation, scheduled events and want to discretely find out if this is normal or what you can do to make improvements in your brain health or give you the best chance to prevent Alzheimer’s Disease? If so, we encourage you to read on to learn more about the impact of cognitive decline and discover how to improve brain health, memory and potentially stop the process of Alzheimer’s Disease in its tracks.

Cognitive decline and specifically, Alzheimer’s Disease (AD) is one of the most significant health threats faced in the United States. Likewise, it also appears in other westernized countries and is becoming a worldwide epidemic as an expected 89.28 million people globally are expected to be affected with AD by 2050.  In 2018, 5.7 million Americans were living with Alzheimer’s. Moreover, Alzheimer’s is the 6th leading cause of death.  Between 2000 and 2015 deaths from heart disease declined by 11% while deaths from AD increased by 123%.  1 in 3 seniors die with Alzheimer’s or another form of dementia and the disease kills more people than breast cancer and prostate cancer combined.

As disheartening as these statistics are to those afflicted with Alzheimer’s Disease, we must also acknowledge what it means for those potentially being put in the position of providing care to them. For instance, if you live to be in your mid-80s and are fortunately not affected yourself by Alzheimer’s Disease, then you are likely going to be a caregiver. Not surprisingly, studies consistently suggest that caregiver stress and often depression appears to negatively impact caregivers cognitive testing. Significant predictors of decreased caregiver cognitive testing performance include:

  • Increased levels of perceived stress
  • Loss of sleep
  • Decreased levels of perceived social support
  • Decreased levels of self-rated health
  • Increased number of years of caregiving
  • Being female

Most of these risks, many of us can already identify with. 

New research suggests that the development of Alzheimer’s begins 20 or more years before any noticeable symptoms arise, allowing for a substantial window of time for intervention and prevention. With advancing technology and further research, there is potential to decrease the prevalence of Alzheimer’s to a much lower level by declaring war on this disease and optimizing your health to play the cards in your favor. 


Of widely discussed preventative measures, Dr. Dale Bredesen’s coined “cognoscopy,” can prove efficacious at stopping Alzheimer’s development in its tracks. Developed by Dr. Bredesen, author of the book The End of Alzheimer’s, the cognoscopy is a series of screening tests that aim to assess the risk of Alzheimer’s development and identify the factors contributing to an individual’s cognitive decline to correct those abnormalities. Blood tests, genetic tests, mental status exams, and MRIs are used to detect cognitive decline in its earliest stages, determine potential causes and prevent its progression.

After decades of researching the disease, Dr. Bredesen came to the conclusion that there are 36 identifiable causes, or “holes” of Alzheimer’s that must be addressed holistically in order to provide successful treatment and prevention. Previously believed to be irreversible, Dr. Bredesen suggests that the disease may be both reversed and prevented through the repair and proper maintenance of these 36 potential issues.

According to Dr. Bredesen’s research, all adults 45 or older, especially those with close relatives suffering from Alzheimer’s disease, should be recommended a cognoscopy to determine their risk for development as well as to ensure preventative treatment is implemented as early as possible. With these screening tests to detect early signs of the disease, earlier diagnosis will be made possible and with it, better outcomes for patients.

Other Preventative Measures

Although “cognoscopy” has yet to be acknowledged as an approved Alzheimer’s detection procedure, the evidence strongly suggests that early detection of cognitive decline leads to better prognosis in patients. Other methods of optimizing brain health should be recommended to all individuals, and especially patients at risk of Alzheimer’s development.

Exercise is the number one lifestyle habit for increasing brain function and should be encouraged in all patients looking to improve brain health. Adhering to an anti-inflammatory diet has proven to improve cognitive performance as research suggests that inflammation compromises proper blood flow and undermines brain function. Furthermore, eating healthy fats daily, including omega-3 fatty acids which have been positively associated with cognitive function, has been shown to improve the health of brain cell membranes. Avoiding artificial sweeteners, gluten, refined and processed foods, and other neurological damaging foods has proven to lower the risk of Alzheimer’s development.

Research in the field of Alzheimer’s disease treatment is promising; the identification of biomarkers for Alzheimer’s is enabling earlier detection of unnoticeable symptoms and accelerating the development of new therapies. While studies on the effects of cognoscopy on the incidence and outcomes of the disease are limited, implementing certain lifestyle choices such as physical activity and diet may help support brain health and reduce the risk of Alzheimer’s until further research is conducted.

