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Regaining Visual Activity For Patients With Macular Degeneration In Washington
Our low vision doctor, Dr. Ross Cusic, can help patients with Macular Degeneration regain visual activity so you can go back to doing the things you want to do such as drive, read, watch TV, use your phone, make out faces and more.
How Can I Drive With Macular Degeneration?
Central vision is very important for driving. Unfortunately, since macular degeneration causes central vision loss, driving becomes difficult or impossible with a central blind spot. Nonetheless, there are low vision glasses that can help enhance your vision.
This involves mounting a miniature binocular called a bioptic telescope, on your eyeglasses. This will help you drive as you will be able to recognize the color of traffic lights and see street signs. Although, it is important to undergo a specialized training program before you are allowed to drive in Washington.
How Can I Read With Macular Degeneration?
Macular Degeneration causes a central blind spot which makes it tough to read small print. What’s more, your eyes will continue to struggle as you focus on new words. Hence, reading will be very slow.
To enhance your reading abilities, our low vision doctor, Dr. Ross Cusic, will recommend the right low vision glasses for you. This can include low vision magnifying reading glasses or prismatic eyeglasses. These low vision glasses will provide high-powered magnification that will lessen the effect of the central blind spot.
How Can I Watch TV With Macular Degeneration?
Furthermore, macular degeneration patients may find it hard to watch TV. The options they have are:
- Sitting closer to the TV to enlarge and spread the image across a peripheral retina.
- Purchasing a TV that has a very large screen and sharper quality for clearer images.
- The use of a telescopic system or other low vision aids to provide magnification when viewing the television. They also feature special tints and coatings to help reduce glare, improve light transmission, and improve contrast.
At Low Vision Center At Optical Images, we have the ideal low vision glasses for you at our Seattle low vision center.
How Can I Use My Phone With Macular Degeneration?
Like other activities which require light, patients with macular degeneration may find it difficult to operate their phone. You may have to move your mobile devices very close to your eyes. You can also magnify your fonts to operate the phone. When you visit our low vision center, we will recommend low vision glasses that will help enhance your vision while improving light transmission and reducing glare.
How Can I Make Out Faces?
Another serious challenge you can face as an AMD patient is making out faces. Due to the central blind spot, every image, object, or face directly in front of you will appear blurry. Although, you will be able to recognize those you are familiar with using their voice, shape or walking posture, you will need special low vision glasses to make out new faces.
Contact Us Today
If you have been diagnosed with macular degeneration, there is still hope for you. Contact us today at Low Vision Center At Optical Images. Our low vision doctor, Dr. Ross Cusic will be available to speak with you and discuss your options. We will carry out a comprehensive eye exam to determine your eye condition. If you are diagnosed with AMD, we will provide you with personalized low vision glasses to help you regain visual activity and begin to do the things you want to do again.


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Over the counter: You can buy many products from your local pharmacy or drug store that are extremely safe. Their final result can be as white as the more professional style, however, they can be up to ten times slower.
One hour whitening: Several years ago it was considered to be the best way, and its popularity was enhanced with many Britesmile and Zoom centers. It is a high concentration of carbamide peroxide that sits on the teeth for an hour. Unfortunately, the main side effect is a sensitivity that ranges from mild to severe. Many offices still do the one hour whitening but usually recommend it only for those patients with a big event coming too soon for slower techniques.
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Think achieving a brighter, whiter smile in just one visit is impossible? Think again! With the help of advanced technology, Dr. Kalluri uses a high-grade bleaching gel to blast away stains, as well as any lying below the surface.
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If in-office teeth whitening doesn’t sound like a good option for you, your dentist in Hillsboro can offer at-home teeth whitening kits that will produce outstanding results in a matter of weeks. This is a great alternative for patients seeking a gradual method of treatment.
Dr. Kalluri will customize your trays so they fit your smile and ensure an even whitening experience. Unlike over-the-counter products that are one-size-fits-all, these custom dental kits use the same high-grade bleaching gel as in-office treatments, and you can have peace of mind knowing you’re getting the most out of your investment because it is coming from a professional.
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At this point, you might know that teeth whitening is the right cosmetic dental treatment for you, but you aren’t quite sure about the cost. Although there isn’t a one-size-fits-all answer, we can provide you with some general estimates on the different types as well as share how to make your treatment more affordable. Of course, if you’d like a specific answer regarding the price, then schedule a consultation with our team so we can learn more about your unique dental needs and smile goals!
As we mentioned above, there isn’t a one-size-fits-all answer when it comes to the price of teeth whitening. Before providing you with the cost, we need to determine:
There are four popular types of teeth whitening, and each one comes with its own cost. Here’s what to expect:
If you’re on a budget or simply like to look for a good deal, you might be tempted to go for “affordable” options, like store-bought strips. However, it’s important to consider more than just the upfront cost. After all, professional whitening treatments start with a thorough oral exam, which is essential in ensuring that your teeth and gums aren’t harmed in the process. Furthermore, over-the-counter products have to use diluted brightening agents and one-size-fits-all applicators, which will maybe lighten your teeth a shade or two. Simply put, if you want to see noticeable results while preserving your oral health, it’s best to opt for professional treatments over store-bought products.
