Laser hair Removal with Xeo

Cutera's Xeo laser platform is a cutting-edge solution in the field of aesthetic treatments, particularly known for its efficacy in laser hair removal. This versatile device is equipped with multiple technologies that allow our practitioners to customize treatments for various skin types and hair colors, making it a popular choice among both clinics and patients.

Why Cutera's Xeo Stands Out for Hair Removal

One of the main reasons we chose Cutera's Xeo is its reputation for excellence in laser hair removal, thanks to its advanced laser technology. The Xeo platform incorporates both Nd:YAG and Alexandrite lasers, which are effective for different skin tones and hair types, which is important in laser hair removal. The Nd:YAG laser is particularly suitable for darker skin tones, as it can penetrate deeper layers of the skin without causing damage, while the Alexandrite laser is highly effective on lighter skin tones with dark hair.

Another standout feature of the Xeo platform is its customizable settings, which allows us to adjust parameters like wavelength, pulse duration, and energy levels. This flexibility is crucial for tailoring treatments to individual patients, ensuring optimal results with minimal discomfort. The device's ability to combine different laser wavelengths in a single session also allows for more comprehensive treatment of areas with varying hair types and skin tones.

The Role of Skilled Practitioners - Our RN’s and Dr. Prieto

The success of laser hair removal treatments, including those using the Xeo platform, depends significantly on the skill level of our practitioners. Dr. {preito works closey with her nurses to stay on top of the latest training, which is not only essential for operating the machine but also for assessing the patient’s skin type, hair color, and hair density to determine the most appropriate treatment plan. Laser Hair Removal is straight forward, but has many variables which need to be determined for best results. Our practitioners must be adept at adjusting the machine’s settings to optimize efficacy while minimizing risks such as burns or pigmentation changes.

Moreover, experienced practitioners are better equipped to handle any complications that may arise during or after treatment. They can provide comprehensive pre- and post-treatment care instructions, which are crucial for achieving the best possible outcomes and ensuring patient safety. Therefore, when considering laser hair removal, it’s vital to choose a clinic using Registered Nurses experienced in laser hair removal.

The Treatment Process: Why Multiple Sessions Are Needed

Laser hair removal with the Xeo platform, like other laser systems, typically requires 4-6 treatments to achieve significant hair reduction. This is primarily due to the hair growth cycle, which consists of three main phases: anagen (growth phase), catagen (transitional phase), and telogen (resting phase). The laser is most effective during the anagen phase when the hair is actively growing and the follicle is rich in melanin, the pigment that absorbs the laser energy.

However, not all hairs are in the same phase at any given time. This means that a single treatment cannot target all the hairs effectively. Multiple sessions are necessary to catch each hair follicle in the anagen phase, leading to more effective and long-lasting results. The typical interval between sessions is 4-6 weeks, depending on the area being treated and the patient’s hair growth rate.

We love Cutera's Xeo laser platform. It is a highly effective and versatile tool for laser hair removal, offering customizable treatments suitable for a wide range of skin tones and hair types. However, the technology's success largely depends on the expertise of the practitioners using it. Skilled professionals can maximize the device's potential, ensuring safe and effective treatments. While the process requires multiple sessions due to the nature of hair growth cycles, the results can be significantly longer-lasting compared to traditional hair removal methods. This makes the Xeo platform a valuable investment for both clinics and patients seeking reliable and efficient hair removal solutions.

Combining the the Xeo laseer with Privvy Modern Health is the best way to ensure your hair removal will be successful. Book a skin consultation with Dr. Prieto to learn more about our laser hair removal program.

What is RDS? - Renew Dermal Solution - work?

Exploring the Innovative Benefits of FACTORFIVE's Renew Dermal Solution at Privvy Modern Health

Privvy Modern Health is excited to offer the revolutionary FACTORFIVE Renew Dermal Solution, a cutting-edge in-office treatment designed to rejuvenate and remodel skin. This unique system combines the powerful exfoliating effects of a TCA-based chemical peel with the regenerative properties of human stem cell growth factors, delivering unparalleled skin revitalization. The two-step process involves an initial deep exfoliation followed by the application of the RDS2 Calming Solution, which infuses the skin with essential proteins to stimulate renewal.

Patients can expect noticeable improvements in skin tone, texture, and tightness from the very first treatment. The results continue to enhance over the following days, with reductions in wrinkles, brighter skin, and a more youthful appearance. This treatment is ideal for those looking to address signs of aging, pigmentation, and overall skin dullness.

