Treating Fibromyalgia, Chronic Fatigue and Chronic Pain with Low Dose Naltrexone (LDN)

LDN pain relief

You may have heard of naltrexone as a medication to help people recover from drug dependence. It blocks receptors in the brain for the most addictive drugs, known as opioids. Naltrexone helps to reduce cravings and lowers the risk of relapse, without a negative impact on mood. Naltrexone is safe to use because it is not habit forming.

So what does this drug have to do with fatigue or fibromyalgia relief?

Very low doses of naltrexone have been found to be very helpful to people who are struggling to cope with chronic pain and fatigue, and fibromyalgia.

Low dose naltrexone, or LDN, enables many to find pain relief for symptoms without unwanted side effects. It requires a physician’s prescription. Typically it comes in tablet form that patients usually take at bedtime.

How LDN Works

LDN has been found to impact the production of endorphins, the body’s natural feel-good hormones. Doctors believe that this medication blocks the brain’s receptors for endorphins, and this stimulates the body to compensate and make more of them.

Endorphins are one of the body’s natural and most powerful anti-depressants and pain relievers. The brain and other parts of the nervous system naturally produce endorphins. Endorphins may boost the immune system, and are known to trigger positive moods and reduce the perception of pain.

Some medical professionals believe that fibromyalgia symptoms are linked to problems with the body’s stress response system controlled by the HPA axis. This part of the brain regulates the body’s response to stress and sensation of pain. The HPA axis is the complex interaction between the hypothalamus, pituitary gland and the adrenal glands.

The HPA axis also produces endorphins. When this area is not functioning properly, many medical professionals believe it throws the body’s hormone chemistry out of balance, and impairs the body’s pain regulation systems.

There is some controversy about how much the HPA axis and endorphins impact fibromyalgia pain. But evidence has made it clear that LDN helps many people who suffer fibromyalgia pain to find lasting relief.

Results of Treatments with LDN

In my practice, I see patients make remarkable improvement with LDN. Instead of having to rely on strong painkillers with undesirable side effects, patients find that low doses of naltrexone allow them to reduce or eliminate their use of other drugs. While a small amount of pain may still exist, it is mild when compared to the excruciating levels that people with fibromyalgia can suffer without effective treatment.

LDN allows many patients to sleep better, manage lower levels of pain much more easily, and feel more positive about life.

LDN therapy for fibromyalgia or chronic fatigue is not a simple cure. It is part of a treatment plan that you and your doctor create together. Treatment plans vary for each individual, and may include other changes that keep your symptoms in check.

At the Optimal Wellness Center, we find the best results combine therapies including acupuncture, hormone balancing treatments, and healthy life habits such as getting enough sleep, exercise, and choosing nutritious foods and supplements wisely.

If you are in the Ridgewood, New Jersey area , and want to see if LDN could work for you, speak to Dr. Keller at 201-485-7930 or request an appointment online.

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Collagen Induction Therapy for Younger-Looking Skin: Your Micro-needling Questions Answered

smooth face skin

What is micro-needling as skincare treatment?

Collagen Induction Therapy (CIT) also known as micro-needling, is a skin treatment that stimulates your skin’s natural ability to heal itself. Micro-needling uses tiny sharp needles to create hundreds of micro-channels in your skin.

In response to these micro injuries, your body releases growth factors and cytokines, which trigger the wound healing process. During this process, the body produces more collagen and elastin, essential components of your skin that contribute to its structural integrity and elasticity. This revitalizes the natural structure of your skin, resulting in firmer, smoother, younger-looking skin with a healthy, even glow.

What is the device called the Skin Pen?

The micro-needling device we use is called the Skin Pen because it is shaped like a pen, but that’s where the similarity ends.

The device allows a medical professional to safely use a cartridge with 12 tiny surgical-grade needles, which makes microscopic punctures in the skin’s surface. The applicator is automated for precise, safe control. Each cartridge is only used once per person for each treatment — and discarded afterward.

What is a treatment like?

