If You're Struggling With Stubborn Foot Fungus, Dermatologists Recommend These Products

If You're Struggling With Stubborn Foot Fungus, Dermatologists Recommend These Products

M Hasan    4:45 PM   

Understanding the Persistence of Foot and Toenail Fungus

Foot and toenail fungus can be a persistent and frustrating issue for many people. According to Dr. Alexandra Bowles, a board-certified dermatologist based in Cincinnati, these infections are often difficult to eliminate because the fungi that cause them thrive in warm, damp environments such as shoes and skin. These organisms, known as dermatophytes, molds, or yeast, feed on keratin found in nails and the outer layers of the skin, leading to symptoms like itching, flaking, burning, and cracking. In some cases, they may even cause painful open sores or fluid-filled blisters.

The reason these infections can linger is due to the presence of fungal spores that remain in footwear or on surfaces. These spores can regrow when conditions become favorable again. Dr. Azadeh Shirazi, another board-certified dermatologist and skin care expert, explains that nails grow slowly and have a poor blood supply, making it harder for the body’s immune system or topical treatments to fully clear the infection. However, with proper diagnosis, treatment, and prevention, these conditions are manageable.

Effective Over-the-Counter Treatments

When it comes to treating foot and toenail fungus, using products with antifungal ingredients is essential. These products not only help manage symptoms but also address the underlying infection. Below are some of the best over-the-counter options available:

1. Antifungal Spray with Tolnaftate

Tolnaftate is an effective ingredient for both prevention and early treatment of fungal infections. It is commonly found in sprays and powders. One popular option is the Tinactin antifungal spray, which provides a cooling sensation upon application and helps relieve itching or burning. The spray formula makes it easy to apply without touching the affected areas, allowing for better coverage between toes and under the feet.

2. Clotrimazole Cream

Clotrimazole is a true antifungal that works by stopping fungal growth at the source. This cream is ideal for mild infections and can effectively treat athlete's foot, ringworm, and jock itch. A highly-rated 1% clotrimazole cream is available at an affordable price and is known for its quick relief of symptoms.

3. Antifungal Foot Powder

Powder-based antifungals are especially helpful in controlling moisture, which is a major contributor to fungal growth. The Lotrimin daily medicated powder contains tolnaftate and is recommended for use before wearing footwear to prevent most athlete's foot infections.

4. Undecylenic Acid Treatment for Nails

For more stubborn nail fungus, a treatment containing 25% undecylenic acid may be beneficial. This compound disrupts fungal cell membranes, inhibiting their growth and reproduction. Some formulations also include oregano oil and tea tree oil, which have antimicrobial properties that can further combat fungal infections.

5. Urea and Salicylic Acid Cream

Ingredients like urea, lactic acid, and salicylic acid do not kill fungus directly but help by softening or thinning thickened nails, allowing antifungal agents to penetrate more effectively. The Ebanel intensive moisturizing and softening cream contains 40% urea and 2% salicylic acid, making it ideal for addressing rough, flaky skin and promoting healthier-looking nails.

6. Tea Tree Oil Foot Soak

Some individuals prefer natural remedies like tea tree oil, menthol, or diluted vinegar soaks. While these may offer mild relief, they are less reliable than medications. A popular option is a tea tree oil Epsom salt foot soak, which can help with symptoms of athlete's foot and promote overall foot health.

Preventative Measures and Additional Tips

In addition to using antifungal products, maintaining good hygiene and making lifestyle changes can help prevent the recurrence of foot and toenail fungus.

1. Moisture-Wicking Socks

Wearing socks made from materials like merino wool or synthetic blends can help keep feet dry. Bombas offers comfortable, moisture-wicking socks that provide cushioning and support, making them ideal for everyday wear.

2. Breathable Shoes

Choosing breathable shoes with mesh uppers or rotating pairs of shoes can allow footwear to air out between uses. Allbirds Tree Runners are a popular choice, featuring eucalyptus fiber fabric and a perforated knit construction for optimal airflow.

3. Waterproof Shower Shoes

Avoid walking barefoot in communal areas like gym locker rooms or showers. Non-slip, waterproof shower shoes with cushioned soles can provide protection and comfort.

4. UV Sanitizing Shoe Light

For an extra layer of prevention, consider using a UV shoe sanitizer. Devices like the Pedfix ShoeZap use UVC light technology to kill fungus and bacteria inside footwear, helping to extend the life of your shoes and reduce odors.

By combining the right treatments with preventive measures, it is possible to manage and even eliminate foot and toenail fungus effectively. Always consult a medical provider if the infection persists or worsens.

Trump pressures Michigan Medicine to stop gender-affirming care for trans youth

Trump pressures Michigan Medicine to stop gender-affirming care for trans youth

M Hasan    3:40 AM   

Michigan Medicine Halts Gender-Affirming Care for Minors Amid Federal Pressure

Under pressure from the federal government, Michigan Medicine, the medical center of the University of Michigan, has decided to stop offering gender-affirming care — including hormone therapy and puberty blockers — to patients under 19 years old. This decision was announced by a spokeswoman on August 25, following a statement that revealed the institution had received a federal subpoena as part of an ongoing criminal and civil investigation into such treatments for minors.

The university stated that the move is in response to the investigation and rising external threats and risks. “In light of that investigation, and given escalating external threats and risks, we will no longer provide gender-affirming hormonal therapies and puberty blocker medications for minors,” the statement said.

This decision has left many parents of transgender children and their advocates deeply concerned. One mother, whose 14-year-old daughter is receiving estrogen and puberty blockers, expressed her devastation. She said she does not want her daughter’s treatment to stop, fearing it could have a devastating impact on her life. The mother, who asked to remain anonymous due to fears of being targeted, described her daughter as a happy child who has thrived with the care provided by Michigan Medicine.

“I don’t want her medical therapy to lapse. I think it would destroy her life,” she said, adding that she plans to keep the news from her daughter for now. “I feel like the last thing she needs to worry about is that she won’t be able to get her medicine.”

She also mentioned the possibility of moving out of the country to find alternative care for her daughter, emphasizing that it is unacceptable for her child to lack access to the care she needs to live authentically.

Legal and Ethical Concerns

The decision to halt gender-affirming care could lead to legal complications for Michigan Medicine. Jay Kaplan, an attorney with the American Civil Liberties Union of Michigan's LGBTQ Project, warned that the hospital may face potential malpractice issues if it does not provide a way for patients to continue their care elsewhere.

Kaplan also pointed out that if the hospital provides hormone therapy to cisgender minors — those who identify with the gender they were assigned at birth — but not to transgender minors, it could potentially violate civil rights laws. Cisgender minors sometimes receive puberty blockers when they begin puberty too early.

In a letter sent to patients and families, Michigan Medicine stated that it will continue to care for gender-diverse patients, offering other forms of support such as social work consultations, community resource connections, and assistance with transferring care to outside providers if desired.

Advocacy Groups Speak Out

Advocacy organizations have criticized the decision, suggesting that it is primarily driven by pressure from the Trump administration. Erin Knott, executive director of Equality Michigan, said the move appears to be a result of the administration’s efforts to target trans families and healthcare providers.

Roz Keith, founder of Stand With Trans, a group supporting transgender youth in metro Detroit, is compiling a list of private practice physicians who will treat minor patients. She emphasized that gender-affirming care is legal in Michigan and that the issue lies with federally funded institutions facing threats from the government.

The American Medical Association and the American Academy of Pediatrics both support gender-affirming care for young people. Earlier this year, Corewell Health temporarily paused gender-affirming care for new minor patients after an executive order threatened to cut federal funding for hospitals providing such treatments. However, Corewell later reversed its decision.

Michigan Attorney General Dana Nessel warned that denying such care could violate state anti-discrimination laws. She has joined a multistate lawsuit challenging the Trump administration’s efforts to restrict access to gender-affirming care for minors.

Impact on Transgender Youth

Although the number of transgender minors in the U.S. is relatively small, the effects of denying them access to care can be significant. A 2022 study published in the Journal of the American Medical Association found that young people who received gender-affirming therapies were 60% less likely to experience depression and 73% less likely to have suicidal thoughts or behaviors than those who did not receive such care.

For the mother of the 14-year-old girl, the decision to stop treatment is not just a medical issue but a personal one. “It’s not an option of 'can my kid be cis gender and live this life versus can my kid be transgender,'” she said. “It’s not a question. There’s not a question for us. My daughter … she's always been a girl.”

GoodRx Offers Ozempic and Wegovy 60% Off – How to Save

GoodRx Offers Ozempic and Wegovy 60% Off – How to Save

M Hasan    10:34 AM   

The Growing Affordability of Weight-Loss Medications

In a world where billions of dollars worth of prescription medications go unused each year, the recent developments in drug pricing have brought some hope, especially for those seeking weight-loss treatments. One significant breakthrough came from GoodRx, a medication-savings company, which recently partnered with Novo Nordisk, the manufacturer of Ozempic and Wegovy. This collaboration allows individuals with prescriptions to access these type 2 diabetes and anti-obesity drugs for just $499 per month—a reduction of about 60% from the list price, which can exceed $1,300 without insurance.

Divya Iyer, Senior Vice President at GoodRx, highlights that despite the rising demand for these medications, 19 million Americans lack any coverage for them. This new partnership is seen as a step forward in addressing this gap by eliminating middlemen who have long contributed to higher pharmacy costs.

A Shift in Drug Pricing Strategies

Experts believe that this deal could signal a broader shift in how drug companies set their prices. Aayyush Goyal, a pharmaceutical supply chain expert and founder of MedsPartner, suggests that the $499 price point may encourage other manufacturers to keep their prices competitive or even lower. Additionally, it could push insurance companies to expand coverage and prompt pharmacies to reconsider practices that make medications less affordable.

The benefits of this deal extend beyond just cost. For self-paying patients, starting early in 2025, they can receive Ozempic and Wegovy directly from NovoCare’s pharmacy. Alternatively, they can use a local pharmacy through GoodRx's network of over 70,000 retail locations nationwide, making access more convenient.