To schedule or learn more about Peak Performance & Prevention, Cognoscopy screen and Brain Health offerings, please reach out to us or talk to us at your next appointment!



Hormone regulation is about more than just HRT. As always, it’s far more important to remove what is breaking you before adding more to the equation.

Endocrine disruptors are anything that confuse your hormone receptors; and, unfortunately, they’re everywhere.

Here is a quick rundown of 3 of the big ones, and how to break up with them for good.


  • Parabens are used as a preservative that is antimicrobial and is inexpensive
  • Parabens are found in shampoos, commercial moisturizers, deodorants, shaving creams, tanning lotions, sunscreen, cleansing gels, personal lubricants, topical pharmaceuticals and in meats
  • Parabens have been shown in rats to decrease testosterone and sperm concentration and cause epigenetic modification of sperm DNA


  • BPA is used to make plastics and epoxy resins
  • BPA is found in water bottles, coating inside of cans, and the thermal paper used for receipts
  • Lines water pipes
  • Inside baby bottles and formula packaging
  • Many BPA free products are other versions of EPA with the same effects as BPA
  • Men with the highest levels of BPA had the lowest level of testosterone and also had significantly lower percentage progressive sperm
  • BPA has an anti-androgenic (anti-testosterone) and/or estrogenic effect
  • A China Study found that men with exposure to BPA at work had decreased androstenedione levels, decreased free testosterone levels, decreased free androgen index and increased sex hormone binding hormone globulin levels


  • Males with a highest level of phthalates correlated with infertility in a 4 year study of 501 couples trying to get pregnant
  • Levels of phthalates impact on fertility is similar to impact of smoking
  • Phthalates are true anti-androgens

Common sources of BPA, phthalates and Parabens: Toothpaste, plastic wrap (esp. when microwave), and cosmetics/personal care products. A simple place to start? Replace your Tupperware with glass containers.

Learn more…

Explore the Environmental Working Group’s guide on Endocrine Disruptors here, at



Prostate Cancer

As discussed in Part 1 of this series, symptoms of benign prostatic hyperplasia (BPH) and prostate cancer are similar. Men may experience increased urination (including at night), difficulty emptying the bladder, and difficulty starting urination in both cases. However, in prostate cancer, there may be no symptoms. 

Some types of prostate cancer grow slowly and sometimes only monitoring is recommended. Other types are aggressive and require radiation, surgery, hormone therapy, chemotherapy, or other treatments.  Additionally, if you have been diagnosed with BPH or are having BPH urinary symptoms, the very same enlargement that unpleasantly restricts urine flow, may also cause BPH to restrict prostate cancer tumor growth.  Therefore, it is very important to be followed closely by your health care provider and best not to delay or self-treat symptoms.

Age is the Most Important Prostate Cancer Risk Factor

The single most important risk factor is age. 95% of all cases occur in men aged 50 years and older. Among men newly diagnosed with prostate cancer, more than 90% will live for 5 years and even past 10 years. In fact, often in older men the disease may prove to be non-symptomatic and they may eventually die of other causes.

This leads into the question about where men should get screened for prostate cancer.  Although each man must decide for himself, Peak Performance & Prevention believes it is important to screen.  The routine labs we draw and review with our patients always includes prostatic antigen (PSA) screening.   We screen because we believe that knowledge is power. 

Non-Prescription Preventive & Adjunctive Treatments

In addition, P3 providers encourages lifestyle changes as foundational to the fierce prevention and treatment of all disease.  When it comes to cutting your risk of prostate cancer (PCa), you have control over your risk. In a study published in May 2016, JAMA Oncology, men and women practicing a healthy lifestyle (i.e., no smoking, moderate alcohol consumption and/or abstinence, healthy weight, and optimized exercise regimens) had much lower rates of cancer and cancer deaths than those who failed to practice all four of these. For men, the odds of getting any cancer were cut by a third, and the odds of dying from it by 44 percent. 

