Austin MD July/Aug 2016 by Austin MD Magazine

J U LY / AU G U S T 2 0 1 6

THE INNOVATIVE TREATMENT FOR HAIR LOSS THAT WORKS

THE BEST TIP FOR A HEALTHY PROSTATE

BEEF AND WHY YOU SHOULD BE EATING IT NOW  FIND OUT HOW

MEDICARE CUTS WILL AFFECT YOU

THE SHOT TO

BOOST YOUR LIBIDO ANTI AGING AND SKINCARE TIPS

for men

MEN’S HEALTH ISSUE A U S T I N MD M A G A Z I N E . C O M

A U S T I N MD M A G A Z I N E . C O M

CONTENTS JU LY /AU GU ST 2 016

AUSTIN M DM AGAZINE J ULY/ AUG UST 2016

PUBLISHER

Angela Strickland EDITOR

Nicole Carbon ART DIRECTOR

Elisa Giordano

ACCOUNT EXECUTIVE

Davina Bruno

WEB DESIGNER

Brandon Tipton

PHOTOGRAPHER

Steve Dement

CONTRIBUTING EDITORS

Jake Harding Malena Manning Samantha Schak

CONTRIBUTING WRITERS

06 Registration opens for Susan G. Komen’s 18th Annual Race For The Cure 14 How your home environment growing up shapes your personality as an adult

Cover photo: Kurhan

46 Why you should incorporate lean beef into your diet

DEPARTMENTS 06 12 22 28 32 36 40 46

LOCAL LIFESTYLE MEN’S HEALTH HEALTH PROFILE MENTAL HEALTH SPORTS BEAUTY DINING

www.AustinMDmagazine.com

For adver tising and/or editorial information, please call Angela Strickland at 512-506-1248 or email angela@AustinMDmagazine com.

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GEORGERUDY/BIGSTOCK.COM, ALEXRATHS/BIGSTOCK.COM

An innovation to boost your libido in one simple shot

Arif Ahmed John Black John Branham Linda Burton Chef Dyrell Dilorenzo Kyle Jerome Brad Kennington Dr. Shirat Ling Renee Hanson Malone Bob Pena Nathaniel M. Polnaszek Katie Robinson Karen Schultz

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PUBLISHER’S LETTER

IT’S OFFICIALLY SUMMER, AND LIKE YOU, WE AT AUSTIN MD MAGAZINE ARE THRILLED TO SPEND TIME OUTDOORS SWIMMING AND ENJOYING CLASSIC SUMMER CUISINE. www.HearLifeAgain.com

The Sound Choice.

Visit HearLifeAgain.com or call 512-515-1080. 4

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We’re also excited to dedicate this issue to the men who will be hoisting those beach umbrellas and getting the grills going. Often given underwhelming attention, men’s health is of incredible importance as men continue to die younger than women, and advances in medicine make preventing and treating male-exclusive diseases easier and more effective. In this issue, you’ll also find content focused on keeping men healthy, as well as insightful articles about Komen Austin and how Medicaid cuts are affecting Any Baby Can, one of our favorite local charities. We’re so excited to do summer in Austin this year, and look forward to bringing you more excellent content in the fall. Wellness in Austin starts here!

PUBLISHER /CEO

Raising the Standard of Spine Care in Austin Austin NeuroSpine is at the forefront of minimally invasive, innovative techniques used to correct and repair spinal disorders.

To learn more about Dr. Vasudevan who brings a combination of surgical skills and a top academic background to every patient he sees visit,

www.austinneurospine.com 512.640.0010 5300 BEE CAVE ROAD | BUILDING 1, SUITE 220 | AUSTIN, TEXAS 78746 A U S T I N MD M A G A Z I N E . C O M

Local Lifestyle

SUSAN G. KOMEN’S 18TH ANNUAL

RACE FOR THE CURE

Registration and fundraising has launched for this annual event being held on September 25, 2016 BY KAREN SCHULTZ AND KATIE ROBINSON

to local healthcare providers who provide life-saving breast health services to those most in need. This past year, Komen Austin awarded over $428,000 for eight grants to six local community health partners that will provide over 3,775 breast health services. “We believe that no one should die of breast cancer because they could not access care,” said Karen Shultz, Interim Executive Director at Komen Austin. “The race is our single biggest fundraiser that helps Komen Austin bridge the gap for uninsured and underinsured women and men in

the greater Austin area.” Participants can walk, jog, run, volunteer, or donate to help Komen Austin save lives and provide critical care and support. Komen Austin has funded over $11 million into local breast health services, and invested $5 million into global research grants to find treatments, therapies, and cures to fight breast cancer on all fronts. For those who cannot be at the race, Sleep in for the Cure is an option for those who still want to donate and support our mission to save lives and beat breast cancer forever. Brunch for the Cure will be held at local area participating restaurants after the Race who will donate a portion of sales that day. Komen Austin’s goal this year is to raise over $900,000 to support women and men in our five-county area for life saving breast health services. Susan G. Komen Race for the Cure is presented by Bank of America and nationally sponsored by American Airlines, Ford, New Balance, Self, and Walgreens. Local area sponsors include presenting sponsor Dell and presenting media sponsor iHeart Media, First Trust, INK PR, Wells Fargo, Texas Oncology, PwC, and NetSpend among others.

For more information visit, www.komenaustin.org

A U S T I N MD M A G A Z I N E . C O M

THE RACE IS OUR SINGLE BIGGEST FUNDRAISER THAT HELPS KOMEN AUSTIN BRIDGE THE GAP FOR UNINSURED AND UNDERINSURED WOMEN AND MEN IN THE GREATER AUSTIN AREA.

PHOTOS COURTESY OF KOMEN AUSTIN

usan G. Komen Austin has officially launched registration and fundraising for the 18th Annual Race for the Cure. The Race, presented by Dell, will be held on Sunday, September 25, 2016 in historic downtown Austin. The 2016 chairs are: Lydia Hopper from Wells Fargo Bank; Race Chair, Jenny Peterson; a Komen recipient breast cancer survivor is Race Ambassador; and Billy the Kid and Anne Hudson from KISS 96.7 FM radio will serve as Honorary Chairs. Austin is regarded as one of the fittest cities in the U.S., however our local breast cancer incidence rates exceed the Texas state average. Combined with the fact that 1 in 4 Texans are uninsured, the gap between diagnosis and access to healthcare resources is severe. The Race for the Cure provides Komen Austin with significant funds to support grants

