Dana G Cohen MD.  Leading you toward a healthier future
 
 

Dr. Cohen's Approach to Treated Conditions

Dr. Cohen has successfully treated the conditions below for more than ten years. There is a brief description of the condition followed by a summary of the Standard Treatment and Integrative Approach.   Click [Click here for symptoms and treatment] to see all the information on each topic.

Adrenal Fatigue

Adrenal fatigue is a disorder that occurs when your body has reduced hormone levels produced by your adrenal glands. Adrenal fatigue can occur in all age groups and affects both sexes.[Click here for symptoms and treatment]

Symptoms

  • Fatigue
  • Body aches
  • Nervousness
  • Sleep disturbances
  • Digestive problems
  • Unexplained weight loss

Standard Treatment

Traditional medicine does not fully accept the existence of adrenal fatigue.

Integrative Approach

Dr. Cohen evaluates your overall health, administers a neurotransmitter test and determines the best integrative treatment. Treatments include: hormone replacement therapy, supplements and vitamins, patient education, exercise and dietary modifications. 

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Andropause

Common symptoms associated with aging men are greatly under diagnosed, sometimes with serious consequences. Andropose is most commonly recognized as a reduction in male hormone. These hormones are testosterone, thyroid, human growth hormone (HGH), and DHEA. [Click here for symptoms and treatment]

Symptoms

  • Decreased testosterone levels
  • Increase in body fat, particularly around the mid-section
  • Depression and mood swings
  • Decreased sex drive
  • Decreased mental quickness
  • Decreased energy
  • Decreased muscle tone
  • Mild to moderate irritability
  • Night sweats
  • Trouble sleeping

Standard Treatment

A blood test is administered to eliminate a more extreme condition called hypogonadism.

Integrative Approach

Dr. Cohen performs a full hormone and neurotransmitter panel. She typically uses hormone replacement treatment in the form of Bio-identical Hormone Replacement Therapy (HRT). Bio-identical hormones are prepared at a compounding pharmacy, made for your specifications – based on your needs.

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Anxiety

Anxiety is a feeling of apprehension and fear accompanied by physical symptoms. Anxiety disorders affect millions of adults and can become progressively debilitating if not treated. Typical symptoms of anxiety are listed below. [Click here for symptoms and treatment]

Symptoms

  • Overwhelming panic
  • Sleep disturbances
  • Feeling of losing control
  • Heart palpitations
  • Chest pain
  • Trouble breathing
  • Choking sensation
  • Hyperventilation
  • Feeling of passing out
  • Hot flashes or chills
  • Trembling or shaking
  • Nausea
  • Stomach cramps
  • Feeling detached or unreal
  • Low-grade restlessness
  • Inability to focus
  • Social discomfort
  • Worrying
  • Pre-occupation with work

Standard treatment

Typically, physicians will perform an evaluation to eliminate major mental illness and evaluate previous and current medications. Tranquilizers are commonly prescribed.

Integrative Approach

Dr. Cohen will explore your anxiety from multiple perspectives - mental, physical, and emotional. She will review your physical history and run a full panel of lab tests. Treatments may include combined therapies including diet, supplements, and exercise.

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Arthritis

Arthritis is characterized by inflammation of the joints. Osteoarthritis is also called degenerative joint disease and is the most common type of arthritis. It is associated with a breakdown of cartilage in joints and can occur in almost any joint in the body. It most commonly occurs in the weight bearing joints of the hips, knees and spine. It can also affect the fingers, thumb, neck, and large toe. It usually does not affect other joints unless previous injury or excessive stress is involved. [Click here for symptoms and treatment]

Symptoms

  • Joint pain
  • Stiffness
  • Inflammation
  • Boney enlargements
  • Fluid retention around the joints

Standard Treatment

A basic diagnosis is made to identify the type of arthritis. A course of anti-inflammatory drugs is typically prescribed.

Integrative Approach

Because arthritis is an inflammatory disease Dr. Cohen starts with an extensive evaluation of your auto-immune system. Based on her evaluation she recommends nutritional options, supplements and a pain management routine.

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Asthma

Asthma is most commonly seen as a recurring lung condition which inflames and narrows the airway passages of the lungs. Asthma affects people of all ages, frequently starting in childhood but also in mid-life. [Click here for symptoms and treatment]

Symptoms

  • Wheezing
  • Chest tightness
  • Shortness of breath
  • Coughing (coughing often occurs at night or early in the morning)

Standard Treatment

Typically asthma is treated with steroids, anti-inflammatory drugs, bronchodilator inhalers and oral medications, as well as, asthma drugs delivered via an asthma nebulizer or breathing machine. Patients with asthma are often taught to believe that their condition is life-long.

Integrative Approach

In addition to reviewing your general level of health and evaluating your immune system, Dr. Cohen tests for allergies and evaluates stressors in your life. She will recommend environmental adjustments to your home, diet modifications and allergen minimization. If necessary, supplements or medications are prescribed.

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Atherosclerosis / Arteriosclerosis

Atherosclerosis is a common disorder that specifically affects the medium and large arteries. It occurs when fat, cholesterol, and other substances build up in the walls of arteries and form hard structures called plaque which may eventually block the arteries. Atherosclerosis can affect many different areas including heart, kidneys, lungs, brain, intestines, and legs. [Click here for symptoms and treatment]

Symptoms

  • Symptoms are rarely observed
  • Some people have symptoms depending on the artery affected
  • Discovered during medical evaluation or testing

Standard Treatment

Avoid fatty foods. Eat well-balanced meals that are low in fat and cholesterol. Statins and other cholesterol-lowering drugs and aspirin are typical.

Integrative Approach

Dr. Cohen performs various tests to determine your blood and hormone levels. Based on your sex, age and general health; she determines a treatment program which may include exercise, diet, supplements, Hormone Replacement Therapy (HRT) and medication.

