At Doctors Best we measure to determine what you are lacking and we replace 
with the identical (bio-identical) substance, then retest to confirm the proper, 
“youthful” level is established.

Our bodies are fascinating, complex, and beautiful machines that work true 
miracles 24 X 7 even when running a little out of sync.  It is no surprise that 
most of us don’t even notice minor hormonal imbalances. It is wise to evaluate 
the total wellness picture even if our goal is weight loss. 

When our hormones are out of balance our body cannot function optimally. 
Hormones are the catalysts for all our bodies’ reactions.  One common 
imbalance is clinical hypothyroidism; we are low in thyroid hormone. Consequently 
our body runs colder, our engine idle is set too low and all reactions, both chemical and electrical, don't run to completion. The resulting sluggish metabolism makes weight loss nearly impossible until it is corrected. These unfortunate patients feel tired and weak all day, only to have difficulty sleeping all night.  In addition mood swings, irritability, depression, dry skin, thin hair and cold extremities may plague them. If this sounds like you, don’t worry it’s relatively simple to correct.
Call  (954) 252-5454       
to speak to a Specialist or      
schedule an appointment
Bio-identical Hormone Balancing
  - Total Meal Replacements
  - HCG programs
  - Appetite Suppressant 
     Programs
  - Lipotropic Injections

  - Protein Supplements
  - Shakes
  - Smoothies
  - Bars
  - Entrees
  - Snacks
  - Vitamins & Mineral
    Supplements

Stress & anti-aging
Thyroid Balancing
Adrenal Fatigue
Menopause / PMS
Testosterone Replacement
Botox - Dermal Fillers 
   Juvederm, Restylane
Sclerotherapy Spider veins
Mesotherapy lipo(fat)-dissolve