Supplement Recommendations

There are many treatments, pharmaceutical and non-pharmaceutical, for prostate health and disease prevention. Two of our favorites at P3 are Resveratrol and Zinc

  • Resveratrol: The beneficial properties of resveratrol, when well absorbed and tolerated, make it an attractive option for prevention and adjunct treatment of cancer prostatic diseases.  Resveratrol is a plant–derived metabolite that has anti-inflammatory and anticancer health effects.  It is even speculated that uptake of resveratrol by red wine consumption could be behind the so–called French paradox: the lower incidence of cardiovascular diseases, despite a diet relatively rich in saturated fats.  Several studies suggest that resveratrol is able to delay or prevent the initiation of cancer formation in the prostate. 
  • Zinc: has been found to inhibit prostate cancer cell line growth and invasion. In part, this may be through the inhibition of cell signaling, that influences immune messaging within the body, keeping undesirable cells from dying. Tissue levels of zinc are consistently lower in prostate cancer specimens when compared with normal specimens. Zinc can be found in many foods. Oysters and other shellfish head the list, but good amounts are also present in the bran of many grains, nuts and legumes.  In terms of supplementation, there seems to be a Goldilocks zone.  Meaning, the right dose for the right length of time is beneficial, while too much can be detrimental. 


By now, you have likely come to the conclusion that it is important to thoughtfully consider your prostate health. Understand that there is much that you can do to minimize the symptoms of BPH. If you are experiencing symptoms such as increased urination (including at night), difficulty emptying the bladder, or difficulty starting urination, you may be concerned about your prostate health. For support in optimizing your prostate health, reach out to your Peak Performance provider. 

Together, we can help create a personalized plan that is just right for you.



Part 1

If we asked what the strongest risk factor is for developing a prostate related disorder (such as benign prostate hypertrophy or prostate cancer), what would you guess?

You may first think about family history, being African American, eating red meat, being overweight, or smoking.  However, while all of these do contribute in various degrees, the strongest risk factor is age.

The impact of hormonal health on a man’s well-being generally manifest much later than in a woman. It is often a long, drawn-out process in comparison to the changes that commonly occur more rapidly for women as they age. It can also be harder for men to clearly identify these changes because they tend to appear more silently. 

In addition, men are often much less likely to talk about their own health and seek medical advice, which can lead to delay in care. Specific attention should be paid to men’s health because of how its effects can decrease quality of life and sexual health.  

Prostate Health & Diseases

The main job of the prostate is to produce seminal fluid, which is released during sexual activity.   The prostate gland is located just below the bladder and in front of the rectum. It also wraps around the upper part of the urethra, the tube that carries urine from the bladder out of the body.

Although small (only about the size of a walnut or golf ball), its location virtually guarantees problems that can affect urination and sexual function if something goes awry.

Symptoms of an enlarged prostate (aka, benign prostatic hyperplasia, or BPH) and prostate cancer are similar. For that reason, it’s imperative that a man’s PSA levels be checked regularly, as symptoms alone may not tell the whole story.

Men may experience:

  • increased urination, including at night
  • difficulty emptying the bladder
  • difficulty starting urination

Benign Prostatic Hyperplasia (BPH):

In terms of BPH, as a man passes his fifth decade of life, serum testosterone levels decrease and estrogen (as well as brain derived hormones prolactin, luteinizing hormone, and follicle-stimulating hormone) levels rise.

Testosterone is metabolized to DHT (a much more potent androgen) by the enzyme 5 alpha-reductase.  DHT causes the prostate to grow. 

Estrogen increases the number of male sex hormone/androgen (DHT) receptors in the prostate and inhibits male sex hormone (androgen) metabolism. 

In turn, factors that promote the accumulation of estrogens and DHT lead to symptoms of BPH and obstruction of the lower urinary tract, which then cause bladder muscle dysfunction. 

Likewise, obesity and insulin resistance also play a significant role related to the chronic inflammation that they create.

Most men develop BPH to some degree, though not everyone is troubled by it. Symptoms are believed to be due to a combination of physical obstruction by the enlarged prostate and obstruction-induced bladder dysfunction. Potential complications of BPH include urinary tract infection, urinary tract or bladder stones, urinary retention, and kidney dysfunction.

For those who struggle with BPH, the effect is simple…the tube (urethra) which carries urine out of the bladder passes directly through the middle of the prostate; since the prostate is nested in a very limited area, as it grows it meets resistance. This creates pressure within the prostate gland that squeezes the urethra, making it more difficult to pass urine. This progression leads to an unstable bladder muscle and worsening symptoms.



There are many things that you can do to impact your prostate health on your own.  Improving testosterone balance through better nutrition, weight loss, and exercise may be beneficial – especially for men whose testosterone level is on the borderline between low and normal.   

Exercise may not only help shed unwanted pounds but may also help boost testosterone. Research has found that not only do strength workouts have a bigger effect on testosterone but doing them in the early evening may also be of benefit, since testosterone levels are naturally lower in the evening.