Safety and Regulation Concerns

This new affordability also addresses concerns about the safety of alternative options. Compounded versions of weight-loss drugs, often sold online, were once a solution during shortages but were never regulated by the FDA. With the shortage officially resolved, the $499 deal is expected to reduce the availability of potentially counterfeit or ineffective products.

However, not all offers are as straightforward as they seem. Some advertisements suggest that Ozempic or Wegovy can be obtained for as low as $10 per month. While appealing, this rate typically requires a manufacturer savings card and strong commercial insurance, which many people may not qualify for.

Understanding the Health Benefits

Ozempic and Wegovy, though different in their primary approvals, are essentially the same drug—semaglutide. They both increase levels of GLP-1, a hormone that helps control blood sugar and suppress appetite. Studies show that people using semaglutide with lifestyle changes have lost between 15 to 17 percent of their body weight.

Tirzepatide, found in Mounjaro and Zepbound, has shown even greater effectiveness for weight loss, with some trials reporting up to 26% weight loss. These medications also offer additional health benefits, including improved cholesterol, reduced joint pain, and a lower risk of heart attacks and strokes.

Side Effects and Considerations

While effective, these medications come with potential side effects, primarily gastrointestinal issues like vomiting, diarrhea, and constipation. However, these symptoms often subside over time, especially when dietary adjustments are made.

For those considering these medications, the cost remains a key factor. While other options like Mounjaro and Zepbound are available, they come with limitations such as lower doses and the need for self-administration. Ozempic and Wegovy, on the other hand, offer flexibility in dosing and ease of use.

Future Outlook and Alternatives

Looking ahead, there are signs that prices may continue to decrease. The Biden administration has included Ozempic and other similar drugs in Medicare price negotiations, which could lead to further reductions in cost. In the meantime, programs like Novo Nordisk’s patient assistance initiative offer free or low-cost options for eligible individuals.

For those still hesitant about GLP-1 medications, natural alternatives such as okra or specific herbs have gained attention on social media. However, experts caution that these should not replace professional medical advice.

Ultimately, the goal is to ensure that everyone who needs these life-changing medications can access them. Whether through cash programs, copay cards, or expanded insurance coverage, the future looks promising for more affordable and accessible treatment options.

12 Hidden Reasons for Memory Loss You Should Know

12 Hidden Reasons for Memory Loss You Should Know

M Hasan    9:00 PM   

Understanding the Causes of Memory Loss

Memory loss, or the inability to recall information within a short period, can be caused by various physical and mental conditions. Some causes may be addressed through lifestyle changes, while others might require medical attention. Understanding these factors is essential for identifying potential solutions and seeking appropriate care.

Common Causes of Memory Loss

1. Thyroid Problems

The thyroid gland, located at the front of the neck, produces hormones that play a role in brain development and memory retention. Imbalances such as hyperthyroidism (excess hormone) or hypothyroidism (insufficient hormone) can affect cognitive functions, leading to confusion or "brain fog."

2. Sleep Disturbances

Sleep is crucial for memory consolidation. Conditions like obstructive sleep apnea or insomnia can interfere with neural processing, making it harder for the brain to process and retain memories. Lack of sleep can also impact higher-level cognitive tasks such as planning and decision-making.

3. Infections

Infections, including viral and bacterial ones, have been linked to memory impairment. A 2022 study showed that infections like COVID-19 can negatively affect cognitive function. Similarly, bacterial infections may trigger inflammation in the brain, which can impair memory and other cognitive abilities.

4. Menopause

Menopause involves a decline in estrogen and progesterone levels, which can impact cognitive function. Many individuals experience memory issues during this time. However, once menopause ends, cognitive function often improves.

5. Nutritional Deficiencies

A diet high in saturated fats or low in key nutrients like vitamin B12 can lead to memory problems. Vitamin B12 is found in animal-based foods, so those with plant-based diets or digestive disorders may be at risk for deficiency.

6. Certain Medications

Some medications used to treat conditions like seizures, anxiety, or pain can cause side effects that impair memory. These include anti-anxiety drugs, antihistamines, anti-seizure medications, opioids, sleeping aids, and tricyclic antidepressants.

7. Stroke

A stroke, which occurs when blood flow to the brain is disrupted, can cause significant brain damage, including memory loss. Silent infarcts, which are similar to strokes but without obvious symptoms, also increase the risk of cognitive impairment.

8. Cardiovascular Disease

Cardiovascular diseases such as hypertension, high cholesterol, and ischemic heart disease can contribute to memory issues. Research suggests that up to 25% of cognitive impairments are linked to cardiovascular health.

9. Head Injuries

Traumatic brain injuries (TBIs), such as concussions, can affect memory and cognitive function. If you experience persistent memory problems after an injury, consulting a healthcare professional is important.

10. Alcohol and Tobacco Use

Both alcohol and tobacco use are associated with memory issues. Alcohol can impair short-term memory and lead to long-term brain damage. Smoking reduces blood flow to the brain, affecting memory formation.

11. Mental Health Conditions

Stress, anxiety, and depression can all impact memory. These conditions can disrupt brain function and make it difficult to focus or learn new information. Additionally, some medications used to treat mental health conditions may affect memory.

12. Age-Related Changes

As people age, parts of the brain shrink, and communication between neurons slows. While this can make complex tasks take longer, older adults can still learn new skills with more time and effort.

Preventing and Coping With Memory Loss

To help prevent memory loss, consider incorporating regular exercise, a nutrient-rich diet, and sufficient sleep into your daily routine. For those already experiencing memory issues, the following strategies may help:

• Plan your day: Establish a routine that aligns with your energy levels and concentration.
• Exercise your body and mind: Physical activity improves cardiovascular health and releases endorphins, which support cognitive function. Engaging in puzzles or other mentally stimulating activities can also help.
• Get help remembering things: Use electronic devices to store important information, such as phone numbers or emergency details.
• Cognitive rehabilitation therapy (CRT): This intervention helps individuals regain cognitive function through personalized training programs.

When to Seek Medical Attention

Occasional forgetfulness is normal, but certain signs may indicate a more serious issue. Consult a healthcare provider if you experience any of the following: - Getting lost in familiar places - Frequent confusion about people, places, or time - Difficulty performing basic self-care tasks - Repeating questions or asking the same things multiple times - Struggling to follow instructions or directions

The Mental Health Gap: Why Employees Avoid Workplace Resources

The Mental Health Gap: Why Employees Avoid Workplace Resources

M Hasan    6:37 PM   

The Mental Health Gap: Why Employees Aren’t Using Available Resources

Employers often emphasize the importance of employee well-being, with many offering benefits such as Employee Assistance Programs (EAPs) to support their workforce. However, a recent study by Prudential Financial reveals a significant disconnect between the availability of these resources and their actual use. Despite the widespread provision of mental health programs, many employees who could benefit from them are not accessing the support they need.

The 2025 Benefits & Beyond report highlights that nearly two-thirds of U.S. workers (63%) express concerns about their own or their family’s mental health. Yet, more than half of those with access to an EAP have never used it. This gap in utilization has far-reaching consequences, affecting not only individuals but also the broader economy. According to Gallup, employees struggling with mental health miss four times more work, resulting in $47.6 billion in lost productivity annually in the U.S.

Michael Estep, president of Prudential Group Insurance, emphasized the need for employers to address this issue. “The workplace is facing a mental health wake-up call — and an opportunity to cultivate a more supportive culture,” he said. “Employers must step up to provide needed support and foster a culture where using mental health programs is not only acceptable but encouraged.”

Prudential’s research identified three key insights into why the gap persists and how companies can begin to close it.

Insight One: A Gap in Perceptions of Well-Being

While 97% of employers consider overall employee well-being important, only 63% of employees feel their benefits package actually helps them manage their well-being. Even fewer (55%) believe their benefits help them manage workplace stress. These perceptions vary significantly across gender, generation, and industry.

Men (70%) are more likely than women (57%) to say their benefits are helpful. Millennials (66%) are the most optimistic compared to Gen Z (59%) and Boomers (63%). By industry, tech workers (78%) feel most supported, while those in healthcare (60%) and government/public education (54%) are less confident.

EAPs illustrate this disconnect. Nearly six in 10 employers offer them, and 68% say they’re satisfied with the results. However, only 31% of employees have used their EAP, despite strong satisfaction (69%) among those who do.

Women face unique challenges when it comes to mental health at work. For example:

• 39% of women are scared to bring up their mental health at work due to potential negative consequences (vs. 43% of men).
• 36% of women are concerned their job wouldn’t be there when they returned if they took leave to care for their mental health (vs. 42% of men).
• 57% of women agree that their benefits help them manage their overall well-being and stress.
• 50% of women said they haven’t needed to use their employer’s employee assistance program (vs. 55% of men).

Insight Two: Barriers to Use Remain Stubborn

More than half of employees with access to an EAP (55%) have never tried it. Of that group, most (54%) said they haven’t needed it, but others cite lack of knowledge (22%), solving the issue on their own (18%), or finding the program too complex (10%).

Stigma and confidentiality remain major obstacles. Forty percent of employees are scared to bring up mental health at work due to negative consequences, while 38% worry their job wouldn’t be there if they took leave. Another 38% believe managers or colleagues gossip about others’ mental health struggles.

Generational differences are particularly pronounced. Nearly half of Gen Z (46%) and Millennials (47%) fear negative consequences compared to just 27% of Boomers. Younger workers are also more likely to doubt their job security if they took mental health leave.

Insight Three: Communication Is Just as Important as Benefits

Even when programs exist, many employees don’t know enough about them. Employers overwhelmingly report communicating about EAPs during open enrollment, awareness months, or when employees might need support. But far fewer employees remember those messages — just 64% recall hearing about EAPs during open enrollment, 24% during awareness month, and only 17% say a manager ever raised it.