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Back Pain

Eight out of 10 people have acute or chronic back pain some time in their life. Back pain includes the upper, middle and lower back plus sciatica. There are many causes of back pain. They can include accidents, muscle strains, and sports injuries. Often no specific source of the pain can be identified. [Click here for symptoms and treatment]

Symptoms

  • Aching and stiffness along the spine
  • Neck pain, upper, lower back pain after strenuous activity
  • Chronic ache in the middle or lower back after extended periods of sitting or standing
  • Pain that radiates from the low back to the buttock, thigh, calf and toes
  • Inability to stand straight without muscle spasms
  • Numbness, tingling loss of control in arms and legs

Standard Treatment

Over the counter pain medications or non-steroidal anti-inflammatory drugs. More severe cases can result in prescription pain medications and/or surgery.

Integrative Approach

Dr. Cohen first examines your overall health and determines the best integrative treatment. Treatments may include: medications, supplements and vitamins, chiropractic care, acupuncture and exercise programs.

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Bones and Joints

Current thinking proposes some basic steps to slow or prevent bone and joint deterioration associated with aging.  Appropriate levels of calcium, vitamin D, estrogen, testosterone and thyroid hormones are critical. Along with exercise to increase muscle and bone fitness the risk of disability and chronic disease can be reduced or reversed. [Click here for symptoms and treatment]

Symptoms

  • Cartilage within the joint breaks down, causing pain and stiffness
  • Bones become soft, due to problems with the metabolism of vitamin D
  • Bones lose mass and become brittle. Fractures are more likely
  • Inflammation of the joints
  • Muscle weakness and pain
  • Bones lose calcium and other minerals

Standard Treatment

Screening for Osteoporosis and drugs therapy to prevent further bone loss are typical approaches. 

Integrative Approach

Dr. Cohen performs various tests to determine your blood and hormone levels. Based on your sex, age and general health; she determines a treatment program which may include exercise, diet, supplements, Hormone Replacement Therapy (HRT) and medication.

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Celiac Disease

Celiac disease is a digestive disease that damages the small intestine and interferes with absorption of nutrients from food. People who have Celiac Disease cannot tolerate gluten, a protein found primarily in wheat, rye, and barley. Gluten is found mainly in foods but may also be found in everyday products such as medicines, vitamins and lip balms. Untreated Celiac Disease can lead to malnutrition which can lead to osteoporosis, liver disease, and cancers of the intestines.  [Click here for symptoms and treatment]

Symptoms (infants, and young children)

  • Abdominal bloating and pain
  • Chronic diarrhea
  • Vomiting
  • Constipation
  • Pale, foul-smelling / fatty stool
  • Weight loss
  • Irritability
  • Malabsorption of nutrients

Symptoms (adults)

  • Unexplained iron-deficiency anemia
  • Fatigue Bone or joint pain
  • Bone loss or Osteoporosis
  • Depression
  • Anxiety
  • Canker sores
  • Infertility or recurrent miscarriage
  • Arthritis
  • Seizures
  • Dermatitis herpetiformis - an itchy skin rash
  • Missed menstrual periods

Standard Treatment

The standard diagnostic lab procedure is an intestinal biopsy. Steroids may be prescribed. Patients are given diet suggestions.

Integrative Approach

In addition to working with your diet and nutrition, Dr. Cohen will run comprehensive tests. Food and supplements containing gluten will be eliminated and replaced with appropriate choices.

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Chronic Fatigue (CFS)

Chronic fatigue syndrome is characterized by extreme fatigue that may worsen with physical or mental activity, but doesn't improve with rest. Because the symptoms are difficult to measure, CFS wasn't widely accepted as a real medical condition until recently. [Click here for symptoms and treatment]

Symptoms

  • Chronic fatigue
  • Extreme exhaustion
  • Unrefreshed sleep
  • Loss of memory
  • Painful or enlarged lymph nodes in your neck and armpits
  • Joint pain
  • Headaches

Standard Treatment

Typically, physicians treat Chronic Fatigue Syndrome with antidepressants and cognitive therapy.

Integrative Approach

Dr. Cohen evaluates your overall health, administers a neurotransmitter test and determines the best integrative treatment.  Treatments include; hormone replacement therapy, supplements and vitamins, patient education, exercise and dietary modifications.

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Crohn's Disease

Crohn’s disease is an inflammatory disease of the intestine that may impact any part of the gastrointestinal tract from the mouth to the anus. It affects 400,000 to 600,000 Americans. [Click here for symptoms and treatment]

Symptoms (adults)

  • Abdominal pain
  • Diarrhea
  • Vomiting
  • Weight loss
  • Skin rashes
  • Fever
  • Arthritis
  • Fatigue
  • Lack of concentration

Symptoms (children)

  • Abdominal pain
  • Diarrhea
  • Vomiting
  • Weight loss
  • Skin rashes
  • Fever
  • Arthritis
  • Fatigue
  • Lack of concentration
  • Malnutrition
  • Delayed development
  • Stunted growth

Standard Treatment

The standard diagnostic lab procedure is a colonoscopy followed by intestinal biopsy and X-ray with barium. Medications may be prescribed. Patients are given diet suggestions.

Integrative Approach

In addition to working with your diet and nutrition, Dr. Cohen will run comprehensive tests. She will provide supplement and dietary recommendations.

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Depression

Symptoms of depression can be sustained for weeks to years. The effects of depression are both physical and emotional. [Click here for symptoms and treatment]

Symptoms

  • Difficulty concentrating or remembering details
  • Difficulty making decisions
  • Fatigue and decreased energy
  • Feelings of guilt, worthlessness, and/or helplessness
  • Feelings of hopelessness and/or pessimism
  • Insomnia, early-morning wakefulness, or excessive sleeping
  • Irritability
  • Restlessness
  • Loss of interest in activities or hobbies, including sex
  • Overeating or appetite loss
  • Persistent aches or pains
  • Headaches
  • Thoughts of suicide or suicide attempts
  • Cramps
  • Digestive problems that do not ease with treatment
  • Persistent sad, anxious or "empty" feelings

Standard Treatment

Physicians normally prescribe psychotherapy and antidepressants.

