- Increased sensitivity to cold
- Dry skin or rough skin
- Unexplained weight gain
- Puffy face &/or shins
- Muscle weakness
- Elevated blood cholesterol level
- Insulin resistance
- Muscle aches, tenderness and stiffness
- Pain, stiffness or swelling in your joints
- Heavier or irregular menstrual periods
- Thinning hair or losing hair
- Slowed heart rate
- Depression & Sadness
- Low Body Temperature
- Impaired memory
- Low sex drive
- Adrenal Glad dysfunction
Grounded in sound science and committed to an individualized, multi-faceted holistic approach, the Priority Health Center provides you with the resources and tools you need for living a more youthful and productive life. The Priority Health provides a diverse array of diagnostics & therapies as well as educational guidance in the areas of health promotion and preventive medicine. Besides the typical spa services, there are aesthetic restorative programs/procedures offered, nutritional and hormonal balance and weight loss programs. The center is a collection site for HDL/IDL/Singulex/ALCAT/DDI/IGeneX/BostonHeartLabs and others. Dr. Yusuf M. Saleeby (& Kristin Richardson, PA) directs the center's restorative and preventive medicine programs. The center is NOT to be considered a PCP (primary care provider) but rather a specialty clinic for consultation and collaboration with your primary MD/DO.
Our Focus covers the following:
Between ages 40 and 55, men can experience the male equivalent of menopause, and this is now referred to as andropause or “male-menopause”. Virtually all men will experience a decline in hormone levels with age. For example, the average testosterone level of a 70-year-old man is ten-times lower than that of a 25-year-old man. According to the April 2006 issue of the American Journal of Therapy, the circulating testosterone level declines steadily from age 19 at an average rate of 1% per year. By age 70, about one in every three men has very low serum total testosterone levels. Symptoms of andropause include loss of energy, loss of muscle mass, increased body fat, loss of libido, erectile dysfunction, loss of mental focus, and increased anxiety and depression. At the Priority Health, we embrace a three-pronged approach to andropause that includes specific antioxidants, nutrient repletion, and hormonal balancing. By restoring optimal levels of nutrients, antioxidants, anti-inflammatory agents and hormones, many men report that their vitality, self-esteem, performance, libido and overall functioning are radically improved. These men have an entirely new lease on life!
Atherosclerosis & Circulatory Disorders/Cardiovascular Disease
The two leading causes of death for U.S. men and women over the age of 50 are heart attacks and strokes. Atherosclerosis, or "hardening of the arteries," is typically involved in the pathogenesis of these conditions. The initial focus of our approach is to use nutritional therapies and lifestyle modifications to reduce various risk factors that predispose an individual to atherosclerosis—factors such as a high ratio of total cholesterol to high-density lipoproteins, advanced biomarkers of lipid analysis such as LDL-P, Lp(a), HDL2-C, ApoB & ApoA1, and elevated blood levels of homocysteine, fibrinogen, insulin, or C-reactive protein, Lp-PLA2, MPO, F2-Ispns which we routinely test. In addition, we favor the use of therapies that are aimed at preventing the production and/or removing plaque and restoring blood flow throughout the entire circulatory system.
Autoimmune Disorders - Limited
We have treated a number of patients with autoimmune disorders such as rheumatoid arthritis, lupus, multiple sclerosis, Crohn's disease, scleroderma, psoriasis, and dermatomyositis. Multiple therapies are often utilized in treating these patients, including targeted support for cellular and intestinal detoxification processes, and the correction of nutritional deficiencies. Rather than the traditionally accepted therapy of suppression of the immune system with steroids and immunosuppressants that are toxic overall, we use IMMUNE-bolstering dietary aids and therapies. Overall, the goal is to calm down or reset the immune system rather than increase its activity. In many cases, toxic factors or infectious agents may trigger or further amplify these autoimmune processes, and combinations of innovative therapies have shown the potential to resolve these health problems. Triggers can be environmental allergens, toxic heavy metals, EBV, Lyme Dz and other tick borne pathogens, viruses and molds.