Since dental insurance doesn’t typically cover treatments that aren’t medically necessary, like teeth whitening, you might be wondering how to make your smile transformation more affordable. If that’s the case for you, then we encourage you to speak with our financial coordinator! They can take a look at your treatment plan, review the available financial solutions, and answer any questions you have.
A lot of the time, teeth whitening is someone’s first experience with cosmetic dentistry. You won’t believe the difference a whiter smile can make in your life, but if you’re new to aesthetic dentistry you might be a little reticent to dive in headfirst.
The solution to that is to understand more about the treatment, so clear the air, here are answers to a few questions we get often about teeth whitening.
One of the biggest things that drives people away from dental care of all kinds is concerns about pain. Thankfully, teeth whitening has nothing to worry about from that perspective—the treatment is entirely painless from beginning to end, and anesthesia is completely unnecessary.
The only concern would be tooth sensitivity after the treatment. We’ll tune the strength of the whitening solution to your teeth so you shouldn’t have to deal with very much sensitivity when you work with us, nothing more than a little ibuprofen could deal with.
If you’re unusually prone to sensitive teeth, be sure to let us know so that we can account for that in designing your treatment.
Unfortunately, the results of teeth whitening aren’t permanent. However, they do last considerably longer than you’d expect.
Depending on how well you take care of your teeth, you can still see the results of teeth whitening anywhere from a few months to a few years after receiving the treatment. If you want to keep your teeth as white as possible, you should be sure to keep up with your dental hygiene and avoid drinks (like coffee or wine) that can discolor your smile.
Everyone’s budget is different, so it’s hard to say definitively whether or not you’d consider teeth whitening expensive. However, as far as cosmetic dentistry is concerned, teeth whitening is definitely one of the more affordable treatments.
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After my beloved dog Panda gained some weight (76 lbs when she should be 65!) and developed arthritis and mobility problems, (at only 5 years old, some days she could only walk a few blocks when we used to hike an hour a day) I decided I needed to radically change her diet. Something had to give other than my poor girl’s knees.
My vet recommended Hill’s Science Diet for mobility and metabolism; it had to be special ordered, and was about $40 for 9 lbs. Panda sniffed it and unenthusiastically ate it. It smelled like strongly salted beets. I researched the company and ingredients and was mortified at what I had been feeding her those few days – basically (in my opinion, I could be wrong and the vet had luck with the product) a lot of slaughterhouse, brewery and bakery floor sweepings and other cheap, GMO-laden filler; expensive literal garbage (again, in my opinion) that my dog didn’t even like–talk about insult to injury. I won’t detail the ingredients of that food and the negative reviews I read, (this is already going to be a long post) and I returned it for a refund and started researching better alternatives.
I decided to take the plunge and start making Panda’s food. NOTE (obvious warning is obvious): I am not a vet, but I have talked to my vet about this approach, and she approves, even though she initially recommended the Science Diet. Bioindividuality is as key to animals as it is to humans. What works for some dogs may not work for others due to individual tolerances, sensitivities, allergies, preferences and other factors and conditions. Some dogs can be immediately switched to raw from kibble, and some may be gradually transitioned. Though it isn’t advised to feed both in the same meal. I read some books and many online articles and forum threads and fed her this way for about six weeks, tweaking a few times a week before settling on this formula.
(There’s no delicate way to say this, but the proof is in the poop. If it is too soft and runny, you will need to add more fiber and calcium (or more meaty RAW (never cooked) bones.) If she is straining/constipated, ease up on the bones and calcium and make sure she is getting enough water and probiotics. Carefully monitor your dog for any adverse (or positive!) changes if you switch her food. You will be pleasantly surprised by much smaller and less stinky cleanup duties.)
The two books I found most helpful and highly recommend were Raw Dog Food: Make it Easy for You and Your Dog by Carina Beth MacDonald and Dr. Pitcairn’s Complete Guide to Natural Health for Dogs & Cats.
I decided to feed my dog mostly raw because:
- I wanted to improve her life and longevity;
- Dogs are pretty much wolves and should eat a similar diet of actual food; they didn’t evolve to eat grains or other carbs that comprise most commercial dog food. They certainly didn’t evolve to thrive on a diet made only of bizarre little overly processed pellets;
- Her teeth and jaws are designed to tear and chew meat. She has very strong stomach acids and a short digestive system that can easily handle the bacterial load of raw meat;
- Her teeth are cleaner, her breath fresher, her coat is glossier, and she has more energy when she eats this way, and she has already lost 5 lbs!;
- She LOVES meal time and literally drools on the floor while I am preparing her food and promptly “wolfs” it down;
- Grains such as corn, wheat and soy are common allergens and contribute to canine obesity and other health problems (yeasty ears, flaky skin, etc.). And I don’t have to mention how I don’t support GMO products, do I?
- Grains are filler and unnecessary. Kibble is cooked, made from low quality ingredients, (including low grade meat) with most of the nutrients, living enzymes and antioxidants cooked out and then replaced by cheap synthetic supplements, along with preservatives, excessive salt, fat stabilizers and artificial colorants. And they eat this every single meal; and
- We are admonished that fresh wholesome, varied food is best for us, and that we need to avoid processed food, but then turn around and feed our best friends 100% processed foods for every single meal. Food that has had its living enzymes and many nutrients boiled out of it and replaced by synthetic or cooked ingredients. Food that hasn’t been fresh in months if not years, even if it’s the organic “premium” kibble. It’s still unnatural boiled and baked little dry cookies.
