DLM Internal 

Hyperhidrosis can be focal or generalized, commonly affecting the palms of the hands, soles of the feet, underarms, and face or scalp. Some individuals may also experience excessive sweating in the groin area.

Primary focal hyperhidrosis is a condition in which the nerves responsible for signaling the sweat glands become overactive without an identifiable medical reason. This form usually begins in childhood or adolescence. Secondary generalized hyperhidrosis is caused by an underlying medical condition such as hyperthyroidism, diabetes, infections, or certain medications.

Hyperhidrosis treatment depends on its severity and underlying cause. Consulting a healthcare provider can help determine the best treatment for individual cases.

Primary hyperhidrosis can run in families, with individuals having a higher likelihood of developing the condition if a close relative also experiences excessive sweating. However, not all cases are hereditary, as some occur spontaneously without a known family history.

Hyperhidrosis is diagnosed through medical history, physical examination, and specific tests. A starch-iodine test or a paper test may be used to measure sweat production. If secondary hyperhidrosis is suspected, blood tests or imaging may be conducted to rule out underlying medical conditions.

Trigger point injections are a medical treatment used to relieve pain and muscle tension caused by tight knots of muscle that form when muscles fail to relax. These injections typically contain a local anesthetic and corticosteroid, which helps to numb the area and reduce inflammation.

The duration of pain relief from trigger point injections varies depending on the individual and the severity of their condition. Some patients experience relief within a few hours or days, while others may benefit for several weeks or months.

Trigger point injections typically contain a combination of medications, including a local anesthetic such as lidocaine or bupivacaine. In some cases, botulinum toxin may provide longer-lasting relief.

Trigger point injections are commonly used to treat conditions such as myofascial pain syndrome, fibromyalgia, tension headaches, and chronic musculoskeletal pain. They may also benefit individuals experiencing pain from muscle overuse, injury, or conditions like temporomandibular joint (TMJ) dysfunction.

Preventive medicine is a branch of healthcare focused on preventing diseases, injuries, and other medical conditions before they occur. It emphasizes proactive measures such as routine screenings, vaccinations, healthy lifestyle guidance, and early detection of potential health risks.

Common preventive medicine services include comprehensive testing and analysis, nutrition evaluations, and standard lab work to monitor overall health. Advanced screenings help detect genetic risks and early signs of disease, cardiovascular health assessments provide insight into heart and metabolic function, and microbiome testing evaluates gut health.

Generally, adults should have an annual check-up with their primary care provider, while specific screenings and tests may be recommended at different intervals. It is best to consult a healthcare provider to determine a personalized preventive care schedule.

Addressing health concerns before they develop into severe conditions can help individuals avoid costly treatments and hospitalizations. Additionally, preventive care supports overall well-being by promoting healthier lifestyles and reducing the risk of chronic diseases such as heart disease, diabetes, and cancer.

Preventive medicine differs from traditional healthcare in that it focuses on proactive health measures rather than treating illnesses after they occur. Traditional healthcare often emphasizes diagnosing and managing diseases once symptoms arise, whereas preventive medicine aims to stop health problems before they start.

No, TMJ (temporomandibular joint disorder) and bruxism (teeth grinding or clenching) are different conditions, but they are often related. Bruxism can contribute to TMJ by putting excessive strain on the jaw joint, leading to pain and dysfunction.

Bruxism symptoms include jaw pain, headaches, tooth sensitivity, worn or cracked teeth, and tightness in the jaw muscles. Some people also experience ear pain or sleep disturbances due to nighttime grinding.

Preventing bruxism or TMJ involves reducing stress, avoiding hard or chewy foods, maintaining good posture, and using a nightguard if grinding occurs during sleep. Practicing relaxation techniques and jaw exercises can also help relieve tension.

Yes, lifestyle changes such as managing stress, improving sleep quality, avoiding caffeine and alcohol before bed, and practicing jaw relaxation techniques can significantly reduce bruxism. Regular exercise and mindfulness practices may also help prevent clenching and grinding.

If left untreated, TMJ can cause permanent damage, including chronic pain, limited jaw movement, and joint deterioration. Severe cases may lead to long-term changes in the bite, muscle dysfunction, or arthritis in the jaw joint.