Cancer Prevention (Prevention and early detection, NOT treatment)
The Priority Health is not a cancer treatment center, but we will work with oncologist to develop a program for you to help avoid the debilitating effects of traditional therapy. We can rescue your good cells from the killing effects of chemotherapeutic and radiation therapy. We focus on Early Cancer detection with advanced biomarkers and PREVENTION of cancer to begin with. In order to more effectively manage and control cancer, our approach relies on nutritional, botanical and pharmacological methods that attack cancer cells directly as they develop before they progress to full blown disease states.
Chronic Fatigue (Limited to hormones)
The most common medical complaint is fatigue or lack of energy. This can range from mild, functional fatigue (i.e., you get through the day yet feel constantly tired) to severe, incapacitating fatigue requiring constant bed rest. People who suffer from chronic fatigue often speak of “dragging” or feeling “tired all the time”, as well as in many cases feeling "stressed out" or “overwhelmed” by life in general and are susceptible to "brain fog". They often experience problems such as mental fuzziness, poor memory, moodiness, sexual problems, more frequent colds and viral syndromes (poor immunity), and a tendency to gain weight. Some forms of chronic fatigue are associated with manic episodes in which hyperactivity alternates with profound fatigue. Some individuals appear to be hyper on a frequent basis, yet behind that hyperactivity they also feel exhausted. About 40% of these patients have numerous allergies and/or multiple chemical sensitivities, most of which are hidden or unrecognized. Once the underlying biological causes are identified and addressed, many cases of chronic fatigue resolve with ease, and the individual goes on to experience the delights of enduring vitality and resilience. People who experience chronic fatigue do not necessarily have the condition known as Chronic Fatigue Syndrome. The U.S. Centers for Disease Control (CDC) have established specific guidelines for giving the diagnosis of Chronic Fatigue Syndrome, and many patients who complain of fatigue and body aches often do not meet the specific criteria set by the CDC. The workup can be daunting but must be done in a very methodical way to insure the root cause is not missed.
Chronic Infections & Immune Dysfunction (Screening/Limited)
Most infections are hidden from view, and yet they tend to steal away our vitality and amplify our vulnerability to other health problems. Many people have a history of frequent infections or a tendency to get sick fairly often. Over the years, these individuals often received either repeated courses of antibiotics or large doses of powerful antibiotics for brief periods. This tends to result in damage to the balance of beneficial intestinal bacteria that are needed to process micronutrients and maintain a healthy metabolism. Even without antibiotics, there are a number of factors that can predispose one to this common intestinal imbalance, which is known as dysbiosis. These factors include being born by C-section, being formula fed (minimally breastfed) as infants, eating an imbalanced diet, and habitual ingestion of sugar, dairy, caffeine, and alcohol. Dysbiosis can result in progressive cellular nutrient deficiencies as well as damage to the lining of the intestine and an increased tendency to develop food allergies. With the immune system working overtime and reacting to what it “perceives” as foreign invaders, there will be a gradual decline in the system’s ability to handle the day-to-day organisms with which we all come in contact. Integrative therapies that target the deep underlying sources of these infections and the restoration of cellular immune function to a more normal state can reverse years of chronic illness.
Degenerative Neurological Disorders (Screening/Very Limited) – Prevention of dementia
Age-related neurodegenerative diseases are becoming increasingly common as the number of elderly people in the U.S. population continues to increase. These diseases include multiple sclerosis (MS), Parkinson’s Disease (one of the most common degenerative diseases over the age of 50), Alzheimer’s Disease, Dementia, Amyotrophic Lateral Sclerosis (ALS), and other disorders that threaten the personal well-being and sanity (from the Latin sanitas, meaning “health”) of so many Americans with advancing age. There is increasing evidence that excessive levels of free radicals—as occurs during normal and pathological brain aging—contribute to the loss and dysfunction of brain cells. Some research has shown that natural antioxidants may help prevent or delay the occurrence of age-related cognitive deficits and neurodegenerative diseases. Other related contributors are mitochondrial dysfunction, heavy metal overload, chronic inflammation, and hidden infections. For example, lead exposure has been implicated in age-related cognitive decline, and chronic viral infections have been implicated in MS. Mercury and lead toxicities are extremely common in older patients who are losing their hearing and memory. According to a 2007 scientific review, there is now a “decisive role for inorganic mercury in the etiology of Alzheimer's disease”, with other metals, inflammation, nutritional factors (low omega-3 FA index), oxidative distress, and metabolic problems acting as co-factors. With the right overall integration of therapies (including removal of heavy metals), Alzheimer's disease and many other neurodegenerative conditions may be prevented and perhaps ultimately reversed as well.