We gently clean the area of the skin being treated, and apply a numbing cream. You relax for about 20 minutes and the numbing cream is washed off before your procedure. Most patients find the treatments non-painful, as the numbing cream ensures your comfort. Some patients experience a mild sensation on the skin, mostly notably the vibration of the device as it glides over the skin. Micro-needling of your face takes approximately 30 minutes.

How soon will you see results?

There is some redness immediately after the treatment, which naturally begins to reduce within hours. A post-procedure skin care formula helps calm and nourish the skin for its natural repair and remodeling process.

The results continue to improve over time. As increased elastin and collagen form, you see a softer, smoother, more even complexion, reduced fine lines and wrinkles. Scars and stretch marks are also reduced as new collagen and elastin remodel the skin. Some patients see the greatest improvement starting from 2-4 weeks after beginning treatments. Those who are familiar with Skin Pen notice their skin continues to improve over time for up to 3-6 months after the last treatment.

What skin conditions can it improve?

Skin Pen is ideal for people with skin damage due to sun exposure, acne, or stretch marks.

Micro-needling benefits skin health by reducing

  • Age spots
  • Mild to moderate acne scars
  • Large pores
  • Hyperpigmentation (unusual uneven complexion)
  • Fine lines and wrinkles
  • Stretch marks

Benefits include:

  • Revitalizing your skin
  • Healthier younger skin
  • Improved skin appearance
  • New collagen to reverse years of sun damage

Where on the body can micro-needling be performed?

The procedure is an excellent treatment for the face, neck and décolletage. Unlike photo laser peels or chemical peels, micro-needling causes little if any peeling or sloughing of the skin. It can also be used on the arms, hands, legs, back, and abdomen.

Is there any downtime?

Each person’s experience will vary. Usually the treated areas are “pink “ to “light red” after the procedure. This usually quickly resolves over the first 24 hours, some patients may see redness for up to 48 hours.

We use Skinfuse post procedural skin care products that help reduce downtime. It is clinically proven to augment micro-needling’s ability to increase collagen and elastin, enhancing your results.

How many treatments are needed?

The number of recommended treatments will depend on the condition of the skin you want to improve.

For example, a treatment for mild scarring may need a series of 3 treatments about 4 weeks apart.

We work with you to develop a treatment plan that is tailored to your goals. Our aim is to plan only the treatments you need to give you the optimal results and help you maintain them.

Got more questions?

You can schedule your personal consultation with Dr. Betty Keller by calling the Optimal Wellness Center at 201-485-7930, or make your appointment online.

Visit or Skin Pen page on our website to see before-and-after photos and more information: See the Skin Pen at the Optimal Wellness Center.

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The Four Essential Supplements For Optimal Wellness

The Four Essential Supplements
by Dr. Betty Keller

The Four Essential Supplements
With so many vitamins and supplements available, what are the essential supplements we need for optimal health?
A good Multivitamin, a little insurance policy to ensure you are getting essential vitamins and minerals. Despite eating a healthy diet it is very difficult to get all the essential nutrients your body needs to function optimally.
A good probiotic, probiotics are naturally occurring “good bacteria” they are essential for your optimal wellness. They manufacture key nutrients, and limit unhealthy bacteria. Stress, poor diet and antibiotics can disrupt the balance, a good probiotic can return your intestinal tract to the proper balance. They improve digestion, strengthen your immune system, and help prevent inflammation, which can lead to chronic disease.
Fish oils, which are rich in essential omega 3 fatty acids EPA and DHA. Omega 3 fatty acids are essential to good health. These essential fatty acids reduce inflammation and help prevent chronic disease. They support the immune system, the cardiovascular system, and help with cognitive function, attention, mood, and memory.
Vitamin D is involved in playing an essential role in preventing disease. It is essential for muscle strength, helps build bones, strengthens the immune system and has both anti-inflammatory and anticancer effects. Low vitamin D is associated with chronic pain, low mood and dementia. Having adequate levels is essential for optimal health.
Make sure you get good quality supplements, vitamins and that the fish oil is purified and free from heavy metals and other contaminants. I recommend using Metagenics brand for multivitamins, probiotics, fish oil and Vit D.

Discuss with your Doctor before taking any vitamins or supplements.
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