Generally, the concept of feeding raw is to “build a prey animal” for your dog to eat – lots of raw meat, some bones, some organ meat, vegetables and fruit pulverized to simulate partially digested stomach contents of prey animals, and add variety and supplements for a wider range of nutrients or to address your dog’s particular issues.
There are three main components to each meal: Meat or other protein with occasional organ meat and bones (70%), Veggie “soup” (25%) and supplement powder (Panda Powder) and other (5%). The general rule of thumb (depending on your dog’s size, metabolism and activity level) is to feed her 2-3% of her ideal weight per day. For example, Panda should be 65 lbs. 2% of that is 1.3 lbs, I round up to about 1.5 lbs (.75 lbs per meal.) I actually feed her a bit more than this, but her veggie soup and fiber are very low calorie, and I believe it makes her feel fuller for longer.
This process might seem laborious and overwhelming at first, but I promise you once you have all of the ingredients (and containers) and have the rhythm down, you are just assembling meals twice a week. And I certainly eased into it, gradually adding more glass storage containers and different supplements to my pantry as time and money allowed.
Step One: The Protein:
Some raw foodists advocate that 50% of each of your dog’s meals should be raw meaty bones (“RMB” such as chicken backs and wings) but for Panda, this was too much (the proof is in the poop . . .) and I give her RMB just a few times a week, and supplement with calcium to make up for it. Where I live, I can find organic ground chicken pet food and chicken livers in the freezer section. I rotate packages from the freezer to my fridge to thaw every few days. Organ meats like liver and kidney are very nutritious for dogs, but add sparingly as they are quite rich. They should comprise no more than about 5% of her total meal.
For her protein, I usually feed her ground meat and a little bit of organ meat, or occasionally I will substitute the ground meat with a can of salmon (never feed raw salmon) or some sardines, or some soft boiled eggs (including the shells). It is good to have tins of sardines on hand as a treat or backup, and the bones and fish oils are quite beneficial to your pup. You can save money by talking to your local butchers, looking on Craigslist, or hitting up any hunting and farming friends for leftovers and scraps. I buy organic or sustainable when I can.
Obviously, be safe in handling raw meat and use non-porous (stainless steel) bowls for feeding.
Step Two: the Veggie Soup
Dogs can’t directly digest raw vegetables or fruits. Cooking, puréeing and freezing them break down the cell walls to make these foods more bioavailable. Dogs can eat leafy greens, (including dandelion greens and beet and carrot tops) carrots, green beans, squash and sweet potato. Toss healthy trimmings in a freezer bag for your next batch. Avoid onions, garlic, cruciferous vegetables and inflammatory nightshades (so no broccoli, cabbage, kale, cauliflower, eggplant, tomatoes, peppers or potatoes.) A little bit of fruit can be added (avoid grapes and raisins).
A cost effective (and low calorie) way to get these veggies into your dog’s food is to make a soup in bulk. I vary the recipe depending on what I have on hand but here is a basic recipe:
1 sweet potato, cubed
1 bag organic baby carrots
1 bag organic frozen cut green beans
1/8 bag organic frozen blueberries
3 tablespoons concentrated chicken broth (or you can make your own, but be mindful to avoid onions and excess salt)
3 quarts water
Put all of the ingredients in a large stock pot and let simmer until the carrots are softened, at least an hour. Use an immersion blender to purée the soup. (When I grow up I will get a Vitamix and just blend everything together without cooking and losing nutrients.) Ladle into mason jars or other containers and freeze most of them once cooled. I make this every 2 weeks or so, defrosting a jar a few days before the fridge jar is used up.
Carina Beth MacDonald’s recipe (she calls it “veggie glop”) includes 1-2 lbs of veggies blended with water, whole raw eggs with shells, a teaspoon of Vitamin C, a tablespoon of black strap molasses, 1/2 cup yogurt and a splash of unpasteurized apple cider vinegar for probiotics. Because I supplement with probiotics, Vitamin C, calcium and other items in my Panda Powder, I do not add these items to my soup. Some people add a little cooked white rice for filler also; this could just be added and boiled with the soup. Panda B (AKA “Sausage Dog” but much less so these days) doesn’t need the extra carbs, trust me.
Step Three: Panda Powder and Other
You can skip this step if you are confident your dog is getting enough nutrients through her varied diet, supplementing as above, in the soup. However, I make a Panda Powder every two weeks or so and add other ingredients to be on the safe side. (Alternatively, you can just start with Dr. Pitcairn’s basic Healthy Powder recipe, found at the bottom of this post.)