The Renew Dermal Solution sets itself apart with its "no-peel" peel approach, minimizing discomfort and downtime. As an added benefit, this treatment is made in the USA - right here in Chico, California! - ensuring high quality and freshness. We recommend a series of 4-6 treatments, spaced 7-10 days apart, to achieve the best results. Visit Privvy Modern Health to experience this groundbreaking treatment and discover the future of skincare.

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Read more about this amazing new product on FactorFive’s website.

Cutera’s Xeo Dermal Laser

Ten Different Treatments that our Cutera Xeo performs

The Cutera Xeo laser platform was Privvy’s first aesthetics laser, and we were thrilled to learn how to do a couple of treatments with it. Little did we know how highly versatile and customizable this aesthetic system would prove to be!

Offering a wide range of treatments for various skin concerns, its advanced laser and light-based technologies can address a broad spectrum of aesthetic conditions, making it a popular choice for clinics and patients alike. Let’s explore ten different treatments that the Xeo laser can provide, highlighting its diverse capabilities.

Hair Removal

One of the most popular applications of the Xeo laser is hair removal. The system uses laser energy to target and destroy hair follicles, preventing future hair growth. This treatment is effective on various body areas, including the face, legs, underarms, and bikini line. The Xeo laser is suitable for all skin types, offering a safe and efficient solution for unwanted hair.

Skin Rejuvenation

The Xeo laser provides skin rejuvenation treatments that address signs of aging such as fine lines, wrinkles, and uneven skin texture. Using laser energy, the system stimulates collagen production, promoting smoother and more youthful-looking skin. This treatment can also improve skin elasticity and firmness, giving our patients a refreshed and revitalized appearance. Combined with our IV vitamin treatments including high doses of vitamin C, we’ve been able to maximize
the results.

Vascular Lesions

For individuals dealing with visible veins, such as spider veins or telangiectasia, the Xeo laser offers effective vascular lesion treatments. The laser energy targets the blood vessels, causing them to coagulate and be gradually absorbed by the body. This process reduces the appearance of unwanted veins, resulting in clearer, more even-toned skin.

Pigmented Lesions

The Xeo laser can effectively treat pigmented lesions, including hyperpigmentation, sunspots, age spots, and freckles. The laser targets the melanin in the skin, breaking it down and allowing the body to naturally eliminate the pigment. This treatment can significantly improve skin tone and clarity, providing a more even complexion.

Rosacea Treatment

For those suffering from rosacea, the Xeo laser offers a solution to reduce redness and visible blood vessels. The laser's targeted energy diminishes the appearance of broken capillaries and reduces overall redness, helping to manage and alleviate the symptoms of rosacea.

Acne and Acne Scars

The Xeo laser can treat active acne and reduce the appearance of acne scars. The laser targets the sebaceous glands, reducing oil production and bacteria on the skin. Additionally, the treatment can stimulate collagen production, improving the texture and appearance of acne scars over time.

Skin Tightening

Using the Xeo laser, patients can achieve skin tightening effects by promoting collagen remodeling. The laser energy heats the deeper layers of the skin, stimulating collagen production and resulting in firmer, tighter skin. This treatment is ideal for areas like the face, neck, and abdomen, where skin laxity may be a concern.

Leg Vein Treatment

The Xeo laser is effective in treating visible leg veins, offering a non-invasive alternative to traditional sclerotherapy. The laser energy targets the blood vessels, causing them to collapse and fade over time. This treatment improves the appearance of the legs, providing a smoother and more uniform skin tone.

Photofacials (IPL Therapy)

Intense Pulsed Light (IPL) therapy, also known as photofacial, is another treatment option available with the Xeo laser. IPL therapy uses broad-spectrum light to target various skin concerns, including sun damage, brown spots, and overall skin tone. The treatment can also reduce redness and improve the skin's overall texture and appearance.

Nail Fungus Treatment

The Xeo laser can also treat nail fungus (onychomycosis) by targeting the infection with laser energy. The heat from the laser penetrates the nail and destroys the fungus, promoting healthier nail growth over time. This non-invasive treatment offers a safe and effective alternative to traditional antifungal medications.

While Cutera's Xeo laser platform provides a comprehensive range of treatments that cater to various aesthetic concerns, we use various platforms for different treatment which we can discuss during your consult with Dr. Prieto.

Nonetheless, the versatility and effectiveness of Cutera’s Xeo make it a valuable tool for clinics and practitioners like Privvy, offering our patients customized solutions for their unique needs. Whether addressing hair removal, skin rejuvenation, vascular or pigmented lesions, or other skin issues, the Xeo laser delivers safe, effective, and long-lasting results.