- Adult & Pediatric Care
Each and Every Body Component is Part of 
                               One Synchronous Body Orchestra
Saliva testing measures the level of hormone actively transported into the cell nucleus, where it functions; Therefore Saliva testing gives us a much more valuable measurement than blood does.  In addition, you collect the stress hormone "Corsisol" while relaxed at home without the stress of a needle stick which certainly would falsely raise levels.
Bio-Identical Hormone Therapy Benefits
During birth we are moved from the protective "Uterine Waiting Room", to a new zip code with a family who shall feed, shelter, support, and show us love. The process of birth, by itself, is a highly stressful event. Fortunately we are all built to withstand the birth process. Birth is much like the stress that a space shuttle faces upon reentry of the earths' atmosphere. Imagine that the day we were born is the LEAST STRESSFUL day we may ever face. From that day forward, we wear and tear away at our bodies as we age. In fact the very process of "Aging" is the chronic inflammation of our bodies during our lifetimes.
A body takes us to and from work, gets us to a vacation from our chaotic lifestyles, allows us to enjoy sports, can let us visualize an exciting adventure and then capture it within our memory banks, or even allow us to behold a magnificent sunset on a beach at the end of a day.
Our protection, or "force field" to minimize this deterioration, is the vast array of hormones in our body which work together sending messages to express, defend, and coordinate each body system. Some hormones will peak in our teenage years, while others will begin to drop as we approach the age of 30.
This might be one of the reasons we find less energy to play after a long days work. It may be why our relationships have lost the chemical or sexual attractiveness we all thought lasted a lifetime. It is one of the central causes for our focus and memory loss.
If we do not sleep enough, then our nighttime "body repair crew" cannot mop up and dust off the stressful damage we have done to our bodies throughout each day. This might lead to poor memory or mistakes when we cannot think clearly. "Wake up and smell the coffee", is an actual sign of our body telling us loud and clear how much we are stressing it beyond safe limits. Each part of our body will now begin to breakdown if we do not urgently correct the stress.
The majority of our stress is not from bills we are unable to pay, or a person who did not show for an appointment. It is from EVERYTHING. From the second we awake, until we lay our heads back on a pillow, we are exposed to the stresses of our environment. It could be invisible radiation, chemicals on the processed food we consume, or toxins which absorb on our skin, or enter right through our body's front door: the nose, mouth, or lungs. These foreign invaders attack all parts of us, and eventually sneak into the smallest cells which make up and run every part of our body. The cells may begin to fail in the function they were originally designed to do, or may even stop working altogether. This leads to organ and body systems which become out of tune. Much like when a car engine needs a total overhaul. Ultimately we become exhausted people who do not want to play or enjoy our lives anymore, regardless of our ages.
Our medical system has tried to patch these various breakdowns with medicines and procedures, rather than understand why the process broke down in the first place. An overriding problem is that one specialist will not listen to another specialist who deals with another part of our body. Worse yet, they believe each body system functions independent from another. Nothing could be farther from the truth...
Each and Every Body Component is Part of One Synchronous Body Orchestra
To begin our tune up, we must start in the gut. This is the center where everything we shall ever eat enters and leaves our body. It is even the master control center of our bodies Immune Defense System, and has direct links to our nervous system. Therefore, what we eat, literally affects how we feel after certain foods. Much like the phrase, "We are who we hang with", our mood may be affected by what we eat.
Stress wears down all areas of our bodies. Our stresses come from job, financial, society, and family, just to name a few. Can you now grasp that we are stressed from head to toe, inside and out, and start to finish of each and every day?
Like the ocean eroding the seashore, STRESS regularly breaks down our "Nutritional Intestinal Border". Even if we say we can handle stress well, stress will affect our intestinal walls whether we like it, agree with it, or not.  Not only do we then fail to absorb the necessary nutrition which allows us to repair and maintain our bodies, but we lose the nutritional building blocks that we must have in order to run our bodies as we journey down the road of life. Once nutrients are absorbed, they are shuttled to any area of our body which needs them.
One of the major nutritional uses is in the formation of "Hormones". These are the messengers which instruct our body on what to do. Hormones turn on and off basal temperature, turn on functions the body needs to survive, and are involved in the repair of our bodies, as well as endless other operations. Hormones allow us to express the generations of secrets locked up inside our family's genetics. Hormones allow us to enjoy human relationships by producing the chemicals to attract us to each other in the first place, all the way to the ultimate miracle of all: the ability to create another human life.
Hormones lower with age, and the signs we show can vary based on which hormones are involved, how old we are chronologically, and other hormones which may be out of balance as well. Just as we add oil to a car whose level is too low, we replace a hormone with the amount which is deficient, and never overfill. A "Bio-Identical" hormone will be added in a specified amount which is individual to each person. This guarantees the exact same structure, and function which our body requires. It is recognized as IDENTICAL, and therefore gives us the SAME response as though our body produced it ourselves. The results are nothing short of astounding.
Most of us were not aware that such restoration was possible at all. Our bodies can now allow us to enjoy activities to levels never dreamt possible. The miracle of Bio-Identical Hormones is only minimized when we do not believe we deserve the very quality of life we may have been seeking for years. They are here. They are available. They are designed to fit each and every one of you.

Information found on line (reviewed by Dr. Manocchio)

Please enjoy these 4 informative articals we published a few years ago  
-and then, read more about Bio-identicals at the bottom
V Manocchio MD
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IS STRESS MAKING YOU SICK?

