Category Archives: Andropause

Hormone Pellet Therapy for Men

Hormone Pellet Therapy for Men in Myrtle Beach, SC

Hormone Pellet Therapy

Hormones play a crucial role in how your body functions. Keeping balanced hormone levels is extremely important for your health, physical shape and well-being. As a man ages, his body becomes less effective in producing these vital hormones. Hormones fall to unhealthy levels creating a hormone imbalance in the body. Low testosterone, commonly referred to as low T, is the most prominent of these conditions. For more information about men’s health and hormones, please call (843) 492-4884 or contact online. In the meantime, let us continue with the discussion about hormone pellet therapy for men beginning with the symptoms.

Symptoms of Imbalanced Hormones in Men

Testosterone and other hormone deficiencies in men can cause the following symptoms:

  • Fatigue
  • Depression
  • Low libido
  • Muscle loss
  • Memory loss
  • Joint pain
  • Weight gain
  • Mood swings
  • Poor memory
  • Loss of bone density
  • Low stamina
  • Low immunity
  • Lack of skin elasticity

Historically, these symptoms were regarded as normal signs of aging and were considered inevitable and untreatable. Emergent research has revealed imbalanced levels of testosterone and other male hormones to be responsible for many of these ailments.

This greater understanding of the relationship between men’s physiology, aging and hormones has led to the development of bio-identical hormone replacement therapy, or BHRT. For BHRT, there is no better delivery method than BioTE® Hormone Pellet Therapy.

Hormone Pellet Therapy and Hormonal Balance

Bio-identical hormone pellet therapy for men (BHRT) uses hormones that are derived from natural plant sources, this makes them chemically identical to those produced in your body naturally. The goal of BHRT is to correct low hormone levels and to restore the critical hormone balance in your system. By doing this, BHRT can help eliminate or mitigate symptoms associated with aging, low testosterone, and other hormonal imbalances.

In the past, bio-identical hormones have been delivered with pills, creams and patches. These methods left much to be desired. They often create what is called a “roller coaster” effect, due to their irregular dosing. Men treated with these forms would experience a surge of too many hormones, but have too few when they needed them most.

The BioTE® process corrects this by using subcutaneous (under the skin) injected hormone pellets. These pellets contain natural testosterone and other hormones to provide a bounty of benefits to your health.

Benefits of Hormone Pellet Therapy

Men suffering from hormone imbalance and low levels of testosterone can benefit from the bio-identical hormone replacement therapy. BHRT can help men feel young again. In addition to restoring sex drive, increasing energy levels and helping with weight loss, pellet therapy has even been shown to reduce the likelihood of diabetes (type 2), heart disease and more.

Hormone pellet therapy is:

  • Easy: Unlike with pills, tablets or patches, pellet therapy leaves no room for user error. Everything is handled with a simple injection, in essence you can get pelleted and forget any additional worry.
  • Natural: The hormones used in pellet therapy are derived from natural plant sources and are chemically-identical to the hormones your body produces naturally.
  • Effective: Pelleting gives proven results for helping both men and women with age-related issues.
  • Lasting: A single pellet injection lasts for months, compared to the short duration of other delivery methods. With BioTE® hormone pellet therapy, natural hormones are present 24 hours a day, providing constant balance and benefits.
  • Consistent: Unlike the “roller coaster” effect from other hormone delivery methods, the BioTE hormone pellet therapy process gives you consistent hormone levels throughout the day that raise and lower themselves naturally.

Experience a Better You with Hormone Pellet

Hormone pellet therapy for men can be the key to men’s health. Whether you’re fighting off andropause or trying to reignite your sex life, BHRT may be the answer. If you’re interested in the long-lasting, effective pellet therapy treatment, please call (843) 492-4884 or contact online.

The Balance of Nature and Science with Extraordinary Benefits!

Balanced hormones are necessary for good health and disease prevention for women and men as we age. Hormone Pellet Therapy optimizes hormone levels with tiny pellets just under the skin.

Hormone pellets release all-natural bio-identical estrogen and testosterone and are absorbed consistently into the body as needed.

It’s Amazing Something So Small Can Make a HUGE Difference in Your Life.