Dr. Nerissa Prieto, M.D.
All rights reserved 2024 ©

Is Dysport Superior to Botox?

In the realm of cosmetic treatments for wrinkles and fine lines, Dysport and Botox are the two leading names that come up. Both are neuromodulators derived from botulinum toxin type A, but despite their similarities, many practitioners and patients find Dysport to have certain advantages over Botox. I’ve noticed this with my patients as well, so I decided to delve into the reasons why Dysport is often considered superior.

Faster Onset of Action

One of the most significant advantages of Dysport is its rapid onset of action. Clinical studies and anecdotal evidence suggest that Dysport tends to show effects within 2-3 days post-injection, whereas Botox typically takes 3-5 days, and on ocassion we see an effect in just 24 hours. For individuals seeking quick results, whether for a special event or personal preference, Dysport's faster-acting nature is a substantial benefit.

Diffusion and Spread

Dysport has a unique molecular structure that allows it to diffuse more widely than Botox once injected. This characteristic can be particularly advantageous in treating larger areas with fewer injection points. For example, in the treatment of forehead lines, Dysport’s ability to spread can result in a more even and natural appearance. Botox, on the other hand, tends to stay more localized, which can sometimes lead to a more rigid or unnatural look if not administered correctly.

Efficacy in Treating Certain Area

Because of its broader diffusion, Dysport is often preferred for treating areas like the crow’s feet (lines around the eyes) and forehead wrinkles. This broader spread can cover these areas more effectively with fewer injections. Some of my colleagues also believe that Dysport may provide a softer and more natural look compared to Botox, particularly in these dynamic regions of the face. I’m not quite sold on that, but Botox certainly takes a more skilled injector for certain areas.

Longer Duration of Effect

While the duration of effect can vary between individuals, some studies and clinical experiences suggest that Dysport’s results might last slightly longer than those of Botox. On average, Dysport treatments may last about 4-5 months, whereas Botox effects typically last around 3-4 months. This longer duration can mean fewer visits to the practitioner, which is a significant advantage for many patients.

Lower Risk of Antibody Formation

Repeated use of botulinum toxin can sometimes lead to the development of neutralizing antibodies, which reduce the efficacy of the treatment over time. Some research indicates that Dysport may have a lower risk of antibody formation compared to Botox. This makes Dysport a preferable option for individuals who require regular injections over many years.

Cost-Effectiveness

While the cost of Dysport and Botox treatments can vary widely depending on the provider and geographical location, Dysport is often perceived as being more cost-effective. This is partially due to it costing less per unit, but there’s a bit more to it than that.

Dysport’s ability to cover larger areas with fewer units can reduce the overall amount needed for effective treatment, or more likely, allows us to cover larger areas and get more done. Also, the treatments tend to last longer, reducing the duration between appointments and touch ups.

Therefore, while a single treatment may not cost less than a Botox treatment, we will be able to provide more thorough coverage, Generally speaking our patients do not pay less for a treatment, the value they receive is significantly higher.

Does this mean Dysport is better than Botox? What does it mean?

While both Dysport and Botox have proven to be effective and safe treatments for reducing the appearance of wrinkles and fine lines, Dysport offers several notable advantages. Its faster onset of action, broader diffusion, potential for longer-lasting results, lower risk of antibody formation, and cost-effectiveness make it an attractive option for many patients and practitioners alike. So why do we still use Botox?

In science, it’s not as easy as “this is the best,” which is why Dr. Prieto is constantly reviewing scientific studies on efficacy, patient reactions, and how to best utilize a particular product or medications. We still use Botox in the practice, and regardless of where you go, it is essential to consult with a qualified and experienced professional to determine the most appropriate treatment based on individual needs and goals.

During our consults, we consider your personal preferences, specific aesthetic concerns, and the practitioner's expertise which will ultimately guide the best choice between Dysport and Botox for achieving optimal cosmetic outcomes.

Dr Nerissa Prieto, M.D.

All Rights Reserved 2024©

Afraid of Semaglutide?

Is There Really Anything to Be Afraid of in Using Semaglutide?

Semaglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, has garnered significant attention for its effectiveness in managing type 2 diabetes and promoting weight loss. However, like any medication, it has sparked discussions and concerns about its safety and potential side effects. To determine if there is genuinely anything to be afraid of when using Semaglutide, it's essential to examine its benefits, risks, and the current evidence on its safety profile.

The Benefits of Semaglutide

Semaglutide mimics the action of the GLP-1 hormone, which plays a crucial role in regulating blood sugar levels and appetite. By enhancing insulin secretion, inhibiting glucagon release, and slowing gastric emptying, Semaglutide helps lower blood glucose levels and reduces food intake. This dual action makes it particularly effective for individuals with type 2 diabetes and those struggling with obesity.