Panda Powder: about 3.5 tablespoons per meal/serving for a 65 lb dog
1 cup nutritional (not brewer’s) yeast – (1 TBS per serving)
1 cup dried pumpkin fiber (1 TBS per serving)
5 tablespoons calcium for dogs (1 tsp per lb of food)
5 tablespoons GMO-free lecithin (1 tsp per serving)
5 tablespoons turmeric (1 tsp per serving)
5 tablespoons spirulina or other dog safe green powder (1 tsp per serving)
2.5 tablespoons kelp (1/2 tsp per serving)
1 heaping tablespoon Vitamin C (calcium ascorbate or sodium ascorbate, not ascorbic acid (1/4 tsp per serving)
1 heaping tablespoon probiotics (1/4 tsp per serving)
Add to a mason jar and shake to mix up and store in the refrigerator.
Other additions: 1 tablespoon of fish oil or coconut oil, (1000 mg per 30 lbs) 1 teaspoon of unpasteurized apple cider vinegar, 200 IU Vitamin E, other supplements such as MSM, glucosamine and chondroitin if she has mobility issues.
(Dr. Pitcairn’s original Healthy Powder recipe: 2 c nutritional yeast, 1 c lecithin granules, 1/4 c kelp powder, 4 TBS Calcium (his book recommends bone meal, but he now recommends some alternatives like Animal Essentials brand and you can substitute with a good blend for dogs of calcium, phosphorus , Vitamin C – 2050-500 mg per 10 lbs (calcium ascorbate or sodium ascorbate, not ascorbic acid)
So that’s it! Other than making the powder and the soup every 2 weeks or so, (depending on the size of your dog(s) and you can always double up on this to make it a monthly chore) basically twice a week I make 3 days worth (plus the meal she is about to eat, in her bowl) and stack up the containers in the fridge. It just takes a few minutes to add the meat, soup, powder, fish oil and supplements to each container in the assembly line. I add hot water and mix it up right before serving so she has a yummy warm stew every meal without too much added work (or money) on my part!


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3 Reasons Why Mothers With Weak Milk Production Must Opt For Organic Baby Formula
When it comes to ensuring a baby’s ideal nutrition, no artificial products can match the goodness of a mother’s milk. But due to bodily hormones or other underlying reasons, some women have limited milk production, which is insufficient to ensure their baby’s health.
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Well, the answer lies in organic baby formula, which is regarded as better than other baby food. Join us as we try to answer the one question that often troubles mothers – is organic baby formula better than other formulas?
Sometimes, non-natural foods use alternative ingredients like counterfeit sugars to make their products more delicious. Feeding your baby such a product regularly can cause stomach-related issues for her. Organic formulas mandatorily use only unadulterated ingredients that make the food taste delicious and also keep your infant healthy. They’re loaded with prebiotics and probiotics that build the infant’s immunity as well.
Assistance with psychological growth
A child with a lack of nutrition often ends up with lower cognitive growth. Moreover, the non-natural formula can even cause damage. Organic formula focuses to convey more supplements like omega-3 unsaturated fats to the child’s brain.
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As already highlighted, organic baby formulas are loaded with the correct portion of fundamental nutrients and minerals to boost your infant’s growth. Every child is unique, and a few babies might even have allergies to cow’s milk (typical in lactose-intolerant children).
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As for now, you should know that organic baby formula is much better than artificial products from popular brands. But while they safeguard your baby from illness, such formulas are slightly expensive. So weigh the pros and cons and then make a purchase decision.
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QuinicarnThis page contains information on Quinicarn for veterinary use.
The information provided typically includes the following:
- Quinicarn Indications
- Warnings and cautions for Quinicarn
- Direction and dosage information for Quinicarn
QuinicarnThis treatment applies to the following species:
250 mg L-Carnitine
For Cats & Dogs
A convenient source of 250 mg of L-Carnitine in one single administration.
L-Carnitine may help support:
- heart health
- liver health
- fatty acid metabolism
PRODUCT FACTS -
Each Packet Contains:
Microcrystalline cellulose, natural and artificial chicken flavor, silicon dioxide, and starch.
Store in a cool, dry area out of direct sunlight.
Keep out of reach of children.
DIRECTIONS FOR USE:
Sprinkle contents of packet directly onto your pet’s food as directed by your veterinarian.
love YOUR PET
trust YOUR VET®
nutramax LABORATORIES, VETERINARY SCIENCES, INC., 946 Quality Drive, Lancaster, SC 29720
01.1193.00 / CT-00292
946 QUALITY DRIVE, LANCASTER, SC, 29720
|Every effort has been made to ensure the accuracy of the Quinicarn information published above. However, it remains the responsibility of the readers to familiarize themselves with the product information contained on the US product label or package insert.|
Copyright © 2021 Animalytix LLC. Updated: 2020-12-31


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Overview information cannabidiol is a chemical in the cannabis sativa plant, also known as marijuana or hemp. over 80 chemicals, known as cannabinoids, have been identified in the cannabis sativa. although some people use the terms " cbd oil" and " hemp oil" synonymously, they may also be referring to uses hemp seed oil which is primarily used for cooking, food production, and skincare products. cbd oil is made from leaves, stem, uses and benefits of cbd oil bud, and flower of the cannabis indica or cannabis sativa plant and contains less than 0. cannabidiol ( cbd) is an oil derived from the cannabis plant. possible health benefits include reducing inflammation and pain. however, it is not legal in all states, and there may also be some risks. cannabis oil for cancer. 7 benefits and uses of cbd oil ( plus side effects) written by jillian kubala, ms, rd on febru cannabidiol is a popular natural remedy used for many common ailments.