Diabetes (T2DM, T1.5MD, T3DM)
Type 2 diabetes is a chronic metabolic disease that has a substantial impact on the health, quality of life, and life expectancy of people diagnosed with this condition. Although conventional pharmaceuticals are often necessary, such treatments can have adverse side effects and are not always satisfactory in maintaining blood sugar control and avoiding late-stage diabetic complications. Exercise, diet, and weight control continue to be essential and effective means of improving blood sugar control and in many cases can help reduce the need for medications and prevent long-term complications such as lipid disorders, heart disease, infections, and kidney problems. In addition, our clinical experience confirms a growing body of evidence indicating that the selective use of nutraceuticals, botanicals, and minerals may promote healthy glucose and lipid metabolism. More and more diabetic patients and health care professionals are seeking out this integrative approach, and clinical research is increasingly substantiating the use of supplements such as chromium, Coccinia indica, American Ginseng, and Gymnema sylvestre—all of which are most effective in the context of a comprehensive approach that includes specific lifestyle changes and appropriate use of pharmaceuticals for blood sugar control. Controlling serum glucose and insulin levels is paramount in control of body inflammation and the aging process. Advanced biomarkers such as Anti-GAD and pro-insulin, c-peptide, Adiponectin and Leptin levels are used to make the diagnosis. There are now 4 types of DM: Type 1, 1.5, 2 and 3. Type three affects the brain (recently discovered in 2005 as another site besides the pancreas as producing insulin) & associated with elevated Leptin levels; can lead to dementia.
Fibromyalgia-Like Disorders (Very Limited/ Medication reduction- adrenal and thyroid related only)
This chronic and often debilitating condition is frequently associated with chronic fatigue. It is not usually the initial symptom of the syndrome, but one that develops gradually after onset of other symptoms, ultimately surpassing these symptoms as being more aggravating. Often patients cause further harm to themselves in this stage because they take large, daily doses of anti-inflammatory medications, resulting in damage to the intestinal lining and the development of “leaky gut syndrome”. This can lead to more rheumatologic complaints as the immune system begins to overreact to undigested materials entering the blood stream. These antigen-antibody complexes then deposit into joint spaces and muscle tissue, further aggravating the symptoms of fibromyalgia. Musculoskeletal complaints can also vary widely in CFS/Fibromyalgia (an immune dysfunction disorder) patients, with symptoms often coming and going in cycles. This is a strong indicator of an underlying digestive disorder as one of the factors contributing to this condition. We avoid harsh drugs and yet to stand the test of time biologics in our treatments, but rather rely on resetting the immune system and utilizing the Myers Cocktail.
Hormonal Imbalances & bio-identical hormone therapy (Men/Women)
At different stages of life, and particularly in later life, many glandular systems in the human body produce decreasing levels of hormones (e.g., DHEA, melatonin, pregnenolone, growth hormone, and testosterone), and this contributes to many aspects of the aging process. Hormonal therapy has evolved in response to an expanding body of scientific evidence indicating that replacement of hormones in older individuals can slow or even reverse the aging process, as well as prevent many serious degenerative conditions. Only by performing accurate hormone testing is it possible to know your individual status and determine the exact hormones you need. Many patients, concerned about the potential adverse effects of using synthetic hormones, are expressing an interest in “natural” or bio-identical hormones. We offer pharmaceutical-grade bio-identical hormones, dispensed through a compounding pharmacy, as well as an array of nutritional and herbal preparations that support healthy hormonal production and functioning. To determine which strategy is best, we conduct a thorough evaluation of body systems and seek to correct any abnormalities that could hamper the success of hormone replacement. Many people are surprised by the improvements they rapidly experience in terms of energy, sleep, sexual vitality, joint health, muscle strength, and overall personal well-being.
