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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?



P3 is excited to announce IV Micronutrient therapy!!

Have you tried IV therapy before?

If not, you might not realize how quick and easy it is to receive micronutrients intravenously. In a little less than one hour (like during your lab review!), we can infuse micronutrients that can help boost your immune system, assist with detoxification, give you some energy, and/or bring about a sharper state of mind.

How does it work?
IV therapy provides a high dose of vitamins, minerals, and anti-oxidants directly into the blood stream, while absorbing 100% of the nutrients.

Who can benefit?
Allergic rhinitis, asthma, immune disorders, chronic fatigue syndrome are some medical conditions improved with IV therapy; as well as conditions like flu, Crohn’s, IBS or ulcerative colitis… even jet lag or a hangover.
Everyone can benefit from a boost to their immune system. Factors like stress or lack of sleep can weaken the immune system, and with COVID-19 still being a public health concern, ensuring that your body’s immune system is at its peak is worthwhile. There are numerous ways to help enhance your immune system, but intravenous (IV) therapy is a leading option. IV therapy delivers nutrients directly into the vascular system. Taking medication by mouth means that the treatment must first to be broken down in the digestive system, which can result in a long delay for the drug to exhibit its effect on the body.  Additionally, compromised gut function can limit how well oral supplements are digested and utilized at all. IV therapy is a fast and efficient approach to help the nutrients reach your cells quickly.

IV Therapies Offered:”Detox”: $125 Single / $100 Group / $150 Non-Members
The buildup of toxins and free radicals in the body can leave you feeling sluggish, accelerate the aging process (free radicals are directly linked with cell aging), and open the door to far more dire health consequences. The Detox – IV Glutathione Therapy puts glutathione to work ridding your body of these toxins.
Glutathione is a protein that is made in the liver and is present in almost every cell in the body. Glutathione is also known as the “master antioxidant” due to its main role in protecting the body from “oxidative stress.” Glutathione can help regenerate other antioxidants (vitamins C and E) to help the immune system too. Also, glutathione assists in the detoxification of harmful substances from the body. Glutathione deficiency is associated with aging, age-related macular degeneration, lung and gastrointestinal diseases, preeclampsia, Parkinson’s Disease and other neurodegenerative diseases.

“Immune & Energy”: $125 Single / $100 Group / $150 Non-Members
The Immune & Energy Boost IV is a powerful combination of vitamins to support your immune system and help prevent illness.
The Immune Energy Boost is a blend of ascorbic acid (Vitamin C), riboflavin (B2), niacinamide (B3), Panthenol (B5), Methylcobalmin (B12) & Thiamine (B1).The various B vitamins in the Innovation Vitamin Blend act as coenzymes or precursors for amino acid formation, as well as activating key metabolic pathways involved in supporting optimal metabolism and energy levels. Additionally, vitamin C, in the form of ascorbic acid, provides strong antioxidant support. This makes the Immune & Energy Boost suited to support a wide array of conditions requiring well-rounded vitamin support, especially in scenarios of poor diet or leaky gut.

“Vitamin C” – $125 Single / $100 Group / $150 Non-Members
Under stress? Blasting a mega dose of vitamin C gives your immune system the boost you need to feel your best and avoid the latest bug going around!
Vitamin C, also known as ascorbic acid, is a water-soluble vitamin. Unlike most mammals and other animals, humans do not have the ability to make their own vitamin C. Therefore, we must obtain vitamin C through our diet. Vitamin C is required for the synthesis of collagen, an important structural component of blood vessels, tendons, ligaments, and bone. Vitamin C also plays an important role in the synthesis of Neurotransmitters, which are critical for brain function. In addition, vitamin C is involved in the process of transporting fat into cellular organelles called mitochondria, where the fat is converted to energy. Vitamin C is also a highly effective antioxidant and in small amounts can effectively protect important cells from free radical damage.

“Iron” – $250*
Feeling fatigued and sluggish and have signs of anemia on your lab? Do you struggle to tolerate oral iron supplements? An iron infusion may be right for you. Reach out to your provider and inquire, as iron therapy is available by prescription only

Iron is one of the components of hemoglobin, the substance in red blood cells that helps blood carry oxygen throughout the body.
If you do not have enough iron, your body cannot make hemoglobin, and you may develop anemia. This is known as iron-deficiency anemia – the most common type.

What are the symptoms of anemia?