Integrative Approach

Depression is very often part of a larger syndrome or condition of ill health. Dr. Cohen will establish the root source of depression and create a program comprised of alternative treatments to address the physiological condition contributing to the depression before resorting to pharmacological treatment.  She performs a full neurotransmitter panel and determines the best course of treatment after analyzing the results.

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Detoxification

Detoxification refers to the removal of toxins from the body. Toxicity is a common byproduct of life in the modern world. Whether you are exposed to environmental toxicity, prescription drugs or simply suffering the effects of a traditional diet consisting of processed foods, your body is bound to suffer from some symptoms of toxicity. [Click here for symptoms and treatment]

Symptoms

  • Headaches, migraines
  • Sleep disturbances
  • Itchy ears, chronic ear infections
  • Itchy or watery eyes, dark circles under your eyes
  • Chronic cough
  • Chronic itchy or runny nose, sneezing attacks
  • Chronic constipation or diarrhea
  • Urinary urgency or frequency or incontinence
  • Indigestion or heartburn
  • Chronic belching, intestinal gas, abdominal bloating
  • Overweight, underweight, difficulty losing weight, not maintaining weight loss
  • Acne, hives or other rashes
  • Excessive sweating, sweating with an unpleasant odor
  • Rapid or irregular heartbeat
  • Hyperactive, restless, agitated
  • Sensitive to light or to noise
  • Depression, unexplained anxiety or fear, irritability or excessive anger
  • Speech difficulties, memory loss, confusion, poor concentration
  • Lack of coordination

Standard Treatment

Unless acute poisoning or lead poisoning is the cause, toxicity is rarely diagnosed or treated by traditional medicine.

Integrative Approach

Once the source of your toxicity has been discerned, Dr. Cohen will prescribe the therapies of choice. Typically, she recommends gastrointestinal cleansing or detoxification, supplements and hydrocolon therapy as modalities for treating toxicity. In addition, you may be asked to make interim dietary modifications. Regular juicing is also recommended.

 

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Diabetes

Diabetes is a condition resulting from the body’s inability to metabolize sugar. There are approximately 26 million Americans with Diabetes. [Click here for symptoms and treatment]

Symptoms (early stages)

  • Abscesses, skin boils, skin infections, skin rashes
  • Poor healing of minor infections, injury or after surgery
  • Candida, thrush
  • Dry itchy skin, flaky skin
  • Urinary tract infections
  • Foot and/or hand tingling and numbness
  • Peripheral neuropathy (damage to the peripheral nerve)
  • Blurred vision
  • Erectile failure
  • Absent periods
  • Vaginal dryness
  • Premature menopause
  • Weight loss, weight gain
  • Drowsiness, malaise

Symptoms (advanced stages)

  • Excessive thirst
  • Excessive urination
  • Dehydration
  • Bed wetting - in children
  • Excessive hunger
  • Tiredness
  • Weight loss
  • Severe blurred vision
  • Muscle cramps, aches, weakness
  • Headaches
  • Irritability
  • Tiredness, fatigue
  • Sexual problems
  • Erectile failure
  • Unusual vaginal dryness
  • Athlete's foot
  • Tinea (ringworm)
  • Thrush (Candida)

Standard Treatment

Standard lab tests for blood sugar, A1C and fasting blood sugars are performed. Insulin therapy is increasingly the treatment of choice in the traditional medical community.

Integrative Approach

Identify the type of diabetes. Depending on the type of diabetes treatment options will be recommended.  In many instances insulin therapy is the last option.

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Erectile Dysfunction/ Impotence

Erectile dysfunction or impotence is the inability to maintain an erection for sex, on an ongoing basis. It can be caused from physical or psychological factors. Psychological factors commonly associated with erectile dysfunction are anxiety, stress, depression and relationship conflicts. Physical causes of erectile dysfunction can stem from vascular and nervous system conditions. The conditions can include medications, spinal cord injury, atherosclerosis, low blood pressure, high blood pressure, diabetes, kidney disease, liver disease, alcoholism, infection and hormone imbalance. [Click here for symptoms and treatment]

Symptoms

  • Trouble getting an erection
  • Trouble keeping an erection
  • Reduced sexual desire

Standard Treatment

Use of oral medications, penal injections or suppositories, penal pump, testosterone replacement therapy, and blood vessel surgery are common treatments.

Integrative Approach

Dr. Cohen will evaluate and test for underlying causes of the condition.  Her treatment protocol includes diet, supplements and hormone therapy where indicated. Bioidential Hormone Replacement Therapy is administered for testosterone deficiencies.

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Fertility Disorders

Achieving pregnancy requires having regular menstrual cycles during which an egg is released. A hormone imbalance is the most common reason for female infertility. Infertility is caused primarily by; problems in the regulation of reproductive hormones by the hypothalamus or the pituitary gland, problems in the ovary, premature ovarian failure due to an autoimmune response. Physical problems with your reproductive system can also be a factor. Endometriosis, polyps, tumors, pelvic inflammatory disease, sexually transmitted diseases, colitis, cancer and chronic stress are just some of these conditions. [Click here for symptoms and treatment]

Symptom

  • An inability to get pregnant.

Standard Treatment

The primary treatment is fertility drugs, oral drugs in cases of insulin resistance, surgical procedures, and in vitro fertilization.

Integrative Approach

Dr. Cohen does a complete hormone profile and neurotransmitter panel as well as tests for physical or disease related conditions. Treatment may consist of Bio-identical Hormone Replacement Therapy (HRT) which is prepared by a compounding pharmacy specific to your needs. 

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Fibromyalgia

It is categorized by chronic widespread debilitating pain and a heightened and painful response to pressure on the body. It is estimated that 5 to 8 million Americans are affected.  80 to 90% of those affected are women. [Click here for symptoms and treatment]

 Symptoms

  • Fatigue
  • Sleep disorder
  • Joint stiffness
  • Difficulty swallowing
  • Bowel and bladder abnormalities
  • Tingling
  • Cognitive dysfunction
  • Depression
  • Anxiety

Standard Treatment

Medications are prescribed including sleeping pills, antidepressants, and muscle relaxants.