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Local Lifestyle

NEW TEXAS MEDICAID CUTS COULD COST CHILDREN THEIR THERAPY Lawmakers’ plans to cut payments to therapy providers puts Any Baby Can’s mission at risk

magine learning that your child has a developmental delay, disability, or another special healthcare need that required him or her to see a physical, occupational, or speech therapist. And while these therapies may be costly, without them, your child’s condition will almost certainly worsen. Now imagine learning that Texas lawmakers are proposing legislation that would limit your access to the help your child needs. That is exactly what children and families right here in the Austin area are facing. Texas lawmakers are proposing a $350 million Medicaid rate cut, set to take effect on July 15, which will severely affect Any Baby Can’s ability to serve children in the Austin area with a developmental delay or disability through the Early Childhood Intervention (ECI) Program. The Texas Health and Human Services Commission plans to cut payments to speech, physical, and occupational therapy providers on July 15, targeting providers who see children covered by Medicaid, the federal and state insurer for the poor and disabled. “We know that through various therapies applied during the first

three years of life, we can really make great advances in helping that child overcome some of those challenges,” said Andy Miller, president and CEO of Any Baby Can. Any Baby Can, one of the proud to providers of ECI in Austin, helps parents learn strategies for helping their children, ensuring that the benefits of services extend well beyond individual therapy visits, and ultimately reducing the need for more costly services as the child ages. But the proposed cuts to Medicaid would jeopardize the organization’s ability to serve families. “It’s really disappointing that the state is pulling back on that because the families’ needs aren’t going to go away,” said Miller Children enrolled in ECI often receive specialized care, such as speech therapy, physical therapy, and occupational therapy to help them face their challenges and thrive. Any Baby Can’s ECI program is already dealing with previously enacted cuts, and these additional cuts to Medicaid pediatric therapy rates will place additional strain on the program and families, and could threaten many providers’ ability to keep their doors open. The nonprofit serves about 500 children per year in their ECI program, but there are more families who need the support. Any Baby Can already uses about $200,000 from charitable donations to make the program sustainable, and with these cuts, Miller said it puts the whole program in question. “It’s disappointing to see such short sightedness in terms of cutting necessary programs during the first three years of life when we know they can be so impactful,” said Miller. Those interested in learning more about how the Medicaid rate cuts will affect children in Central Texas and how they can help may contact Eric Scott at Any Baby Can at Eric.Scott@ anybabycan.org.

TEXAS LAWMAKERS ARE PROPOSING A $350 MILLION MEDICAID RATE CUT, SET TO TAKE EFFECT ON JULY 15

* At the time of print, Texas lawmakers planned to begin the $350 million Medicaid rate cut on July 15, 2016.

For more information visit, www.anybabycan.org

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NIRODESIGN/BIGSTOCK.COMV

BY JOHN BRANHAM

A U S T I N MD M A G A Z I N E . C O M

Local Lifestyle

on the configuration of a home or business. They do not require bulky and hazardous cables, and have night vision capabilities. They can also be used by businesses for conference camera purposes – with more and more companies being able to let their

THIS SIMPLE PIECE OF EQUIPMENT CAN BOOST YOUR SECURITY

“FITNESS” Dyezz Surveillance shares the benefits of having an IP security camera BY BOB PENA

For more information visit, www.dyezz.com

A U S T I N MD M A G A Z I N E . C O M

ONE OF THE MORE INNOVATIVE AND RESOURCEFUL SECURITY FITNESS PIECE OF EQUIPMENT IS THE IP SECURITY CAMERA. employees work from home or a remote station, these cameras provide a clear picture of what’s going on. Also for possible business follow-up purposes, a modern alarm system can be activated from a remote location via a smartphone, and capable of downloading and storing footage that is being recorded, just in case an important conversation or recommendations were not clear or understandable.

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e all know that it’s important for us to achieve and maintain good physical fitness and health, especially living in such a competitive and entrepreneurial city like Austin. Staying physically fit is both a mental and physical challenge. Some individuals are able to set goals, develop fitness plans, carry them out, and ultimately accomplish them. This is a cyclical process, with the goal of constantly challenging ourselves, constantly achieving our physical fitness goals, and ultimately setting other, more challenging goals. In the business arena, striving and/or being physically fit may provide a leader with several advantages: increase in energy and productivity; more confidence and creativity; mental wellness; and ultimately resulting in setting other challenging and realistic goals for the future. As the idea applies to achieving and maintaining good security fitness for ourselves, our families, home or business, there are various surveillance and security systems that can assist with enhancing one’s personal and business interests. One of the more innovative and resourceful security fitness piece of equipment is the IP security camera – this camera can be connected to your computer, laptop, notebook, tablet, or cell phone. These cameras are wireless and can be located or relocated, based

32.6%

of men 20 years and over with hypertension (measured high blood pressure and/or taking antihypertensive medication)

THE LEADING

CAUSES OF

DEATH

31.4% of men 18 years and over who had five or more drinks in one day at least once in the past year

34.5% of men 20 years and over with obesity

FOR MEN

HEART DISEASE CANCER ACCIDENTS (UNINTENTIONAL INJURIES)

18.9%

of men 18 years and over who currently smoke cigarettes

Source: www.cdc.gov/nchs/fastats/mens-health A U S T I N MD M A G A Z I N E . C O M

MEN’S HEALTH

MAN-TO-MAN: YOUR PROSTATE HEALTH

Dr. Nathaniel Polnaszek, Urologist at Baylor Scott & White Medical Center shares the facts about your prostate health

t’s a medical Catch-22. Men, if you live long enough you’re most likely going to have prostate health issues. There’s no getting around it, but there are ways to stave off these problems and treat the issues that arise. Maintain a healthy lifestyle, get a regular screening, and if you encounter a problem, treat it early! A healthy lifestyle is an excellent place to start in preventing prostate problems; eat a healthy diet, low in saturated animal fats and low in high-fat milk products. In addition, us busy dads should consider taking supplements that include selenium and vitamin E. But, the single most important factor in fighting prostate disease is

A U S T I N MD M A G A Z I N E . C O M

an annual screening. Screening includes a DRE (digital rectal exam) along with PSA (prostate specific antigen) every 1-2 years. Current recommendations include routine screening for: • Age 55 – 69 years of age in most men • Starting at age 40, if you have a family history of prostate cancer, or if you are of African-American heritage Although most men typically don’t start experiencing prostate issues until their 50’s, for some men earlier issues can develop, including enlarged prostate.

Enlarged Prostate: As a busy father raising kids, you’re probably not thinking about benign enlargement of the prostate, known as BPH, but it’s the most common prostate problem. Almost all men will develop some enlargement of the prostate as they age. The prostate gland surrounds the urethra, the tube that carries urine outside the body, so an enlargement of the prostate can lead to blockage of the tube and trouble with urination — the most common problems associated with an enlarged prostate. Based on research, BPH does not seem to increase the risk of developing prostate cancer.