We are exposed to stress constantly.  Our lives are busier and the world is more complex than ever.  Being constantly in touch with cell phones and email has its advantages, but it also adds to the stress in our daily lives (remember, any interruption is a small stress).  Other stressors to our body include pollution, foods with poor nutrition content, lack of sleep, lack of exercise, and many of the medications we take (especially when they cause side effects).
Stress causes actual changes in our hormone levels.  Different people respond to stress in different ways.  Short bursts of stress often lead to temporary hormone disturbances that recover.  Longer exposure to stress leads to more profound hormone alterations in multiple hormone systems and many of the following symptoms:

Difficulty falling or staying asleep
Anxiety or Irritability
Abdominal Weight Gain
Foggy Thinking and Disorganization
Feeling Tired All of the Time
Menstrual Period Changes

Traditional diet remedies that involve stimulants often do not work for people exposed to chronic stress since they just add a medication stress to the emotional stress.  Stress can target hormone imbalances in your thyroid, adrenal, and reproductive hormones that ultimately lead to depression and anxiety disorders, chronic fatigue, memory problems, and obesity.  Many medications for depression or sleeping pills do not treat the underlying hormonal imbalance that is causing the symptoms and will sometimes make the symptoms worse by further exaggerating the imbalance.  

In the coming weeks, we will talking about the specific effects of stress on the body, and how with ultra-sensitive testing and targeted treatment using nutrition advice and bio-identical hormone supplementation, we can relieve your symptoms and allow your body to function better under stress.  



Val Manocchio MD       American Physicians Wellness Centers
5542 S. Flamingo Road
Cooper City, FL  33330
(954) 252-5454 / (888) 515-7559
E-mail  info@apweightloss.com 
Web  APWeightLoss.com

P.S.  If you think you have a hormone imbalance NOW, give us a call at (954) 252-5454 for your initial Hormone Health and Stress assessment consultation and saliva testing.  Most major health insurances are accepted.
THE TRUTH ABOUT CORTISOL, ENERGY, AND WEIGHT
Does Cortisol Make Me Fat or Tired?
Do Caffeine Addicts Have a Cortisol Problem?

We are hearing a lot about Cortisol lately.  A number of over the counter diet pills are touting the blocking 
of cortisol as the remedy for weight gain in the abdomen.  But most people who need to lose weight actually have LOW cortisol levels.
Cortisol is made by the adrenal glands that sit on top of our kidneys.  When exposed to any stress, our adrenal glands are supposed to release Cortisol in preparation to “fight or flight”.  When a Cortisol surge is followed by some kind of exercise, our body works stronger and more efficiently until the stress is gone.  If we continue to be exposed to stress without any form of stress release and proper nutrition support, then our adrenal glands become overworked resulting in overproduction of cortisol.  It is this overproduction of cortisol without exercise that causes the accumulation of belly fat, carb cravings, spikes in blood pressure and blood sugar, and difficulty falling asleep at night. 

However, when stress continues even longer, or when other hormone systems in our body are unbalanced, the adrenal gland becomes unable to produce enough cortisol to respond to even the smallest stress.  The result is called adrenal fatigue.  These people now have foggy thinking, irritability, and are tired most of the day, but still have trouble sleeping at night.  They will often get uncontrollably drowsy at breaks during the day, or while driving home from work.  If you need caffeine throughout the day just to function, then you could have adrenal fatigue. Once the adrenal gland is in fatigue, frequent doses of caffeine are craved just to get a tiny burst of energy from your depleted adrenals.  
Up to 60% of Americans may have some sort of Adrenal Fatigue.
Cortisol-blocking diet supplements will actually make the person with adrenal fatigue feel worse and even gain weight. 
Believe it or not, people who have adrenal problems can lose weight and feel better with restoration of natural balance than with diet pills!  
The answer lies in your individual testing.  With super-sensitive saliva testing, we can best determine your cortisol output at four times in the day.  Then we can help your body handle stress better and lose weight with the proper adrenal support or suppression as indicated by your testing.  This coupled with some small dietary alterations and well-timed exercise will end your cravings and allow you to lose weight in the healthiest manner for the long term!  