Clinical trials have demonstrated that Semaglutide significantly improves glycemic control and promotes substantial weight loss. For example, the STEP trials, which investigated the effects of Semaglutide on weight management, reported that participants achieved an average weight loss of around 15% of their body weight. These outcomes are remarkable compared to other weight loss medications and lifestyle interventions, making Semaglutide a promising option for many patients.

Common Side Effects

Despite its benefits, Semaglutide is not without side effects. The most frequently reported adverse effects are gastrointestinal issues, including nausea, vomiting, diarrhea, and constipation. These symptoms are usually mild to moderate and tend to diminish over time as the body adjusts to the medication. However, they can be bothersome and may lead some patients to discontinue treatment.

Healthcare providers often recommend starting with a lower dose of Semaglutide and gradually increasing it to minimize gastrointestinal side effects. Additionally, patients are advised to eat smaller, more frequent meals and avoid high-fat foods to help reduce nausea. In our practice we’ve also found that combining behavioral changes while maintaining less than the maximum dosage of Semaglutide provides a good balance of side effects versus results.

Serious Risks

More serious concerns have been raised about the potential risks of Semaglutide, particularly regarding its long-term safety. One area of concern is the potential for pancreatitis, an inflammation of the pancreas. Although rare, cases of pancreatitis have been reported in patients using GLP-1 receptor agonists, including Semaglutide. However, large-scale studies have not conclusively proven a direct link between Semaglutide and an increased risk of pancreatitis.

Thyroid cancer is another potential risk associated with GLP-1 receptor agonists. In rodent studies, Semaglutide has been shown to cause thyroid C-cell tumors. However, it is important to note that these findings have not been replicated in human studies. The FDA has required a black box warning on Semaglutide's label to inform patients about this potential risk, though the actual risk to humans appears to be minimal based on current evidence.

Cardiovascular Benefits

Interestingly, Semaglutide has demonstrated cardiovascular benefits in addition to its glucose-lowering and weight loss effects. The SUSTAIN-6 trial, which evaluated the cardiovascular outcomes of Semaglutide in patients with type 2 diabetes, found that it significantly reduced the risk of major adverse cardiovascular events, including heart attack, stroke, and cardiovascular death. These findings highlight the potential for Semaglutide to offer protective cardiovascular effects, which is particularly important for patients with type 2 diabetes who are at higher risk for cardiovascular diseases.

And so…

As with any medication, there are some potential risks associated with Semaglutide, but overall benefits for many patients, particularly those with type 2 diabetes and obesity, are substantial. The common gastrointestinal side effects are manageable and tend to improve over time. Serious risks like pancreatitis and thyroid cancer remain largely theoretical based on current human evidence. Furthermore, the cardiovascular benefits of Semaglutide add an extra layer of reassurance for its use in appropriate patients.

Make sure you have a thorough discussion with your healthcare provider to weigh the potential benefits and risks based on you health profile. For many, the advantages of improved glycemic control, significant weight loss, and reduced cardiovascular risk far outweigh the potential downsides, making Semaglutide a valuable therapeutic option in modern medicine.

AviClear: Treating Acne with Lasers

The Revolutionary Use of AviClear Laser in Acne Treatment

Acne, a common skin condition that affects millions worldwide, can significantly impact a person's self-esteem and quality of life. Traditional treatments, including topical creams, oral medications, and chemical peels, often provide varying results and can come with side effects. The AviClear Laser, a groundbreaking advancement in acne treatment, promises to revolutionize how we approach this persistent skin issue.

What is AviClear Laser?

AviClear Laser is a cutting-edge, FDA-approved technology specifically designed to treat acne. Created by aesthetic laser manufacturer Cutera, this devices treats the root cause os acne, instead of its symptoms. AviClear targets the sebaceous glands—the oil-producing glands in the skin, and by reducing the activity of these glands, effectively diminishes the excess oil production that is a primary contributor to acne.

How Does AviClear Laser Work?

The AviClear Laser uses a specific wavelength of light that is absorbed by the sebaceous glands. This process heats the glands and reduces their activity, which in turn decreases oil production. The treatment is precise, targeting only the sebaceous glands without damaging the surrounding skin. This precision makes AviClear an excellent option for those who have not seen success with other treatments or who experience adverse effects from medications.

A typical AviClear treatment plan consists of three sessions, spaced a 4 weeks apart. Each session is quick, typically lasting between 15 to 30 minutes.