Assuring that you don’t do workouts too close to bedtime or overdo them is important, though. Late workouts can increase cortisol (a stress hormone) which can lower testosterone even more.  

You will also likely be happy to know that research supports more sexual activity as beneficial in prostate health.

Non-Prescription Treatments

Beside pharmaceutical drugs that your provider can prescribe, therapies that have been found to reduce hormonal stimulation of prostatic cell growth include:

  • good nutrition to help balance hormones
  • losing deep visceral body fat
  • reducing heavy alcohol consumption
  • regular exercise and movement 

An anti-inflammatory diet that is low in red meat and dairy, high in good fats such as foods rich in omega-3 fatty acids (salmon, nuts, or flax) and rich in phytosterols (including olives, sesame seeds, pumpkin seeds, and their respective oils) can also help reduce inflammation and the negative detrimental effects that testosterone and estrogen metabolites may have.

Consuming one to two tablespoons of freshly ground flaxseed twice daily can also be beneficial.  

Dietary supplementation may have some benefits, as well.

Preferred peparations include:

  • Zinc sulfate
  • Selenium
  • Lycopene
  • Saw Palmetto
  • Resveratrol
  • Pumpkin Seed

Part 2…

Coming Soon!





Imagine MTHFR is a 6 lane highway.  MTHFR = the size of the highway responsible for carrying “traffic”.  That traffic includes estrogen, cortisol, environmental toxins, and alcohol. These substances will take up a lot of room on your “methylation highway”.  When you have a double heterozygous MTHFR genetic polymorphisms [ or single heterozygous or homozygous for MTHFR C677T or MTHFR 1298C],-WHEW!-that’s a mouthful- you were born with a smaller highway. For example, if you were born with MTHFR double heterozygous genetics, you have 2 lane highway, where as someone born without any polymorphisms have that 6 lane highway.  35% of the population has some narrowness to this highway  65% of the population has a 6 lane highway. 

That highway is responsible for carrying toxins, alcohol, estrogen and cortisol.  We cannot change the “road” you inherit. Polymorphisms make a person with MTHFR polymorphisms more vulnerable to toxins in the environment. 


FOR EXAMPLE: A woman with a narrow highway (double heterozygous MTHFR), that is stressed (cortisol) and overweight (fat releases estrone-a type of estrogen) and tries to relieve this stress with a couple glasses of wine at night (alcohol)-which in turn, disrupts restorative sleep (increased cortisol). This person has less grace to carry cortisol, estrogen, alcohol on her narrow highway. Her inability to clear estrogen and toxins increase her all cause mortality of estrogen dependent cancers, Alzheimer’s, and autoimmunity. Her neighbor dealing with the same level of stress, weight, disrupted sleep and alcohol intake doesn’t carry the same risk of developing these significant health issues.


Homocysteine is a marker that we check because it tells us indirectly about the traffic you are carrying down that road. We look at the known factors that can contribute to increases in homocysteine and optimize those through elimination of toxins, alcohol, stress reduction (cortisol), body fat composition and optimizing hormones.  We want homocysteine optimally to be around 5-6. It decreases all mortality and morbidity when we are thinking about cardiovascular disease, cerebral vascular disease (stroke), Alzheimer’s Disease, dementia, autoimmunity, and cancers.    

Do you know your MTHFR status? Do you know your homocysteine levels?

Knowledge leverages power to prioritize where it makes the most sense to make changes in your life. Is the wine worth the risk? Is the stress worth the risk? And what risk do you have personally?

The right type of B12, folate and B6 have the power to metaphorically stretch the width of the MTHFR highway.  If we optimize B12 to 1500, we can likely drop homocysteine by 2 points.  We can use supplementation to get you closer to the goal of homocysteine of 5-6 while we figure out where the traffic is coming from. 

So how wide is your highway and how much traffic are you carrying?



Problem & solution rundown from your P3 Clinical Team:

A common complaint heard by clinicians in primary care who are trusted by their female patients, or are brave enough to ask their female patients, is regarding waning libido or difficulty reaching orgasm. There are several factors that can affect women’s libido (desire) and sexual function (arousal and reaching orgasm).

Physical Obstacles:

Hormone imbalance can lead to vaginal dryness (lack of estrogen) or decreased desire (lack of testosterone). The questions are: what can contribute to hormone imbalances, and how do you achieve balance? The answers: test, teach, and treat.

Stress or Nervous System Dysregulation can contribute to disrupted sleep. This will affect cortisol, DHEA, and will also sink testosterone levels.