cbd, or cannabidiol, oil is currently being studied for its health benefits. it’ s a type of cannabinoid found naturally in marijuana plants, though it doesn’ t give you a high. right now, use of cbd oil is at an all- time high, with cannabidiol uses scoring points from parents, patients, pets, pretty much everyone. with a wide variety of benefits and no psychoactive effects. best strain of cbd oil for fibromyalgia. cbd oil benefits: cannabidiol has been proven to be a good remedy for many health conditions. before we discuss the benefits of cbd oil on the human body and mind in more detail, we must add that the use of cbd oil in any form is quite safe as it does not lead to dependence or tolerance towards the drug. cbd oil for pain relief, cbd capsules and different cbd edibles with free us delivery. 8821 valley blvd rosemead, ca 91770, ca phone:.
get coupons on cbd oil and save up to 20%. we offer a price match guarantee on nearly all cbd oils, legal in all 50 states! perfect health oil cbd. however, further research is needed to determine cbd' s other benefits and safety. cbd is a uses chemical found in marijuana. cbd doesn' t contain tetrahydrocannabinol ( thc), the psychoactive ingredient found in marijuana that produces a uses high. the usual cbd formulation is oil, but cbd is also sold as an extract, a vaporized liquid and an oil- based.


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Streamline self-care with cadence’s sustainable storage capsules. Perfect for day-to-day and weekend adventures, these capsules can fit up to seven of your Parsley Health supplements. Fill the nutrition gaps in your diet no matter where in the world you find yourself.
Can’t leave home without one of our multi-supplement bundles? Keep your essentials organized—and your bulky bottles at home—with your cadence capsules. Need more storage? It’s easy to add new capsules to your existing honeycomb.
- 2 magnetic honeycomb capsules in Sand with blank labels
- Each capsule is .56 oz, leakproof, watertight, airtight, BPA-free, TSA-compliant and magnetic in three ways
- Holds approx: 8 average sized supplements and 17 tablets
- Made from 20% recycled ocean bound plastic and 30% regrind utilizing all manufacturing scrap
- Up to 8 supplements
- Non-toxic beauty products
- Jewelry (necklaces, rings, earrings, etc.)
- Hair care products
- Hand sanitizer
Cadence makes products for people who want to feel a sense of calm, control, and peace of mind through an unwavering focus on modularity, personalization, and intuitive design. At the intersection of home, travel, and sustainability -- we are excited to introduce our first product, the cadence capsules; the only magnetic and refillable container made from a blend of 20% recycled ocean bound plastic and 30% regrind utilizing all manufacturing scrap.
Have you ever thought about what’s really in your supplements?
At Parsley Health, our supplements have the quantities and potencies of the active ingredients that you can only get from a licensed physician. They go through the same rigorous testing as pharmaceutical drugs, and each supplement is produced at a cGMP-compliant facility, meaning it must meet the same quality regulations as the FDA imposes on manufacturers of pharmaceuticals. They are third-party tested for quality and purity by reliable NSF or USP-certified manufacturers in the U.S.. Our doctors have chosen each of our supplements to ensure they are formulated with vitamins, minerals, nutrients, and botanicals in their most digestible and effective form.


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Supplement Place is a family run business based in beautiful Devon that has been operating for 15 plus years. We have the Directors; husband and wife, Colin and Susan (who are gradually trying to retire), their two daughters Holly – Product & Development Manager, Sophie – Office Manager and Sophie’s fiancée Byron – Warehouse Manager.
What started as Colin’s hobby and keen interest in natural products, natural health and the how, what and why of herbal ingredients soon developed into the origins of what Supplement Place is today. The more Colin investigated the UK supplement industry the more he could not understand why natural, healthy products were of such poor quality with such a high price tag. It became his mission to improve on what was available on the market at the time. Over 15 years later we are still going strong and continue to work to provide the best quality supplements available.


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We offer a wide range of medical and emergency services specific equipment and furniture for patient care, resuscitation and transport, ranging from airway management tools and surgical equipment to immobilisation, stretchers and infection control. We are very conscientious and believe it is important to live up to the highest possible standards. We have very rigorous quality standards and only work with ethical and verified partners, who meet our stringent ethical and quality control requirements.
Medi9 Hand Sanitising Foam
Medi9 Hand Sanitising Foam provides numerous applications of germ protection to hands and skin surfaces that have come into contact with pathogens. The high-performance sanitising foam has been independently proven to be effective against bacteria, spores, viruses, and fungi including...
Foam Hand Refill - 750ml
The Medi9 alcohol and chlorine free Hand Sanitising Foam refill provides gentle, yet extremely effective, long lasting disinjection to hands. It is kind to the skin, and forms a high performance layer on the hands that provides protection long after...
Medi9 Foam - 650ml
Medi9 Surface Sanitising Foam is ready to use on surfaces and equipment providing easy instant germ protection to any environment where the transfer of germs is a concern. It is designed for everyday use. The spray is alcohol and chlorine-free,...