Benefits of AviClear Laser

1. Effective Results: Clinical studies have shown that AviClear Laser can significantly reduce acne lesions, with many patients experiencing clearer skin after just a few sessions. The reduction in oil production not only treats existing acne but also helps prevent future breakouts.

2. Minimal Side Effects: One of the most significant advantages of AviClear is its minimal side effects. Traditional acne treatments, especially oral medications, can cause various side effects, including dryness, irritation, and more severe systemic effects. AviClear, being a non-invasive laser treatment, primarily causes temporary redness and mild discomfort, both of which typically resolve quickly.

3. Suitable for All Skin Types: AviClear is designed to be safe and effective for all skin types, including sensitive skin. This inclusivity is a substantial benefit, as many other treatments can be too harsh for certain skin types.

4. Quick and Convenient: Each session is relatively short, and there is no downtime required. Patients can return to their normal activities immediately after treatment, making it an ideal solution for those with a busy lifestyle.

Real-World Results and Patient Satisfaction

The real-world results of AviClear Laser are promising, and our experience at Privvy Modern Health reflect this. Patients have reported significant improvements in their skin's clarity and texture. The reduction in acne lesions and oil production leads to fewer breakouts and a noticeable decrease in acne-related inflammation. Furthermore, the boost in self-confidence and mental well-being that comes with clearer skin cannot be overstated.

The Future of Acne Treatment

As technology advances, the field of dermatology continues to evolve, offering more effective and less invasive treatments. AviClear Laser represents a significant step forward in acne treatment, providing a viable alternative for those who struggle with traditional methods. Its effectiveness, minimal side effects, and suitability for all skin types make it a compelling option for many patients.

If you or someone you know suffers from acne, please reach out for a consult. Dr. Prieto and her staff will gladly devise a treatment plan for you to reduce or eliminate your acne.

The Synergy Between Laser Aesthetics and IV Nutritional Therapy

Having aesthetics work performed on your face involves skin and bones, literally. The shape of your bones, and the condition of your skin is what we treat, and not to scare you, but it’s really a medical procedure. Your skin is the largest organ in the human body, and the bones provide shape and structure. So it seems to make sense that optimizing your health will optimize any aesthetics work you have done.

Enhanced Skin Health and Appearance

IV Nutritional Therapy treatments involves administering vitamins, minerals, and other essential nutrients directly into the bloodstream. This method ensures 100% absorption, which is significantly higher than oral supplements. For skin health, specific infusions might include vitamin C, glutathione, and B-complex vitamins. These nutrients play crucial roles in collagen production, detoxification, and combating oxidative stress, leading to a healthier, more radiant complexion.

Laser Treatments for Skin

Laser Aesthetics Treatments such as fractional laser resurfacing and intense pulsed light (IPL), target various skin concerns, including pigmentation, fine lines, wrinkles, and acne scars. These treatments work by stimulating collagen production and promoting cell turnover, resulting in smoother, firmer, and more youthful-looking skin.

IV Therapy & Laser Treatments: The Ultimate Synery

When combined with IV nutritional therapy, you can optimize your skin’s condition before laser treatments, enhancing their effectiveness. Post-laser, IV therapy can accelerate healing, reduce inflammation, and support the skin’s natural repair processes. This synergy means patients can enjoy quicker recovery times and longer-lasting results.

Privvy Modern Health was founded as an IV Nutritional Clinic first. When we added aesthetics, we realized we had a perfect combination of patient treatments. We had something people wanted - aesthetics - and something people needed - the Treatment of Chronic Illnesses.

The synergy between IV nutritional therapy and laser aesthetics treatments represents a powerful approach to aesthetic medicine. By addressing both internal health and external appearance, these treatments provide comprehensive benefits that enhance patient outcomes, improve skin health, and boost overall wellness. This holistic approach not only meets the growing demand for effective, multifaceted treatments but also positions clinics as leaders in the field of aesthetic and wellness solutions.

Looking good makes you feel good, and feeling good just feels good. If you want to see and feel this ultimate combination for yourself, book a consultation here.

Solving Healthcare’s Puzzle

The Missing Pieces

“A multitude of factors are outside of our control. I’ve chosen to channel my experience in trauma and critical care to address the things we CAN control—nutrition, weight, and healthy aging.” Dr. Nerissa Prieto

When tragedy cannot be avoided, preparation and medical science can minimize the loss. In March 2022, the driver of an SUV lost control and crashed through the front of a daycare.19 preschoolers were asleep on the floor where the vehicle came to an abrupt stop. A mass casualty alert was relayed to the local trauma center in Redding, California. Dr. Nerissa Prieto was one of the first doctors to arrive in the emergency room, where she and the ER physician on call planned the response to a complex problem: not only was this a mass casualty, an uncommon scenario that physicians may only see once in a lifetime, but this was a mass casualty of children—all different ages and different sizes, requiring different types of equipment, instruments, monitors. Dr. Prieto and her ER colleague coordinated the workflow in a crowded trauma bay, allowing nearly all the injured children to be treated simultaneously, by dozens of physicians, nurses, pharmacists, and support staff. Thankfully, all the children survived.

