Innova Medical Care- The First Direct Care in Orlando - Innova "I"- Blog News

Now offering telehealth visits during covid19

4/20/2020

I know that many of you have asked, and understanding the need for additional Telehealth medical services during the COVID19 crisis, Innova now has several spaces to serve those who can't see their physicians in a timely way, and would benefit from a one time appointment at our practice. Please read important details here to sign up and make an appointment, along with details on our policies.
The link is now up and running! Share with your friends and/or family.
Keep safe!
Dr. Aviles

P.S. Contact us if you are having difficulties with scheduling, as this is a new platform.

we are ready! we will defeat covid19

4/14/2020

Hacking stress during the holidays

12/18/2019

Christmas and the New Year 2020 are almost here! And I want to share a list of supplements I use to de-stress and a few Do's and Don'ts as the Holidays make a royal entry. Let's tame the Fight-Flight-Freeze response and put the adrenal glands at ease together.
I am respectfully including links to my supplements account, for you to review and compare but you can always shop from other 'NSF' or 'GMP' sealed companies to ensure accountability. BE WISE- CONSULT WITH YOUR CLINICIAN BEFORE TRYING!

A. Adaptogens- Herbs that help us resist stress- You can get the herb directly and drink as a tea, mix with milk, or you can buy in capsules. Me? I am not a tea person, so I prefer my capsules. :
1. Ashwagandha (this particular formula also has L-theanine- see below)
2. Asian ginseng
3. Rhodiola
4. Valerian/ Passion Flower ( my faves)- I have boxes at home, it is the only tea I take by the way. With a touch of lemon and honey… yummy! If not Myocalm Plus Caps can help too.

B. GABA (Gamma Amino Butyric Acid)- an aminoacid made and used in the brain. The ‘natural Xanax’.
It goes to the GABA receptors and inhibits those neurons firing anxiety, muscle tension, overwhelming feelings, and overactive brains.

I usually start people at 100-125 mg daily and increase slowly. Even this small amount could potentially make you feel uneasy, so be careful and consult.
There are still contradicting studies about how GABA may not pass the blood-brain barrier, important for any brain medication or nutraceutical to do its job! It has worked wonders for me and many of my patients but it may not for you.
In my practice, I have started testing neurotransmitters levels, but due to its pricing, I sometimes recommend GABA supplementation as a trial without checking levels and watch response closely.
C. 5-HTP
- It isa serotonin precursor. increasing your serotonin level, your mood will improve by diminishing depression feelings as well as anger. It takes a bit to act, so starting sooner than later is the best.
Be warned: It is not recommended to take along with SSRI meds (selective serotonin reuptake inhibitors) as both would be potentiating each other with the risk of increasing serotonin too high(serotoninergic risks) Some examples-Lexapro, Celexa, Zoloft.
I am conservative when it comes to supplementing with 5-HTP and start people at 50 mg daily and increase slowly. Recently, a patient of mine had an elevated serotonin on her neurotransmitter test , which confirmed her intolerance to it.

D. L-theanine

1. An amino acid that promotes relaxation without making you drowsy
2. Start with 50-100 mg /daily if cleared by your clinician
3. E. Magnesium
  1. I prefer Magnesium Malate or Magnesium (Bis)Glycinate. Good starting dose 200 mcg at night and up to three times a day.
  2. Many patients with fibromyalgia are Magnesium deficient, which will halt relaxing and sleeping well, among others.

Other steps you want to consider (and you already know many of these):

Moderate your alcohol intake- alcohol activates the GABA receptors causing early feelings of relaxation, but it will backfire later. Oh! And the liver...
Hydrate !!!
Use light therapy ( are you up north and experience seasonal depression?)
Exercise (stretch and walk- even if it is indoor- yoga, do pilates, whatever fits your body and soul)- these will increase your dopa and happy neurotransmitters, help w/ hormonal balance, increase your oxygenation, release toxins, etc. etc. etc.)
- Shh… Secret-- I love Zumba, but I am not as graceful, nor will attempt many of their movements as I want to rather feel better and not injure myself. Nevertheless, listening to tropical Latin music and slowly moving to its rhythm makes me feel alive allowing me to release tension! Take a peek! Why not? Short Zumba video for beginners and there are some studies praising Zumba practices in patients with Fibromyalgia**)
Belly-breath-- ask your smartwatch to remind you to breath!! But if you can't, my favorite free Breathing App is Kardia.
REST! We underestimate the power of REST. But don’t oversleep.