DOLGACHOV/BIGSTOCK.COM, JAKUB JIRSAK/BIGSTOCK.COM

BY NATHANIEL M POLNASZEK, MD

However, BPH and prostate cancer have similar symptoms that need to be heeded early, they include: • Slowness or dribbling of the urinary stream • Hesitancy or difficulty starting to urinate • Frequent urination • Pain during urination • Feeling of urgency or sudden need to urinate • Need to get up at night to urinate • Blood in the ejaculate Patients with mild symptoms may not require treatment other than continued observation, but if symptoms increase there are options including medication, minimally-invasive treatments, and surgery. In addition, recent studies have shown the use of the herb, saw palmetto, can block the formation of DHT, the hormone responsible for prostate gland growth. Prostate Cancer: One in six American men will be diagnosed with prostate cancer in their lifetime. If you are diagnosed, treatment decisions are crucial; the good news is that there are new therapies that allow for rapid recovery, continued urinary control, and return to sexual activity. 1. Prostatectomy has been considered to be the “gold standard” for the treatment of prostate cancer and is often recommended for younger men with early stage prostate cancers. Minimally invasive robot-assisted laparoscopic surgery can completely remove the prostate with reduced side effects. Nerve-sparing techniques using the da Vinci Robotic System can preserve urinary and erectile functions in many patients. The da Vinci is a robotic device controlled by the surgeon that allows for precise movement, enhanced control with 3-D vision, and magnification. The da Vinci offers patients smaller incisions, less post-operative pain, a reduced hospital stay, and an earlier return to full activity. 2. Radiation therapy is another option; breakthrough technologies include IMRT (intensity modulated radiotherapy) and radioactive seeds. IMRT is radiation treatment in which a computer generates process where thousands of tiny pencil-sized beams

THE SINGLE MOST IMPORTANT FACTOR IN FIGHTING PROSTATE DISEASE IS AN ANNUAL SCREENING. of radiation target only the cancerous areas and not surrounding normal tissues. Low-dose radioactive "seeds," each about the size of a grain of rice, are implanted within the prostate to kill cancer cells locally. Called brachytherapy, the seeds are sometimes combined IMRT for a "one-two punch." Both therapies are used in early-stage patients. 3. Hormonal therapy can be used in all phases of prostate cancer treatment to help block production of the male hormones that have been shown to fuel prostate cancer. There is no "magic potion" that will significantly reduce prostate cancer cases or deaths. However, some strong possibilities are in the works: • Several drugs and vaccines for treating prostate cancer are in clinical trials. • Studies examining diet have identified a high-saturated fat diet as a risk factor for prostate cancer, and a possible inhibitory effect in the consumption of soy products and cooked tomatoes. *This information is intended for general knowledge and is not a substitute for professional medical advice or treatment.

For more information, visit www.roundrock.sw.org A U S T I N MD M A G A Z I N E . C O M

MEN’S HEALTH

Raising Emotionally

HEALTHY BOYS IN TODAY’S SOCIETY

Austin Child Guidance Center takes a closer look about why some boys are emotionally repressed

ow does the contemporary image of what it means to be a male affect the manner in which we raise our sons? This question beckons a range of responses as traditional gender roles are challenged by society and many parents adopt new approaches to raising boys. However, the stigma associated with “real men” being stoic, unemotional beings persists, which consequently perpetuates boys repressing emotions and not asking for help when they need it the most. This is significant as a child’s mental health is directly linked to their quality of life and future outcomes. It ultimately affects their development and the way they perceive reality as they mature into adulthood. If a boy learns that “real men” are aggressive, detached, and self-reliant, he is more likely to harbor this perspective as he enters into relationships and fatherhood. This is how the stigma sticks, and our boys/ men continue to suffer in silence and they do not develop appropriate coping skills. Ted Zeff, Ph.D., a psychologist and author of The Strong Sensitive Boy asks, “How can you have a good relationship if you’re emotionally repressed? How can you have a good relationship with your children if you can’t be open, compassionate, loving and express yourself?” These are important questions, as denying self-expression can take

BOYS LOVE VIDEO GAMES BECAUSE THEY OFFER THE CHANCE TO SOLVE CHALLENGING PROBLEMS AND LIVE OUT EXCITING ADVENTURES WHERE THEY GET TO BE THE HERO.

a toll on one’s physical health. Moreover, males are less likely to access mental health services and this emotional repression can present negative health conditions like high blood pressure, insomnia, stomach issues, and even heart attacks. So how do we raise boys to grow up to be compassionate, self-confident men that honor their mental wellbeing? Austin Child Guidance Center psychologist, Dr. Louise Tedford, is very knowledgeable on the subject matter and gives a few words of wisdom regarding raising well-balanced sons. “One of the most frequent concerns that families bring to me about their boys is that they spend a lot of time playing video games. Boys love video games because they offer the chance to solve challenging problems and live out exciting adventures where they get to be the hero. While most of these games are harmless in moderation (with the exception of excessive violence in some games), these sedentary and second-hand activities often take away time from physical activity, social interaction, and “real-life” adventures. To develop a strong sense of self, boys need a variety of informal and organized experiences that foster pride in their effort, development of skills, and belonging with other people. Martial arts, pick-up games at the park, camping, team sports, music, acting classes, etc. are all great opportunities for boys to develop a positive self image while fulfilling their need for adventure and challenge,” said Dr. Tedford. One other significant point in raising mentally healthy boys is accessing a qualified mental healthcare provider when your son is struggling with moderate to significant issues. Mental health needs to be viewed at the same level of importance as primary health. Furthermore, accessing a therapist that specializes in working with children is paramount, as treating a child often requires a different approach and evidence-based treatments. For over 65 years, the Austin Child Guidance Center has improved the emotional wellbeing of children and families, regardless of their ability to pay. If your child, or someone you know, could benefit from this trusted community resource, please reach out to them at 512-451-2242.

For more information visit, www.austinchildguidance.org

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MASZAS/BIGSTOCK.COM

BY RENEE HANSON MALONE, MA

Internationally Respected, Multidisciplinary Care

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(844) 789-4773 rosewoodranch.com A U S T I N MD M A G A Z I N E . C O M

MEN’S HEALTH

DR. ROBERTO MIRANDA With Miranda MedCenter Treats Loss Of Libido And Common Signs Of Aging This doctor is taking an innovative approach BY JON BLACK

A U S T I N MD M A G A Z I N E . C O M

PHOTO BY STEVE DEMENT

r. Roberto Miranda could practice medicine anywhere. The family practitioner, and former surgeon and ER doctor, is a native of Brazil who studied medicine in Germany and conducted his surgical training the United States. A polyglot, Dr. Miranda speaks English, Spanish, Portuguese, French, German, and Italian. Austin’s vibrant community and opportunities for medical practitioners inspired him to make this city his home. His practice, Miranda MedCenter, provides a full range of family medicine services. It also offers a variety of aesthetic and therapeutic treatments that reveal one of his passions: tapping and enhancing the body’s natural powers to heal and rejuvenate. Dr. Miranda’s practice puts him at the forefront of one of the hottest topics in men’s health. Recent years have seen a growing awareness that the decline or loss of libido as a result of aging or other conditions is not a trivial issue but, rather, something with a genuine impact on health and wellness.