Integrative Approach

Dr. Cohen evaluates your overall health, administers a neurotransmitter test and determines the best integrative treatment.  Treatments include: vitamins, supplements and medications, pain management, patient education, exercise and dietary modifications.

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Food Allergies

Food allergies can be the result of our culture, food availability and unrealized content of food products. Gluten, milk, eggs, soy and nightshade plants are a few of the food categories that are recognized more frequently as labeling has become required. Food allergies are often undetected in the course of standard allergy testing. The allergy can remain undiagnosed, resulting in symptoms of secondary conditions. [Click here for symptoms and treatment]

Symptoms

  • Eczema
  • Hives
  • Asthma
  • Runny nose
  • ADHD and ADD
  • Fibromyalgia
  • Muscle aches and joint aches
  • Chronic fatigue
  • Digestive disorders

Standard Treatment

Traditional / standard lab tests and allergy patch tests reveal certain allergens but do not reveal more subtle allergens. Allergy shots are the usual course of treatment.

Integrative Approach

Dr. Cohen’s unique diagnostic lab tests and thorough comprehensive intake procedures will pinpoint your allergens. Through a combined approach working with diet, homeopathic and immune support, she helps your immune system recover.

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Gastrointestinal Issues

Symptoms can be mild like nausea and heart burn, or chronic like Irritable Bowel Syndrome and Crohn’s disease. Gastrointestinal issues should not be ignored. Gastrointestinal and digestive issues can come from metabolic stress, allergies, and infection. Treatment is necessary to prevent more serious conditions from developing.[Click here for symptoms and treatment]

Symptoms

  • Diarrhea
  • Acid reflux
  • Gas
  • Bloating
  • Constipation
  • Cramping

Standard Treatment

Upper and/or lower GI tests are performed. Standard dietary modifications such as low fat diets, antacid treatment, steroids or surgery may be included.

Integrative Approach

In addition to working with your diet and nutrition, Dr. Cohen will run comprehensive tests. She will provide supplement and dietary recommendations.

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General Allergies

Allergies can come from our food, the air, our surroundings, medications and autoimmune diseases.  Standard allergy testing often misses the source of the allergy resulting in secondary conditions. [Click here for symptoms and treatment]

Symptoms

  • Eczema
  • Hives
  • Asthma
  • Runny nose
  • ADHD and ADD
  • Fibromyalgia
  • Muscle aches and joint aches
  • Chronic fatigue
  • Digestive disorders

Standard Treatment

Traditional / standard lab tests and allergy patch tests reveal certain allergens but are not always reliable or all inclusive. Allergy shots are the usual course of treatment.

Integrative Approach

Dr. Cohen’s unique diagnostic lab tests and comprehensive intake procedures will pinpoint your allergens. Through a combined approach working with diet, homeopathics and immune support, she helps your immune system to recover and better work with the irritants that are creating the allergic response. This will restore your health and energy levels.

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Heavy Metal Toxicity

There are 35 metals that concern us because of occupational or residential exposure; 23 of these are "heavy metals".  Small amounts of these elements are common in our environment and diet and are actually necessary for good health, but large amounts of any of them may cause acute or chronic toxicity or poisoning. Heavy metal toxicity can damage blood composition, lungs, kidneys, liver and other vital organs. Long term exposure may result in degenerative physical, muscular and neurological functions. [Click here for symptoms and treatment]

Symptoms

  • Reduced mental function
  • Reduced central nervous function
  • Low energy levels

Standard Treatment

Unless you are suffering from acute poisoning or lead poisoning, toxicity is rarely diagnosed or treated by traditional medicine.  Injections of calcium EDTA have been given to treat lead poisoning. 

Integrative Approach

Once the source of your toxicity has been discerned, Dr. Cohen will prescribe the therapies of choice.  Chelation is tremendously effective in ridding your body of heavy metals such as mercury.  In addition, it is common that she recommends antioxidant therapy, gastrointestinal cleansing, supplements and hydrocolon therapy for treating toxicity.  You may be asked to make interim dietary modifications.  She also recommends regular juicing. 

 

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Herpes

There are two different types of herpes. Herpes Simplex 1 is called oral herpes, and Herpes Simplex 2 is called genital herpes. Both are highly contagious. Complications can occur as a result of contracting herpes, such as, contracting other STDs, new born infection, meningitis, adn urinary bladder retention. [Click here for symptoms and treatment]

Symptoms

  • No symptoms prior to first outbreak
  • Painful itchy blisters
  • Open sores in mouth, genitals, anus
  • Fever followed by chills
  • Swelling of the lymph glands, neck, and genitals
  • Painful urination and discharge

Standard Treatment

Viral culture and blood tests are taken. Oral prescription anitviral medications are prescribed to control outbreaks as they occur.

Integrative Approach

Dr. Cohen administers a viral culture and blood tests. She then integrates dietary changes, supplements, and herbs to return balance to your system; limiting occurences of outbreaks.

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High Cholesterol

Cholesterol is a waxy substance in the fats (lipids) in your blood. Your body needs cholesterol to build healthy cells in your body. Abnormal cholesterol levels such as high (HDL) cholesterol can cause fatty deposits in the blood vessels creating health risks for heart disease and stroke. These fatty deposits prevent normal blood to flow through the arteries. Also, the heart may not get the oxygen-rich blood it requires[Click here for symptoms and treatment]

Symptom

  • Symptoms are rarely observed

Standard Treatment

Exercise and a low fat diet is prescribed to reduce cholesterol levels. If cholesterol levels are not reduced, your doctor may prescribe medication.

Integrative Approach

Dr. Cohen performs various tests to determine your blood and hormone levels. Based on your sex, age, and general health; she determines a treatment program which may include exercise, diet, supplements, Hormone Replacement Therapy (HRT), and medication.

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Hormonal Imbalance

Hormonal imbalances can be an endocrine/glandular disorder or a normal part of aging. The endocrine/glandular systems involved can be adrenal, thyroid, parathyroid, pituitary, pancreas, hypothalamus - just to name a few. 