When women are managing chronic pain or chronic disease, the biological drive to reproduce tanks. Our biology is smart: if stress (physical or emotional) is elevated, the drive to bring a new human into the world takes a back seat (aka: sex drive turns into a distant memory).

Medication/Drug side effects will commonly cause decreased sex drive, but also anorgasmia (inability to reach orgasm). Examples include, but are not limited to: alcohol, cocaine, Prozac, Lexapro (SSRIs), blood pressure medications, antihistamines, and anti-psychotics.

Autoimmune disease of the central nervous system (such as Parkinson’s disease and Multiple Sclerosis) and poor pelvic tone after vaginal delivery are other physical issues to consider.

Emotional/Psychological Obstacles:

  • Boredom with the same partner or routine.
  • Toxic relationships
  • Damaged self-esteem and/or poor body image
  • History of sexual abuse resulting in unhealthy relationship with sex
  • Religious or cultural indoctrination resulting in guilt with enjoying sex
  • Depression and anxiety

We can help

At P3, we support our female patients by building excellent foundations. Our observation is, when the system is built upon powerful foundations (Nutrition/Sleep/Stress-Connection/Movement/Detox), many of the previously-mentioned issues will resolve. That said, when we are honing in on sources of stress, and unveil trauma or toxic relationships as a primary obstacle, we lean on our excellent referral sources of family, trauma, and sex therapists.

Interventions to support women in meeting their sexual health goals are limited, especially when compared to those available to men. That said, the physical obstacles are much easier to navigate. The best supportive interventions for improving women’s sexual function include:

  • Optimizing Testosterone levels to increase libido, as well as intensify orgasm when applied to external labia/clitoris.
  • Strategically achieving balance among estradiol/estriol and progesterone, in order to support healthy vaginal tone, vaginal secretions, and improved sex drive.
  • Supporting Oxytoxin through nasal spray or sublingual troches, in order to increase the “feel good” or “bonding hormone.” This hormone is released at orgasm, or even when giving someone a hug, and can help when mild depression/anxiety are contributing.
  • The exciting option of the PT-141 peptide for both women and men. It increases libido and intensifies orgasm. The peptide lasts 48 hours and can be administered sublingually, through nasal spray, or injected subcutaneously.
  • “Scream Cream,” which is a compounded cream applied to the clitoris prior to anticipated sexual encounters. This cream combines the vasodilators aminophylline, isosorbide dinitrate, ergoloid mesylate, pentoxifylline, and L-Arginine, with the intent of intensifying orgasm (hence its name). Testosterone can also be combined with this compound, should patients prefer.

At Peak Performance & Prevention, we are always in pursuit of the awesome, not just the average. Humans need love and connection, and a healthy sex life is part of a joyful and vital life. Please let us know how we can help support your pursuit of great sex!



…better known as a

“PRP Facelift”

This procedure uses your own blood to rejuvenate your skin by adding a big boost in volume, color, and shape.

It works by using the benefits of your own concentrated growth factor and stem cells to stimulate collagen production; filling, firming, and restoring your skin.

PRP Facelift is excellent for:

  • Reducing fine lines
  • Facial volume loss after weight loss
  • Facial volume loss due to aging
  • Reducing the appearance of scars, including acne
  • Increasing collagen production
  • Firming and shaping of the skin
  • Improving skin color and texture


PRP stands for “Platelet Rich Plasma”. PRP was first used in cardiac surgery in 1987 to improve post-operative healing. The next area in medicine to adopt the therapy was dental surgery where it has been safely used for over 20 years. More recently it has been utilized in plastic surgery, cardiothoracic surgery, implant surgery and spinal fusion surgery.

PRP for skin improvement and antiaging is safe and effective. It improves skin texture and tone. It helps with leathery fine lines, removes photo damage, and increases production and synthesis of new collagen. Additionally, it accelerates wound healing and helps improve acne scarring.

How many treatments are required?

This will depend upon the health and age of you and your skin. Normally it is advised to have 2 – 3 treatments 4 to 6 weeks apart.

After that, the maintenance is one treatment every 6-12 months, depending on the health of your skin. Make sure you ask about our package discounts to save money on your series.

How long do results last?

There is on-going improvement in your skin up to 12 months after each treatment, depending on the rate you grow collagen. It is suggested that you have follow up treatments at 12 months.