PROFILE

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with controlled caloric intake, Dr. Miranda has seen mutli-week HCG treatments produce impressive weight loss results in patients – he points out that appropriate lifestyle choices are essential for maintaining such results. The Vampire Facelift is another procedure Dr. Miranda offers which utilizes the body’s natural healing powers. It combines traditional hyaluronic acid techniques to shape the face as a filler with PRP. They can be injected under the skin, separately or together, creating a younger appearance by reducing wrinkles. According to Dr. Miranda, the Vampire Facelift differs from traditional procedures in two ways. First, in addition to restoring shape it improves tone and texture. Second, because it utilizes naturally produced growth factors, it actually rejuvenates: creating tissue that not only looks younger but also behaves younger. The Vampire technique is also available as a facial treatment in which the PRP mixture is applied topically to the skin. Dr. Miranda also utilizes the Vampire technique to combat hair loss. Injecting PRP into the scalp stimulates and rejuvenates follicles which can lead to hair regrowth. All Vampire treatments are available for men and women. Dr. Miranda’s office also administers Kybella

injections, offering a non-surgical treatment for double chins. Kybella uses a chemical called deoxycholic acid which absorbs fat cells locally around the injection site. Upon arrival in Austin, Dr. Miranda established a surgical practice, which he maintained until 1997. He then worked as an emergency room physician until establishing his current practice in 2001. Beyond his practice, Dr. Miranda is actively involved in the community. Two decades ago, he and a group of friends spearheaded the establishment of the Sembradores de Amistad Club. This group raised money for endowments at higher education institutions in Austin to provide scholarships for minorities who would be the first in their family to attend college. Because of the growing demands of his practice, Dr. Miranda eventually had to fold the Sembradores de Amistad, but he is proud to note their good work continues, “Our endowments will grow forever.” Dr. Miranda is certified by the American Board of Surgery and is a Fellow of the American College of Surgeons. He started medical school in Frankfurt, Germany and completed his MD at the University of Sao Paulo in Brazil. He received his surgical training at the University of Florida in Gainesville. Miranda thrives on positive feedback from his patents, “I enjoy when a patient comes back so happy with their results.” He is especially grateful that many of his patients are so pleased with their experience that refer him to friends and coworkers. “When a new patient comes in and tells me another patient has referred them because I am such a good doctor, that really makes my day,” he says.

MEN WANT SOMETHING BEYOND A PILL TO HELP THEM INCREASE THEIR LIBIDO. THE P-SHOT IS IT. For more information visit, www.mirandamedcenter.com

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“Many men lose their sexual performance due to age or medical conditions such as enlarged prostate, prostate cancer, diabetes or the aftereffects of drugs or surgery,” Dr. Miranda explains. Fortunately, there is a quick, effective, and enduring treatment for the phenomenon: the Priapus Shot, or P-Shot. “This is one of the procedures I’m most excited about in men’s health,” he says. “Men want something beyond a pill to help them increase their libido. The P-shot is it.” The P-Shot works by drawing blood from a patient, from which growth factors are extracted and concentrated into Platelet Rich Plasma (PRP). The PRP is then injected into the patient. “Because the P-Shot uses the patient’s own blood,” Dr. Miranda explains, “there are no issues with allergies or other harmful side effects.” There is an equivalent procedure for women. The Orgasm Shot, or O-Shot, uses a similar procedure refining the patient’s blood into PRP to rejuvenate the vagina. Dr. Miranda says that, in addition to helping women experience better and healthier sex, it can also relieve the symptoms of urinary incontinence. His practice also provides PRP treatment for injuries to the knees, shoulders, and other joints. They also administer the HCG weight loss program. HCG, which stands for Human Chorionic Gonadotropin, is a hormone made by the body during pregnancy. In conjunction

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MEN’S HEALTH

JOE GREER OF

THE REVEVA INSTITUTE Addresses Men’s Hair Loss A firsthand look at innovative treatments that work BY JON BLACK PHOTOS BY STEVE DEMENT

egenerative medicine, such as stem cells and Platelet Rich Plasma (PRP) treatments, are transforming medicine at an unprecedented pace. Reveva, a new Austin company, is applying the same techniques to address

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a perennial quality of life issue, hair loss. “I work with a great team of people,” says Joe Greer, Reveva’s founder. “It is very rewarding to help others who share my problem with hair loss. It is fun to see people growing their hair back!” As part of this issue’s focus on men’s health,

Greer wants people to know it’s okay to acknowledge hair loss as a happiness and wellness issue. “Losing your hair as a young man can be brutal.” He speaks from experience. “People’s first impression of me used to include a heavy dose of baldness. As a young lawyer trying to get the right job and meet the right girl, it was all about self confidence.” Greer confronted the unpleasant truth that some people judged him for his hair. Hair regrowth from the PRP treatments allowed Greer to return the focus to his abilities. “With new hair growth, their first impression of me has little to do with my hair and more to do with who I am.” He wants others experience the same effect. “For anyone suffering from hair loss, being able to regain your hair growth is wonderful. It helps to really bolster your confidence and improve your self image.” The PRP technique used by Reveva is a breakthrough for hair regrowth. “The technology has been around for decades,” Greer explains, “but for other applications.” The science is both simple and inspired. The patient’s blood is extracted and refined into a formula that concentrates signaling molecules, agents for the body’s natural healing potential. A micro-needling device then infuses the concentrated signaling molecules into the patient’s scalp to create new growth. “The coolest part,” Greer says, “is that we are helping people re-grow their hair using their own body’s cells.” That is what sets Reveva’s procedure apart from conventional techniques like hair restoration surgery, “Our procedure is 100% natural, non-invasive, and significantly less expensive than the surgical alternatives.” Anyone experiencing hair loss due to

genetic or environmental factors can benefit from Reveva’s process. This, Greer emphasizes, includes women. “The process works as well for women as it does for men,” he explains. “Many people would be surprised by how many women suffer from hair loss.” The two requirements for the treatment are that some amount of hair remains to create more growth and the patient have a decent metabolism. For that reason, those with immune deficiencies or other issues with healing may not be good candidates. Greer is excited by the results experienced by all of Reveva’s patients. His two favorite success stories, however, are close to home. “I am thrilled with my own hair. I was very close to being completely bald and have made a dramatic comeback,” he explains. Greer’s son underwent his first treatment in June and has “already experienced remarkable results.” The idea for Reveva came about as Greer was considering investment in a regenerative medicine clinic being opened in Austin by David Bryant. Greer listened intently as Bryant explained the use of PRP in healing ankles, knees, back, lungs, and many other areas. When he mentioned its ability to naturally regrow hair, something clicked for Greer. “Most balding people like me would rather have bad ankles and more hair,” he says. Two weeks later, Greer flew to the company’s primary clinic in Kentucky to receive his first treatment. When results far surpassed his expectations, Greer was hooked. He wanted to make the same benefits available to people in Austin. Within weeks Greer and Bryant had assembled a group of doctors and created Reveva. Prior to creating Reveva, Greer practiced law in Austin, “Over the course of my career I have helped many people with a variety of problems,” he explains. “I see myself helping people with their hair loss as a very natural transition.” While Greer says he had some fun and interesting trials during his law career, right now he has a hard time seeing himself going back, “I am having a blast getting my company into high gear.”

PROFILE

WITH NEW HAIR GROWTH, THEIR FIRST IMPRESSION OF ME HAS LITTLE TO DO WITH MY HAIR AND MORE TO DO WITH WHO I AM.

For more information visit, www.revevainstitute.com A U S T I N MD M A G A Z I N E . C O M

HEALTH

OSTEOPOROSIS IN MEN An overlooked healthcare condition

ONE IN FIVE MEN OVER THE AGE OF 50 WILL HAVE AN OSTEOPOROSISRELATED FRACTURE.