Irritable Bowel Syndrome (Limited to Integrative measures)
Irritable Bowel Syndrome (IBS) is a widespread condition involving recurrent abdominal pain, along with either diarrhea or constipation or both; this is often associated with stress, depression, anxiety, or hidden intestinal infections. IBS is thought to afflict millions of Americans, and yet three out of every four IBS sufferers in the nation will go undiagnosed. At the Priority Health, our main treatment objectives for helping people with IBS including the following: (1) improving digestion; (2) rebuilding the intestinal mucosa; (3) reducing oxidative damage; (4) eliminating intestinal pathogens; (5) re-establishing the normal flora; (6) removing intestinal toxins; and (7) managing your stress level better. Though stress is not the cause of IBS, it can trigger or exacerbate your symptoms; thus, learning to manage your stress level is important for preventing IBS flare-ups in the future. We utilize peppermint oil and Iberogast for many of our patients.
Lyme Disease and Other Tick-Borne Illnesses- (practitioners are ILADS members)
Ticks are capable of transmitting numerous pathogens to both humans and their pets, and the risk of contracting Tick-Borne diseases is rising steadily. The most common of these diseases is Lyme Disease, a chronic inflammatory condition caused when the Borrelia Burgdoferi bacteria is transmitted by the bite of a deer tick or black-legged tick. Early detection is the key to fighting this disease. Although Lyme Disease is easily treated with antibiotics in its early stages, it is often either misdiagnosed or goes un-diagnosed until it has progressed considerably. At this point, the individual exhibits such debilitating symptoms as chronic fatigue, cognitive dysfunction, extreme mood swings, severe arthritic pain, and irregularities of the heart rhythm. Many afflicted individuals who have been to numerous doctors may eventually be diagnosed with chronic Lyme Disease or some other tick-borne illness, but treatment options are often limited and confusing.
The Priority Health approach is grounded in Dr. Saleeby's experience and training with the ILADS protocols, in treating patients with chronic mysterious illnesses. Dr. Saleeby is a member of the ILADS society. Protocols differ from the IDS and CDC protocols.
ELISA tests miss 50% of cases.
Western Blot: IF ANY ONE of these bands are positive.. they you have Lyme. Bands: # 23, 31, 34, 39, 83/93. Use IGeneX to test.
This approach integrates various stabilization procedures in preparation for pulsed cycles of various antibiotics that kill the Lyme bacteria as well as co-infections. Further supporting this approach is the evidence-based use of bioactive agents or supplements that provide targeted support for the immune and nervous systems. When used in combination with commonly prescribed medications, specific nutrient and botanical supplements can afford increased antioxidant and anti-inflammatory protection and help relieve or eliminate Lyme-related symptoms, as reported by University of California researchers in the September 2009 issue of Evidence-Based Complementary and Alternative Medicine. The careful combining of these supplements with prescribed medications may increase the effectiveness of prescription medications while also helping to reduce painful symptoms and speeding up the recovery process.
Memory Problems & Cognitive Decline (Limited)
Memory loss or cognitive dysfunction is commonly associated with the aging process. In most cases, the process manifests early with a tendency to forget little things such as appointments, details from a recently read book, or key items for a “to-do list”. It may eventually progress to forgetting important dates, locations, or even names of friends and family members. Nutrition, exercise, stress management, and mental activities can all play vital roles in preventing memory loss or slowing its progression. Nutritional factors serve as the raw material and fuel for neurotransmitter production. At the same time, environmental toxins or pollutants must be minimized and removed. Hormone imbalances, toxic metals, pollutants, pesticides and radiation are examples of environmental factors that eventually may erode memory.