What to expect after the procedure:

Mild swelling and redness from the plasma will be visible at first and typically lasts only 1-3 days. Once this has subsided, you will not see much change until the platelets begin to stimulate the growth factors, which will assist in more collagen growth. This growth process is continuous for weeks after your procedure. As a result, your look continues to improve daily and compounds when you get the next treatment.

Hydration improvement is visible at 2 to 3 weeks- this means that dewy glow becomes more and more obvious. Textural improvement is gradual over the next few months- so plan your treatment accordingly if you have a major event on the horizon. Though there is little down time, your maximum results will be observed over time.

Advanced wrinkling cannot be reversed, and a minimal improvement is predictable in persons with alcohol and tobacco abuse. We try to make sure you are an excellent candidate before the treatment so that we can best meet your expectations.

What are the risks of PRP facelift?

PRP is very safe.

At minimum, expect some mild swelling, bruising and redness for 12-24 hours. Though rare, some clients experience a headache.

Modest results may include feeling faint. A bruise at the venipuncture site may be visible for 2-3 days, like a typical blood draw.

What is the required preparation?

1. 5–7 days before treatment: stop taking any supplements that can increase bruising and bleeding, namely:

  • Green Tea
  • Omegas (Fish Oils)
  • Evening Primrose Oil
  • Garlic
  • Echinacea
  • St John’s Wort
  • Vitamin E
  • Nurofen
  • Voltaren
  • Aspirin (after consulting your doctor)
  • Hydrate – drink water before and after your procedure
  • Reduce your fat intake
  • Reduce your alcohol and caffeine intake (or eliminate entirely)

2. Two days before your treatment: drink 1 gallon of water


It takes approximately 60-90 minutes. Your skin will be cleaned and prepped with a topical anesthetic. The following areas can be treated:

  • Around the eyes – Peri Orbital Rim
  • Cheeks and Mid-face
  • Thinning skin on the neck
  • Jaw line and Submalar
  • Back of hands
  • Décolletage
  • Other body areas: knees, elbows, upper arms, hands, post-baby tummy


Patients with severe skin disease, cancer, receiving chemotherapy, severe metabolic and systemic disorders, and abnormal platelet function (i.e. blood disorders). Anti-coagulation therapy and underlying sepsis HIV, some auto immune disease excludes the use of PRP.  We also do not recommend PRP treatment for those with current cystic acne, on Accutane or for pregnant women.

Consultation is required to assess whether you are a candidate.

PRP Facelift Cost for P3 Members:



Regenerate Damaged Joints

Inside your joints are cells called chondrocytes that are working hard to maintain and restore joint and cartilage health.  Unfortunately, they are always working at a deficit; because joints do not get a strong blood supply (meaning they do not get an abundance of the nutrients or oxygen that are necessary to heal).

When you have an injury, the swelling, redness, warmth, and pain are the result of the chondrocytes calling in the troops to help. That inflammatory process has a purpose and the troops include growth factors and red blood cells carrying oxygen/nutrients in, as well as lymph to carry out toxins. When you receive a steroid injection into a joint or area of injury, the steroid calms inflammation because it is toxic to chondrocytes. While this results in temporary relief from inflammation, you are killing the cells that are working hard to heal your cartilage. There is a better way. A restorative way.

Prolozone Therapy is a non-surgical procedure to reduce pain by facilitating the body’s own natural ability to heal itself. “Prolozone” is derived from the Latin word “prolix”, which means to proliferate, regenerate and rebuild. Prolozone Therapy is so named because the treatment uses ozone gas to cause the proliferation, regeneration and rebuilding of new ligament and cartilage tissue in an area where they have become weak. Healing occurs when chondrocytes have been supplied with oxygen and nutrients. These two items fuel the chondrocytes to do their work. Ozone is O3 – an unstable gas. When it is injected into the area of injury the O3 stabilizes to O2 and becomes a potent source of supply to the chondrocytes.

Prior to the O3 injection, the area of injury is supplied with nutrients: Dextrose, B6, and B12. Between these, the chondrocytes are given the necessary tools to do their work.

Ligaments are the structural “rubber bands” that hold the bones, joints and intervertebral discs together. They can become weak from injury, excessive use, or surgery; and often do not heal to their original strength and tightness. When this happens, it puts a strain on the area that the ligaments are supposed to be holding together, resulting in pain and arthritis in the bones, and joints. Ligaments also have many nerve endings which can provide an additional source of pain.

What can you expect?