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BESTDESIGN36/BIGSTOCK.COM

BY ARIF AHMED M.D.

steoporosis is a common disease characterized by low bone mass, and it is often considered to be a disease primarily of post-menopausal women. Previous Gallup polls reported that most American men viewed osteoporosis as a woman’s disease. Osteoporosis is a costly and widespread condition. According to the National Osteoporosis Foundation, osteoporosis affects 10.3 million Americans, and another 43.4 million suffer from low bone mass. A third of these cases involve men. Although less common, mortality due to osteoporosis is actually more common statistically in men. Studies show that men are less likely to develop hip fractures, but twice as likely to die from them as women. This is also true for vertebral fractures and for other major osteoporotic fractures. According to the International Osteoporosis Foundation, one in five men over the age of 50 will have an osteoporosis-related fracture. Thus, the condition is even more common among men than prostate cancer. Among men aged 90 or older, one in every six will have a hip fracture. Why do people develop osteoporosis? Prior to age 30, the rate of bone growth exceeds the rate of bone loss. The strongest our bones will be is often referred to as our peak bone mass, achieved in young adulthood by cells called osteoclasts that break down bone and osteoblasts that then build it back up. Around age 35, the rate of bone loss begins to exceed the rate of bone growth. Osteoporosis can be characterized as primary or secondary. Primary osteoporosis is the more common form, due to the normal loss of bone mass with aging. The causes of secondary osteoporosis include prolonged exposure to certain medications such as steroids, anticonvulsants, and certain cancer treatments. Chronic diseases such as rheumatoid arthritis; kidney disease; low body mass; and malabsorption are also risk factors, as are habits such as smoking; excessive alcohol consumption; a non-balanced diet; and an inactive lifestyle. Also, men with hypogonadism or low testosterone are at risk of having low bone density.

Why do men develop osteoporosis less often than women? For one thing, most men build up more bone mass than women during adolescence. But by the time men and women reach age 65, the rate of bone loss is equal in both sexes. Furthermore, men do not go through periods of rapid hormone loss that women do during menopause. Thus, osteoporosis is often diagnosed later in life in men. Osteoporosis is often referred to as a silent disease, because in the absence of a fracture it can go undetected. The International Society for Clinical Densitometry recommends bone mineral density screening in men 70 years of age or older and recommends earlier screening in the event of a fragility fracture or other known condition suggesting a predisposition to osteoporosis. The most common tool used to diagnose osteoporosis is bone densitometry. The goals in the treatment of osteoporosis are to prevent bone loss, increase bone strength, and reduce the risk of future fractures. The most important strategy for dealing with osteoporosis in men is prevention. Some important recommendations include eating a balanced diet, doing weight-bearing exercises, avoiding smoking, and limiting alcohol intake; it is also vital to eat foods with a lot of calcium and vitamin D, such as milk, yogurt, and green leafy vegetables. The treatments most frequently used to treat osteoporosis in post-menopausal women have shown favorable results in improving bone density and decreasing fracture risk. Before starting pharmacological treatment, it is important that adequate calcium (1000 – 1300 mg daily) and vitamin D (800 – 1200 IU orally daily) be taken. The most common medications approved for the treatment of men with osteoporosis are Bisphosphonates. The Parathyroid hormone analog Teriparatide is the only FDA-approved medication that has been shown to directly build bone mass. This is often reserved for more severe cases of osteoporosis. Also, men who have a testosterone deficiency may be candidates for hormone replacement. It is never too soon to start protecting our bones. Avoiding smoking, limiting alcohol consumption, doing resistance exercises, and

eating a balanced diet with adequate calcium and vitamin D will help maintain healthy bones. In fact, building our peak bone mass during adolescence and early adulthood can help us slow down the process of weakening bones. It is important to realize that osteoporosis is a significant health problem, not only for older women, but also men. But it is encouraging to know that what we do now can affect the path of our bone health in later life. Don’t forget to discuss your bone health with your health care provider and to ask for a screening if you are at risk for osteoporosis. About Arif Ahmed M.D.: Arif Ahmed, M.D. is a board-certified Internist and fellowship-trained Rheumatologist. Originally from Houston, Texas, Dr. Ahmed graduated from Texas A&M with a Bachelor of Arts in Biology and a Bachelor of Science in Economics, with a minor in Chemistry. He briefly lived in Georgetown, Texas where he was part of the Mens Tennis Team at Southwestern University. He completed medical school at Ross University in Dominica West Indies. He then completed his internal medicine residency and was a Chief Resident at Good Samaritan Hospital in Cincinnati, Ohio. Prior to completing his fellowship in Rheumatology at the University of Missouri, he practiced as a Hospitalist at Indiana University. Dr. Ahmed has delivered several presentations at national meetings. In his spare time, he enjoys playing tennis, mountain biking, hiking, cheering for the Texas Aggies, and traveling. He is also fluent in Urdu, and proficient in Spanish. If you have questions, contact us to speak to our team of specialists and Dr. Ahmed.

For more information visit, www.austinpaindoctor.com

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HEALTH

A SUMMER LUNCH PROGRAM FOR LOW INCOME CHILDREN

CommUnityCare forms partnerships to provide healthy lunches this summer BY LINDA BURTON, SENDERO HEALTH PLANS (SPECIAL CONTRIBUTOR FOR COMMUNITYCARE)

three FQHCs in partnership with Sendero Health Plans. In addition to the free meals the Central Texas Food Bank is providing, on Friday’s a weekend backpack is given to each child that attends the summer lunch program so they can have healthy food on Saturday and Sunday. The space and staff are being provided by the health centers. “This opportunity supports our mission to help people live better, healthier lives,” said Wesley Durkalski, president and CEO For more information visit, www.communitycaretx.org

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of Sendero Health Plans. “We are proud to be part of a program to help make sure that no child goes hungry this summer, and to provide these meals in a respectful and dignified environment.” The CommUnityCare Southeast Health & Wellness Center at 2901 Montopolis and the CommUnityCare North Central Health Center at 1210 W Braker Lane will be open Monday through Friday from 11 a.m. to 1 p.m. Other weekly nutrition activities at the Southeast Health & Wellness Center include free produce bags distributed by Farmshare Austin and cooking demonstrations by the Sustainable Food Center. The summer lunch program is open to anyone in the community and does not require registration or enrollment.

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tudents who qualify for free and reduced lunch during the school year often miss out on adequate nutrition when school is out for summer. Either they are unaware of free summer lunch programs around Central Texas or they don’t have a way to get to the program. In an effort to address this challenge, Sendero Health Plans is partnering with the Central Texas Food Bank, the United States Department of Agriculture (USDA), and the Texas Department of Agriculture (TDA) to sponsor free summer lunch programs at three Federal Qualified Health Centers (FQHC) in Austin through August 19, 2016, two of which are part of the CommUnityCare Health Centers. CommUnityCare Southeast Health & Wellness Center and CommUnityCare North Central Health Center are partners in the initiative to link health centers with healthy food programs. Last summer, Sendero Health Plans sponsored a pilot program with the Central Texas Food Bank to include adults, not just students. Healthy meals were provided for adults who accompanied their children to a free lunch program. Other free lunch programs around the country do not include adults. The results in Austin were positive and now the Central Texas Food Bank is providing meals for both children and the adults who accompany them to the

We specialize in cutting-edge, low-dose 3D mammography. Our physicians conducted the initial research for its FDA approval. We believe all women should have access to the most advanced technology and the breast imaging specialists who are trained to read it. Because it matters who reads your mammogram. Setting the standard.