Menopause (Pre- and Peri-menopause)
Menopause is a natural event for women that normally occur between the ages of 45 and 55. Surgical menopause occurs after a complete hysterectomy or oophorectomy. Symptoms of this process can be mild, moderate, or severe, and are linked with changes in estrogen and progesterone levels. With aging, the ovaries gradually make less of these hormones. As estrogen levels decline, the woman’s body adjusts to the hormonal changes, and she will typically experience as hot flashes and sweats for the first one to two years after the last period. Other common symptoms include irregular menstrual periods, vaginal dryness, skin flushing, heart pounding, sleeping problems, headaches, forgetfulness, and joint aches and pains. These symptoms may last five years or longer. More importantly behind the scenes is the aging of the female body with bone loss, skin aging and brain aging as well as a rise in cancers and heart disease. We use biomarkers to assess bone turnover such as the Beta-Crosslaps test. A typical panel to assess the need for hormonal intervention will include estradiol, FSH and LH, (and a pelvic exam, breast exam and bone density test we would prefer you have done by your Ob/Gyn). For optimal therapeutic outcomes and to minimize cancer risks associated with hormone replacement therapy, many integrative medicine clinics have turned to the use of bio-identical hormones. We have found this approach to be very helpful for women going through pre- and peri-menopause. Adjustments in dosage, hormone combinations, and lifestyle habits will be recommended based on subsequent testing. Dr. Saleeby does not prescribe artificial or synthetic HRT.
Multiple Chemical Sensitivity: Environmental Illness, Sick Building Syndrome, Idiopathic Environmental Intolerance (Very Limited)
Multiple-chemical sensitivity, or MCS, is a condition in which individuals have an acute (yet often hidden) hypersensitivity to low levels of chemicals found in everyday substances, such as pesticides, fresh paint, household cleaning agents, fresh carpeting, synthetic building materials, newsprint, perfume, and numerous other petrochemical-based products. MCS is also referred to as environmental illness or toxicant-induced loss of tolerance. This condition remains somewhat of a mystery to the medical community, and most often it goes unrecognized and untreated. The lack of treatment and the ubiquity of chemicals can lead to job loss, social isolation, financial stress, and even homelessness for those afflicted with MCS. In the United States, practitioners of environmental medicine represent the main sources of treatment of MCS. The condition is chronic, and responses occur to multiple chemically unrelated substances at very low levels of exposure—much lower than are commonly tolerated. Symptoms can involve multiple organ systems and will only improve or resolve when the triggering chemicals are removed. The Priority Health approach aims to restore the body’s core detoxification systems and uses a low-cost testing method that can help discern multiple chemical sensitivities.
Note: MCS is a controversial diagnosis and is not recognized as a bona fide chemical-induced illness by the American Medical Association. However, a diagnosis of MCS can often be made based on a careful patient medical history and on the observation that the patient feels dramatically worse, and has numerous physical symptoms, when he or she is unknowingly placed in the presence of the offending chemicals. Various types of laboratory studies and sophisticated diagnostic procedures also may be helpful.
Nutritional Imbalances: Nutrient Deficiency and Nutrient Excess
If nutrients are lacking or do not reach body cells, then organs and organ systems will tend to function poorly and tissues will not heal well. At the Priority Health, one of our first priorities is to evaluate your nutritional status to ensure that you are well supplied with nutrients known to be critical to healthy functioning. Many individuals we see have various cellular nutrient deficiencies, making it extremely difficult for them to generate the energy needed to carry out cellular functioning. Such deficiencies may contribute to virtually every health problem known to humankind. Of course, every patient’s nutritional issues are highly individualized. Individual nutrient requirements can vary by 20-fold or more, depending on the genetics, biochemistry, physiology, and bioenergetics state of the individual. Dr. Saleeby is an orthomolecular nutritional medicine specialist and utilized oral and IV therapies. Through comprehensive nutrient analysis testing (which is largely designed to determine whether cellular nutritional needs are being met), we are able to construct a tailored nutritional regimen that includes both dietary changes and supplements aimed at correcting the deficiencies and bolstering one’s nutritional status over the long term. Correction of these deficiencies will invariably support other aspects of your integrative treatment program and result in profound and often surprising improvements in your health and well-being.