This awareness gap suggests that timing and the method of communication matter as much as frequency. To bridge this gap, employers can:

• Reinforce the value and confidentiality of EAPs
• Train managers to have stigma-free conversations
• Communicate beyond open enrollment with reminders tied to real-life stressors
• Look at well-being holistically, including finances, caregiving, and long-term stability

Employees and employers also agree on the importance of going beyond traditional benefits. Mental health days, flexible schedules, and stress management programs — offerings outside the usual open enrollment process — were cited as among the most helpful.

The Path Forward

The data clearly shows that offering mental health resources isn’t enough. The report highlights five key takeaways businesses should consider incorporating into their workplace plans:

• Support employees’ mental health needs by looking at them holistically and broadly and addressing them proactively with a long-term view.
• Promote program engagement and elevate mental well-being as a core workplace priority, which is essential for reducing mental health stigma and fostering a supportive culture.
• Evaluate your EAP program structure and identify any gaps in service, especially for employees in rural/underserved areas.
• Build upon the strong foundation that EAPs provide with additional behavioral health benefits that empower the workforce and boost resilience.
• Assess the effectiveness of program communications and adjust where possible to make them meaningful for employees.

When employees feel supported with mental health resources, nearly eight in 10 say they can effectively manage stress. But when programs don’t meet expectations, that confidence drops dramatically.

For businesses, the payoff of getting this right is significant, from stronger employee resilience to improved productivity. More importantly, addressing mental health at work may be one of the most impactful steps employers can take to build healthier, more sustainable workplaces for the future.

Key Findings

• Untapped Support Opportunity: While 59% of employers report offering an EAP, more than half of employees (55%) have never tried to use their available program. Among those employees, 31% had a need for assistance but still did not use their EAP.
• Silent Struggling: Employees are hesitant to use mental health resources or discuss mental health at work. The greatest barriers they face include fear of negative consequences (40%), concerns about confidentiality (38%), and worries about job security if they take a mental health leave (38%).
• Awareness Gap: Employers believe they frequently communicate about EAPs, yet 22% of employees know little about their available benefits and one in 10 finds them too complex. This presents an opportunity for employers to increase awareness by reviewing the content and frequency of their communications.
• Stress Management Support: When employees are satisfied with their mental health resources, 79% feel well-supported in managing stress and their overall well-being. But when these programs fall short of expectations, their confidence drops to just 48%.
• Going Beyond Traditional: When it comes to the most helpful mental health support, employers should consider options beyond standard benefits offered during open enrollment. Both employers and employees agree the three most helpful and realistic offerings are mental health days, flexible work schedules, and stress management programs.

5 Diabetes Meds That Don't Mix Well

5 Diabetes Meds That Don't Mix Well

M Hasan    7:00 AM   

Understanding How Foods and Drinks Affect Diabetes Medications

When managing diabetes, it's crucial to pay attention not only to the medications you take but also to the foods and drinks that may interact with them. Certain everyday items can interfere with how your medication works, potentially reducing its effectiveness or causing unwanted side effects.

Experts in the field of diabetes care emphasize the importance of understanding these interactions. For instance, some foods and drinks can alter the absorption, metabolism, or effectiveness of diabetes medications. This means that even if you're following a healthy diet, certain choices might still impact your blood sugar control.

Key Interactions Between Foods and Medications

Several types of foods and beverages are known to affect diabetes medications:

1. High-Fat Foods

While some fats are beneficial, excessive intake of saturated fats can be problematic. Meals high in fat can slow down digestion, which may delay how quickly certain medications are absorbed. This can affect how well the medication works. Examples of high-fat foods include whole-fat dairy products, processed meats, fried foods, and baked goods. These foods may also exacerbate gastrointestinal side effects from medications like GLP-1 receptor agonists.

2. Foods High in Added Sugar

Foods with added sugars, such as candy, sodas, and desserts, can cause rapid spikes in blood sugar levels. While they don't necessarily stop medications like metformin from working, they make it harder to maintain stable blood sugar. It's important to focus on whole-food sources of carbohydrates that are rich in fiber, such as beans, legumes, whole grains, and fruits.

3. Highly Processed and Refined Carbohydrates

Processed carbs like white bread, sugary cereals, chips, and pastries can lead to quick increases in blood sugar. If you're taking fast-acting insulin or mealtime medications, this spike can make it difficult for the medication to manage your glucose levels effectively. Pairing these foods with protein or healthy fats can help slow digestion and prevent sharp spikes.

4. Caffeine

Caffeine can interact with certain diabetes medications, particularly SGLT2 inhibitors, by increasing their diuretic effect. While moderate caffeine intake is generally safe, those on these medications should be mindful of their consumption. The recommended limit is around 400 milligrams per day, which is roughly equivalent to three to four cups of coffee.

5. Alcohol

Alcohol can increase the risk of low blood sugar, especially when taken with insulin or sulfonylureas. It can also worsen side effects like nausea and digestive issues. The American Diabetes Association recommends limiting alcohol intake to two drinks per day for men and one for women. Monitoring blood sugar levels closely is essential after drinking.

Tips for Managing Your Diet with Diabetes Medications

To ensure your medications work as intended, consider the following strategies:

Consider Meal Timing

Different medications may have specific instructions about when to take them relative to meals. Some need to be taken with the first bite of a meal, while others are taken before or after. Following these guidelines can help maximize the effectiveness of your treatment.

Stay Hydrated

Proper hydration is vital, especially if you're on medications like SGLT2 inhibitors, which can increase fluid loss. Drinking water and other unsweetened beverages can help maintain balance and prevent dehydration.

Monitor Portion Sizes

Some medications, such as GLP-1 receptor agonists, may require careful attention to portion sizes. Large or high-sugar meals can worsen side effects like nausea or dumping syndrome.

Use a Continuous Glucose Monitor

A continuous glucose monitor (CGM) can provide valuable insights into how different foods and medications affect your blood sugar levels. Tracking trends can help you make informed decisions about your diet and medication timing.

Be Aware of Other Medications and Supplements

Other medications and supplements can also influence blood sugar levels or interact with diabetes drugs. Always consult with your pharmacist or healthcare provider to understand potential interactions.

Final Thoughts

Managing diabetes involves more than just taking medication; it requires a thoughtful approach to diet and lifestyle. By being aware of how certain foods and drinks interact with your medications, you can better manage your condition and improve your overall health. Always seek guidance from healthcare professionals to tailor your approach to your specific needs.

Nurse Reveals Warning Signs of Power of Attorney Abuse

Nurse Reveals Warning Signs of Power of Attorney Abuse

M Hasan    4:15 PM   

The Importance of Power of Attorney in Retirement Planning

As a nurse, I’ve seen firsthand the critical need for power-of-attorney paperwork. Wealth does not protect you from the challenges that come with aging. Someone with just Social Security in retirement may end up in a facility at the bottom of the barrel, while someone with assets should be able to enjoy the best care available. Even if someone has millions in retirement, that won’t prevent them from being trapped in a hospital, especially if they’re single.

The issue arises when people suddenly lose their capacity for decision-making, and it can take up to a year to get a guardian in place through the court system. During this time, a person who could be enjoying a high-quality memory-care center or assisted living is stuck in a hospital room. Their health deteriorates quickly because people are not meant to be staring at the same four walls for an entire year with minimal activities.

Warning Signs and Common Scenarios

If a person is married, their spouse can help, but many older individuals have lost their spouses, leaving them without an advocate. In some cases, both spouses may become incapacitated at the same time. The stress of one spouse’s sudden decline can be the tipping point for the other.

There are several scenarios where power of attorney becomes essential. For example, I take care of people who should be able to enjoy assisted living but are stuck in the hospital because they can no longer manage their affairs safely. They now need a guardian appointed, which is a terrible situation. It’s even worse when they have the means to live in a good place but are forced into a subpar environment due to lack of proper planning.

Another concern is the potential abuse of power by those given power of attorney. Children, for instance, may act in their own interest rather than their parents’. I’ve seen cases where children neglected their parents, tried to sell their homes, and took their money. Alternatively, a child might choose the cheapest option for their parent to preserve their inheritance, rather than the best quality care.

Choosing the Right Agent

It’s crucial to choose the right agent for power of attorney. Just because someone is your child doesn’t mean they’re ethical. My stepmother handled her mother’s retirement correctly by selling her house and putting the money into the highest-quality memory-care center in our area. She spent her last two years enjoying life, socializing, and not being trapped in a poor nursing home.

As a healthcare provider, it’s heartbreaking to see people leave the hospital in dire situations. However, this is not uncommon. Too many children focus on what will be left for them instead of worrying about their parents’ well-being.

Risks and Realities of Power of Attorney

When you give someone power of attorney, you are putting your life in their hands. A durable power of attorney allows the trusted individual (the agent) to retain power even after the principal becomes incapacitated. A general power of attorney expires when the principal loses mental capacity. Guardians, on the other hand, are appointed by the courts and have immense powers.

A safety measure is setting up a dual power of attorney, appointing two or more agents. This helps prevent any single person from having too much control. However, it's easy for a child to convince their parents, in a vulnerable moment, to sign a POA document. The person holding the power is not under the same court jurisdiction as a guardianship or conservatorship, making it vulnerable to abuse.

Cases of Abuse and Legal Considerations

There is limited empirical data on elder abuse, but anecdotal information highlights the problem. The U.S. Senate Special Committee on Aging and the U.S. Government Accountability Office have pointed out the prevalence of such issues. For example, a son liquidated his mother’s 401(k) to pay for her nursing home and kept the rest of the money. Another case involved a woman stealing her sister’s Social Security number and persuading her husband to sign away his power of attorney.

In another recent case, a woman believed she had her mother’s power of attorney, but her mother’s adviser convinced her to change beneficiaries on several accounts. If the mother was incapacitated, the letter writer would need to petition the courts for guardianship or conservatorship.