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MAKING LIVES Neighbors Emergency Center provides emergency care based on our model that always puts the patient first. With a vision to be the Best Neighbors Ever, you will experience more than medical care. You will experience what it means to be a part of our purpose to make lives better every day.

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PROFILE

UNDERSTANDING YOUR CHOICES IN EMERGENCY CARE Tips for knowing which is the best choice when your child has an injury PHOTOS AND CONTRIBUTION BY NEIGHBORS EMERGENCY CENTER

ounded in 2008 by a group of emergency room physicians, Neighbors Emergency Center operates as a freestanding emergency room, providing patients with the same level of service as a traditional hospitalbased emergency room. We operate 24 hours a day, seven days a week, 365 days a year. All centers are staffed with qualified, local boardcertified physicians. Neighbors Emergency Center has grown greatly in the past seven years with more than 20 locations throughout Texas, and centers in Colorado and Rhode Island coming soon. Understanding the difference between a freestanding ER, hospital ER, and an urgent care center can be confusing. Below is a simple breakdown to help you distinguish between them all:

located on the building, the lobby and treatment rooms. • Freestanding emergency rooms rates are comparable to a traditional hospital ER and accept most major insurance. • Freestanding emergency rooms provide a high quality of care and have convenient locations. Neighbors Emergency Center provides a purposeful culture of caring that sets us apart from the healthcare industry as a whole.

• Freestanding emergency rooms are staffed 24/7, 365 days a year with board certified physicians. Urgent care centers typically function like a primary care physician’s office with extended hours, and patients may be seen by a nurse, physician’s assistant or doctor. • Freestanding emergency rooms have reduced wait times when compared to a traditional hospital; 90 percent of Neighbors Emergency Center patients’ are assessed by a board certified physician in less than five minutes. • Freestanding emergency rooms have a full range of diagnostic services, such as labs and imaging, just like a traditional hospital ER. Urgent care centers do not have the same array of equipment and specialists.

• Freestanding emergency rooms treat all medical emergencies like a traditional hospital ER, unlike urgent cares which only treat nonlife threatening injuries or illnesses. • The easiest way to identify a freestanding emergency room from a hospital ER and an urgent care facility is the signage. Freestanding emergency room signage is usually For more information visit, www.NEC24.com

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Our company purpose drives our vision which is inspired by our patients, culture and community. Neighbors Emergency Center believes in providing extraordinary care that is dedicated to making lives better every day. We also operate around an unfaltering vision to be “The Best Neighbors Ever” by providing unparalleled medical care driven by compassion, respect and dedication. Along with our passion for caring, Neighbors Emergency Center is greatly involved in the communities we live and work in. From sponsoring youth and adult sports, to participating in local charitable events, as well as supporting local schools and activities and much more. Neighbors Emergency Center is committed to making lives better in the community every day. Remember, when a medical emergency happens, trust your Best Neighbors Ever for extraordinary emergency care from local board certified physicians. Neighbors Emergency Center is Making Lives Better by providing exceptional medical care for you, and your family, 24/7, 365 days a year. Visit NEC24.com for more information or to find an area location.

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MENTAL HEALTH

WHERE OUR

STORIES BEGIN

How home lives play a role in young adults’ personalities later in life

ot long ago I stumbled across one of those cliché quotes nicely framed and ready for purchase. Unlike all the other overdone and worn out quotes on love and happiness that seem to crowd the store shelves, this one actually grabbed my attention. “Home is where your story begins,” read the framed plaque. I could not agree more. Our home, the family that we were born or adopted into, is where our own stories start. And it is where the themes that help shape us for better (or worse), first begin to take root – themes such as trust, love, and safety; or their painful counterparts of betrayal, neglect, and abuse. Often these very themes are the ones that find their way into our lives as men — in the relationships and the families we create for ourselves. Like roles in a narrative, as sons we played certain roles in our original families and it is through these roles that our young personalities often first found expression. What role did you play in your family drama? Were you more quiet and shy or gregarious and outspoken? Maybe you were the comedic relief, always keeping others laughing and distracted from the gravity of the current situation. Did you stir things up

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or try to create the peace? Perhaps you were the “hero” who could do no wrong or the “rescuer” who saved others from their own problems. As we matured into men, these roles influenced our adult styles of connecting to others and managing our emotional environment. It is within an emotional environment where our original stories are written. Again, think back to your family of origin. What kind of environment did you grow up in? Was your home a safe place to be yourself, to pursue your athletic abilities or artistic skills or individual interests? Were you allowed to truly explore your teenage years and begin differentiating from the family within the safe confines of appropriate boundaries. Or were you expected to be the person someone else wanted you to be, to follow in your father’s footsteps and to carry on the family legacy, no matter the cost to your own identity? Were words used to encourage and support or wound and scar? How was anger and conflict expressed in your home — were they even allowed? As any student of history will tell you, history often repeats itself. Our own history is no different. The roles and themes we grew up with often repeat themselves later in our lives. Look no further

About the Author Brad Kennington, LMFT, LPC, is a therapist in private practice in West Austin. He provides therapy to individuals, couples and families, and he specializes in the treatment of eating disorders, relationship issues, anxiety and sexual orientation issues. He is also an associate faculty and clinical supervisor at the Austin Family Institute. Because of his work, Kennington has been quoted by Reuters and the Wall Street Journal, and he has been interviewed on Huff Post Live and on satellite radio.

than your current relationships and families for evidence of this. The part we currently play as husbands, partners, boyfriends, dads, and uncles are greatly shaped by our younger years. As a romantic partner, consider how your

relationship with your partner resembles the relationship you had with your parents or the relationship between my parents. As a parent or caretaker, consider how the dynamics in the family you have chosen to create resemble the dynamics in the family that was chosen for you? What is your part in these dynamics? Knowing our history and understanding where it is we come from helps us see where we need to go with our own relationships and families. Although we cannot change our original stories, we can certainly take from them what we want, edit out the parts we do not want to repeat, and create a new narrative, one of hope and renewal. “Home is where your story begins,” reads the plaque, but it certainly is not where it ends, for stories are organic and always evolving. And your story is uniquely yours — yours to write, to tell, and to share. For more information visit, www.bradkennington.com

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BY BRAD KENNINGTON, LMFT, LPC

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Matt McCarty, M.D. Gus Lowry, M.D. Eduardo Ozuna, M.D. Bryan Skulpoonkitti, D.O. Rey Ximenes, M.D.