It is ideal for anyone looking to adopt a healthier lifestyle, manage chronic health conditions, or prevent future issues through nutritional strategies. Its suitable whether you want to achieve a specific weight goal or make sustainable, long-term dietary changes.

Diet and nutrition coaching is a holistic approach that improves your health by understanding and optimizing your dietary habits. It involves personalized sessions focused on creating a deeper understanding of nutrition, offering practical tools for meal planning, and guiding you toward balanced, health-focused eating habits.

Dr. Skura emphasizes flexible dieting, offering tailored suggestions rather than rigid meal plans. This approach prioritizes sustainable habits and accommodates personal preferences while ensuring balanced nutrition.

Coaching focuses on dietary adjustments to manage blood sugar levels, reduce inflammation, and improve overall metabolic health. Personalized strategies help mitigate risks associated with chronic conditions.

Dr. Skura uses nutrition evaluations, including vitamin labs and blood work, to identify deficiencies or imbalances. These results inform personalized dietary and supplement recommendations.

Dr. Skura encourages open communication for support. This ensures accountability and timely adjustments to your plan.

While the focus is on diet, Dr. Skura may collaborate with fitness professionals or suggest general activity guidelines to complement your nutritional goals.

Results from diet and nutrition coaching typically appear in stages, with initial changes often noticeable within 2–6 weeks, though significant, sustainable improvements may take 3–6 months or longer.

Weight loss varies, but most people lose 10-20% of their body weight over several months with consistent use and lifestyle changes.

Many people notice initial weight loss within a few weeks, with significant results typically seen after 3-6 months.

Tirzepatide tends to produce slightly greater weight loss than semaglutide, as it targets both GLP-1 and GIP receptors, enhancing appetite control and metabolism.

These medications can be taken long-term as long as they remain effective and well-tolerated, though long-term use should be monitored by a healthcare provider.

Yes, switching is possible under a doctor’s guidance, often requiring dose adjustments to ensure a smooth transition and minimize side effects.

GLP-1 (glucagon-like peptide-1) medications mimic a hormone that helps regulate blood sugar, insulin levels, and appetite. Slowing digestion and reducing hunger can improve glucose control and support weight management.

GLP-1 medications are commonly available as injectable solutions or, in some cases, as oral tablets. Injectable forms like semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro) are typically given weekly.

Yes, GLP-1 drugs can support weight loss by reducing appetite, increasing feelings of fullness, and slowing digestion. They have been shown to help some people lose a significant percentage of their body weight when combined with a healthy diet and exercise.

Most people begin noticing reduced appetite and better blood sugar control within the first few weeks of starting GLP-1 medications. However, weight loss and full results may take several months to become evident.

GLP-1 medications are recommended for people with type 2 diabetes, people seeking weight loss, or people struggling with insulin resistance. GLP-1 medications are often recommended for people who havent achieved their goals through lifestyle changes alone.

People with a history of certain thyroid cancers, pancreatitis, or severe gastrointestinal issues are typically not good candidates for GLP-1 medications. Additionally, people who are pregnant, breastfeeding, or allergic to the drug should avoid it.

Most GLP-1 medications are administered via subcutaneous injection, typically once a week. Some options, like oral semaglutide (Rybelsus), are taken as daily tablets.

Semaglutide is a GLP-1 receptor agonist that focuses on regulating blood sugar and appetite, while tirzepatide targets both GLP-1 and GIP receptors, which can enhance weight loss and metabolism. Tirzepatide is newer and shows slightly greater weight-loss potential.

While GLP-1 medications are generally safe, potential long-term risks include gastrointestinal side effects, gallbladder issues, and a possible increased risk of thyroid tumors. Our team will thoroughly screen your medical history to ensure these medications are safe for use.

Weight regain is common after stopping GLP-1 medications, especially if the underlying lifestyle changes aren’t maintained. For long-lasting weight loss, continuing healthy eating, exercise, and lifestyle changes are important.

Dehydration symptoms include thirst, dry mouth, dark urine, fatigue, dizziness, and headache. Severe cases can cause rapid heartbeat, confusion, and fainting.