  • Regain energy, muscle strength and greater ability to lose weight.
  • Increase mental clarity.
  • Feel younger and happier again.
  • Increase quality of life while preventing age-related illness.

The path to feeling and Looking Better begins today, to determine if you are suffering from Low-T, your doctor can administer a testosterone level test. This usually occurs in the form of a simple blood test. To schedule such a test, please call (843) 213-1480 or contact online.


Healthy foods

The Impact of Obesity and Overweight in Intimacy

The Impact of Obesity and Overweight in Intimacy: Erectile Dysfunction

Obesity and sexOne of the most effects of obesity and overweight in families is the impact they have in sexual life of couples. And owing to the nature of the problem, most people often chose to suffer the burden quietly for fear of being ridicule. The impact of obesity and overweight in intimacy is a reality and the sooner we face it as any other problem the better for all of us. If we don’t then we shall be propagating a lot of discomfort in most relationships. At AWAREmed Health and Wellness Resource Center we have noticed this challenge people are having and that among many other reasons is the motivation doctor Dalal Akoury made an informed decision to form a medical center whose main objective is to transform each individual’s life through increasing awareness about health and wellness and by empowering individuals to find their own inner healing power. Yes it is true that sex is a very private matter, but when it comes to a point where it is causing your relation problems, then the affected individuals needs to seek for help where their problem would be fixed with a lot of confidentiality. It is because of that reason that Dr. Akoury’s practice focuses on personalized medicine through healthy lifestyle choices that deal with primary prevention and underlying causes instead of patching up symptoms. Therefore if you want to know more about the impact of obesity and overweight in intimacy, then you may want to schedule for an appointment with the experts at AWAREmed Health and Wellness Resource Center and doctor Akoury will be there to attend to all your issues professionally.

Erection is one key element that is commonly affected by being overweight and obesity. When one is not able to sustain an erection for sexual performance, medically that act is known as erectile dysfunction (ED). Even though ED is directly affecting men, but its effects are felt seriously by their sexual partners. There are several reasons why ED can happen including diseases which affect the vascular functions like hypertension, heart disease and diabetes. It has been established from various research findings that majority of obese men are vulnerable to these health conditions and in return they become easy targets of these diseases and thereby suffer erectile dysfunction.  It must however be noted that by being just slightly overweight or carrying around just a few extra pounds will not necessarily cause erectile dysfunction, but nevertheless being overweight can pave the way to obesity. Obesity or just excess body fat and a BMI over 30 can cause significant health problems and directly contributes to erectile dysfunction.

The Impact of Obesity and Overweight in intimacy: Effects of Obesity to the Body

  • From a metabolic standpoint, obesity contributes to diabetes by affecting the way the body processes sugar.
  • Additionally, obese people tend to have high cholesterol and are more vulnerable to hypertension and heart disease as had been indicated above.
  • From a quality-of-life standpoint, obesity contributes to sleep disturbances, snoring and, in severe cases, sleep apnea, all of which can lead to daytime fatigue and depression.
  • Obese people may also experience excessive sweating, overheating and frequent rashes in the folds of the skin.
  • Excess weight also puts strain on the joints and may lead to knee, ankle and back pain.
  • Obesity also increases the risk of some cancers, gall bladder disease and stroke.

Overweight solution

The Impact of Obesity and Overweight in intimacy: How Obesity Affects Erectile Dysfunction

Obesity can directly affect erectile dysfunction by lowering testosterone levels. It is important noting that Testosterone is the primary sex hormone in men which plays an important and vital role in both libido and sexual function. Indirectly, obesity contributes to other diseases, such as hypertension, that are known factors in erectile dysfunction. The penis needs a sufficient supply of blood in order to become erect. Once engorged, the vessels need to close in order to maintain the erection.

Hypertension, diabetes, high cholesterol and heart disease all contribute to erectile dysfunction by adversely damaging and constricting blood vessels and affecting the way blood flows in and out of the penis. It is possible to reverse the effects of obesity and obesity-related diseases with diet, exercise and in some cases, drug intervention. Besides these obese men with health issues should consult with their physicians before attempting any diet, exercise or weight-loss program. This is doctor Akoury founded this facility (AWAREmed Health and Wellness Resource Center) to offer the much needed help. If you have been to this link you probably know doctor Akoury as a professional in weight loss. She is not just a weight lose expert but also vastly experienced in sexual dysfunction treatment. In both practices she has had an accumulation of experience of over two decades attending to all patients from all walks of life globally and your condition will be handled best in her care with great professionalism and confidentiality.