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SPORTS

HEALTH BENEFITS OF

GOLF Itâ&#x20AC;&#x2122;s not just a game, golf provides some valuable health benefits

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BY KYLE JEROME

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n this day of health consciousness in our society, many people are looking for ways to not only get healthier and improve their physical fitness, but to get outdoors and enjoy time with friends and family. While combining these would be ideal, "Old Man Time" limits some people to what they can do physically. Whether it's physical limitations or age, going for a two mile run, or participating in a physical fitness class at the gym is not an option for many people. There is, however, an alternative way of improving your overall health that more and more people are turning to these days...golf. This great game has many advantages over other sports. You don't have to jump like an NBA player or run like an NFL player to enjoy golf. Though some of the most competitive athletes in the world are golfers, it's a recreational sport by nature. People of all ages can play golf. But how can golf be beneficial to your health? Let's look at some ways it can help not only your physical and mental health, but your overall well-being. PHYSICAL ACTIVITY Though golf may lack the physicality of football, for example, it is a physical game in another sense. Simply swinging a golf club requires the use of, and strengthens, many different muscles in your body. Many people prefer to walk when they play which increases the heart rate, strengthens leg muscles, and it’s a great way to burn calories. Even if you prefer to ride in a golf cart, the physical activity of playing golf is a great way to improve your overall health simply because you're being active. One of the most important things anyone can do to improve their golf game is to be as flexible as possible. Flexibility plays a major role in seeing improvement

in your game. If you get into the habit of stretching your muscles before and after your round, it will not only help you play better golf, but also make everyday tasks become easier. BEING OUTDOORS Being outdoors is one of the most beneficial aspects of playing golf. Let me put it this way, would you rather spend time in a gym on a treadmill or enjoy a beautiful day on a golf golf course? The answer to that is easy for most people. One of the biggest advantages of being outdoors in the sun is the benefits of vitamin D. The best-known benefit of vitamin D is its role in helping calcium build strong bones. It also helps regulate the immune system and the neuromuscular system. Vitamin D also plays major roles in the life cycle of human cells. Not only does golf have physical benefits, but being outdoors has other advantages as well. Golf is a great way to spend time with family and friends. Whether you choose to spend a few hours with friends, your spouse, your kids, or your family as a group, what better way to spend it than on the golf course? Many people prefer to play golf by themselves, alone with their thoughts. Either way, a round of golf can be very therapeutic and a great way to relieve stress. Remember, when you're talking about the health benefits of golf, you can't ignore your mental health. Even if you prefer to just stay on the driving range and hit practice balls, you can walk away feeling better not only physically, but mentally as well. So the next time you find yourself looking for a way to improve your physical and mental health, consider golf. And remember, it doesn't matter where you are in life in terms of age, golf doesn't discriminate.

MANY PEOPLE PREFER TO WALK WHEN THEY PLAY WHICH INCREASES THE HEART RATE, STRENGTHENS LEG MUSCLES, AND IT’S A GREAT WAY TO BURN CALORIES. For more information visit, www.golfdynamics.com

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Health & Beauty

MENâ&#x20AC;&#x2122;S GUIDE Dr. Ling, of Innate Beauty, shares treatments specifically targeted towards men BY DR. SHIRAT LING

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Top common signs of aging and how to fix them

ith the advent of social media, the pressure to look younger is ever-increasing. Men today are feeling the pressures that many women are already used to. Working later in life means competing with younger men in the workforce and the playing field. Trends in cosmetic procedures also reflect these changes. Men are heading to their doctor’s offices to get nipped, tucked, and polished before heading out for a second chance. Fortunately, men do age more gracefully than women. Testosterone promotes a better foundation (bone density and muscle mass) to their faces from the start, so the skin has more support when things go south. Thicker, oily skin also makes recovery a bit faster for men, which is great since men generally cannot tolerate as much pain as women – but that's what numbing cream is for.

• Get enough quality sleep. It will help keep off weight (control Leptin levels) and allows for your body to do its remodeling and regenerating. Guys need beauty sleep too!

First, a quick list of internal beauty habits everyone should have.

Concerns and treatments specific to the aging male: • Angry 11's or crows feet. Botulinum toxin (Botox Cosmetic, Xeomin, Dysport): this purified protein is injected into muscles to relax them. If anyone has asked you if you were mad at them, but you weren’t, this is for you. In just a few short days, you will look more relaxed, approachable, younger. The results last three to four months, and muscles atrophy as treatments progress, so you can say goodbye to the cro-magnon brow.

• Drink at least half your body weight in water if you're sedentary; more if you exercise. • Wash your face with a cleanser suitable for face skin (not Dial) immediately after workouts, and especially at night, ideally with a face brush. • Exfoliate the upper face once a week, and introduce retinoids twice a week to build collagen and speed up sloughing of skin. You naturally exfoliate by shaving, so be gentle with the lower half of your face. • Apply SPF of at least 30, and reapply every hour while exposed to the sun. Despite your thicker skin, American men have a greater incidence of skin cancer than women. • Do not smoke, or expose yourself to second-hand smoke.

• Exercise regularly. Over the age of 40, we lose approximately one percent of our muscle mass each year. Laxness of facial muscles and loss of muscle mass are just two factors that lead to facial sagging. Our facial bones continue to change over time, with some expanding, and others slowly breaking down or melting away in a process called retrusion. Exercise helps build bone and muscle mass. The more muscle mass you have, the better you survive cancer or a major illness. Plus it helps you chill out. Even with the best preventive care, you may need a little assistance.

• Residual wrinkles. CO2 fractional laser: with three days of looking sunburned, this vaporizes columns of skin to stimulate collagen to fill wrinkles, thicken and tighten skin, lighten discolorations, and reduce acne scars. This can be used near the eyes to build collagen and strengthen and tighten the skin around the eyes, so it is great for dark circles from thin skin, and droopy upper lids. This laser may also be used to minimize

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the appearance of scars and stretch marks as well. It's basically the iPhone of cosmetic procedures. You should plan for a nice weekend out of the sun while recovering from this annual laser treatment. • Large pores/rough skin. Microdermabrasion: In a word, this gateway procedure is sandblasting, it feels like a cat licking you. And, like sandblasting, it whittles down

the superficial layers of dead skin to make wrinkles, acne scars, and pores less visible. Your face will feel like a baby's butt after this quick procedure, and you will then have man-glow. • Sunspots. Photofacials: this noninvasive procedure involves intense pulsed light that targets brown spots and blood vessels to make your skin one color, and a bit smoother. This monthly procedure has no down time, in that you may return to work immediately, but be religious about using sunblock. • Receding hairline. A great minimally-invasive way to stimulate hair growth is Platelet-Rich Plasma. One tube of blood is drawn, and spun down in a centrifuge to separate the red blood cells from the platelets and

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plasma, which contains eight growth factors that do the magic. The serum is placed on the holes produced by the CO2 laser or with micro needling – it’s like applying fertilizer after aerating the lawn. It may also be directly injected into the skin. Rogaine and propecia also help, but come with side effects. Hair transplants usually begin in the thousands of dollars, and are appropriate in most men.