How to Choose a Good Agent

Choosing the right agent is vital. If there is any doubt that a relative might self-deal, they should be excluded from your plans. Czepiga Daly Pope & Perri, a law firm with offices across Connecticut, advises clients to choose wisely when setting up a power of attorney. They emphasize that while it is a wonderful tool in the hands of a trustworthy person, it can also be dangerous in the wrong hands.

They recommend choosing someone who is trustworthy, fair-minded, understands their duties, and is committed to taking those duties seriously. Never forget that you are giving your agent access to your checking and savings accounts and other assets.

Final Thoughts

Not choosing anyone to have power of attorney or not setting up an advance healthcare directive can leave a person in a vulnerable situation for months while the state appoints a guardian. I hope others can learn from what I have witnessed. It’s important to plan ahead and make informed decisions to ensure the best possible care for yourself and your loved ones.

Eye Exams: What's Tested, What's Used, and What to Expect

Eye Exams: What's Tested, What's Used, and What to Expect

M Hasan    3:29 PM   

Understanding the Eye Exam Process

An eye exam is a crucial part of maintaining overall health and ensuring clear vision. Whether you experience dry, itchy eyes, blurred vision, or cataracts, or if you have perfect 20/20 vision, regular eye exams are essential for protecting your sight and detecting potential issues early. With increased screen time and lifestyle factors impacting eye health, it’s more important than ever to stay proactive about your eye care.

What Happens During an Eye Exam?

A comprehensive eye exam involves a series of tests designed to evaluate both the health and function of your eyes. These exams can last anywhere from 30 minutes to several hours, depending on the complexity of the tests and the specific needs of the patient. The cost of an eye exam varies, typically ranging from $10 to $40 for those with insurance and $50 to $250 for those without.

There are different types of eye exams, each serving a unique purpose:

• Comprehensive Eye Exam: A thorough evaluation of eye health and vision.
• Follow-Up Eye Exam: Conducted to monitor changes in eye health or vision after previous treatment or diagnosis.
• Vision Screening: Often performed at the DMV or school to test visual acuity and ensure safe driving or academic performance.

Key Tests Performed During an Eye Exam

During an eye exam, various tests are conducted to detect vision problems and underlying medical conditions such as heart disease and diabetes. According to Dr. Jennifer Wademan, an optometrist, the process includes three main components: pre-test screening, vision testing, and an eye health assessment.

The pre-test screening gathers information about your eyes, including any difficulties you may have with seeing your phone or driving at night. It also considers your general health, which can provide insights into conditions that may affect your eye health.

Diagnostic tests include measuring visual acuity, checking peripheral vision, and testing eye pressure, which helps screen for glaucoma. For individuals aged 60 and older, annual exams are recommended due to a higher risk of developing glaucoma.

Machines Used in Eye Exams

Eye doctors use specialized equipment to conduct these tests. Some of the common tools include:

• Phoropter: Determines the appropriate prescription for corrective lenses.
• Keratometer: Measures the curvature of the cornea.
• Ophthalmoscope: Allows the doctor to examine the inside of the eye, including the retina and optic nerve.
• Autorefractor: Measures refractive error and determines the prescription needed for eyeglasses or contact lenses.
• Tonometer: Measures intraocular pressure to screen for glaucoma.
• Visual Acuity Charts: Tests the clarity of vision at different distances.
• Slit Lamp Biomicroscope: Provides a detailed view of the front of the eye and its structures.
• Retinal Camera: Captures images of the retina for detailed examination.

How Often Should You Get an Eye Exam?

The frequency of eye exams depends on age. Adults under 64 generally require exams every two to three years, while those over 65 should consider annual visits to detect age-related conditions early. However, yearly exams for all adults can be beneficial. Even if someone has "good" vision, they should still undergo regular exams to monitor for changes in eye health.

Eye exams can also detect serious, "silent" problems such as dry eye, glaucoma, cataracts, and macular degeneration. These conditions may not present obvious symptoms but can require additional visits for monitoring and treatment.

What Is Evaluated During an Eye Exam?

During an eye exam, the following factors are evaluated:

• Medical History: Includes vision, health, family medical history, medications, and use of corrective lenses.
• Visual Acuity: How well you see at different distances.
• Prescription: Best eyeglass or contact lens prescription.
• Pupil Response: How your pupils react to light.
• Peripheral Vision: Side vision.
• Eye Movement: Eye alignment and muscle function.
• Eye Pressure: Intraocular pressure.
• Front of Eye: Condition of cornea, iris, lens, and eyelids.
• Retina and Optic Nerve: Signs of disease-related damage.

After an Eye Exam

After the exam, the doctor will review the results with you and discuss any prescriptions or treatment recommendations. Follow-up appointments may be necessary to monitor conditions, adjust prescriptions, or address newly detected issues. If eye dilation was performed, your pupils may remain enlarged for a few hours, causing sensitivity to light and blurry vision up close. It is advisable to wear sunglasses and avoid driving if you've had dilation.

Understanding Eye Care Professionals

It's important to understand the differences between various eye care professionals:

• Ophthalmologists: Medical doctors specializing in complex eye treatments, including surgeries for conditions like glaucoma and cataracts.
• Optometrists: Focus on comprehensive vision and primary eye health care, including prescribing corrective eyewear and managing eye conditions.
• Opticians: Help patients with glasses and contact lenses, including fitting, adjusting, and repairing frames.

Finding the Right Eye Doctor

To find the right eye care professional, consider asking family or friends for recommendations, requesting a referral from your primary care physician, using online directories, or contacting local hospitals. If you have vision insurance, check with your provider for a list of in-network doctors. It's also possible to find affordable eye exams without insurance or to get glasses without an exam.

A New Reality for Terminal Cancer: Longer Lives, Chronic Uncertainty

A New Reality for Terminal Cancer: Longer Lives, Chronic Uncertainty

M Hasan    8:00 AM   

A New Era of Cancer Treatment

Gwen Orilio didn’t know how long she had to live after her stage-four lung cancer diagnosis. The disease had already infiltrated her eye, so the 31-year-old didn’t bother opening a retirement account. Ten years later, Orilio is still alive. And she still has metastatic cancer.

Keeping her going is a string of new treatments that don’t cure the disease but can buy months—even years—of time, with the hope that once one drug stops working, a new one will come along. Orilio started on chemotherapy, and then switched to a new treatment, and then another, and another, and another. “What’s next? What do I have lined up for when this one stops working?” said Orilio, a high-school math teacher who lives in Garner, N.C. “My motto is that the science just needs to stay a step ahead of me, and so far it’s been working.”

This past winter, she started a retirement fund at age 41. Orilio is part of a new era of cancer treatment challenging the idea of what it means to have and survive cancer. A small but growing population is living longer with incurable or advanced cancer, navigating the rest of their lives with a disease increasingly akin to a chronic illness. The trend, which started in breast cancer, has expanded to patients with melanoma, kidney cancer, lung cancer, and others.

The new drugs can add years to a life, even for some diagnoses like Orilio’s that were once swift death sentences. They also put people in a state of limbo, living on a knife’s edge waiting for the next scan to say a drug has stopped working and doctors need to find a new one. The wide range of survival times has made it more difficult for cancer doctors to predict how much time a patient might have left. For most, the options eventually run out.

Patients contend with side effects from ongoing treatment—and their cancer—like crushing fatigue or nerve damage, but they often don’t look sick. Other, more routine health problems and the financial toll of multiple rounds of drugs also matter more when a person lives for years, instead of months.

“I have a problem with the narrative of cancer being contained to something that is either cure or die,” said Dr. Lori Spoozak, a gynecologic oncologist and palliative medicine doctor at the University of Kansas Cancer Center. “The experience our patients go through is much more complicated than that.”

Cancer as Chronic Illness

The U.S. is currently home to more than 18 million cancer survivors, over 5% of the total population, and their ranks are expected to grow to 26 million by 2040. Those living with the disease are included among them. More than 690,000 people were projected to be living with stage-four or metastatic disease of the six most common cancers—melanoma, breast, bladder, colorectal, prostate or lung cancer—in 2025, according to a 2022 report from the National Cancer Institute. That’s an increase from 623,000 in 2018 and a significant rise since 1990, the report found.

Part of the increase is due to a rise in bladder and prostate cancers, and better diagnostic tools that recognize more stage-four cancers earlier, researchers said. But much of it is because those patients are living longer. Nearly 30% of survivors diagnosed with metastatic melanoma and 20% of those diagnosed with metastatic colorectal or breast cancer had been living with their disease for a decade or more, the NCI paper estimated.

More than 600,000 people in the U.S. die of cancer each year. Cancers that reach stage four and metastasize to the brain, liver or other body parts carry the worst odds. Many patients die within weeks. But a greater portion of patients across many cancers are now still alive five years after a late-stage diagnosis compared with two decades ago, federal data show.

“I can legitimately tell most of the people I meet that I think their survival is measured in years,” said Dr. Mark Lewis, director of gastrointestinal oncology at Intermountain Health in Utah. “More and more people are experiencing cancer as a chronic illness.”

Even for lung cancer, the biggest U.S. cancer killer, the five-year relative survival rate for advanced disease has inched up, from 3.7% for patients diagnosed in 2004 to 9.2% for patients diagnosed in 2017, federal data show. The overall lung cancer survival rate has risen by 26% in the past five years, according to the American Lung Association, as declining cigarette use, screening, and new drugs have driven down deaths.

Advancements in Treatment

The expanding number of therapies that target a cancer’s mutations or boost the immune system are improving the outlook for several cancers. In breast cancer, treatment for metastatic disease accounted for 29% of the drop in deaths between 1975 and 2019, according to one 2024 estimate, with screening and treatment for early-stage disease accounting for the rest.

Dr. Eric Winer, a breast cancer oncologist and the director of the Yale Cancer Center, has heard people talk about cancer becoming a chronic disease for decades. It had always been true for a small subset. “And now, in breast cancer, it’s true for a bigger proportion of patients with metastatic breast cancer.”