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Hard to believe but this week I had my very 1st video consultation. I have been working in the digital health space for nearly 10 years, am very familiar with telemedicine solutions but never had a video consultation till now. And when your doctor is very much into digital, and lead the digital hospital, you don’t have much excuse… To my defense, I don’t go to the doctor very often, once a year for a checkup… and I very much like human contact so I enjoy having in person conversations (and I can test my doctor’s latest wearables).
But i have to say, my 1st experience with video consultation, and the whole experience around it, exceeded my expectations.
As many people confined at home, without possibility to go and see my doctor, I took a plunge and booked a virtual appointment. My insurance company has been developing a very complete virtual offering for a few years already, available 24/7, at the touch of a finger.
I made an appointment with my doctor directly through the app. The advantage is that you can have access to a doctor whenever you want since there are always doctors on call spread across the country. Once it’s time for the appointment, you go online through the app, get into the waiting room and wait for the doctor to call you. And yes, the doctor actually calls you and you have to answer to start the consultation. The waiting room was a static screen with a message saying ‘the doctor will be with you shortly’ but I can imagine that in a near future, they could use that space to display ads or medical information or even include a symptom checker to start collecting information about the patients to save time during the actual visit with the doctor.
My doctor appeared in his office, with a smile, as usual. Good image quality and good audio.
I always had some doubt about virtual visits because I felt like the doctor would not have a full picture of my health if he couldn’t examine me. But the image itself says a lot about a person: pale complexion, dilated eyes and others hints will catch the doctor’s’ attention. In my case, I have some wearables at home, so I took my vitals while talking to my doctors. But technologies are evolving at a fast pace. Some companies are already using simple cameras coupled with AI to monitor patients. I can imagine that in a near future, we will be able to measure patients’ vital signs without any sort of wearables or devices.
Result of my visit: nothing serious but I need to do a blood analysis. What comes next is the best part of my experience. So bear with me.
My insurance includes a service where the lab comes to your house to do the blood extraction. You don’t have to go anywhere. Unfortunately, due to Covid-19 the service was not available for me as it was not an emergency.
I had a follow up call with my doctor 2 days later to review the results of my blood tests. My doctor had not received them as I didn’t go to their partner lab, otherwise it would have been dropped directly into my patient’s file. In one click, I uploaded the PDF of my results from my computer into the secure chat and my doctor could see them in real time. He prescribed me some meds and the prescription was sent directly into the app in PDF format.
And now the best part of my experience! Additional service of my insurance: They can have the meds delivered to my house at no additional cost under 3 hours. First, a very nice lady called me to double check my address (which I had not filled properly but I expected the app to pull it up to be honest) and the prescription. She then explained that she would contact pharmacies and will send a taxi driver to pick up the meds and bring them to my house. She even asked me If I had a favorite pharmacy where I would like them to pick up the meds from. That’s the embarrassing part… I live in front of the pharmacy….Less than 2 hours later, the taxi driver was at the door with my meds. I just had to pay for the medicine (that the taxi driver had paid to the pharmacy when picking up the order). Shortly after the same lady called me again to find out if I had received the meds and if everything was ok. That was my favorite part of the experience, the convenience of not having to worry about my meds, the human touch and the fact that they are using the local taxis to deploy the service. It’s a brilliant idea and supporting the local economy. It’s ideal for older people, people too sick or too weak to leave their home or people quarantining.
I’m glad I had the opportunity to experience this telemedicine service. I really enjoyed the whole experience, especially the human part, very present, although it was all virtual. It’s great to see how all those services are evolving around the patient, bringing healthcare to the patient.


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Best Acne Skincare: Effective Skin Ingredients
The best acne skincare regimen? Using adaptogens in dermatologist formulated acne care
What is the best acne treatment? The ingredients in your skincare products are essential for acne treatment. In this first article of a series on adaptogenic skincare we will introduce the best skincare products for acne treatment. We cover the best face masks containing adaptogenic skincare ingredients targeting acne prone and oily skin types, used in Singapore.
Dr. TWL Pharmacy specializes in custom compounded therapeutic skincare dermatologist formulated for acne prone and sensitive skin. This article is written in conjunction with our chief scientific officer, board-certified dermatologist Dr. Teo Wan Lin, and is vetted for scientific accuracy. Dr. Teo is the author of “The Maskne Microbiome” a peer-reviewed scientific research paper in publication with the International Journal of Dermatology in 2021.
We cover the 5 best acne skincare products available in our pharmacy – incorporating adaptogens that regulate the skin microenvironment and improve skin resilience.
What is adaptogenic skincare?
Many ethnobotanical ingredients have been reported to have therapeutic dermatological effects, mostly from ingredients like flavonoids, saponins, polysaccharides, alkaloids, and others that are prevalent in botanical ingredients.
Adaptogens are plant extracts or natural compounds that increase the ability to adapt and respond to stress. These have been used in ethnobotany and borne out by modern dermatological research.
How is adaptogenic skincare beneficial for skin conditions such as acne and eczema?
Research shows that stress, whether emotional, physical or environmental, plays a large role in skin health. Inflammation caused by stress plays a key role in common dermatological conditions such as acne, psoriasis, eczema. Therefore, incorporating adaptogenic ingredients in your skincare that have anti-inflammatory, soothing properties can help to support the skin’s stress response.
Adaptogenic skincare- the best acne treatment?