Hormonal imbalances in women are familiar to most people. Great progress has been made in relieving premenstrual syndrome (PMS), infertility and many associated conditions.

As part of the normal aging process, peri-menopause and menopause, have received a lot of attention. Treatment using Hormone Replacement Therapy(HRT) has revolutionized the approach to aging. More recently, andropause, the decrease of androgens in men as they age has gained attention [Click here for symptoms and treatment]

Symptoms

  • Diseases associated with specific glandular disorder
  • Loss of lean muscle mass
  • Weight gain
  • Sleep disturbances
  • Night sweats
  • Hot flashes
  • Mood irregularities
  • Low energy
  • Low / high libido
  • Changes in the rhythm of the menstrual cycle

Standard Treatment

A blood test is performed to measure an excess or depletion of any of your reproductive hormones. 

Integrative Approach

Dr. Cohen performs a full hormone panel and neurotransmitter panel. She administers hormone replacement treatment in the form of Bio-identical Hormone Replacement Therapy (HRT). Bio-identical hormones are prepared at a compounding pharmacy specific to your needs. 

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Hypertension (high blood pressure)

Hypertension or high blood pressure is the condition where the force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease. There are two categories of hypertension – primary and secondary. Primary develops gradually over time and has no apparent cause. Secondary hypertension may be the result of an underlying condition. It can be caused by kidney problems, adrenal gland tumors, congenital blood vessel defects, medications, birth control pills, cold remedies, decongestants, over-the-counter pain relievers, prescription drugs and illegal drugs, such as cocaine and amphetamines. [Click here for symptoms and treatment]

Symptoms

  • Most people with high blood pressure have no signs or symptoms, even if blood pressure readings reach dangerously high levels
  • Some people with early-stage high blood pressure have dull headaches, dizzy spells or nosebleed

Standard Treatment

One or more medications are prescribed such as ACE inhibitors, Calcium channel blockers, diuretics, beta blockers – to name a few types.

Integrative Approach

Dr. Cohen performs various tests to determine your blood and hormone levels. Based on your sex, age and general health; she determines a treatment program which may include exercise, diet, supplements, Hormone Replacement Therapy (HRT) and medication.

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Hypothyroidism

Hypothyroidism is a condition in which the thyroid gland produces too little thyroid hormone. The thyroid is a butterfly-shaped gland in the front of your neck. A healthy thyroid gland makes hormones that control energy consumption in the body through various processes. Having a low level of thyroid hormone affects your whole body. If hypothyroidism is not treated, it can raise your cholesterol levels and make you more likely to have a heart attack or stroke. During pregnancy, untreated hypothyroidism can harm your baby. Both men and women of any age can get hypothyroidism. Some causes of hypothyroidism are Hashimoto's thyroiditis, surgery to remove the thyroid gland, radiation therapy for cancer, viral infections and drugs such as lithium. [Click here for symptoms and treatment]

Symptoms

  • Fatigue
  • Weakness
  • Weight gain or increased difficulty losing weight
  • Coarse dry hair or hair loss
  • Dry or rough skin
  • Constipation
  • Depression
  • Irritability
  • Memory loss
  • Decreased libido
  • Abnormal menstrual cycles
  • Cold intolerance
  • Muscle cramps or frequent muscle aches

Standard Treatment

A blood test is performed to determine thyroid hormone levels.  If thyroid hormone levels are low, patients are prescribed Synthroid.

Integrative Approach

Dr. Cohen determines which tests should be completed to identify the nature of your hypothyroidism.  As necessary, a compounding pharmacy may be used to provide T3 and T4 levels specific to your needs.  She prescribes a comprehensive approach which may include diet changes.

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Irregular Menses

The menstrual cycle is governed by hormonal levels and neurotransmitter levels in the body. Irregularities in the menstrual cycle can be caused by anything from stress, environmental toxicity or physiologic disturbance in the body’s rhythms.  The average menstrual cycle takes place in the time frame of every 25 – 30 days, with ovulation occurring somewhere between 10 and 13 days from the start of the last period.   [Click here for symptoms and treatment]

Symptoms

  • Skipping a month
  • Anything other than a 25-30 day cycle
  • Irregular periods

Standard Treatment

A blood test is performed to determine an excess or depletion of reproductive hormones.  Sometimes extensive neurological studies are done to explore pituitary involvement. Exploratory surgery may be considered.  Treatment usually includes birth control pills or other synthetic hormones.

Integrative Approach

Dr. Cohen performs a full hormone panel and neurotransmitter panel.  Stress management is incorporated if appropriate. She administers hormone replacement treatment in the form of  Bio-identical Hormone Replacement Therapy (HRT). 

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Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) is a gastrointestinal disturbance resulting in varying degrees of disease. It may begin after an infection, stressful life event or with the onset of maturity. IBS causes a great deal of discomfort and distress, but rarely causes permanent harm to the intestines or leads to serious disease. IBS can be disabling, making it difficult to work, attend social events or even travel short distances. [Click here for symptoms and treatment]

Symptoms

  • Cramping
  • Abdominal pain
  • Bloating
  • Constipation
  • Diarrhea
  • Mucus in the stool

Standard Treatment

Depending on the severity of symptoms, medications will be used in conjunction with dietary modifications.  IBS is used as a diagnosis after other diseases have been eliminated.

Integrative Approach

Dr. Cohen will use a series of tests and discuss the circumstances that preceded the IBS. She will recommend supplements and dietary modifications.

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Leaky Gut Syndrome (LGS)

Leaky Gut Syndrome (LGS) is a condition in which large spaces develop between the cells of the gut wall allowing bacteria, toxins, and food to leak into the blood stream.  Factors that can lead to Leaky Gut Syndrome are Hypochlorhydria (under production of stomach acid), Candida or Yeast Infection, Dybiosis (an imbalance in the GI tract), alcohol, stress, allergies, poor diet, Celiac Disease, parasites, and pharmaceutical drugs.  [Click here for symptoms and treatment]

Symptoms

  • Abdominal pain
  • Bloating and gas
  • Indigestion
  • Constant hunger
  • Diarrhea or constipation
  • Food allergies
  • Fever

Standard Treatment

Leaky Gut Syndrome is rarely recognized by traditional medicine.