During her 20-year career as an anesthesiologist and ICU physician, Dr. Prieto has learned to neatly classify patient conditions into two categories: a sudden unexpected change in health—as a result of an accident like the one at the daycare, for instance—versus the slow progression of chronic diseases such as diabetes, hypertension, neurologic decline, and heart disease.

“Bad things happen suddenly that no one can predict or prevent. But there are plenty of devastating health outcomes that we can predict and prevent, and we get better at that every year that goes by. We, as physicians, will someday do a great job of educating patients about how to ‘predict and prevent’ with customized resources and personalized approaches to stay healthier longer. This will redefine how we treat illness, and how we age.”

A native of Washington D.C., Dr. Prieto received her Bachelor of Science in Biology/Psychology from Wellesley College. She then spent several years as an investment banker on Wall Street. After receiving a Master’s degree in Neuroscience and Cell Biology from UCLA, she attended medical school and residency at Rutgers University in New Jersey. Her surgical rotations focused on pediatric reconstructive plastic surgery, but after one year of surgical residency, she pivoted into anesthesiology. 

She explained that an anesthesiologist in the operating room must be able to treat a wide variety of conditions without consultation from other specialists, from high blood pressure, diabetes, and anxiety, all the way up to cardiac arrest, stroke, and respiratory failure. “So, in this one field, I really found a lot of satisfaction because of the breadth of expertise I needed to have across all areas of medicine,” Dr. Prieto said. She completed her medical training in 2007 with a critical care fellowship at Stanford and has been practicing in the North State ever since. 

Dr. Prieto has spent her career treating patients in life-threatening situations. She now uses that perspective as a unique basis for patient care in a totally different setting—a wellness clinic. She opened Privvy Modern Health in 2021 as a place where she could apply her “predict and prevent” concept with a special emphasis on the use of IV vitamin supplementation. Her education in cell biology, experience with critically ill patients, and understanding of the latest medical and nutritional literature made her realize there was a place for aggressive vitamin supplementation in certain health conditions. 

“Many IV therapy places are ‘hangover clinics’, but we can do so much more at Privvy. Dehydration from nausea and vomiting, poor appetite, surgery, or illness - these are just some of the many reasons people seek out IV fluids to feel better faster. Meanwhile, IV vitamins may be helpful for more complex patients, as chronic illness is frequently associated with nutritional deficiencies. Inflammation produces free radicals, unstable molecules that cause cell damage found in cancer, disease, and even normal aging. Think of Lyme disease, autoimmune conditions, and others - all associated with vitamin deficiencies as a result of chronic inflammation. What about patients who cannot absorb vitamins? They may have a food intolerance, have had gastric weight loss surgery, or may have more severe conditions like Crohn’s disease and ulcerative colitis. These patients can feel better with the occasional IV vitamin boost to make up for years of malabsorption.”

Privvy had been helping people for just over a year with IV treatments when her patients started asking if there were any other treatments she could offer them along their health journey. Privvy began offering medical-grade weight loss treatments and counseling, paired with nutritional therapies, for a healthier way to lose weight while simultaneously improving nutritional status. It’s been a winning combination as she goes into her second year of offering a more holistic lifestyle, nutrition, and injectable therapy approach to weight loss, committing to long-term support of her patients, and more personalized regimens. Dr. Prieto’s success with improving her patients' well-being with her unique combination of IV nutrition and weight loss led her to create the next line of Privvy services: Regenerative aesthetics. 

“I became aware of the frequent disconnect between how good people feel on the inside, and how they feel about their appearance - sometimes those things just don’t match up. They say 50 is the new 30 in terms of age, but maybe I just made that up to feel better about the fact that I’m getting close to 60,” she laughed. Breaking down the meaning of “Regenerative aesthetics” means understanding the principles of regenerative medicine and aesthetic medicine simultaneously.