Many treatments for acne, such as antibiotics, decrease inflammation or kill bacteria. However, many of these antibiotics also lead to side effects or antibiotic resistance. Therefore, dermatological research has increasingly focused on natural drug treatments with high antibacterial activity but fewer side effects to treat acne.
Adaptogenic ingredients are one of the best candidates for this. Rich in antioxidants, many of these ingredients have anti-inflammatory, antibacterial properties, making them one of the best acne treatment.
The science of an effective acne care regimen- active ingredients
This interview with Dr. Teo Wan Lin highlights the benefits of a key botanical extract in our mask peel series – tanshinone.
What is Tanshinone and how does it treat acne?
Tanshinone are a class of naturally-occurring chemical compounds isolated from the roots of the herb Salvia Miltiorrhiza, or red sage. Salvia Miltiorrhiza, was first recorded in “Puji Fang (Prescriptions for Common Benefit)” in 1406 for acne treatment. Since then, scientific research has shown that tanshinone is effective for anti-acne treatment.
Anti-Acne Treatment with adaptogenic skincare
What is the science behind the effective active ingredient that fights acne?
The main active compound in tanshinone is cryptotanshinone (CPT), which has demonstrated anti-acne effects through a few key pathways.
Firstly, CPT regulates glycolysis metabolism. Glycolysis is a key metabolic pathway that provides energy for cellular activities. Decreased glycolysis has links to a reduction in cell differentiation in keratinocytes, a type of skin cell. Excessive keratinocyte differentiation has been linked to acne. Research shows that mice treated with CPT had a negatively regulated glycolysis pathway, a decrease in keratinocyte differentiation, and improved cellular barrier function1.
Additionally, CPT upregulates linoleic acid. Linoleic acid is an essential unsaturated fatty acid that plays a key role in inflammation. Studies show that linoleic acid undergoes downregulation in acne subjects. CPT was shown to upregulate linoleic acid, which was consistent with the study’s histopathological analysis showing that acne mice returned back to normal after CPT treatment1.
Anti-inflammatory effect for acne-prone skin
The best acne treatment is one that also improves the microbiome without causing antibiotic resistance
Propionibacterium. acnes is a gram-positive bacteria that causes acne on the skin. The bacteria releases lipase, enzymes that break down sebum, which subsequently produces fatty acids. This accelerates the inflammatory response of acne. Inflammatory acne lesions usually develop into papules, pustules, nodules, or cysts.
Research has shown that tanshinone, or more specifically Tanshinone IIA, is effective at relieving inflammation caused by the bacteria P. acnes in vitro2. Tanshinone IIA had an inhibitory effect on key acne inflammatory pathways, which lead to reduced inflammation. To illustrate, this can lead to an inhibition of the growth of P.acnes.
A few scientific studies have explored combination therapy with tanshinones with traditional acne treatments. 5-Aminolevulinic photodynamic therapy (5-ALA PDT) describes the application of topical aminolevulinic acid (ALA) followed by red or blue light exposure for acne treatment. It is a well-tolerated, antibiotic free therapy that studies have found to be highly effective for acne treatment3. 5-ALA PDT is not usually the recommendation for patients with cystic acne as thick cyst walls result in ALA not undergoing absorption effectively. Clinical results have found that tanshinone combined with 5-ALA PDT was effective in the treatment of cystic acne, reducing the number of and improving the severity of acne lesions, with more significant clinical effectiveness when used in conjunction with each other4.
Review of the 5 Best Acne Treatment available at our Pharmacy
Acne Mask Peel Range
The mask peel series contains one formulate specifically for acne oil control, the Sebocontrol face mask peel. A mask that is also a peel? This series features a 2-in-1 formulation including potent adaptogens that target the root cause of acne.
“Traditional acne treatments focus on reducing oil production. Tretinoin, a vitamin A derivative for example targets the oil glands. Similarly with Isotretinoin, a medication that stops oil production altogether. However, increasingly we know that overactive oil glands is not the only cause of acne. Rather it is a combination of factors including excessive inflammation and factors that affect the local skin microenvironment. For example, the bacterial balance called the microbiome. Oxidative stress caused by environmental damage, air pollution, UV damage worsen lipid peroxidation. For acne prone oily skin, the excess sebum does not just cause a shiny complexion, it actually worsens inflammation. Inflammation is the driving force behind whiteheads and blackheads forming eventually causing acne cysts and papules. Adaptogens are key molecules that target inflammation and are hence important in an acne skincare regimen. To illustrate, this is also the foundation of our mask peel series, developed for resilient skin,”
High Potency Spot Therapeutics -Blemish Spot Treatment
The focus of the high potency spot therapeutics series is replacing the need for traditional acne spot treatments which frankly have become much less effective and relevant due to antibiotic resistance. To illustrate, the emerging concept of the acne microbiome means broad spectrum antibiotics are actually harmful. Much more concerning is the effect on the human body overall, breeding resistance to antibiotics because of acne treatment is not a good trade-off.