Integrative Approach

Once diagnosed, a protocol focusing on diet, supplements and exercise will be established.

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Memory Loss

Normal aging itself is not a cause of significant memory loss. Memory loss can be caused by hormonal imbalance or autoimmune diseases such as thyroid disease, multiple sclerosis, adrenal fatigue, menopause and andropause. [Click here for symptoms and treatment]

Symptoms

  • Forgetfullness
  • Inability to recall recent events
  • Confusion, difficulty concentrating
  • Difficulty  remembering details
  • Difficulty making decisions

Standard Treatment

Evaluation is performed for major cognitive diseases such as dementia and Alzheimer’s. 

Integrative Approach

Dr. Cohen evaluates your autoimmune system, and performs a full hormone and neurotransmitter panel. She prescribes a combined therapy protocol for your unique circumstances.

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Menopause

Women in their 30’s often notice a shift in their metabolism characterized by subtle changes in the rhythm of the menstrual cycle, hot flashes, and sleep irregularities.  Peri-menopause, that period of time just prior to menopause is characterized by very irregular periods, often more frequent and intense in flow.  Menopause is the complete cessation of the monthly period.  You are considered to be in Menopause 1 year after your last period.  [Click here for symptoms and treatment]

Symptoms

  • No periods
  • Decreased energy
  • Mild to moderate irritability
  • Diminished skin tone
  • Decreased desire for activity (including sexual activity) and exercise
  • Decreased mental quickness
  • Increase in body fat, particularly around the mid-section
  • Night sweats / trouble sleeping
  • Depression or loss of eagerness and enthusiasm for daily life
  • Decreased sexual function or sensitivity (inability to achieve orgasm)

Standard Treatment

A blood test is performed to determine estrogen levels.  Typically Prempro or Premarin is prescribed.

Integrative Approach

When you go through menopause, it is not just your estrogen levels that change.  You need to be evaluated for your progesterone and testosterone levels as well as DHEA.  A full hormone panel and neurotransmitter panel are administered. Hormone replacement treatment may be indicated in the form of Bio-identical Hormone Replacement Therapy (HRT). Bio-identical hormones are prepared at a compounding pharmacy specific to your needs. 

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Migraine Headaches

Migraines are chronic and debilitating headaches that can cause pain for short or prolonged periods.  Frequently the source is unexplained.  [Click here for symptoms and treatment]

Symptoms

  • Moderate to severe pain affecting one or both sides of the head
  • Head pain with throbbing
  • Pain that worsens after physical activities
  • Nausea with or without vomiting

Standard Treatment

Treatments include pain relieving medications.

Integrative Approach

Dr. Cohen’s treatments include evaluation of diet, vitamins, supplements, acupuncture and relaxation techniques.

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Mitral Valve Prolapse

Mitral valve prolapse is a heart condition where the valve between the left heart chambers (left atrium and left ventricle) does not function properly. Generally, mitral valve prolapse does not always require treatment. Symptoms can vary widely and tend to be mild, developing gradually over time. The condition can progress and treatment may be required if indicated. [Click here for symptoms and treatment]

Symptoms

  • Fatigue
  • Lightheadedness or dizziness
  • Cough
  • Shortness of breath or difficulty breathing, often when lying flat or during physical activity
  • Chest pain not caused by a heart attack or coronary artery disease

Standard Treatment

People with mitral valve prolapse, who do not have symptoms, are not treated. If symptoms occur, medications or surgery may be required depending on the severity of your condition. Medications such as beta blockers, aspirin, and blood thinners are often prescribed.

Integrative Approach

Dr. Cohen performs various tests to determine your blood and hormone levels. Based on your sex, age and general health; she determines a treatment program which may include exercise, diet, and supplements.

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Multiple Sclerosis

In the past 20 years, research has linked the cause of Multiple Sclerosis (MS) to autoimmune disorders. MS is a nervous system disease that affects your brain and spinal cord, damaging the material that surrounds and protects the nerve cells. There may be single or multiple symptoms ranging from mild to severe intensity with a short or long duration. Complete or partial remission occurs in about 70%. The disease often begins between the ages of 20 to 40. About 350,000 people in the U.S. have multiple sclerosis. [Click here for symptoms and treatment]

Symptoms

  • Visual disturbances
  • Muscle weakness
  • Trouble with coordination and balance
  • Sensations such as numbness, prickling, or "pins and needles"
  • Thinking and memory problems

Standard Treatment

Treatment using disease modifying drugs will vary depending on the severity and duration of symptoms.

Integrative Approach

Dr. Cohen performs various tests to determine your blood and hormone levels. Based on your sex, age and general health; she determines a treatment program which may include exercise, diet, supplements, Hormone Replacement Therapy (HRT) and medication.

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Nutrition Deficiencies

Many modern diets consist of over processed foods which do not contain enough nutrients to promote good health. The consequences are many. Nutritional deficiencies contribute to metabolic stress and auto-immune disorders.  [Click here for symptoms and treatment]

Symptoms (poor nutrition)

  • Weight loss /gain
  • Decreased immune response
  • Fatigue
  • Dizziness

Standard Treatment

People are generally encouraged to subscribe to the ‘Food Pyramid” as a model for ideal nutrition.

Integrative Approach

Dr. Cohen performs tests of your nutritional health and develops a comprehensive protocol to help you build or recover your health to a state of metabolic balance. Diet, supplements and lifestyle modification are often part of the treatment for conditions resulting from nutritional deficiencies.

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Obesity

Obesity is defined as having a body mass index (BMI) of greater than 30.  It is considered a chronic (long term) disease, like high blood pressure or diabetes. Obesity can have many serious long term consequences for health.  It is the second leading cause of preventable deaths in the United States. [Click here for symptoms and treatment]

Symptoms (poor nutrition)

  • Weight gain
  • Higher than normal body mass index

Standard Treatment

When it comes to obesity, patients are often left to find their own dietary solutions. Diet pills, gastric bypass and liposuction are offered in severe cases.