Starting around 2000, drugs that hit specific genetic abnormalities such as Herceptin for breast cancer and Gleevec for leukemia established a new class of targeted therapies, buoyed by a better understanding of cancer’s molecular underpinnings. Immunotherapies called checkpoint inhibitors entered in 2011 for melanoma. Keytruda, first approved in 2014, is one of the world’s top-selling drugs and used across 18 cancers. Advances snowballed.

“Just the availability of the therapeutic options and the advances has been tremendous,” said Dr. Robin Zon, director of breast oncology at Cincinnati Cancer Advisors and past president of the American Society of Clinical Oncology. “We’re able to be more precise about getting the right drug with the right person.”

Zon helped write new recommendations in April 2024 for survivor care for metastatic patients, including that they should be granted access to survivor programs often reserved for patients who have finished treatment.

The New Normal

As patients live longer, never fully free of the disease, the financial strain of scans, treatments and travel for care compounds with time. The immediate rush of support from friends and family fades as the emergency becomes routine. Regular scans and tests to see if cancer has progressed or returned can fill patients with so much dread that the feeling now has its own word: scanxiety.

Orilio feels it at every 12-week scan, wondering when the test will reveal bad news and she’ll need another new drug. “When I get the scan results, I can pretend I don’t have cancer for the next 12 weeks until I go get scanned again,” she said. “I try to live a normal life in between.”

Orilio has spent a decade in this “new normal.” In late 2014, a series of migraines and an eye exam led doctors to find a tumor in the back of Orilio’s eye. More scans and surgery followed. In her hospital room, the surgeon told her the cancer had started in her lung. It was stage four.

Orilio’s mind went to her daughter, who was 18 months old. Back at home, she told her husband that she was scared. It was the only time she’d ever seen him cry. “I told him he’s never allowed to leave me,” Orilio joked.

Tests revealed her cancer had a rare genetic alteration called a ROS1 fusion, boosting her odds of survival. ROS1 is one of several lung-cancer alterations vulnerable to targeted drugs—drugs that hit the market for the first time right when she needed them.

Orilio switched from chemotherapy to a drug called crizotinib, which helps block specific proteins that drive cancer growth. The drug would go on to become the first treatment for ROS1-positive lung cancer patients approved by the Food and Drug Administration in 2016.

That worked for Orilio until 2017, when the cancer appeared in her brain. Her doctor said surgery or whole brain radiation was next. Orilio was so scared that she got on a plane to Boston to see a doctor who specializes in ROS1. She enrolled in a clinical trial for a drug called lorlatinib, and the spots in her brain disappeared.

Four years of calm followed. Then, Orilio’s cancer developed a mutation on the ROS1 gene that made lorlatinib ineffective. She tried yet another experimental drug that bought her several more months, and she’s had several rounds of radiation throughout her treatment. Now, she’s on zidesamtinib, which has worked for around three years and counting. The drugmaker, Nuvalent, announced positive data for the drug in June.

Orilio takes the pill every morning before she brushes her teeth. Like most of the treatments she’s tried, it makes her feel fatigued. She also put on weight. Her doctor is already thinking about what drug might be next—and trying to develop new options with her research team.

“It’s hard because cancer is so smart,” said Dr. Jessica J. Lin, a lung cancer specialist at Mass General Brigham in Boston, who is Orilio’s doctor. “We know at some point cancer is going to figure out a way to escape the treatment again.”

Many of Lin’s patients, including Orilio, are at least five years out from a metastatic diagnosis. She hears their stories about weddings and graduations at the same time she walks them through the possible options for when the cancer returns. The disease still cuts most of their lives short.

“You are having to walk that fine line between trying to be as realistic and transparent as possible—and we always try to be transparent—and making sure to relay that there is hope,” Lin said.

Orilio knows the odds are stacked against her, but she is more optimistic now than she was in the beginning. She didn’t look up lung cancer statistics until more than a year after her diagnosis, when the treatment was working and she felt more confident that she might live.

Persistence in Precarity

The teacher, who also coaches track, fights through her fatigue to take high-school students through math lessons and warm-up drills. She no longer demonstrates the long jump, her favorite event, because the cancer has spread to her spine.

In the classroom, she sometimes writes facts about lung cancer on her whiteboard and answers students’ questions: Did she smoke cigarettes? (She didn’t.) Does she still have cancer? (She does.) What about her thick head of hair? (It grew back differently after chemo.)

“I just paint a new image of what stage-four cancer looks like,” Orilio said.

Even the adults in her community often assume she’s cured, said Orilio, who sometimes has to correct them while at her daughter’s weekend soccer games.

When she was diagnosed, Orilio’s co-workers rallied around her and put on a 5K, raising tens of thousands of dollars. Her annual copays of about $5,000 have slowly eaten away at that cushion.

“If the cancer took a turn for the worse, the support would be there,” Orilio said. “But it almost feels a little bit lonely when I don’t have all of the support all the time.”

The house Orilio shares with her husband and daughter is oversize. The couple had planned on having more children. But Orilio started treatment right away because of the cancer’s aggressiveness, leaving no time to freeze her eggs. She wanted to be there for the child that she does have.

Her daughter is now a tween, and Orilio sometimes daydreams about what life will look like when she goes off to college and what she might do in retirement. Other days, she wonders why she bothers to save any money at all. The family does stretch their budget for the sake of fun at times, including during a spring break trip to Universal Orlando earlier this year.

“That was not a cheap trip,” Orilio said. “But it was, you know, making the memories, which is more important to me now.”

In late June, after Orilio’s latest scans showed no signs of trouble, they loaded up the camper and drove to her family’s lake house in New York. The trio paddleboarded, played soccer and ate more ice cream than they are normally allowed at home. A gaggle of extended family joined in mid-July. They celebrated her 42nd birthday.

Aside from taking her daily pill, Orilio hasn’t been thinking about her cancer much. “I have the summer to be free,” she said.

Her next round of scans is scheduled for September.

Cedar Crest Partners to Boost Health Care Access for Allentown's Low-Income Residents

Cedar Crest Partners to Boost Health Care Access for Allentown's Low-Income Residents

M Hasan    2:20 AM   

Expanding Access to Affordable Health Care in Allentown

In the 1st Ward of Allentown, an area bordered by the Lehigh River, Jordan Creek, and railroad tracks, many residents face significant challenges in accessing affordable and convenient health care. Melissa M. Miranda, CEO of Neighborhood Health Centers of the Lehigh Valley, emphasizes that this community needs more support to ensure its residents can receive the medical and dental services they require.

The nonprofit organization has recently formed new partnerships with Cedar Crest College and Delta Dental, marking a major step forward in addressing these gaps. On Saturday, the collaboration was celebrated at the Neighborhood Health Centers’ facility on 160 Hamilton Street, where approximately 200 people attended. Among them were children laughing and, at times, crying, showing the impact of the new initiatives.

Cedar Crest College is contributing faculty and nursing students to expand the clinic’s hours, while Delta Dental has opened a community dentistry office on-site. These efforts are aimed at providing more comprehensive care to the underserved population in the area.

Mary Colon, president of the Community Health Center board, described the event as a symbol of the community's commitment to health and wellness. “This is a place where individuals can access compassionate, comprehensive, and affordable health care,” she said. “Affordable health care is our No. 1 priority.”

According to a Gallup Well-Being survey conducted as part of the Blue Zones Project-Allentown, Allentown lags behind the country in general health measures. The survey revealed that residents are more likely to report their health as fair or poor rather than excellent or good.

Cedar Crest College is offering nurse-practitioner students real-world experience in caring for neighborhood residents. The school has committed a minimum of $75,000 for faculty, extended clinic hours, telehealth medicine, and other services. Elizabeth M. Meade, president of Cedar Crest College, emphasized the importance of education, disease prevention, and restorative care in mitigating the effects of illness.

“The collaboration ensures care is accessible to all regardless of ability to pay or insurance,” Meade stated.

The event featured a variety of activities, including face painting, portrait drawing, and dental examinations. Families like the Villatoros and the Guzmans took advantage of the services provided. Yeni Villatoro watched as her son, Anderson, received a dental checkup, while Felix Guzman brought his son for a physical to attend school.

Arisol Cadena-Perez, who brought her daughter for care, expressed gratitude for the center’s services. She came to Allentown three years ago and relies on the center due to lack of insurance. Others, like Felix Guzman, used the opportunity to get their children caught up on vaccines and medical checkups.

Miranda shared that in 2024, the Neighborhood Health Center served about 10,000 people across five locations. This year, the nonprofit is expected to exceed that number, with one-third of clients being new patients. About one in three clients is uninsured, and 70% lack dental insurance, with these numbers increasing due to changes in Medicaid eligibility under the Trump administration.

Founded in 2004 by concerned residents, the Allentown-based Neighborhood Health Centers of the Lehigh Valley aims to provide coordinated primary care for uninsured or underinsured residents. It operates independently and is not affiliated with Lehigh Valley or St. Luke’s University health networks.

Saturday’s announcement coincided with the end of National Health Center Week, which recognizes the work of community health facilities. The event highlighted the importance of partnerships in improving access to health care for all.

Top 10 Aesthetic Injector Innovators of 2025

Top 10 Aesthetic Injector Innovators of 2025

M Hasan    9:33 AM   

Top 10 Aesthetic Injectors of 2025

In the world of aesthetic medicine, a select group of professionals stands out for their precision, expertise, and dedication to enhancing natural beauty. These leaders are redefining non-surgical enhancements with advanced techniques and a keen understanding of artistry. Their commitment to safety, innovation, and client satisfaction sets the standard for excellence in aesthetic treatments.

Nastazia Saad

In a society where self-perception is the foundation of confidence, Nastazia Saad, a registered nurse and aesthetic injector, is enhancing lives one rejuvenating treatment at a time. Empowering her patients to feel confident, bold, and undeniably sexy defines her success as a standout professional in the aesthetics industry.