  • Feeling tired
  • Paleness
  • Difficulty breathing
  • Fast heartbeat
  • Dizziness
  • Headache
  • Feeling cold (including hands and feet)
  • Infections (caused by problems with the immune system)

*No group discount available for Iron IV, but can book as part of a group visit.



While P3 believes it is important to learn to skillfully eat a well-balanced diet, we understand that sometimes there is a need to kick start weight loss more quickly. 

Below are a few packages options and general nutrition guidelines:

Plan A

Perfect Protein by Metagenics +
BioFiber Complete by Biotics Research  


-Biofiber: (2 scoops/day – 30 day supply).
Serving = 1 scoop in each shake per day
A complete fiber supplement powder that contains 10 different types of fiber from whole seeds, fruit, vegetables and root to increase satiation and gut health.

-Perfect Protein Pea & Rice (4 scoops/day = 2 shakes per day, 30 day supply).
Serving = 2 scoops per day
A protein powder containing 20 g per serving, for a balanced and complete protein.

Plan B

UltraGI Replenish by Metagenics +
BioFiber Complete by Biotics Research


-Biofiber:  (2 scoops/day – 30 day supply).
Serving = 1 scoop per day in shake
A complete fiber supplement powder that contains 10 different types of fiber from whole seeds, fruit, vegetables and root to increase satiation and gut health.

-UltraGI Replenish (4 scoops/day = 2 shakes per day, 30 day supply)
Serving = 2 scoops per day.
15g protein per serving with macro and micronutrients to support gut function.


Add-ons to Enhance Weight Loss

1. CJC + Ipamerolin Injectable Peptide – $200 when added on to Weight Loss Kickstart [Retail Value: $242].
(6 weeks)
*Appropriate for those who are avid and disciplined exercisers.
An injectable that assists the body with increasing metabolic function & supports the body’s ability to fat burn while maintaining lean muscle.

2. Canaglilozin (INVOKANA) 50mg cap daily+ Ultraflora Probiotic – $220 when added on to Weight Loss Kickstart
(30 days).
*Appropriate for those without a significant history of urinary tract or yeast infections
Canagliflozin increases urinary glucose excretion, improving glycaemic (blood sugar) control in patients with type 2 diabetes while enhancing weight loss.

3. UltraFlora® Control $45
A probiotic that is designed to help support body weight regulation by delivering targeted probiotic support as Bifidobacterium lactis B-420™††† which has been shown to help control body fat and body weight.*  This probiotic works synergistically with the microbiome to upregulate specific bacteria that help suppress appetite.  In a recent study, patient’s who consumed the bacterial strain contained in this product daily ate approximately 300 calories less per day while taking it.

4. Other Options – Ask your provider for other options that may be right for you.

General Nutrition Guidelines:

Intermittent fasting: Stop eating at least 3 hours before bed time

Those who eat breakfast:
– We recommend that you stop eating 3 hours before bed.  You should drink a shake for breakfast and lunch. You will be responsible for making a healthy dinner.
– Dinner should include 4-6 oz cleanly sourced protein.  The rest of your plate should be filled with fresh, non-starchy veggies (consider corn a starch!). A small amount of healthy fat, like avocado or ghee, can be added for flavor. 

Those who don’t eat breakfast and practice a longer intermittent fasting period:
– Continue to skip breakfast per your usual regimen
– Only consume one shake per day
– Dinner should include 4-6 oz cleanly sourced protein.  The rest of your plate should be filled with fresh, non-starchy veggies (consider corn a starch!). A small amount of healthy fat, like avocado or ghee, can be added for flavor. 

P3’s Simple Smoothie:

Make It Your Own!

Customize this basic template with your favorite fresh, organic seasonal produce.

Smoothie Recipe: (Each serving = 1 meal replacement)
*Consider investing in a Nutribullet, Ninja, or Vitamix if you haven’t already.