The response to treatment varies from individual to individual and depends upon one’s healing ability and severity of injury. Some people need only one or two treatments, while others may need six or more. The injection process is repeated every 2-6 weeks until maximum improvement is noted. It may take more injections in those that have had severe pain for many years.

Prolozone Therapy is a safe, natural and often permanent treatment.

Most Common Problems Remedied With Prolozone Therapy:

  • Shoulder pain from rotator cuff injuries
  • Osteoarthritis
  • Arthritic joints
  • Tennis Elbow
  • Sports injuries
  • Carpal Tunnel
  • Plantar Fasciitis
  • Sprains and strains



Let’s acknowledge that we are living through an unprecedented time in our history: a 100 year pandemic.  This is a time when we need to practice love, kindness, and patience in order to come out of this stronger and more resilient.  We must approach this with a level head, and an open heart. We must focus on doing what is necessary to protect ourselves, our loved ones, and our community.  This is a time to stay home, practice good hygiene (wash hands and clean surfaces),  cook nutritious whole foods,  learn new things, laugh as much as possible, love and cherish our loved ones, and be grateful for the little things in life.

Aside from following the national and state guidelines of washing your hands, wearing a mask, and staying home while practicing social distancing, what can you do to protect yourself from this virus?

Support your Immune system

Your immune system is your bodies defense system.  When it is functioning optimally it can and should handle viruses that invade the body. In order to do this, you need to make sure you are consuming important nutrients that support your immunity.  

P3’s “Musts” for Optimal Immune Function:

  • A Whole-Food, Nutrient Dense, Diet – Nutrient deficiencies are the major cause of a poorly functioning immune system. More than 90% of Americans are deficient in at least one nutrient (at the minimum dose). We all need to focus on improving the quality of our diet.
  • Reduce and Eliminate Sugar and Refined Starches – Studies show that sugar and processed foods adversely effect your immune system for hours after ingesting them.  This is a great time to do a sugar detox.
  • Make Sure You’re Eating Clean Protein – Every cell in your body needs protein.  Make sure you’re getting it from clean sources: wild caught fish, grass finished beef, wild game, pastured poultry and eggs, collagen protein, or homemade broths.  If you’re a vegetarian or vegan, make sure to consume hemp hearts, nuts and seeds (preferably soaked and sprouted), spirulina, fermented soy (in small quantities), and organic beans and rice (combined to make whole proteins).
  • A Wide Variety of Colorful Non Starchy Veggies – Make sure you eat a rainbow of color every day.  The color in veggies and fruit is from polyphenols (strong antioxidants) that eat up free radicals in the body, and help your immune system fight off viruses.  Garlic, onions, fresh herbs (such as rosemary, oregano, thyme, and turmeric) are natural antimicrobials.  Colorful berries are another source of antioxidants, but keep fruits in moderation. Too much fruit spikes blood sugar, which weakens the immune system. 
  • Multiple Servings of Foods High in Vitamin C – These foods contain phytonutrients that protect the immune system from damage caused by too many free radicals.  Make sure you purchase organic sources – papaya, bell peppers (all colors), broccoli, Brussels sprouts, strawberries, pineapple, oranges, kiwi, cauliflower, and cantaloupe.   Aim for 1-2 servings (1/2 Cup) of fruits and 8 more servings of vegetables!
  • Multiple Servings of Foods High in Zinc – Zinc is a vital co-factor to ensure proper immune function. Make sure to eat a variety of these foods throughout the day. Grass finished beef, lamb, sesame seeds, pumpkin seeds, lentils, garbanzo beans, cashews, organic turkey, quinoa, wild caught shrimp.
  • Eat Colorful Fruits and Vegetables High in Vitamin A – Sweet potatoes, carrots, spinach, kale, mustard or collard greens, turnip or beet greens, Swiss chard, and winter squash.  A serving is 1 cup raw or ½ cup cooked.
  • Probiotic-Rich, Fermented, Foods These foods support both your immune system and your microbiome (which houses your immune system). Include sauerkraut, kimchi, natto, miso, tempeh, unsweetened yogurt, and kefir. They also keep well! Include prebiotic foods such as asparagus, artichokes, Jerusalem artichokes, plantains, dandelion greens, leeks, onions, garlic, bananas, apples, jicama, flax seeds, and seaweed.
  • Drink Your Fluids – Your body is up to 60% water.  Water is the primary building block of cells. Make sure you are drinking ½ your body weight in ounces of filtered water per day (i.e. – a 150lb person needs 75oz of water each day, and even more if exercising).  You can also drink immune boosting warm bone broths, soups made from scratch with organic vegetables and herbs.  These are rich in vitamins and minerals and count as part of your water.  Herbal teas are also a great way to get water and immune supportive herbs and spices into the body.  Try, echinacea, elderflower, turmeric, ginger, lemon, elderberry and rosehips for a few good options.  Traditional Medicinal is a trusted brand.
  • Sufficient Sleep – Getting enough quality sleep is now a no brainer. Sleep restores and heals the body. Without adequate sleep, optimal immune function is next to impossible! To follow the body’s natural circadian rhythm, head to bed earlier. A sleep window of 10pm to 6am is ideal for most people. Aim for 7-8 hours per night. Incorporating meditation, prayer, deep breathing and or gratitude practices throughout the day will help manage stress and quiet the mind.
  • Exercise – In spite of being on lockdown in our homes, try to take a walk outside (practicing social distancing with your mask); or – if you have a backyard – just spend time outside.  There are many excellent free exercise programs being offered online now.  You can go to our Facebook page and do some exercises with our own Tarah! There are apps with 7 minute or short Tabata workouts.  Just get your body moving!  Your immune system needs movement to flush out the lymphatic system and remove toxins.  Our bodies are meant to move!
  • Sunshine – This virus doesn’t like the sun or warmer weather.  Get out in the sun for 20 minutes a day.  Your body will create vitamin D, which is life-giving to your immune system.  Try some deep breathing and gratitude while you take note of the gift of nature.
  • Stay connected – Being in close touch with those you love and with your P3 team is essential for your mental and emotional health. Thank God for FaceTime and Zoom! Have virtual get-togethers, coffee dates, dinner parties, or anything that tickles your fancy… just stay connected.