The Impact of Obesity and Overweight in intimacy: The Mechanics and Causes of ED

An erection occurs when blood fills two chambers known as the corpora cavernosa. This causes the penis to expand and stiffen, much like a balloon as it is filled with air. The process is triggered by impulses from the brain and genital nerves. Anything that blocks these impulses or restricts blood flow to the penis can result in ED some of which may include:

The Impact of Obesity and Overweight in intimacy: Chronic Disease

The link between chronic disease and ED is most striking for diabetes. Men who have diabetes are two to three times more likely to have erectile dysfunction than men who do not have diabetes. Among men with erectile dysfunction, those with diabetes may experience the problem as much as 10 to 15 years earlier than men without diabetes. Yet evidence shows that good blood sugar control can minimize this risk. Other conditions that may cause ED include cardiovascular disease, atherosclerosis (hardening of the arteries), kidney disease, and multiple sclerosis. These illnesses can impair blood flow or nerve impulses throughout the body.

The Impact of Obesity and Overweight in intimacy: Lifestyle

Lifestyle choices that impair blood circulation can contribute to ED. Smoking, excessive drinking, and drug abuse may damage the blood vessels and reduce blood flow to the penis. Smoking makes men with atherosclerosis particularly vulnerable to ED. Being overweight and getting too little exercise also contributes to ED.  Studies indicate that men who exercise regularly have a lower risk of ED.

Dieting couple in love

The Impact of Obesity and overweight in intimacy: Psychological

ED usually has something physical behind it, particularly in older men. But psychological factors can be a factor in many cases of ED. Doctor Akoury registers that stress, depression, poor self-esteem and performance anxiety can short circuit the process and leads to an erection. These factors can also worsen the problem in men whose ED stems from something physical. Finally the impact of obesity and overweight in intimacy is real and when it happen, we must not shy away from it. The sooner we are able to face it the better for everyone whether in marriage or in active relationship. When you visit AWAREmed Health and Wellness Resource Center, doctor Dalal Akoury will be there to help you get out of the twin conditions of being obese and erectile dysfunction in the most efficient and professional way. Remember that confidentiality is one of our strength so you need not to worry for anything.

The Impact of Obesity and Overweight in Intimacy: Erectile Dysfunction



Exercise for Healthy Skin is the way to go

Exercise for Healthy Skin is the way to go – The benefits of Exercise are far reaching

Exercise for Healthy Skin

Exercise for Healthy Skin is the way to go if we are to make any meaningful gains. You will be surprised seeing how well your skin complexion would be with regular exercise.

Even though many people fail to take part in exercise for healthy skin, it is no doubt that indulgence in physical activities is very beneficial to human health. Many of are aware that exercise is great for your heart, lungs, and mental outlook. However many may not be aware that exercise is one of the fundamental keys to a healthy skin. For whatever reasons we often prioritize on the cardiovascular benefits of physical activity and am not saying that they are less important, of course they are important. But remember that anything that promotes healthy circulation also helps keep your skin healthy and vibrant. Therefore for any dermatological conditions such as:

  • Acne
  • Rosacea
  • Psoriasis or any other

You will definitely need to take special care to keep your skin protected while exercising. When we say exercise for healthy skin, what goes on in your mind? Is it possible that your skin problems can prevent you from being active? These are genuine concerns and doctor Dalal Akoury who is also the founder of the home of solution a health facility called AWAREmed Health and Wellness Resource Center sheds more light about these concerns.

Exercise for Healthy Skin is the way to go – Increasing body blood flow

Exercise is very effective in increasing blood flow and as a result of this helps nourish skin cells and keep them vital. The vehicle that transport around oxygen and nutrients to working cells throughout the body including the skin is the blood. Therefore, the good flow of the blood is not only healthy for the skin but also for the general health of the body. Besides these and in addition to providing oxygen, rapid blood flow also helps in the elimination of waste products, including free radicals, from working cells. It is important to note that divergent to some thoughts, exercise does not detoxify the skin. It is the liver that has the primary responsibility of detoxification. However by increasing the blood flow exercise helps flush cellular debris out of the system. You can think of it as cleansing your skin from the inside hence, exercise for healthy skin is the way to go.