1. 1/2 c to 1 c nutmilk without added sugar (ie – almond milk has about 30 calories per serving)
2. Handful of organic spinach or other organic greens (small amount of broccoli sprouts in addition to these greens can be a good bonus)
3. 2 scoops GI UltraReplenish or PerfectProtein
4. 1 scoop Biotics Biofiber
5. 1/2 c frozen or fresh (preferably organic) berries (ie- raspberries, blueberries, blackberries)
6. Place all ingredients in blender and dilute with nut milk or water to desired consistency

Helpful Resources for Dinner Prep:

a.         Downshiftology

b.        Weight Loss Meal Prep: 1 Week in 1 Hour



Designed to emit 1 million pulses at therapeutic levels and capable of providing 50 total treatments with no lock-out time. No Pills No Injections No Surgeries


Benefits Include:

✓ Maximizes blood flow
✓ Strengthens the “package”
✓ Increases sensitivity
✓ Decreases refractory time
✓ Eliminates the need for pills

Viagra® and Cialis® temporarily mask the symptoms of erectile dysfunction (ED), keeping you dependent on them forever while causing unwanted side-effects. The Phoenix Pro uses advanced acoustic waves to open up blood vessels within the penis while regenerating new blood vessels, which vastly improves erection quality.

How It Works:

The Phoenix Pro emits 20k pulses of acoustic soundwaves into certain parts of the male member to optimize performance naturally. Combined with a specially created, custom-tailored protocol for each patient, the Phoenix Pro is able to expand blood vessels and stimulate the growth of new blood vessels in the penis.

This increases the blood flow to the penis and improves sexual function. In addition, the procedure activates the growth of new nerve tissue in the penis. This process, called angiogenesis, enhances sensitivity in the penis.

Watch These Testimonials

Everyone knows I’m a big fan of having sex. I’ve broken my penis three times – so that should tell you something. But now that I’m getting older, it’s harder for me to get it up. I’m 60 years old, so it’s normal. I’ve tried every kind of pill out there to get “it” up, but I hate those things cause they either don’t work, or give me a headache after. When I heard about the Phoenix Pro, I didn’t believe in it either. Now, I’m getting the same erections I used to get in my 20’s and even more important, I’m able to keep up with my wife’s sexual appetite. She doesn’t know what’s going on, but she likes it. Trust me guys. This thing works!

– Dennis Rodman

I was really skeptical about purchasing this device at first. I’m a huge fan of GAINSWave and thought the Phoenix Pro was just some knockoff device that wouldn’t deliver. But after using it, even the first time, I saw results right away! My erections are stronger, and my refractory time is down. Even just moments after sex, I kept getting erections, which was very surprising, and enjoyable. My doctor also provided me with a “routine” on how to maximize results in between GAINSWave treatments. This thing works. And it’s great that I can use it at home and even before my partner comes over. It’s safe to say that she was definitely “shocked” at how awesome everything was working “down there”. She even asked me if I had taken Viagra!

– Adrian G.

I’ve been using the Phoenix Pro for about 3 weeks now and it’s doing the job. I’ve found that its a really successful tool to use in-between my GAINSWave treatments. What I like most about it is the convenience of being able to use it at home, on my own time, and when I need it the most. I have seen great results after using the device twice a week, and so has my wife.

This is a great tool that actually works and I highly recommend it.

– Jeremy E.

Upgrade Your Erections From Home
The most powerful personal acoustic therapy device for men that optimizes erections in private and at home!

Frequently Asked Questions

What is the Phoenix Pro?
The Phoenix Pro model is the most effective physician-recommended at-home device designed to revitalize erections with the support and supervision of a certified physician. It offers patients the ability to accelerate the results of in-clinic treatments like the P-Shot®, GAINSWave®, and more while affording them with the convenience of at-home therapy.

In addition, it is also a powerful standalone solution for those that are not receiving additional therapies from certified physicians.

What’s the difference between the Phoenix and the Phoenix Pro?
The Phoenix Pro emits more pulses per treatment (it’s more powerful) and has no lockout, because it is intended to be used under medical guidance and supervision. It supports a wider range of medically supervised treatment protocols.

In addition to including medical support, the Phoenix Pro also includes an Accountability Journal so patients can track their progress, and is bundled with AFFIRM Performance Booster supplements which boost Nitric Oxide and enhances blood flow.

How does it work?
The Phoenix Pro emits 20k pulses of acoustic soundwaves into certain parts of the male member to optimize performance naturally. Combined with a specially created, custom-tailored protocol for each patient, the Phoenix Pro is able to expand blood vessels and stimulate the growth of new blood vessels in the penis.

This increases the blood flow to the penis and improves sexual function. In addition, the procedure activates the growth of new nerve tissue in the penis. This process, called angiogenesis, enhances sensitivity in the penis.