What sets Nastazia apart is her extraordinary ability to connect with her clients on a deeper level, understanding their unique needs and delivering natural, personalized results. Whether revitalizing aging skin by restoring lost volume, enhancing lips and cheeks, or performing corrective treatments, Nastazia ensures every client leaves feeling confident. She specializes in dissolving lips that have migrated or been incorrectly treated, allowing her to retreat and achieve the desired natural appearance. Brides-to-be can also look forward to tailored treatments that ensure they radiate confidence on their special day.

With a playful yet professional approach, Nastazia’s work stands out for its innovation and creativity. Through her Instagram page, Injectology by Nastazia, she shares insights into her techniques and connects with a growing audience of medical cosmetic enthusiasts. Clients aren’t just receiving a service; they’re embarking on a creative journey guided by a skilled injector who has trained under top industry leaders.

Looking to the future, Nastazia dreams of expanding her impact by establishing a training academy to inspire and educate the next generation of nurse injectors. Her mission remains the same: to provide personalized, transformative treatments that boost self-esteem and foster positivity.

Abrah Morgan Gruber

Have you ever wondered what it truly means to feel confident and beautiful in your own skin? Abrah Morgan Gruber has been in this industry for over 11 years and has tailored the patient experience to something that is honest and informative.

“I want my patients to feel that I am truly invested in their care and the happiness they have with themselves.” Together, we set goals for beauty and wellness. Abrah helps people embrace their unique beauty at Southern Grace Precision and Aesthetics, blending the science of aesthetics with personalized care—a rare combination. Her work is rooted in ethics, honesty, and patient well-being. She takes the time to understand each individual’s goals, crafting plans that prioritize long-term health and natural beauty over fleeting trends. Through preventive care, she ensures her patients feel confident in their own skin.

Abrah began her career with med spa training at Empire Medical, Allergan, and Palette Resource Aesthetics, followed by nursing experience in pre-surgical settings. She credits her nursing background for her gentle, empathic, and caring approach to aesthetics. Abrah empowers individuals to thrive, building confidence that inspires patients to lead fuller, more meaningful lives.

Recognized by the Foundation for Aesthetic Medical Excellence (FAME) as a 2024 Master Injector, Abrah’s philosophy is simple yet transformative: educate, provide consistent care, and deliver results that highlight each patient’s unique beauty.

As aesthetic medicine embraces a regenerative approach, Abrah leads with ethical practices and patient-centered care. Her method involves educating patients and delivering outcomes that help them feel like the best version of themselves.

Emily Holbrook

In a world where bold beauty trends often take center stage, Emily Holbrook is redefining the industry with her unwavering commitment to authenticity and subtlety. As a skilled injector, accomplished businesswoman, and FNP-BC, Emily has carved out a unique space in Dawsonville, GA, with Honaest, her thriving aesthetic practice dedicated to enhancing natural beauty while honoring individuality.

From the outset of her career in aesthetics, Emily's mission has been simple yet transformative: to help clients look and feel like the best versions of themselves, without the telltale signs of cosmetic work. Her expertise spans advanced laser treatments, dermal fillers, biostimulators, and Tox, empowering clients to embrace their beauty at every stage of life.

The impact of Emily’s work has not gone unnoticed. She has been honored with several prestigious awards, including the Best of Georgia 2025 Winner, the Stellar Business Award in Aesthetics, and a spot in the National Directory of the Best Aesthetic Injectors in America. Clients continually praise her for delivering results that feel effortlessly natural and beautifully understated.

Emily’s influence extends beyond her practice. She is deeply committed to the growth and evolution of the aesthetics field, sharing her expertise with aspiring injectors through mentorship and education. Her dedication ensures that future practitioners uphold the same values of authenticity and empowerment that define her work.

Looking ahead, Emily envisions Honaest as more than just a practice—it’s a movement toward a future where beauty is accessible, grounded in natural enhancements, and celebrated in all its forms.

Nicole Schaefer

Nicole Schaefer, RN, LME, is the visionary behind NS Aesthetics Med Spa. With over 30 years in the beauty industry, she is renowned as a Cosmetic Nurse Injector and Clinical Educator. She specializes in creating balanced and natural results for both men and women.

Nicole consistently delivers exceptional results by harmonizing natural beauty with cutting-edge aesthetic treatments. Her impressive achievements—most notably being recognized among the Top 200 Injectors in the United States—solidify her reputation as a leader in the aesthetic field.

Nicole began her journey at age 25 with The Beauty Lounge, her first med spa. The spa offered advanced skin treatments and the only cosmetic injectables available at that time, including Botox and Juvederm. Nicole's skincare line was sold under the spa's name, showcasing her commitment to enhancing clients' natural beauty.

Nicole believes that your skin should be your most cherished accessory—it's about enhancing and maintaining your natural allure. Her expertise spans both aesthetics and cardiology, giving her a unique edge that enables her to provide safe and effective treatments.

Driven by a deep passion for helping others feel confident in their skin, she gained recognition in the industry. She worked as a trainer and clinical educator for prestigious aesthetic companies.

As a National Aesthetics Trainer for several leading businesses, Nicole's keen interest in facial balancing—enhancing features without drastic changes—has garnered praise from her clients. To discover more about her personalized approach, you can book a consultation via Instagram, or explore her latest press features for more insights.

Liz Knight

Liz Knight, a Master Injector and Advanced Practice Aesthetic Registered Nurse, is recognized as one of the top aesthetic experts in the Washington DC area. Named the Best Injector for Chin & Jawline Contouring by DC Magazine in 2023, she is also listed as a Top Provider in the National Directory of the Best Aesthetic Injectors in America.

Her client-focused approach tailors treatments to various age groups, emphasizing subtle enhancements like preventative Botox, facial balancing, and restoring age-related volume loss with natural collagen-based services, as well as improving skin laxity with products such as Sculptra, collagen PDO threads, and dermal fillers. The results produce a more youthful appearance by reducing sagging skin, fine lines, and wrinkles.

As a Master Aesthetic Injector at Glow Studios in Ashburn, VA, Liz provides personalized, high-quality aesthetic treatments focused on natural beauty. She opened her own practice to gain more control over the client experience, from consultations to treatment plans, ensuring each client receives customized care tailored to their needs and goals. Through ethical practices, transparency, and client education, she delivers safe treatments that enhance well-being. These principles, combined with her exceptional skills, have solidified her reputation as a top aesthetic injector.

Looking ahead, Liz aims to educate patients and colleagues about the latest aesthetic advancements, expand her practice, and mentor the next generation of injectors while growing her business, Aesthetic Injector, LLC, with potential new locations and services.

Explore her services and book a consultation via her listing in THE BEST AESTHETIC INJECTORS IN AMERICA NATIONAL DIRECTORY, Linktree, Instagram, Facebook, or her personal and studio webpage!

Edileidis Tarrio

Edileidis Tarrio, an Advanced Practice Registered Nurse (APRN) and entrepreneur, stands at the forefront of aesthetic medicine through Lely Enhanced Medicine & Aesthetics, a leading practice where artistry meets sincerity. With a robust background in medical and aesthetic fields, Tarrio reflects a devotion to enhancing clients' natural beauty and addressing the visible signs of aging.

Holding double board certifications and a Master's Degree from the University of Miami, Tarrio's expertise is further enriched by her focus on Cancer Risk Assessment, informing her comprehensive and medically sound approach to aesthetics. Her journey began at the Breast Care Center of Miami, where her passion for empowering individuals first took root.

Tarrio’s meticulous approach to aesthetics ensures that her clients receive more than she receives. They transform an experience, both in self-confidence and appearance. Her commitment to client care sets a new standard for clinic visits, as she emphasizes a personalized connection with each client building a rooted relationship.

At Lely Enhanced Medicine & Aesthetics, the philosophy extends beyond the aesthetic outcome. Tarrio has created a space where clients feel empowered and rejuvenated each time they enter the clinic. Tarrio’s vision for the future is clear; to expand her clinic’s reach, sharing her passion for aesthetics and people while empowering others to feel their best.

Today, Lely Enhanced Medicine & Aesthetics is more than just a clinic—it’s a sanctuary, offering cutting-edge treatments and personalized, compassionate care. Discover more about their services and approach on Instagram at @Lely.med.

Jacob Sanchez and Johanna Duarte

The global aesthetic market is booming, yet many practitioners neglect genuine care. Enter Jacob Sanchez and Johanna Duarte, a dynamic duo revolutionizing the field. Together, they elevate pan-facial rejuvenation by skillfully fusing innovation with compassion, defying aging through groundbreaking, non-invasive techniques that prioritize holistic well-being.

This transformative pair—Jacob, the innovative CEO, and Johanna, the passionate Physician Associate—are leading the charge in redefining rejuvenation at Get Refreshed. They’ve designed a sanctuary complete with inviting lodging and advanced hyperbaric oxygen chambers.

Their premier medspa, Get Refreshed, is the fountain of youth retreat, offering exceptional beauty outcomes, from injectables to spa services like saunas, red light therapy, cryo-chambers, and full hair and nail care. Whether it's glamorous Hollywood stars or hardworking single moms, everyone is welcome.

The ripple effect of their remarkable achievements resonates throughout the industry. Jacob’s illustrious six-year title as the US Top Injector highlights his extraordinary talent, while Johanna’s impactful leadership in injectable training reflects a steadfast commitment to advancing the field.

Looking ahead, Get Refreshed strives to become the global gold standard in aesthetic rejuvenation, offering cutting-edge, non-invasive treatments that set new benchmarks for beauty and wellness. This commitment is exemplified not only by their innovative services but also by their compassionate initiatives, including early donations, 50% off, and complimentary flights for cancer survivors and women impacted by domestic violence.

With hearts full of passion and minds brimming with innovation, Jacob and Johanna are taking patient care to soaring new heights. To experience their transformative work, visit Get Refreshed’s Instagram.