Val Manocchio MD     American Physicians Wellness Centers
5542 S. Flamingo Road
Cooper City, FL  33330
(954) 252-5454 / (888) 515-7559
E-mail  info@apweightloss.com 
Web  APWeightLoss.com


P.S. To start your path to feeling better, call (954) 252-5454 for your initial consultation.  Visits are covered by most insurance.  For more information, see us on the web at APWeightLoss.com

“I lost weight in my first month without even trying.  I have energy all day without caffeine!  I now actually crave healthy foods and I sleep great without a sleeping pill!” 
 -- One of our Hormone Balance Patients.
THE IMPORTANCE OF THYROID TESTING
And Why Millions of People With “Normal” Thyroid Tests Still Have a Thyroid Problem!

The Thyroid Gland rests in the lower neck.  It is responsible for controlling the body’s overall metabolism at the cellular level.  This overall metabolism is reflected in the body’s temperature.  (Try it; if your oral temperature at wake up is below 98 degrees, then you could be hypothyroid).  Deficiencies of thyroid hormones or their ability to stimulate cellular metabolism can result in one or many annoying symptoms:
Weight gain or difficulty losing weight
Loss or thinning of eyebrows
Low sex drive
Abdominal bloating
Dry or thinning hair
Cold intolerance
Depression
Cold hands or feet
Joint or muscle pain
Modern researchers estimate that as many as 1 out of 10 people have a thyroid disorder and not even know it.  These people often suffer with many of the above symptoms without knowing the cause. They try every fad diet and antidepressant pill with no help.  Many of these people have TSH blood screening tests in the “normal” range.  However, in 2008, the TSH test is virtually useless when the present broad range of “normal” is used.  Studies have shown that people with normal TSH levels who have the symptoms listed above likely have reduced levels of the actual circulating thyroid hormones.  Furthermore, some people on Thyroid medication 
also can be under-treated if TSH alone is used to measure progress.
Medications, stress, and other hormone imbalances have been shown to lower the effectiveness of Thyroid hormones in the body by upsetting the balance between the weaker T4 hormone and the stronger T3 hormone.  This is especially true in women on birth control pills, hormone replacement pills, and even women with PMS or abnormal periods!  
Again, these people will likely have a normal blood TSH but abnormally low circulating thyroid hormone levels.
In our practice, all patients with any of the classic hypothyroid symptoms are tested for the free Thyroid hormones in addition to TSH.  We are now also offering testing of thyroid hormones in the saliva. 
All patients with abnormal testing are given small doses of thyroid hormone to take daily in order to balance out their metabolism.  Symptoms usually improve in a few weeks!  Remember, you’re not getting old or depressed.  The answer may lie in your thyroid!

Val Manocchio MD     American Physicians Wellness Centers
5542 S. Flamingo Road
Cooper City, FL  33330
(954) 252-5454 / fax (954) 252-5415
E-mail  info@apweightloss.com 
Web  APWeightLoss.com

P.S. To start your path to feeling better, call (954) 252-5454 for your initial consultation.  Visits are covered by insurance.  For more information, see us on the web at  APWeightLoss.com
THE TRUTH ABOUT PMS AND MENOPAUSE
Why the drug companies don’t want you to know about the true causes

In most gynecology practices for the last 20 years, menstrual cycle complaints have been the most common reason for patient visits.  
The complaints typically include one or all of the following issues:
Heavy or Painful Periods
Irregular Bleeding
Cyclic Depression and Mood Changes (“PMS”)
Hot Flashes and Night Sweats
Breast Tenderness
All of these symptoms can occur in any woman before, during or after the menopause transition.  Typically, doctors treat these symptoms by controlling the periods with birth control pills or synthetic hormone replacement pills.  Modern studies have shown that use of these synthetic hormones increases the risk of breast cancer and blood clots that can lead to death.  (Sources: Women’s Health Initiative Study, National Cancer Institute).  Sometimes antidepressants are added to treat the mood symptoms.  

Typically the dosages of the hormones given are more potent than the body’s normal natural production at that age and serve to suppress the body’s natural hormone output.  The body then “runs” off the synthetic hormones in the medication.  
This achieves a temporary fake sense of balance to the body and improvement in symptoms for some patients, but at what long term cost?  
“Side effects” like headaches, nausea, skin changes, sexual problems, and weight gain!