When will I see results?
Results vary on the level of erectile dysfunction that you’re experiencing. Those with mild symptoms will enjoy results sooner than those with severe. That being said, most users experience noticeable results within the first 90 days. 

Is this device legitimate?
Yes. The Phoenix Pro is FDA- Recognized and follows the safe and proven protocols published in numerous acoustic study clinical studies. See Studies Here:

See Studies Here:

Does it hurt?
People have varying levels of pain tolerance and many can perform the treatment with little discomfort. For those who are more sensitive, we provide and recommend the use of a topical numbing cream, and a sample is even included with the purchase of your Phoenix Pro. The majority of Pro users experience no pain at all.

Will it make my penis bigger?
Because acoustic therapy revitalizes the blood vessels within the penis and promotes the growth of additional vessels, the penis is able to be filled with more blood. Although this makes the penis look fuller and more robust, it does not change the actual length of the penis.

How long does treatment take?

Treatment is only 20 minutes. A licensed physician will create a custom treatment routine for you.

How do I use the Phoenix Pro?
Once you receive your device, you’ll receive detailed protocols and instructions on how to use the device.



Ah…it’s spring!. The perfect time to get outside for outside gardening,  long walks in the neighborhood, and hikes in the hills. Spring means flower buds and blooming trees — and if you’re one of the unlucky millions of people who have seasonal allergies, you know what it means to have the symptoms that follow such as itchy-watery eyes, sneezing and a stuffy and runny nose.

Seasonal allergies — also called hay fever and allergic rhinitis — can make you miserable. But before you settle for plastic flowers and artificial turf, try these simple strategies to keep seasonal allergies under control.

Know your allergy triggers. Here are a few common triggers to be aware of:

1. Tree, Grass & Weed Pollination:
The biggest spring allergy trigger is pollen.  Trees, grasses, and weeds release these tiny grains into the air to fertilize other plants. When they get into the nose of someone who’s allergic, they send the body’s defenses haywire.
2. Mold:
Mold growth happens in the spring, or when the combination of rain and warm temperatures create optimal conditions for it to grow and multiply in certain areas of your home. This is especially true if you live somewhere with high humidity. Be vigilant about wiping up moisture that gathers in such places as around windows, in bathrooms, and in enclosed spaces like attics. If you do notice mold accumulating, immediately spray the area with a combination of water and white vinegar.
3. After the Rain:
While rain initially washes away pollen, counts will often burst following the initial decline as plant growth is promotes.  Mix that scenario with wind as things begin to dry and you have the perfect storm for those with seasonal allergies. 
4. Time of Day:
In early spring during grass and tree season, pollen levels tend to reach their peak count while in late pollen counts tend to peak early in morning in late spring.  Opt to watch pollen counts and take your workouts inside when pollen counts are high, even if it’s first thing in the morning. 

Reduce your exposure to allergy triggers:

  • Stay indoors on dry, windy days. The best time to go outside is after a good rain, which helps clear pollen from the air.
  • Delegate lawn mowing and other gardening chores that stir up allergens.
  • After being outdoors, remove any clothes you were wearing and shower to rinse away pollen from your skin and hair.
  • Don’t hang laundry outside — pollen can stick to sheets and towels.
  • Wear a pollen mask if you do outside chores.
  • Take a shower before bed to wash off potential allergen exposures.

P3 Recommendations:

1. For prevention:
OrthoMolecular D-Hist: Loading dose is 2 caps 3x per day for 7 days, then maintain at 2 caps 1-2x per day. Can be started 1-2 months prior to expected rise in pollen.
Xlear nasal spray: 2 sprays per nostril, up to 6 times per day. This helps to keep the allergens from taking hold in your sinuses.

2.  For acute allergy symptoms:
Integrative Therapeutics AllQlear, 1 chewable tablet at onset of allergic symptoms. Can repeat after 15 min if symptoms persist.

3. Increase fish oil to 3-4g per day. Decreases systemic inflammation which in turn can improve allergy symptoms.

4. Avoid sugar, dairy, gluten, corn, soy, eggs: inflammatory foods that can contribute to and worsen allergy symptoms.

5. Rinse your sinuses and eyes. Rinsing your nasal and eyes passages with saline solution is a quick, inexpensive and effective way to relieve nasal congestion. Rinsing directly flushes out mucus and allergens from your nose. Use over-the-counter preparations to rinse your eyes or nose saline to flush out potential allergens. 




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?