Integrative Approach

Many factors contribute to obesity. The integrative approach develops a protocol encompassing the physical, mental and emotional.  Stabilizing metabolism along with dietary and supplemental modifications, exercise and personal coaching are used to facilitate weight loss.

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Osteopenia/Osteoporosis

Osteopenia refers to bone mineral density (BMD) that is lower than normal peak BMD but not low enough to be classified as osteoporosis. Bone mineral density is a measurement of the level of minerals in the bones, which indicates how dense and strong they are. If BMD is low compared to normal peak BMD, it is considered to be Osteopenia. Having Osteopenia means there is a greater risk as time passes that osteoporosis may develop. Osteoporosis is excessive loss of protein and mineral content in the bones. [Click here for symptoms and treatment]

Symptoms (Osteopenia)

There are no symptoms

Symptoms (Osteoporosis)

  • Weakened bones
  • Back pain
  • Loss of height and stooped posture
  • Curved upper back
  • Broken bones that might occur with minor injury
  • Compression fractures that might occur with minor injury

Standard Treatment

Most physicians simply encourage patients with Osteopenia to exercise. 

Integrative Approach

A comprehensive intake is completed in addition to vitamin D therapy and nutritional support. The integrative approach also encourages exercise. Dr. Cohen designs a program that will maintain or improve your bone density.

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Peripheral Vascular Disease / Peripheral Artery Disease

The development of peripheral vascular disease involves the extremities, most often the legs. It is a common circulatory problem in which narrowed arteries reduce blood flow to the limbs. This condition may also cause reduced blood flow to the heart and brain. Some people have mild to no symptom. Others can experience mild to debilitating intermittent claudication, which is leg, thigh and foot cramping that occurs most notably after walking. The pain will disappear after a few minutes of rest but will return upon further exercise. As peripheral vascular disease progresses, pain may occur during rest or when lying down. [Click here for symptoms and treatment]

Symptoms 

  • Painful cramping in hip, thigh or calf muscles after activity (walking, stair climbing)
  • Leg numbness, weakness
  • Cold lower leg or foot
  • Sores on toes, feet or legs that don't heal
  • Change in the color of legs
  • Hair loss on feet and legs
  • Slow toenail growth
  • Weak or no pulse in legs or feet
  • Erectile dysfunction in men

Standard Treatment

Cessation of tobacco smoking, exercise and eat a healthy diet is standard. Drugs, endovascular therapy and surgery are used in treatment procedures based on the arteries involved and severity of the condition.

Integrative Approach

Dr. Cohen performs various tests to determine your blood and hormone levels. Based on your sex, age and general health; she determines a treatment program which may include exercise, diet, supplements, Hormone Replacement Therapy (HRT) and medication.

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Premenstrual Syndrome  (PMS)

Most people are familiar with the terms premenstrual syndrome (PMS). Premenstrual syndrome is characterized by symptoms which can occur after ovulation and just prior to menstruation. [Click here for symptoms and treatment]

Symptoms

  • Cramps
  • Sleep disturbances
  • Mood irregularities
  • Increased appetite, food cravings
  • Nausea / vomiting
  • Migraines
  • Low energy
  • Low / high libido
  • Depression

Standard Treatment

 The following treatments are standard; antidepressant, anti-inflammatory, diuretics.

Integrative Approach

Dr. Cohen does a complete hormone profile and neurotransmitter panel as well as tests for physical or disease related conditions. Treatment may consist of Bio-identical Hormone Replacement Therapy (HRT) which is prepared by a compounding pharmacy specific to your needs.

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Polycystic Ovaries (PCOS)

Polycystic ovary syndrome (PCOS) is a common hormonal disorder among women of reproductive age. The ovaries become enlarged and contain multiple small cysts located along the outer edge of each ovary. If untreated there is risk of long term complications, such as type 2 diabetes, heart disease and stroke. [Click here for symptoms and treatment]

Symptoms

  • Menstrual abnormality, irregular periods, heavy menstrual bleeding
  • Excess hair growth
  • Acne
  • Obesity or trouble losing weight
  • Difficulty becoming pregnant

Standard Treatment

Primary treatment consists of: low dose birth control pills that contain a combination of synthetic estrogen and progesterone, progesterone for 10 to 14 days each month to regulate your periods.

Integrative Approach

Dr. Cohen does a complete hormone profile and neurotransmitter panel as well as tests for physical or disease related conditions. Treatment may consist of Bio-identical Hormone Replacement Therapy (HRT) which is prepared by a compounding pharmacy specific to your needs.

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Shingles

Shingles is a viral infection that causes a painful rash and can occur anywhere on the body. Typically, it appears as blisters that wrap from the middle of your back around one side of your chest to your breastbone. Shingles is caused by the same virus that causes Chicken Pox.  Anyone who has had Chicken Pox can contract it. It is most common to contract shingles after an accident, periods of stress, serious illness or lowered immunity. [Click here for symptoms and treatment]

Symptoms

  • Painful burning, numbness or tingling
  • Red rash that begins a few days after the pain
  • Fluid-filled blisters that break open and crust over

Standard Treatment

Antiviral drugs should be administered within 72 hours of the first signs of shingles rash and pain medications are administered for 7 days to months.

Integrative Approach

Dr. Cohen provides antiviral drugs within the first 72 hours of the shingles rash and prescribes pain medications.  In addition, she has a full supplement protocol to minimize pain and itching that can occur for extended periods. This protocol allows the body to return to balance and helps to prevent future outbreaks.

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Sleep Disorders

Sleep disorders erode your body’s general health and well being. According to the National Institute of Neurological Disorders and Stroke, about 40 million people in the United States suffer from long term sleep disorders. More than 70 different types of sleep disorders have been identified. [Click here for symptoms and treatment]

Symptoms

  • Lack of sleep includes trouble falling asleep and staying asleep
  • Disturbed sleep includes sleep apnea
  • Excessive sleep
  • Awaken without feeling refreshed

Standard Treatment

Most often sleep disorders are considered a minor or secondary condition and are treated with sleeping pills. 