Our approach is to accurately test the key hormone levels in your saliva during the times you are most symptomatic.  The vast majority of the time, a deficiency in progesterone is revealed.  Yes, most women, even in early menopause, have the same absolute levels of estrogens that they had when they were cycling.  The symptoms they are feeling are most likely due to an age, or stress-related reduction in progesterone levels that balance the estrogens they are producing.  Progesterone is not found in any birth control pill or in the most popular hormone replacement pills or patches.  By replacing the lost progesterone and other deficient hormones, natural balance is restored.  This often results in resolution of symptoms without side effects.  
Levels can be rechecked to ensure balance is maintained.

Abnormal periods and menopausal symptoms should never be written off as “normal aging”.  With the right testing, we can find the specific cause and customize the therapy to each individual person.

Val Manocchio MD      American Physicians Wellness Centers
5542 S. Flamingo Road
Cooper City, FL  33330
(954) 252-5454 / fax (954) 252-5415
E-mail  info@apweightloss.com 
Web  APWeightLoss.com

P.S. For a second opinion on your menstrual cycle problems or menopausal symptoms, call (954) 252-5454 for your initial consultation.  Visits may be  covered by insurance.  For more information, see us on the web at APWeightLoss.com
Drug Companies don't want us to get healthy
what the Drug Manufacturers are hiding from you
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Read more on curing your illnesses,                                              not just covering them up
Read more on curing your illnesses,                                              not just covering them up
Low Thyroid lowers body temperature affecting all hormone levels. Cholesterol through a series of intricate reactions forms Cortisol, Estrogen, Progesterone, Testosterone, “all essential steroids”, the delicate balance, upon which our “feeling and being” normal depends.  If these conversions occur optimally at 98.6 degrees and your temperature is only 96 degrees, then these reactions must be compromised.  A simple treatment with a small dose of Natural, Bio-identical thyroid can bring a patient back to running at 100% efficiency.

Stress causes many of our health issues. As mammals our life should mimic the Lions’, sleeping all day and only getting excited when it’s time to chase a zebra. In reality we are faced with a plethora of stressors, (finances, work, traffic etc.) that exhaust our adrenals. 
I have had patients who come in complaining they can hardly get out of bed due to fatigue. We test to determine what’s lacking, replace with naturally occurring bio-identicals and within days they are full of energy. In 22 years of practicing anesthesiology, literally saving lives in the Operating Room, I have never received the sincere thanks I get from a typical Adrenal fatigue patient. Treatment solely with natural medication and vitamins help " get their lead boots off"  and “lets them live again”.
I leave you with one last thought; With all the cholesterol lowering "monster drugs" modern medicine is pushing (Crestor), it is easy to see why so many men need Viagra???  We drive down their Cholesterol unnaturally and therefore they can’t make Testosterone. 


Let’s review the benefits of normal Testosterone levels,   Ladies, your body needs Testosterone as well. 

Testosterone helps to: 

• Promote muscle strength and exercise endurance; maintenance of Muscle Mass; lower Fat Mass 
• Reduced cardiac risk;  lower LDL and Trig; increase HDL/ reduces metabolic syndrome
• Improve libido and erectile function
• Increase energy levels 
• Improve sense of well-being 
• Increase body hair production 
• Produce enlargement of the penis and testes as well as clitoris 
• Improve sexual desire and fantasy 
• Improve bone density, reduced osteoporosis


       V. Manocchio MD  APWeightloss.com   954 252-5454   
      Make an appointment today for Saliva testing

Read more on curing your illnesses,                                              not just covering them up
Bio-identical compounds are the exact substance your body normally produces.  To care for your deficiency, at Doctors Best, we measure, we determine what your missing, we replace the identical substance lacking then retest to confirm the proper dose. 
Read more on curing your illnesses,                                              not just covering them up