Exercise for Healthy Skin is the way to go – Exercise and Stress

Exercise has also been shown to ease stress. And by decreasing stress, some conditions that can be exacerbated by stress can show some improvement. The following are some of the situations that can improve when stress is reduced or eliminated acne and eczema. Even though experts are still investigating the link between stress and skin, studies show that the sebaceous glands, which produce oil in the skin, are influenced by stress hormones. Regular exercise helps tone muscles, of course. That doesn’t have a direct effect on skin.

Exercise for Healthy Skin is the way to go – The Healthy Skin Workout

For all its many benefits, however, exercise can pose risks to your skin. Fortunately, protecting your skin is easy. The main danger if you exercise outdoors is sun exposure. Remember that sunburns increases the risk of contracting skin cancer and rapid ageing of the skin, erasing any benefits your skin might get from exercise. When you visit our facility (AWAREmed Health and Wellness Resource Center) our team of experienced experts will take you through the various workout programs indoors. It is actually advisable that you avoid exercising outside and especially during peak sun time.

Another skin problem that can arise during activity is chafing, which can cause rashes. For people prone to acne, the irritation and increased perspiration caused by tight-fitting workout clothes may lead to a form of acne aptly called acne mechanica. The two keys to prevention are to wear moisture-wicking clothing, such as bras and hats, to keep skin drier and cooler and to shower immediately after exercising. Wearing loose-fitting workout clothes can also help. Make sure your skin is clean before you work out to prevent clogged pores that lead to acne. Avoid wearing makeup when you exercise. After showering, apply a soothing skin moisturizer or powder to help prevent skin irritation.

Exercise for Healthy Skin is the way to go – Rx for Exercise-Related Skin Problems

Several other skin conditions can be exacerbated by physical activity, including rosacea, eczema, and psoriasis. That’s no reason not to exercise. The benefits of exercise outweigh any temporary problems it can cause. And there are simple strategies to prevent flare-ups when you work out. For rosacea sufferers, increased body temperature and the skin flushing that accompany exercise can cause flare-ups. The best strategy according to the experts at AWAREmed Health and Wellness Resource Center is to exercise in a cool environment. For instance swimming would be one of the most appropriate since water keeps the skin cool even when you build up body temperature. In all these ensure that you moisturize your skin afterward because the chlorine in water has a drying effect. Brisk walking in an air-conditioned mall or timing the cool of the evening to jog outside are other good available options.

Nonetheless people suffering from eczema and psoriasis may often experience blazes after tireless activity, usually caused by salt from perspiration. That is why doctor Dalal Akoury recommends the application of certain moisturizer shortly before the commencement of workout for protection from sweat. Special attention should be taken when moisturizing your arms and legs and those areas with skin creases, like the underarms and groin. While appreciating all these it would be very important that you consider doing your exercise in cool environment to reduce perspiration and the need for showering after exercise. Remember that showering too often can also cause dryness and exacerbate eczema and psoriasis.

Finally Physical activity will definitely pose a challenge, however I want to encourage everyone out there especially those suffering from psoriasis and eczema to exercise more often to improve their overall health. We want to inform you that doctor Akoury will always be there for you. For whatever the case, there will always be a solution for you at AWAREmed Health and Wellness Resource Center. Pick that phone and schedule for your one on one appointment with the expert today.

Exercise for Healthy Skin is the way to go – The benefits of Exercise are far reaching




Shared Medical Appointment: An Innovative Practice Model

Shared Medical Appointment: An Innovative Practice Model

A visit to a physician can always be such a tense moment. This is often characterized with a lot of anxiety and high expectations on the part of the patient. As a patient you want to get well. Yet you are also torn between the desire to get well and the fear of negative outcomes. It is usually worse with chronic conditions such as diabetes, heart conditions, asthma and ulcers.