Mary Lynn Eichert, NP

Mary Lynn Eichert Shambo, RN, MSN, FNP-C, is an aesthetic nurse practitioner whose mission is to achieve inner wellness through beauty. As the founder of Align Aesthetics and Wellness, she has developed cutting-edge facial and anti-aging treatments that integrate seamlessly with health regimens. With over 18 years of experience in the field and expertise in injectables since 2005, Mary offers a range of innovative treatments, including laser therapies and cryotherapy.

Her practice caters to health-conscious individuals, both women and men, typically aged 30 to 70, seeking non-invasive treatments that promote both aesthetic enhancement and overall health. Mary's vision extends beyond aesthetics—she aims to cultivate a community focused on long-term wellness, with ambitions to expand her services and reach a broader audience through innovative offerings and wellness retreats.

Founded in 2020, Align Aesthetics and Wellness serves as both a medical spa and wellness clinic, offering cutting-edge treatments like laser therapies and cryotherapy. Clients often turn to Align Aesthetics and Wellness for innovative solutions such as injectables, skin rejuvenation, and biohacking therapies, emphasizing Mary’s focus on personalized care that addresses each individual's unique needs.

Mary has been recognized as one of the Top 100 Injectors in America for 2023 and 2024. Her shift from concentrating on beauty to developing a wellness center that mixes modern therapies with general health has gained her industry acclaim.

Looking ahead, she wants to grow Align Aesthetics and Wellness with additional treatments and products. Her ultimate objective is to pioneer beauty and well-being, raising her industry standard for personalized care.

Marjori Pretti

In the competitive world of medical aesthetics, Marjori Pretti stands as a beacon of expertise, passion, and innovation. She is one of the founders of Pretti Aesthetics and a globally known master injector from the Foundation for Aesthetics Medical Excellence.

Marjori has shaped the industry with a commitment to enhancing natural beauty across all ages. She was awarded the prestigious 2024 Global Recognition Award and recognized as one of the top injectors in the USA from 2022 to 2024—earning a place among the elite Top 100 Injectors in America.

Marjori is known for her unique approach to aesthetic care, focusing on treatments that celebrate individually rather than adhering to social standards. Her expertise, combined with a keen eye for balance, allows her to deliver results that empower her clients at their best.

Marjori's philosophy is simple—beauty is about feeling confident in your skin, no matter your age. Pretti Aesthetics is a family-owned business founded by Marjori, alongside her mother Zally and sister Maylla, all of whom bring over 25 years of combined experience. Together, they offer personalized treatments and believe in treating their clients like family.

With Marjori’s future goals, she remains steadfast in maintaining the familial warmth and personal touch that has earned her such loyal clients.

Pretti Aesthetics is a women's and family-oriented company committed to helping you feel your best at every stage of life. Visit the Pretti Aesthetics website to learn more about their personalized treatments and discover how they can help you feel your best at every stage of life.

Dana Jones

Prioritizing self-care, wellness, and appearance is a goal many share, but finding someone you can trust can feel like chasing shadows. Dana Jones stands out by bringing light and clarity with her evidence-based, customized approach grounded in real science.

Dana’s skill set goes far beyond just technique. She has an eye for balance and proportion that few can match. From sculpting facial features to enhancing natural beauty, she has a knack for creating results that look effortlessly stunning. Her steady hand, along with a sharp eye for detail, means that every procedure is as much about creating harmony as it is about delivering results.

Gold’n Aura Aesthetics, founded by Dana, is more than a brand—it’s a movement. It’s a safe space where individuality is celebrated, and each person’s beauty vision is brought to life. Every treatment is personalized to combine her artistic touch with advanced techniques that enhance natural beauty.

Dana is dedicated to educating and supporting the community in preventing skin conditions like melasma and skin cancer. With a deep belief in inclusivity, she has built a brand that’s changing the way people see skincare, making it accessible, meaningful, and empowering.

Recently listed as a leading NYC provider in the National Directory, Dana’s Gold’n Aura Aesthetics aims to grow regionally by adding talented professionals and opening new locations in the Northeast.

If you’re looking for a personalized treatment or curious to see what makes Dana Jones’ approach unique, now is the time to discover it. Visit Gold’n Aura’s Instagram profile to learn more.

Top Aesthetics Innovators to Watch in 2025

Top Aesthetics Innovators to Watch in 2025

M Hasan    9:31 AM   

The Evolution of Aesthetic Medicine

As the aesthetics industry continues to evolve, experienced and highly skilled injectors are pushing the boundaries of non-surgical enhancements with precision, innovation, and patient-centered care. These top professionals have built reputations for excellence, mastering advanced techniques while prioritizing safety, education, and natural-looking results. Whether leading the way in facial contouring, skin rejuvenation, or pioneering new approaches to injectables, these experts are shaping the future of aesthetics and setting the standard for 2025 and beyond.

Linda Bergin Goforth, PA-C: A Leader in Aesthetic Injectables

When it comes to aesthetic injectables, precision and artistry make all the difference. At the forefront of the industry is Linda Bergin Goforth, PA-C, a Board-Certified Physician Assistant and Allergan Medical Institute (AMI) Certified Master Injector. With over two decades of medical experience, Linda isn’t just enhancing appearances—she’s helping people feel like the best version of themselves.

As the founder of The Aesthetic Center in Sarasota, Florida, Linda has built a practice known for its commitment to safety, comfort, and innovation. She has earned prestigious accolades, including the Best Aesthetic Injectors of America Recommended Provider (2019-present). In 2021 and 2022, she received the Allergan Diamond Level Award, ranking her among the top 3% of injectors nationwide.

Beyond traditional aesthetics, Linda specializes in complex facial balancing. She provides expert injectable treatments tailored to each client. She specializes in Botox, fillers, Bellafill and Morpheus8 for natural, balanced enhancements. Her expertise extends to facial balancing for Bell’s Palsy and stroke-related asymmetry. Her approach blends medical expertise with an artist’s touch, ensuring every treatment enhances—not alters—a person’s features.

Patient care is at the heart of everything Linda does. The Aesthetic Center offers extended visits, Pro-Nox (nitrous oxide), and dental blocks to make treatments as comfortable as possible. Her personalized follow-ups ensure every client feels confident and cared for.

Outside of her practice, Linda is passionate about mentoring the next generation of injectors. She emphasizes safety, precision, and ethics in aesthetics, helping to shape the industry’s future. As an International Aesthetic Medicine Trainer, she has traveled to train colleagues in Saudi Arabia, Monaco, and France. For her, education isn’t just about technique—it’s about raising the standard of care for everyone.

Gabriella Meneses: Redefining Beauty Through Art and Science

When it comes to renewing beauty, Gabriella Meneses, MSN, FNP-C, is setting a new standard. As the founder of Babe Beauty Company, she’s not only offering treatments but creating an experience that emphasizes confidence, where art and science meet in perfect harmony.

Gabriella’s rise to prominence in aesthetic medicine is no accident. With a Bachelor of Fine Arts from the Massachusetts College of Art and Design and a Master of Science in Nursing, Gabriella blends her artistic vision with her medical expertise to help others look and feel their best. Her clients love the personalized approach she brings to every treatment, crafted through the combination of creativity and medical knowledge.

At Babe Beauty Company, Gabriella’s philosophy is simple yet profound: every person deserves personalized, safe, and efficient care. Whether it’s a first-time visitor or a seasoned client, Gabriella tailors each treatment to highlight and enhance their natural beauty, ensuring they leave feeling their best. She’s not just performing treatments; she’s offering an experience that empowers her clients to embrace their own unique radiance.

Beyond the spa doors, Gabriella is dedicated to raising the standards of the beauty industry. She is passionate about mentoring and educating other professionals, sharing her expertise, and helping them elevate their practices. Gabriella is in the process of launching an aesthetic academy, where she’ll provide education and training to beauty professionals who want to refine their craft and deliver exceptional results.

For those looking to glow or gain confidence, Gabriella Meneses and Babe Beauty Company offer the transformative experience you need—because true beauty is about feeling unstoppable, not just looking good.

Carly Ornelas: Enhancing Confidence Through Expertise

Carly Ornelas is all about redefining beauty and confidence. As the co-owner of Speakeasy Aesthetics, with locations in Murfreesboro, TN, and Mission Viejo, CA, she is dedicated not just to enhancing appearances but also to boosting her clients' confidence and overall well-being. With her expertise as an RN-BSN, CANS, and her commitment to staying ahead in the ever-evolving world of aesthetics, Carly has established herself as one of the top injectors in the U.S. and a leader in anti-aging treatments.

Speakeasy Aesthetics isn’t just a clinic for aesthetic treatments—it’s a center of personalized care and industry-leading expertise. Carly and her team are committed to exceeding expectations, continuously learning, and growing together to remain at the forefront of the industry. With two thriving locations, the practice has become a trusted destination for those seeking to enhance their natural beauty through safe and effective treatments.

What sets Carly apart is her ability to really listen to her patients and combine the latest technology with safe and effective methods. Whether she’s helping a teenager struggling with acne or a senior looking for a natural, refreshed appearance, Carly’s meticulous approach ensures beautiful, balanced results without overcorrection.

Carly’s achievements speak for themselves—she was named a Top 100 injector in the U.S. and led Speakeasy Aesthetics to be recognized as Rutherford County’s best medical spa for two consecutive years. Beyond patient care, she is deeply invested in education, having trained over 60 practices last year alone, sharing her expertise to elevate the industry as a whole.

With her commitment to quality and community, Carly Ornelas is helping shape a brighter future for beauty.

Melissa Gibbens: Pioneering Regenerative Aesthetics

Aging has long been a concern for both women and men, and finding the right expert to address wrinkles and facial aging can feel overwhelming. The fear of choosing someone less than the best is real—but that’s where Melissa Gibbens comes in. With her expertise, she provides solutions that redefine aesthetics and wellness, offering clients a trusted path to rejuvenation.