Regenerative medicine focuses on restoring cell and organ function that has been lost. While the field is still considered on the fringe by some, it takes everything we know about genetics, aging, nutrition, and inflammation and combines it together with Western medicine. Dr. Prieto believes, “In many ways, regenerative medicine is an ideal place to stand and look over the landscape of both preventative and therapeutic medicine.” Regenerative techniques could lead to future success in reversing inflammation and may contribute to treating age-related diseases and cancer. Aesthetic medicine, meanwhile, focuses on improving appearance, treating the visible effects of aging, and, in turn, positively impacting confidence, satisfaction, and self-esteem. For instance, laser and light therapies stimulate the natural regeneration of collagen. Meanwhile, a growing body of scientific studies demonstrates that topical growth factors and peptides in new formulations lead to remarkable changes in skin structure and function. 

She continued, “My patients are feeling healthier, and now they want to project that feeling outwardly. They want the outside world to see how healthy and vibrant they feel inside.” Regenerative aesthetics is her latest approach to providing solutions for healthy aging. The aesthetics team she’s assembled is fully on board with the concept of augmenting their use of Botox, facial fillers, and lasers with principles in regenerative medicine and nutrition to enhance the patient experience and quality of life. 

While committed to the community in her role as a physician, she has also found an outlet to rekindle her interest in scientific research. FACTORFIVE is a Chico-based biotech company that specializes in medical-grade skincare products formulated from ethically derived human growth factors. Dr. Prieto works closely with FACTORFIVE to develop and conduct clinical research trials to support their patented formulations. This relationship keeps her squarely grounded in the science and research of aesthetic medicine

Through Privvy Modern Health, Dr. Prieto integrates traditional approaches to illness with emerging scientific findings. She wants to connect the dots between Western medicine, cell physiology, biochemistry, and current research to make a difference in how people feel. Dr. Prieto believes this inclusive and practical approach to healthcare should be widely available. “We all should be privy to information on how to live with health—that’s why we’re called Privvy Modern Health. We educate patients on how to ‘predict and prevent’ bad health outcomes wherever possible. We can’t control everything, but we absolutely should control the things we can. Everyone should feel free to stop by my clinic to ask questions and see how we can help. The door is open.”

Aging with health is what Privvy Modern Health is sharing with the community through IV nutritional therapy, medical-grade weight loss, and regenerative aesthetics. You can find Dr. Prieto on LinkedIn, or set up an appointment for a consultation and to see how Dr. Prieto and her team can offer you and open the door to your best self.

Ketamine Treatments for PTSD

Ketamine Therapy: A Promising Frontier in PTSD Treatment

Post-Traumatic Stress Disorder (PTSD) is a complex psychiatric condition that can develop after experiencing or witnessing a traumatic event. Traditional treatment methods often include psychotherapy and antidepressant medications. However, for some individuals, these treatments may not provide sufficient relief. In recent years, there has been growing interest in the potential use of ketamine, a dissociative anesthetic, as an alternative treatment for PTSD. This article delves into the emerging research and clinical applications of ketamine therapy in the management of PTSD.

Ketamine, originally developed as an anesthetic in the 1960s, has gained attention in psychiatry for its rapid-acting antidepressant properties. Unlike traditional antidepressants that may take weeks to alleviate symptoms, ketamine has been shown to produce rapid and robust antidepressant effects within hours. This unique characteristic has led researchers to investigate its potential efficacy in treating other mental health conditions, including PTSD.

Studies exploring the use of ketamine for PTSD have yielded promising results. One study published in the Journal of Psychopharmacology found that a single intravenous infusion of ketamine significantly reduced symptoms of PTSD in individuals who had not responded to traditional treatments. The improvements were observed within hours and persisted for up to two weeks following the infusion. These findings suggest that ketamine may offer rapid relief for individuals struggling with PTSD symptoms.

The mechanism of action underlying ketamine's therapeutic effects in PTSD is not fully understood. However, researchers believe that its ability to modulate glutamate, the brain's primary excitatory neurotransmitter, plays a crucial role. PTSD is associated with alterations in glutamate signaling, leading to hyperactivity in regions of the brain involved in fear processing and emotional regulation. Ketamine acts on the N-methyl-D-aspartate (NMDA) receptor, a subtype of glutamate receptor, to restore balance in glutamate signaling. By doing so, ketamine may help disrupt maladaptive fear circuits and facilitate the process of extinction learning, wherein individuals learn to associate previously traumatic stimuli with safety rather than threat.

In addition to its rapid antidepressant effects, ketamine therapy may also address other symptoms commonly associated with PTSD, such as intrusive memories, avoidance behaviors, and hypervigilance. A systematic review published in the Journal of Traumatic Stress examined the existing literature on ketamine treatment for PTSD and found evidence supporting its efficacy in reducing both core PTSD symptoms and associated depressive symptoms.