During the session, fluids are given through an IV in your arm for about 30 to 60 minutes. You can relax while your hydration is restored.

Dehydration Infusion IV Therapy is generally not painful; most patients experience little to no discomfort, aside from a brief pinch when the IV is inserted. Any mild discomfort is usually short-lived and can be minimized with proper technique and aftercare.

Dehydration Infusion IV Therapy typically takes about 30 to 60 minutes to complete. The exact duration may vary based on individual hydration needs and the specific protocol used.

There is generally no downtime required after Dehydration Infusion IV Therapy; most people begin to feel better within a few hours and can resume normal activities right away. The therapy quickly restores hydration and energy, with effects lasting from several hours up to a few days depending on individual factors.

Dehydration Infusion IV Therapy quickly restores hydration and electrolytes, relieving symptoms like fatigue, dizziness, and muscle cramps. It also boosts energy and supports recovery after illness or physical activity.

Side effects of Dehydration Infusion IV Therapy can include bruising, swelling, redness, or pain at the injection site, as well as a small risk of infection, vein inflammation, or blood clots.

The Super Immune Boost IV includes high-dose Vitamin C, Zinc, Vitamin B12, and a Glutathione IV push, which are all essential for immune support, energy production, and reducing inflammation.

A good candidate for Super Immune Boost IV Therapy is someone looking to enhance their immune system and overall health, such as individuals with busy schedules, frequent travelers, or those exposed to high stress or concerned about their body’s ability to combat illness. Dr. Skura will evaluate your health history and lifestyle during a consultation to determine if this therapy is right for you.

The main benefits of Super Immune Boost IV Therapy are strengthening the immune system, boosting energy, and promoting overall wellness by delivering essential nutrients like Vitamin C, Zinc, Vitamin B12, and Glutathione directly into the bloodstream for rapid absorption and effectiveness. This therapy can also help patients recover faster from illness, reduce inflammation, and protect against infections.

You can expect to feel the immune-boosting effects of Super Immune Boost IV Therapy within a few hours after treatment, often as soon as 2 to 4 hours, with increased energy and revitalization commonly reported soon after the session. The benefits may last for several days to over a week, depending on individual health and lifestyle factors.

Most people benefit from Super Immune Boost IV Therapy every 2–4 weeks for ongoing immune support, while some may choose monthly sessions for general wellness; your ideal frequency should be determined with your healthcare provider based on your health needs and lifestyle.

Yes, Super Immune Boost IV Therapy can help if youre already sick by providing rapid relief from symptoms like fatigue and colds, and may help you recover more quickly due to the direct delivery of immune-supporting nutrients into your bloodstream. Many patients report feeling better and more energized soon after treatment.

IV therapy delivers nutrients directly into the bloodstream, ensuring nearly 100% absorption and immediate effects, while oral supplements must pass through the digestive system, resulting in lower absorption rates (typically 10–50%) and slower results.

Drink plenty of water and eat a light snack before your IV therapy appointment to help stabilize your blood sugar and make vein access easier. Arriving well-hydrated and with something in your stomach can help prevent nausea or lightheadedness during and after the session.

Yes, Super Immune Boost IV Therapy can be combined with other wellness treatments, but it’s best to consult your provider to ensure the combination is safe and tailored to your health needs.

A typical IV Therapy treatment takes 30 to 60 minutes, depending on the specific infusion and any add-ons you choose. Most appointments are completed within an hour.

IV Vitamin Infusion is a treatment where essential vitamins and minerals are delivered directly into your bloodstream via an intravenous drip, ensuring fast and effective absorption for optimal health benefits.

Key benefits include increased energy, improved immune function, enhanced mental clarity, better skin health, muscle recovery support, and overall wellness optimization.

IV infusion provides 100% absorption since nutrients bypass the digestive system, whereas oral supplements have less than 40% absorption and can irritate the stomach at high doses.

Ideal candidates include people experiencing fatigue, weakened immunity, vitamin deficiencies, or those wanting to optimize wellness, recover from illness, or support a demanding lifestyle.

Most patients report feeling more energetic, focused, and revitalized immediately or within a few hours of treatment, with no downtime required.