Melissa Gibbens is more than an aesthetic injector—she is a pioneer in regenerative aesthetics and whole-body wellness. As the founder of Melissa Gibbens Aesthetics and Wellness Center, she integrates the latest breakthroughs in stem cell therapy, peptides, and photobiomodulation to restore vitality and slow the aging process at a cellular level. Her holistic approach doesn’t just focus on outward beauty but optimizes overall well-being, bridging the gap between aesthetics and longevity medicine.

Her reputation for excellence has earned her national recognition and prestigious media features. Melissa has been featured in Vogue, Destination Houston, and other major publications, solidifying her status as a leading voice in aesthetics. Her expertise extends beyond client transformations—she is also a sought-after speaker and educator, sharing her insights on the future of regenerative beauty at industry conferences and media platforms.

Melissa’s influence extends far beyond personal success—she is shaping the future of aesthetics. Recognizing the importance of passing down knowledge, she is dedicated to training the next generation of aesthetic professionals, ensuring that regenerative techniques continue to evolve and empower beauty professionals worldwide.

Ready to experience the next level of aesthetics and wellness? Visit melissagibbens.com to explore her innovative treatments and book a consultation today!

Dr. Kathryn Sneed: Personalized Care and Community Impact

Dr. Kathryn Sneed has built a reputation as a skilled and trusted aesthetic injector, helping clients enhance their natural beauty with a personalized approach. As the founder of Sneed MediSpa & Wellness, she focuses on providing high-quality cosmetic treatments in a comfortable and welcoming environment.

With a background in both dentistry and healthcare management, Dr. Kathryn brings a precise and detail-oriented approach to aesthetic injectables. She specializes in Botox, dermal fillers, and skin rejuvenation treatments, tailoring each procedure to suit her clients' unique features. Her expertise has earned her multiple recognitions, including Best Spa in Memphis 2024, City’s Best in 2022 and 2023, and a spot among the Best Aesthetic Injectors in America.

Dr. Kathryn believes that aesthetic treatments should enhance, not change, a person’s appearance. Her goal is to help clients feel more confident by achieving natural-looking results that align with their personal beauty goals. She prioritizes patient education, taking the time to explain procedures and ensure clients feel comfortable with their choices.

Beyond aesthetics, Dr. Kathryn’s commitment to patient care extends to her philanthropic efforts. She actively gives back to her community, supporting frontline workers and local initiatives, always finding ways to uplift those around her. She believes in using her success to make a difference, whether it’s through her work in aesthetics or her contributions to charitable causes.

Through her expertise, artistry, and heart for helping others, Dr. Kathryn Sneed is setting a new standard in the world of aesthetics. She’s not just transforming faces—she’s helping people feel confident, empowered, and beautiful in their own skin.

Jing Castro: Trust and Natural Results

When it comes to beauty and wellness, Jing Castro has carved a name for herself as a trusted expert and artist in aesthetic medicine. She’s the founder and aesthetic nurse practitioner at Blue Sky Laser & Tox, where her work has earned her hundreds of five-star reviews and a loyal following. It’s clear she’s doing more than just injections—she’s changing lives, one confident smile at a time.

Her journey started with a passion for aesthetics and a sharp eye for symmetry. But she didn’t rely on natural skill alone—she chose to learn from the best in the field, including Rana Kennelly and Dr. Lara Devgan. That level of dedication and precision earned her a spot on the prestigious list of “The Best Aesthetic Injectors in America.” But for Jing, it’s not just about accolades—it’s about trust. And her clients trust her to deliver results that look natural, fresh, and uniquely tailored.

At Blue Sky Laser & Tox, she leads a team of seasoned experts offering everything from advanced laser treatments to personalized skincare and injection services. Whether you’re looking for a glow-up or a total transformation, Jing’s client-first approach ensures every treatment is customized to fit your goals and lifestyle.

Curious what makes Jing one of Arlington’s most sought-after aesthetic providers? Head over to her Instagram to see the magic for yourself—or better yet, book a free consultation and experience her expertise in real time. Because at Blue Sky Laser & Tox, it’s not just about looking your best, it’s about feeling it too.

Scott Callahan: Innovating Non-Invasive Procedures

When it comes to transforming aesthetics, few have made an impact like Scott Callahan, PA-C. He is the mastermind behind advanced PDO Thread techniques in the US. As the founder of Connecticut’s first medical spa, Dolce Vida, he set the bar for non-invasive procedures.

It’s Scott’s hands-on style and commitment to excellence that truly stand out. With 14 years of experience under his belt, his expertise is proven by thousands of successful procedures and advanced training.

Scott launched Dolce Vida Medical Spa in 2010 with a heartfelt mission—to help cancer patients feel better about themselves during treatment. Fast-forward to today, and it’s now a pioneer in PDO Threads and regenerative medicine. With expansion plans underway, his mission is to bring these innovative services to a national level.

Scott’s expertise is trusted by leading brands like Benev, Hans Biomed, and Galderma, where he serves as a Key Opinion Leader shaping the future of aesthetic medicine. He earned the 2024 Aesthetic X Factor Award and has been recognized as one of the Top 100 U.S. Aesthetic Injectors annually since 2018.

Inclusivity and acceptance are Scott’s top priorities. He is committed to celebrating every individual’s unique beauty. He believes in encouraging positive self-affirmations and creating an environment where every person, no matter their shape or size, feels beautiful.

All in all, Scott Callahan’s work speaks for itself. To see his expertise firsthand, head over to Dolce Vida Medical Spa’s Instagram for patient stories, results, and the latest treatment trends.

Dr. Rahi Sarbaziha, MD: Blending Science and Artistry

Every face tells a story, and just like an artist perfecting their masterpiece, Dr. Rahi Sarbaziha, MD, believes in crafting chapters of confidence and grace. With a meticulous touch and a passion for perfection, she enhances natural beauty, creating results that feel effortlessly elegant.

Dr. Rahi approaches beauty as a masterpiece in progress, blending science and artistry to create results that are effortlessly refined. Through advanced procedures, she addresses challenges like aging and weight gain at the source, focusing on transforming her patients’ confidence from the inside out.

But her dedication doesn’t stop at treatments. Dr. Rahi is passionate about sharing her expertise, speaking at prestigious conferences like AMWC and Aesthetic Next to advocate for an evidence-based, integrative approach to aesthetic medicine.

Located in the heart of Beverly Hills, Dr. Rahi Integrative Aesthetics is all about transforming how people think about beauty. Instead of focusing on surface-level results, the practice takes a holistic approach, offering advanced treatments like PDO threads, PRFM, peptides, and CoolPeel.

Dr. Rahi’s business achievements include being named one of the Top 30 Female Leaders in Aesthetics by AmSpa in 2024. She aims to expand her Beverly Hills practice, pursue franchising, and build her curated e-commerce. Yet, her influence reaches beyond aesthetics into advocacy, where she passionately empowers women in the Middle East and globally.

Dr. Rahi isn’t just offering quick fixes—she’s here to build legacies of beauty and wellness. To see her work and be part of this journey, follow her on Instagram, where beauty meets wellness in every post.

Megan Pham: Enhancing Authentic Beauty

The heart of Aeterna Aesthetics belongs to Megan Pham, who combines beauty with science to help patients gain confidence in their own skin. As a board-certified nurse practitioner and experienced aesthetic injector, she brings four years of hands-on expertise. But more than that, she brings heart. Her goal is to enhance what already exists by delivering results that stay true to your authentic beauty while appearing entirely natural.

Driven by a dual passion for science and art, Megan Pham built a practice grounded in trust, honesty, and care. At Aeterna Aesthetics, the team provides a level of care that goes beyond typical client service. Megan takes the time to understand what you truly want, ensuring you leave feeling empowered, not pressured.

Megan continually hones her skills by studying new techniques to offer the safest and most effective medical treatments. Her commitment earned her nominations for Best Aesthetic Injector of America in 2023, 2024, and 2025—an honor she is genuinely humbled by. With each patient, she strives to create natural, lasting results that enhance individual beauty. Her dedication to learning and growing ensures that she stays at the forefront of the ever-evolving field of aesthetic medicine.

Beyond awards, Megan’s approach is deeply personal. She views the face as a whole, where every little detail matters. It’s never just about one treatment; it’s about balance, harmony, and helping you become the best version of yourself. Her dream is to continue growing Aeterna Aesthetics into a space where beauty feels honest, and every client feels seen, supported, and celebrated.

Follow her journey on Instagram and see how your own transformation can begin—with care and someone who truly listens.

Dr. Daryl McKee: A Comprehensive Approach to Aesthetic Treatments

Before he became a leading aesthetic provider, Dr. Daryl McKee started his career as a curious technician in Dallas, where his passion for beauty and wellness first took root. Today, as the founder and Medical Director of Defined Medical Aesthetics, he blends his extensive medical background with a genuine dedication to helping his patients look and feel their best.

Dr. Daryl’s educational journey includes a Master’s in Medical Science from the University of North Texas, followed by medical school at the Texas College of Osteopathic Medicine and specialized training in Obstetrics & Gynecology. It was during his time competing in Men’s Physique competitions that he rediscovered his passion for aesthetics, ultimately leading him to focus entirely on this field.

At Defined Medical Aesthetics, Dr. Daryl blends his osteopathic training with the latest aesthetic treatments, creating individualized, customized plans for each patient. His comprehensive approach ensures that every treatment not only enhances the patient’s appearance but also aligns with their health and well-being. Dr. Daryl’s patients trust him for his precision, artistry, and ability to achieve results that look and feel natural.

He’s listed in the “Best Aesthetic Injectors in America” National Directory and is a sought-after educator and trainer for top industry brands like Merz Aesthetics, Revance Aesthetics, and Acclaro Medical. His ability to combine his osteopathic training with cutting-edge aesthetic treatments allows him to create customized plans for each patient, providing results that are as natural as they are transformative.

Discover more about his work at https://www.definedmed.com/ and see how Dr. Daryl McKee is making a lasting impact on both patients and the aesthetic community.