    If you are practicing all these immune boosting lifestyle interventions and feel you need additional support, P3 suggests the following supplements (please check with your practitioner to make sure these are right for you personally):
    • The Foundations: Vitamin D3, Omega 3, B12 …EVERY DAY
    • Melatonin 10-20mg
    • Vitamin A 10,000iu daily
    • Vitamin C 5,000mg daily
    • Liposomal Glutathione 5cc twice daily.

Immune Boosting Stirfry

1 pound grass finished beef, chicken or shrimp

1 medium onion sliced

1-2 cups sliced organic  mushrooms

1 1/2 cup sliced Brussels Sprouts

1 cup chopped organic Collard greens stem removed *

1 cup chopped organic kale stem removed**

2 Tbsp extra virgin olive oil

Pre-cook your chicken, beef, or shrimp ahead of time. You can grill or bake or slow cook with some oil, garlic, salt and pepper.
2. Saute the onions, mushrooms, Brussels sprouts in olive oil on medium to medium low heat until soft and a little caramelized
3. Add in the meat- make sure you cut it into small pieces
4. Add the chopped collard greens and kale and toss till the greens are soft and the meat is heated through.
5. Toss with 1/4 – 1/2 of the peanut sauce depending on preference.
* If you are a vegetarian you can use organic sprouted tofu or leave step 1 out and put chopped nuts and hemp hearts on top.
** You can use whatever greens you like just make sure you use greens because they are so nutritious

Asian Style Spicy Peanut Sauce
1/4 cup smooth peanut butter or almond or cashew butter

1-3 Tbs water if you want a thinner consistency

2 1/2 Tbsp rice vinegar

Juice of 1 lime

2 Tbsp tamari or coconut aminos

2 cloves garlic minced or pressed through a garlic press

1 tsp grated ginger or 1/4 tsp ginger powder

1 Tbsp raw honey or Monk fruit

1 tsp toasted sesame oil- if you don’t have it omit it

2 Tbsp avocado oil or extra virgin olive oil

1 small diced jalapeno diced or use half  or 1/4 tsp red chili flakes

1/4 tsp cumin

1 tsp chili powder 

1-2 Tbsp cilantro chopped fine

Mix all ingredients in a bowl with a whisk until well blended.  If you don’t want it spicy, remove the jalapenos or the red chili flakes. Store in a mason jar in the fridge. Jar will need to be shaken well before using, once chilled.
Serve over cooked brown rice/millet ramen noodles (from Costco), over brown rice, zucchini noodles, or by itself.  Top with sesame seeds or chopped cashew for added nutrition if you like. This is a delicious and chock full of nutrition… and makes awesome leftovers. 


Written by Gwen Krieger, P3 Health Coach