It is based on such considerations and a hoard of others that it becomes necessary for the medical practitioner to adopt a method or initiate one that is more likely to make the medical appointment a less excruciating experience.

If the practitioner is able to turn the tension of the moment into a fun filled experience then it is a definite straight up success. It is not just the victim who enjoys the benefit of the experience with the medic, rather, the medical expert also stands to derive considerable gratification from handling a satisfied patient. No palm wetting, no forehead sweats; just a cool and non-tense exchange between a medic and his or her patient.

Impetus for the shared medical appointment approach

The shared medical appointment can be said to be resulting from the above line of considerations, to make the experience a natural process.

This shared medical appointment model, also referred to as group visits, cluster visits or problem solving drop-in group medical appointments (DIGMA) has been orchestrated with the core objective of inspiring the medical practitioner to come up with, implement and appraise shared medical appointments chiefly for patients with diabetes.

The model is basically an innovative approach that has a distinctly different methodology as opposed to the usual diabetes education classes. It involves a group of 12 to 16 patients meeting up with a doctor, medical assistant, behaviorist, nurse, and dedicated documenter for a time period of one and a half hours.

The traditional diabetic classes on the other hand usually address self-management techniques, the question of exercise and recommended nutrition for these patients. The group visits provide medical evaluation, the coordination and provision of precautionary services, mechanisms of adjusting medication, all which often miss in the ordinary diabetic classes.

The model succeeds in its conception as being innovative since it is found to improve the care offered to conventional patients of chronic disorders which primarily include diabetes as well as asthma, coronary disease, and urological conditions by aiding the use of available resources far more efficiently.


The majority of successful shared medical appointment programs have included an element of case management and between-visit care coordination. The program is traditionally headed by a nurse, a physician or nurse practitioner.

If you set up a limited component of care management for group of patients who attend the programs of these cluster visits the program can be quite a useful step toward a wider use of care coordination within your field of practice.

A patient of diabetes may use these shared medical appointment programs in the place of a primary care or they can as well alternate the two sets of care arrangements: group visits and the one-on-one care units.

Other than the group education services typically offered in group visits, collective problem-solving, focused secluded or partially private health evaluations which allow for personalized medication adjustment; the programs may also involve ordering of referrals and preemptive services.

The sessions may always vary. They may go from one hour to even several hours depending with the physician-patient arrangements. Each session may have a varied number of attendees, with the typical maximum being 20 persons.

Benefits of the Group Visits Model

shared-medical-appointment Past medical records have indicated that patients generally enjoy interacting in a shared form of environment. There are less cases of tension associated with medical situations and this can always provide a lot of encouragement to those who attend the sessions while providing them with essential tips that may not be received in a short medical visit.

Physicians also benefit from the change of pace typical of these programs and have a chance to innovatively and much more thoroughly attend to the matters presented by chronic disorders which are common in most of the primary care circumstances.

Evaluations of the shared medical appointments have also reported a general increase in satisfaction levels of the patients and clinicians along with improved quality of care offered in the cluster situations. There have also been a reduction in the aggregate emergency section and specialist visits by these patients. This indicates a general possibility of increased perfection in following the directions provided during the sessions.

What makes the cluster visits even more beneficial is the communal environment created by the group approaches. Patients are able to share experiences freely and feel relieved by the existence of certain critical but shared experiences. It is human nature that you feel better when you know that you are not alone in your situation. Just the environment alone, the sight of many people supposedly in for the same course is enough to relax a patient’s nerves.

The patients attending the sessions are able to share their concerns collectively and get responses. This may help in two different ways. A patient who is either shy or simply unwilling to ask a pressing question may benefit from another patient asking the same. Secondly, a patient may get response to a question that he or she might have forgotten to ask the nurse or the physician in attendance. In general, the patients learn from the healthcare team in session, from one another as well as from the environment itself.

About the doctor

Dr. Dalal Akouri has years or experience attending to patients with various life threatening chronic illnesses and is proud to have improved the lives of such patients. You too can join this vast community of patients who have seen the fruits of her work by contacting het today.

Shared Medical Appointment: An Innovative Practice Model

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Eating Clean During the Holidays

How to eat clean during the holidays

Holidays are quite a tempting time of the year with regard to foodstuffs. This is the time when all your friends want you to fellowship with them in parties and homecoming events. A lot of these may overwhelm you to the level of not having a clean track of the types of foods you are actually taking.