Hope this helps.

My prayers for a wonderful Jesus-Is-The-Reason-Season and a Healthy 2020!

Dr.Aviles

who wants more toxins on their skin?

11/2/2019

It is disheartening! Many of the skin 'care' lines out there are dis-servicing us rather than caring for our skin, the largest organ in our body and through which many chemicals,and toxins are absorbed.
You may believe that what you are paying for (and sometimes steep prices) is indeed protecting your microbiome (yes, we do have protective bacteria on our skin!) and therefore being 'green' and nourishing.

Be careful.

After looking around for a clean, bioidentical (natural) line and almost frustrated, I met Dr. Karina Kaplun PhD through my Summit Conquering Fibromyalgia! She introduced me to this microbiome friendly, super special, unique and revolutionary line (I am not exxagerating) called Tru Aura, and I was sold immediately.

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Why?
It is the first company that combines the following three:
#1 Pre and Probiotics- the latest in Green Technology Probiotics is the Foundation of all their products
#2 Clean, Pure & Safe- They abide by a strict European "no" list including no sulfate, no gluten, no parabens, no artificial dyes or fragances and never tested on animals!
#3 Anti-aging Peptides- Tru Aura have three of the most powerful anti-aging peptides in the industry that reverse skin damage very quickly !

Instead, you will get essential oil blends as aromas, lots of superior antioxidants, hyaluronic acid, essential fatty acids (did you know Safflower Oil helps increasing ceramides in your skin?) and many more to list here!

Hope you are sold like me already.. you owe it to yourself! Start nourishing your skin (did I say anti-aging too?), and reducing loads of yacky stuff to your body. By trying and shifting to this incredible skin line, especially if you suffer from auto-immune conditions, Fibromyalgia, (like me), MS, eczema , acne (you heard it right), and rosacea, etc. you will be feeding your skin the right way. This is truly Healthy Food for your Skin.
You can visit my website here and get acquainted with TruAura. And of course, contact me should you have any questions. You won't regret it!

To Your Health,
Dr.Aviles

DO YOU BELIEVE YOU HAVE FIBROMYALGIA? Free Gift

11/1/2019

Not all pain leads to the diagnosis of Fibromyalgia! I have been evaluating patients with widespread chronic pain to determine whether they do have Fibromyalgia for many years and recently I had the pleasure to interview Dr. David Brady, an expert on the correct diagnosis of Fibromyalgia. His insights are so valuable you owe it to yourself to access this interview for free. That is, if you do have chronic (long term) widespread body pains, or have family members or friends dealing with pain.
But if you already know you have been diagnosed correctly with this syndrome, you can access the whole 'Conquering Fibromyalgia Summit' interview series by clicking here , as you will listen to 22 top notch experts on different topics for healing Fibro ! There is HOPE!

Conquering Fibromyalgia The Summit- September 9th-20th 2019

6/17/2019

This will be a free online event where multiple experts will round up and discuss a Roadmap to Energy, Strength and Mental Clarity for patients with fibromyalgia. Many of the concepts will be applicable to Chronic pain and chronic inflammatory conditions too, so gather up and invite your friends and family.
There is too much out there to miss. There is hope!

The Summit will start Monday September 9th, 2019!
Once you register you will get two daily interviews directly to your mailbox. Take advantage and be our guest of honor!

To your health!
Dr.A

Join Innova Medical Membership-the best way to get Medical Care! Bar None...

6/6/2019

ince I have reopened my practice membership to new patients, want to take some time to explain a bit of what my practice looks like. If you wish to set a 15 minutes phone conversation to find out if my practice is a good fit, contact us info@innovamedicalcare.com. Hope this helps! Dr. Aviles

Direct Primary Care= Happy Doctors + Happy Patients

5/28/2019

These are some of our patients' expressions and experiences in our practice!