Integrative Approach

A comprehensive physical evaluation and intake history is completed.  In addition, full hormone and neurotransmitter panels are done.  Depending on your results, you may be offered neurotransmitters, supplements or Bio-identical Hormone Replacement treatment.  Sleep coaching may also be included as an integrative part of your solution.  Very often these treatments are combined with acupuncture and other forms of energy medicine

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Stress

Stress is commonly defined as a physical, mental, or emotional condition which results in physical or mental tension.  Stress is considered to be the cause of nearly 90% of all disease. The list of symptoms spans everything from heart and blood pressure disease to obesity and auto-immune disorders.  [Click here for symptoms and treatment]

Symptoms (cognitive)

  • Memory problems
  • Inability to concentrate
  • Poor judgment
  • Seeing only the negative
  • Constant worrying
  • Moodiness
  • Irritability or short temper
  • Agitation, inability to relax
  • Feeling overwhelmed
  • Sense of loneliness and isolation
  • Depression or general unhappiness

Symptoms (physical)

  • Aches and pains
  • Diarrhea or constipation
  • Nausea, dizziness
  • Chest pain, rapid heartbeat
  • Loss of sex drive
  • Frequent colds
  • Eating more or less
  • Sleeping too much or too little

Symptoms (behavioral)

  • Isolating yourself from others
  • Procrastinating or neglecting responsibilities
  • Using alcohol, cigarettes, or drugs to relax
  • Nervous habits (e.g. nail biting, pacing)

Standard Treatment

Medication, behavioral therapy and psychological therapy are prescribed.

Integrative Approach

Treatment may include all of the following: hormonal evaluation, supplements, neurotransmitters, diet change, exercise and acupuncture. Depending on the severity of your stress, cognitive therapy may be recommended.

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Thyroid Disorders

The thyroid gland is interrelated with your endocrine system. Therefore, any gland in the endocrine system that is not functioning properly can impact the thyroid. Changes to our reproductive system – pregnancy, andropause, and menopause – will impact the thyroid. Frequently, only the TSH thyroid hormone is tested. TSH levels do not always give an accurate picture of the source of the problem. Some other thyroid conditions include Graves' disease (hyperthyroidism), thyroid nodules, Hashimoto's thyroiditis, trauma to the thyroid, and thyroid cancer. It is reported that more than 20% of menopausal women have thyroid dysfunction known as hypothyroidism.  It is estimated that millions of men and women have undiagnosed (subclinical) low thyroid function.  [Click here for symptoms and treatment]

Symptoms (hypothyroidism)

  • Fatigue
  • Weakness
  • Weight gain or increased difficulty losing weight
  • Coarse, dry hair
  • Dry/rough pale skin
  • Hair loss
  • Constipation
  • Depression
  • Irritability
  • Memory loss
  • Decreased libido
  • Abnormal menstrual cycles
  • Cold intolerance
  • Muscle cramps
  • Frequent muscle aches

Symptoms (hyperthyroidism)

  • Nervousness
  • Irritability
  • Increased perspiration
  • Thinning of your skin
  • Fine brittle hair
  • Shaky hands
  • Panic disorder
  • Insomnia
  • Racing heart
  • More frequent bowel movements
  • Weight loss despite a good appetite
  • Lighter flow, less frequent menstrual periods
  • Muscular weakness especially involving the upper arms and thighs

Standard Treatment

Prescribe thyroid replacement hormones like Synthroid based on TSH test results.

Integrative Approach

Dr. Cohen performs comprehensive hormone and neurotransmitter testing to identify the nature of your thyroid dysfunction.  As necessary, a compounding pharmacy may be used to provide replacement hormones specific to your needs. She may include Bio-Identical Hormone Replacement Therapy, neurotransmitter supplements, and dietary changes as part of her treatment.

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Weight Gain / Weight Loss

Both weight gain and weight loss are indicative of an underlying condition.  The condition can be as simple as stress or more complex, such as a metabolic issue.  In either case it is best to identify the root cause prior to adopting a diet or simply ignoring the weight change.  [Click here for symptoms and treatment]

Symptoms (poor nutrition)

  • Over or under producing thyroid gland
  • Heart palpitations
  • Depression
  • Fatigue

Standard Treatment

Diet pills or weight gain diets are prescribed depending on the condition.

Integrative Approach

Dr. Cohen treats the ‘whole’ person.  She uses traditional baseline tests and a unique series of alternate laboratory tests to determine underlying health conditions. Dr. Cohen designs a protocol based on supplements and diet specific to your situation. 

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Yeast Syndrome /Candida

Candida occurs naturally in the human body. An overgrowth can cause various health problems.  Rise in yeast infections or overgrowth of Candida occur due to stress, poor diet or the use of antibiotics. Overgrowth of Candida can be at the root of many autoimmune conditions. [Click here for symptoms and treatment]

Symptoms

  • Abdominal gas
  • Headaches, migraines
  • Insomnia
  • Excessive fatigue
  • Cravings for alcohol or sweets
  • Indigestion
  • Thrush
  • Vaginitis (burning, itching, discharge)
  • Pre-menstrual syndrome
  • Rectal itching
  • Low sex drive
  • Poor concentration, poor memory, learning disabilities
  • Hyperactivity
  • Diarrhea or constipation
  • Sensitivity to chemicals or fragrances
  • Itching
  • Acne or eczema, athlete’s foot
  • Depression, mood swings, anxiety
  • Sinus inflammation
  • Sore throat
  • Ear aches, dizziness
  • Persistent cough
  • Muscle weakness

Standard Treatment

Excessive candida is frequently NOT recognized as a threat to good health and is most often left untreated.

Integrative Approach

Candida lab and stool tests are used for diagnostic purposes. Treatment options vary depending on the extent of the infection, but most often include dietary and supplement changes.

 

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Holistic approaches to treated conditions

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New York, NY 10023
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10 West 74th Street | #1D | New York, NY 10023 | p.212.787.1877 | f. 212.787.1667
dana@drdanacohen.com | Staff | Affiliates