It is common for several folks to fall out into unhealthy eating habits, not because they are essentially careless, but because of the natural human weakness. It becomes hard to just decide what to do with all the invitations, and when you decide to attend them, you do not know exactly how to go about the plates.

As a result you often find yourself eating just so much but doing so little about your health. You do not find time to perform some exercise to be able to burn some of the calories you do not need for your wellbeing.

clean eating during the holidays

How to maneuver the eating dilemma

What is ailing you the most is perhaps the issue of indecisiveness. You are well aware of what your definition of a clean meal is. You know what is both delicious and healthy at the same time. Now, the problem comes when you go out to the friend’s place. Because you simply think it will be much of a bother to dictate what to be taken.

That does not have to be. You can avoid that sort of ‘dictation’ while at the same time serve yourself a clean meal. The moment you suspect or are even aware that the recipe to be encountered at the holiday party is not exactly what works for you then you can offer to bring along your own dish. Of course you will share this out to the folks present. But you are assured of something clean.

You need to make arrangements ahead of time; consider something that can work effectively for large gatherings. With such considerations in place there are a number of options available for you. Whole wheat flour can be quite useful in creating some of the healthiest dishes for you. You may also consider going for some uncured bacon rather than using the regular one.

These will give you a good Cranberry and Apple Turkey Roulade enough to cheer up an entire party. Just ensure you have the correct proportions of the ingredients, the bacon perfectly cut, your onions well chopped, the right rosemary, average salt; low sodium, some pepper; preferably freshly ground, chicken broth; lower sodium and fat free, the apple; granny Smith-chopped and peeled, dry cranberries, turkey tenderloins, rosemary springs, canola oil and all purpose flour in the mix.

Away from the parties

Some people may also consider not going for the white bread for the holidays. At these times there is a lot of eating going on and you may easily end up taking too much of that white bread stuff. It is not exactly healthy. So you may need to consider making use of the whole grain or whole wheat alternative as this will be a perfect way to stay clean.

Actually there are quite a wide variety of sources of starch that will replace the unclean regular dishes. Rice diehards may opt for the wild or brown rice options in place of the common white one. This will be much healthier even if taken in large quantities over time.

You could as well consider experimenting your diet with a variety of grains such as millet, quinoa or barley. These will keep you out of danger even when you take them in excess.

Such grain alternatives will fare well with side dishes. You will find the dishes adding some amazing color to your main entrée when you give them the needed attention in their making. You could get the awesome feel by roasting the vegetables to caramelize and become crispy then you serve them sprinkled with toasted walnuts, Kalamata olives or vinegar.

Remember not to have your mashed potatoes loaded with so much cream or butter. A healthier way to go about it would be to instead use roasted garlic. There are a lot of health benefits that will be attached to the garlic, or even fresh herbs, cheese or horseradish.

For your protein, you may consider taking a break from the normal chest meat-pork-mutton routine. These red meat options may not be the best for your holiday, especially now that you may be having a lot of eating to do.

holiday eatingFor purposes of a ‘clean’ alternative, go instead for some white meat. This is the time to invest in eating fish. This is basically about taking white meat instead of the normal red options. White meat will provide you with a safer alternative and a whole lot of nutritional wealth.

Even a better way to go would be to get your proteins from more organic sources. Beans will be a good source. Not only that, there is a budget question to it. The organic legumes are basically cheap in addition to the fact that they are much healthier as compared to meat.

These proteins will help you with your immunity while the whole grains provide you with the needed amino acids. With immunity strengthened, you can be certain of protection against infections that are commonly associated with the holiday season.

To top it all, do not forget about fruits in your diet. Make fruits part of your daily routine as they will be good with the vitamins. They will provide you some of the most essential vitamins your body cannot do without.

With keen consideration of these elements you are good to go through your holidays. Moreover, you can find more of these insights when you stay in touch with AwareMed because here we offer you nothing but the best knowledge about your wellbeing. At AwareMed we care about you and your safety. Information brings power and that is precisely what we give you.

How to eat clean during the holidays