“No more hours of waiting in the reception room!”
“I can see my doctor fast and I don’t even get put on hold !”
“I spend time with my Family physician again!
“Dr. Aviles is my advocate and really listens to me.”
“I have a high deductible and don’t have to spend outrageous monies for my primary doctor visits! ”
“I can ask my questions and concerns directly to my doctor directly.”
Accessible 24/7
“ She has saved me from going to urgent care or the emergency room.”
“I can see my doctor from my work or home, seriously.”
“Dr. Aviles knows me by name.”
“Membership fee is so affordable!”
“Dr.Aviles office has deep discounts for my labs and imaging. “
“I finally feel like a team member with Dr.Aviles as I get cared for.”

And from my end I have to say I am a content doctor again. I am doing not only what I was trained for, but what I enjoy. Partnering with you as my patient is my mission; caring for you is my passion.

And soon to come... REvYvE Lifestyle and Weight Management Program, incorporating nutrigenomics as a way to reshape your body! Stay tuned...

Happiness is contagious!

Contact Us and see if Innova Medical Direct Care is right for you. 407-394-1336.
Dr. Aviles Innova Medical Care- The First Direct Care in Orlando

Are all supplements the same?

2/6/2019

I was recently asked why the supplements I recommend ( from Xymogen, MD Prescriptives, Metagenics) are more expensive than those at Walmart, Sam's, and other vitamin places. And the answer is simple-

1. Better ingredients- free of toxins, pesticides, heavy metals, PCB , GMO's, and preservatives. These companies have the GMP seal (Good Manufacturing Practices), which means an FDA third party will regulate their production. Xymogen has gone further into what FDA expectations are and are even found on the IFOS Program. It is always advisable to look for that seal when purchasing OTC supplements. Now, Imagine eating french fries made in 'who knows how old and unclean oil' at a fast food place, vs air-frying your own organic sweet potato chips! What would be more beneficial to your body? Got the picture?

2.. Accurate quantities- Did you know that OTC supplements contain only 35% of what the label reads? This is because their companies do not respond to USP, NSF GMP
Therefore, if you thought you took 1,000 mg of Omega from a generic brand , thing again! You may be taking more contaminants than fish oils.

3. 'Green' packaging that helps the environment and maintains quality of the supplements. No bisphenols .BPA is the most known to many, and it was banned in 2012 from babies' zippy cups. In general, bisphenols are endocrine disruptors, and therefore highly inflammatory.

I respect Dr. S. Pati, M.D. as one of the best Functional Medicine physicians locally and internationally. Listen to what she has to say in this video about supplements in general.

Last but not least, food is our best ally when it comes to supplementing what our bodies need, but make sure when you are choosing a nutraceutical to opt for the ones that have what they claim, and don't have what is toxic! You may end up paying less on the long run.

To your health!
Dr.Aviles

References
1. Bisphenols: More unnecessary surprises. Kristina A. Thayer, Katie E. Pelch, Linda S. Birnbaum & John R. Bucher https://www.tandfonline.com/doi/pdf/10.1080/23273747.2015.1131032

2. Facts About the Current Good Manufacturing Practices (CGMPs)
https://www.fda.gov/drugs/developmentapprovalprocess/manufacturing/ucm169105.htm

3. XYMOGEN Responds to New York Times Article on the New York Attorney General Investigation https://www.xymogen.com/about-us/xymogen-news/xymogen-responds-to-new-york-times-article-on-the-new-york-attorney-general-investigation/

2019...It is time to detox!!

1/8/2019

My favorite way to detox is to fast.
My second way is following the 10 days Metagenics program: Ultra Clear Renew given its ease to complete, and the effectiveness of a well standardized and FDA overviewed product line.

If you want to start 2019 with a lighter , clearer and healthier body, especially an optimized liver to feel better and lose weight faster you owe it to yourself to be in wellness and #DETOX!. Do not hesitate and start anew.

To your health,
Dr.Aviles