Despite the promising findings, it's essential to acknowledge that ketamine therapy for PTSD is still in its early stages, and more research is needed to fully understand its long-term effectiveness and safety profile. Concerns have been raised regarding the potential for abuse and dependence, as ketamine has a history of recreational use as a hallucinogenic drug. Additionally, there are limited data on the optimal dosing regimen, treatment frequency, and potential adverse effects associated with prolonged ketamine use.

Furthermore, ketamine therapy is not suitable for everyone, and its use should be carefully considered in consultation with a qualified healthcare provider. Individuals with a history of substance abuse, certain medical conditions, or those taking certain medications may not be appropriate candidates for ketamine treatment.

As an operating room and trauma anesthesiologist, Dr. Prieto has administered Ketamine for decades. Dosing protocols are more of an art form requiring a broad understanding of pharmacology, physiology and psychology. While Privvy currently is not administering Ketamine, Dr. Prieto will be happy to consult with you and find a psychiatrist who works with an anesthesiologist or Nurse Anesthetist to administer Ketamine.

Let’s Talk Vitamin D

“Finish your milk if you want strong bones!”. You’ve maybe heard this a time or two at the dinner table growing up. Is there any merit to this age-old saying? The answer is yes.

While milk doesn’t naturally contain vitamin D, it is a good source of calcium. In the 1930s, the United States began to fortify milk with vitamin D in an effort to eradicate rickets, a disease that softens and weakens the bones. Vitamin D and calcium, work well together, with D aiding calcium absorption into your bones, thus helping strengthen them.

Unfortunately, drinking glasses of milk, eating foods high in Vitamin D or standing in the sun isn’t going to cut it. In fact, “nearly one half of the United States population is deficient in Vitamin D - especially older adults, young women and infants” (Healthline, 2020). The rate of deficiency is a shocking 75% for Latinx communities and 80% for Black communities (darker skin protects people from the powerful sun, but pigmentation reduces vitamin D production) . However, with modern medicine and IV therapies like the ones provided at Privvy Health, we’ve got you covered with more efficient and effective ways to get this vital nutrient in.

Why Do I Need It?

Vitamin D is both a nutrient and a hormone that is naturally produced by our bodies. It is a fat-soluble vitamin that has a long history of aiding the bodies absorption and reaction of calcium and phosphorus, both of which are essential for bone development. Lower levels of the vitamin D have been proven to be linked with higher risk of chronic disease and while having the proper amount of vitamin D has seen to result in lower risk of disease.

According to Healthline, “Vitamin D has many benefits including bone health, proper cell growth, nerve and muscle function, and a healthy immune system. It likewise helps reduce inflammation, which is thought to contribute to conditions like heart disease, diabetes, autoimmune diseases, and cancer” (2020). All benefits which will be helpful to our bodies as we age and deal with increased health concerns.

Vitamin D can also play a role in improving your overall mental health. Have you ever noticed mood or mental health changes when you’re in the middle of the summer sunshine compared to the depths of a long winter with lots of rainy days? It’s not just in your head. Vitamin D is known as the “sunshine vitamin” which is essentially a hormone that is made when the cholesterol in your skin is exposed to the ultraviolet rays from the sun (Healthline, 2020). Since most people are already deficiency, the addition of limited or no UV ray exposure can exacerbate symptoms.

Berk et al. (2007) was able to prove that vitamin D deficiency may play a role in depression and possibly other mental disorders. In addition, they suggested that it could play a role in the supplementary treatment of depression. Another recent report summarized studies on vitamin D and mood disorders in women, suggesting that vitamin D may be an important nutrient for women’s physical and mental well being (Murphy & Wagner, 2008).

Where We Come In

At Privvy, we have a multitude of therapies that will help you get the right dose of Vitamin D - all without exposing yourself to the sun (which can come with it’s own risks) or drinking a big glass of milk! Our Powerhouse - Vitamin D3 injection can help you get back on the right track. Available in low, mid and high does, there’s something for everybody. Schedule your consultation today with our medical professionals, either online or over the phone, to see how vitamin B can be fit for your long term health.

Sources used:
https://www.healthline.com/nutrition/vitamin-d-milk#Supplements-101:-Vitamin-D
Berk M, Sanders KM, Pasco JA, Jacka FN, Williams LJ, Hayles AL, Dodd S.
Vitamin D deficiency may play a role in depression. Medical Hypotheses.
2007;69:1316–1319.
Murphy PK, Wagner CL. Vitamin D and mood disorders among women: An
integrative review. Journal of Midwifery & Women’s Health. 2008;53(5):440–446.