• Sunken cheeks and hollow eyes. When your foundation is collapsing, dermal fillers (Belotero, Juvederm, Perlane, Radiesse, Restylane, Sculptra, Voluma) fill in shallow and deep wrinkles, restore volume that was lost from temples, cheeks, lips, and lift sunken undereyes. The results are instant and last six months to two years. • Droopy eyelids. CO2 fractional laser can be used near the eyes to build collagen and strengthen and tighen the skin around the eyes. Pelleve utilizes radiofrequency to more superficially improve collagen in the area, has no down time, and the effects are more immediate. A series of monthly treatments is recommended with yearly touchups for optimal results. Blepharoplasty is a surgery that removes excess tissue and sometimes fat pads from the eye area. If the ptosis is severe enough, your insurance may cover the cost of this surgery.

ALL AFTERSHAVE REALLY DOES IS RETURN THE PORES TO A NORMAL SIZE; MOISTURIZER KEEPS THE SKIN FROM DEHYDRATION.

• Gynecomastia (a.k.a man boobs) are usually present with obesity and are a result of testosterone being converted to estrogen. Get your hormones balanced, then address the cosmetic appearance with mesotherapy to dissolve the spot fat, truSculpt (sends signals to kill off fat cells), or liposuction. • Jowls, double-chin. Mesotherapy can be used to dissolve spot fat. Liposuction is usually avoided above the jawline due to the salivary glands and nerves in the area. Skin tightening with the IPL, or the CO2 fractional laser, also help to tighten the skin. • Pseudofolliculitis (ingrown hairs from shaving) can be reduced by shaving in the direction of the hair growth to prevent driving bacteria under the hair follicle. Also, use a single blade or a blade covered with wire;

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shave every other day, if possible. Unless you feel compelled to grow out all your facial hairs and have a wild man experience, you may consider doing laser hair removal (at least on the neck) to reduce your chances of nicking yourself and creating lifelong scars. • A related condition, pseudofolliculitis nuchae, occurs on the back of the neck, often along the posterior hairline, when curved hairs are cut short and allowed to grow back into the skin. Consider doing laser hair removal (at least on the neck) to reduce your chances of nicking yourself and creating lifelong scars. As for aftershave and moisturizer, you need to use both. All aftershave really does is returns the pores to a normal size; moisturizer keeps the skin from dehydrating.

Dr. Shirat Ling, the Physician Artist at Innate Beauty Medical Spa, personally performs all medical cosmetic procedures at her South First Street office. She has performed more than 10,000 ablative laser treatments and has been in the medical practice for 16 years.

• Other unwanted hair. Laser hair removal: Hairs grow back finer and slower, and eventually, don't come back at all. Unless you feel compelled to grow out all your facial hairs and have a wild man experience, get your 6-10 monthly laser treatments while your hairs still have color. Other areas that you may consider are armpits (especially if you're a runner, and for reduction of body odor), unibrow, ears, and back.

Don't forget medical-grade skincare products to protect your investment. Retinoids stimulate collagen growth and skin turnover. Hydroquinone lightens brown spots. Sunblock prevents future damage and complications; find one that is oil-free and lightweight, so you don't feel smothered. We recommend PCA Skin products, the Weightless Protection SPF 45 is superlight, non-greasy, and your skin does not feel smothered in the Texas heat.

• Nose hairs. Surprisingly, waxing is not particularly painful. Tweezing them individually, however, is. Then, there are the nose hair clippers.

This is just an introduction into the wide world of beauty. Schedule your consultation to determine your best options.

• Ear hairs. Tweezing or laser hair removal; electrolysis if your hairs are gray, white, blonde, or red.

For more information visit, www.innatebeauty.com

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dining

Where’s the

BEEF?

Fire up the grill this summer with some lean red meat

n Austin we have a lot of vegetarians and those who eat gluten free or follow other trends. But now and then it’s important to get some lean beef into your diet. This protein-rich, iron-rich food can be a healthy addition to your diet, if you do it right. This critical protein is healthier than you probably thought. “Lean beef isn’t just ok to eat, it’s actually good for you,” says Karla Luna, RD, LD, Clinical Dietitian at Baylor Scott & White Medical Center Round Rock. Luna says that lean beef offers the following: • Loaded with nutrients and antioxidants, including zinc, vitamin B6, and alpha lipoic acid. These are responsible for creating

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antibodies and keeping blood sugar levels in check. • A 3 oz. serving of 96 percent lean ground beef has 164 calories and 4 grams of fat, but offers up 20 grams of protein. • Ground beef is rich in iron, a mineral that boosts energy and keeps muscles working properly. You might be worried about eating red meat too often. According to Luna, you can relax. “You can safely eat lean red meat up to twice a week — just make sure you choose the right cuts (leanest). Aim for 9096 percent lean beef, because leaner is lower in fat and calorie, but maintains almost

the same protein content as fattier cuts.” Chef DyRell’s Six Steps to Perfectly Grilled Steak: 1. Start with a clean and oiled grill: More than cooking time, more than spice rubs, a clean grill makes all the difference when cooking great steak (or anything on the grill, for that matter.) Clean grates keep the steaks from sticking when you turn them. All you need to do is heat your grill, give it a good scrub with a heavy duty grill brush, and lightly brush it with vegetable oil. This essentially creates a nonstick cooking surface. 2. High Heat Cooking: Crank that heat up! You want the grill to be at least 450°F,

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or hot enough that you can hold your hand over the grill for just one second. High heat ensures a good sear, prevents sticking, and provides a crispy crust on these steaks. 3. Season the Steak: Steaks don’t need much to make them great. Just before grilling, brush them lightly on both sides with olive oil and sprinkle with salt and pepper. If you want to get fancy, you can add spices like chili powder, paprika, or garlic powder to the rub. If you are on a low-sodium diet there are tons of low/no salt options out there, don’t be afraid to get creative! One that comes to mind is extra virgin olive oil, cumin, chili powder, chopped garlic, and cilantro. 4. Turn Steak Once: Steaks are so quick-cooking that you really only need to turn them once. Flipping too frequently might also prevent the steaks from forming their tasty, well-seared crust. They’re ready to be flipped when they release easily from the grill, just like with searing meat on the stove top. Use a pair of pincher tongs for turning the meat instead of poking it with a barbecue fork — those forks just pierce holes in the meat, mauling it and releasing its juices. 5. Cook Until It’s Done: Exact time depends on thickness of the steak and personal preference. This

is why a meat thermometer is handy. It’s accurate and won’t release much juice from the meat. Out of concern for people’s safety the USDA strongly recommends a minimum internal temp of 145°F plus a three-minute rest time for steaks or whole muscle beef, and 160°F for all ground beef products. Below are not recommended for at-risk groups including; children, elderly, and immune-compromised. With that said, we highly suggest the USDA guidelines be strictly followed for all preparations. - Rare: 125°F - 130°F - Medium-Rare: 130°F - 135°F - Medium: 140°F - 145°F - Well-Done: 160° and higher Remember, they continue cooking during the resting step, and taking it off the grill early prevents accidentally overcooking your steak. 6. Rest the Steak: As you take the steak off of the grill, invert it onto a cutting board. Let it rest for three minutes, then flip again for an additional three minutes of resting. This gives the juices time to recirculate through the meat. Slicing the steak earlier lets the juices run out and makes your steak taste dry.

LEAN BEEF ISN’T JUST OK TO EAT, IT’S ACTUALLY GOOD FOR YOU. For more information, visit www.roundrock.sw.org

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