Overweight and Obesity
Obesity and being overweight are important risk factors for diabetes, heart disease, cancer and premature death. The need to lose weight and improve body composition has emerged as a critical health issue for the majority of U.S. citizens, and waistlines are expanding at an alarming rate across the globe. Though dozens of dieting regimens have been touted as fat-burning panaceas, the reality is that most individuals continue to struggle with portion control, food choices, logistics, and low satisfaction over the long term. Our approach at the Priority Health makes strategic use of whole-food-based meal replacements that include highly nutritious shakes and bars. This approach enables you to feel well-nourished throughout the day with very little effort or planning. Clinical studies indicate that these programs provide the best outcomes in terms of successful weight loss and reduction of disease risk. To complement the meal replacements, we recommend low-glycemic meals that have been shown in numerous studies to engender long-term weight control. Dr. Saleeby is available to address medical issues such as insulin resistance, metabolic weaknesses, circulatory problems, and chronic inflammation, and to provide individualized nutritional, metabolic and hormonal testing when needed or desired. We look for issues that halter weight management. We offer personalized counseling to supplements, to medical foods to pharmaceuticals and even the hCG diet in order create a personalized plan for reaching your optimal weight and body composition and importantly maintain it.
Premature Aging / Age Management
As men and women age, they may experience any one of a number of physical changes, such as loss of energy, wrinkles and blemishes in the skin, deteriorating body composition (increased body fat along with loss of muscle), loss of libido, anxiety, depression, and loss of mental focus. When several of these changes occur at the same time, they can add up to a very disheartening situation. Fortunately, with the help of an integrative approach, and utilizing the tools of “functional medicine”, the aging process can be slowed and even reversed. With the help of individualized testing, we seek to identify the factors that are most likely accelerating the aging process in your body. By then addressing each of these factors, we can turn this situation around and restore a high level of vitality and overall functioning.
MAJOR FOCUS of this center
A major focus on this practice is on the correct diagnosis and treatment of subclinical, lab-normal and obvious hypothyroidism. Euthyroid sick syndromes and adrenal fatigue or insufficiently are other disorders related. We can pick up subclinical hypothyroidism, we are expert at rehabilitating the injured thyroid gland and reducing thyroid antibodies. Read STTM II and learn more about finding a physician that can correctly diagnose and treat your thyroid disorder. We are on the short list. Labs include hs-TSH, free-T3, free-T4, free-T3:rT3 ratios, reverse-T3, Ferritin, Iron (Fe), Selenium (Se) and Iodine (I) levels, Heavy Metal analysis, MTHFR phenotype testing, Vitamin D3, Vitamin B12, MMA, HCY, TPO antibodies, & TGB antibodies. Inflammatory markers such as TNF-alpha, IL-6, IL-13a, CRP, and others. Ultrasound of thyroid gland is often ordered as well.
Toxic Metal Overload: Mercury, Lead, Cadmium, and Others – Limited to gentle ORAL DeToxification and Chelation therapy (no-IV chelation)
In today’s world, the human body is exposed to a steady stream of toxic metals such as cadmium (Cd), mercury (Hg), arsenic (As), and lead (Pb), all of which are serious neurotoxins as well as hormone disruptors. These heavy metals become increasingly concentrated as they are passed up the food chain, but even very low-level exposure poses a threat to young and old individuals alike. Our understanding of the consequences of increased body burdens of heavy metals has evolved considerably in recent years. We now know that both mercury and lead exposures in pregnant women must be kept to a minimum in order to prevent neuro-developmental problems in the developing fetus and child. Mercury, in the form of mercury vapor (from dental amalgams) and methyl mercury (primarily from tuna consumption), is easily transferred from the pregnant women to the fetus, and boys are particularly susceptible to the neurotoxic effects of lead and mercury following exposure early in life. Cadmium, found in food and cigarette smoke, increases the risk of breast cancer, uterine cancer, and other hormone-related cancers. Because of these and many other environmental health concerns, and based on your health history, we may recommend testing assessing your body burden of heavy metals. If excessive levels of heavy metals are found, chelation therapy (Dr. Saleeby uses ORAL exclusively) in tandem with mineral-antioxidant support can be very effective in reversing this situation; subsequent testing can then be used to evaluate the effectiveness of treatment. Often within three to 6-months, patients will be free of heavy metals, and many of their chronic symptoms will have resolved in the interim. Our clinical experience suggests that the health-stealing effects of heavy metals and environmental toxins are perhaps the biggest blind spot of conventional medicine.
Pranic Healing & Pranic Psychotherapy