Besides, the clear message is this. All antibiotic-based acne creams, lose effectiveness within a short period. The reason is that acne is not a problem with bad bacteria alone. Cutibacterium exists on the skin of healthy patients without acne as well. The key here is that the entire skin ecosystem works against those with acne prone skin. From the oil production perspective, bacterial balance to inflammatory processes in place. The high potency spot therapeutics Blemish Spot Mask Peel incorporates adaptogens that impact on skin resilience. Therefore, this means that it can target multiple pathways described in acne development.
Papain Enzyme Chemical Peel
Papain developed from the tropical papaya plant is a key example of an adaptogen with good acne treatment effects. Chemical peels are used in acne treatment because it exfoliates dead skin cells. In addition, effective acne treatment strategies include reducing follicular hyperkeratosis. This refers to the retention of dead skin cells around the hair follicles. The pores on the face for example are actually hair follicles associated with pilosebaceous glands. The pilosebaceous glands are oil producing glands. For effective acne treatment, dermatologists prescribe ingredients that reduce acne inflammation and oil production.
Benefits of papain
A more effective strategy is to regulate oil production rather than stop it altogether. For example, isotretinoin is regarded as the gold standard for cystic acne. However because it stops the action of oil glands completely, severe eczema especially of the lips is a common side effect. Papain checks all the boxes of reducing inflammation, without causing dryness, in fact, it has a moisturising effect. At the same time, it increases skin exfoliation. This helps prevent follicular hyperkeratosis in acne prone individuals. Additionally, papain peels contrast with traditional AHA, BHA peels which cause increased sun sensitivity, skin redness, and irritation. The papain peel is developed especially for Asian skin types living in tropical climates like Singapore. Singapore’s climate with year round UV exposure increases the risk of sun sensitivity after chemical peels, a problem for those who undergo regular office peels for acne.
Another benefit is that papain peels can also treat and improve acne scars. Post inflammatory redness occurs immediately after acne resolves. This can quickly turn into hyperpigmentation. Hyperpigmentation is worse in Asian skin types. Hence, using papain enzyme peels achieves a dual purpose of treating acne and scars.
Blemish Spot Cream
The Blemish Spot Cream is the best-selling plant-based pimple cream in our local Singapore pharmacy. It is the first spot therapeutic developed on the adaptogen concept and launched in 2018. The key here is that it addresses sebum control, inflammation, and oxidative stress with plant actives. We successfully phased out antibiotic gels and benzoyl peroxide in our practice with this. However, one must bear in mind that topical acne treatments are sufficient for mild to moderate acne treatment, and for severe acne, oral medications or light therapy will be required. Topical acne treatments are essential for all types of acne. In summary, it is the key step that ensures successful acne care and maintenance after oral treatments stop.
SilkPeel with Medifacial Essence
This acne care product fuses an office procedure- microdermabrasion, with adaptogenic skincare. The custom medifacial solutions with key actives such as CICA allow for careful selection of antioxidants that improve skin resilience for acne prone patients. The resurfacing process is ultra gentle, and suitable for home use. Evidently, this is proven to improve skincare absorption. Furthermore, resurfacing achieves the skin cell renewal required to improve acne skin.
 Zhu, Z., Chen, T., Wang, Z., Xue, Y., Wu, W., Wang, Y., Du, Q., Wu, Y., Zeng, Q., Jiang, C., Shen, C., Liu, L., Zhu, H., & Liu, Q. (2021). Integrated Proteomics and Metabolomics Link Acne to the Action Mechanisms of Cryptotanshinone Intervention. Frontiers in pharmacology, 12, 700696. https://doi.org/10.3389/fphar.2021.700696
 Li, Y., & Zhou, Y. (2018). The therapeutic effect of tanshinone IIA on Propionibacterium acnes-induced inflammation in vitro. Dermatologic therapy, 31(6), e12716. https://doi.org/10.1111/dth.12716
 Tao, S., Wang, Z., Quan, C., Ge, Y., & Qian, Q. (2021). The effects of ALA-PDT on microbiota in pilosebaceous units of patients with severe acne: A metagenomic study. Photodiagnosis and photodynamic therapy, 33, 102050. https://doi.org/10.1016/j.pdpdt.2020.102050
 Yao, Y., Zuo, J., & Chen, L. (2021). Clinical efficacy of tanshinone capsules combined with varying concentrations of 5-ALA-PDT in the treatment of cystic acne. American journal of translational research, 13(9), 10816–10822.


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There is no denying that climate change affects every aspect of our lives—even skin care. At some point in the upward trajectory of levels of heat, pollution and UV emissions, protective skin care will transition from a cosmetic option to a health necessity. And because we aren’t used to thinking of skin care in that way, it will be a non-trivial leap.
Just as no two people are alike, every skin inhabited by an individual is unique to that person. Skins may share common conditions like acne and aging, but under that umbrella, every person presents a different set of symptoms. (Similarly, the microbe Propionibacterium acnes is a species that differs at the strain level—some strains causing acne while others don’t.)
For this reason, we have found that the most effective treatments come from serums formulated to address skin problems at the symptom level rather than the condition level. For example, our Treatment Serum regulates sebum production to ameliorate acne conditions, while our Lightening Serum inhibits tyrosinase to fade hyperpigmentation. At the serum level, we can target specific dysfunctions by supplying ingredients that help the skin self-regulate.


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Sandu Makarprash® (Revitalising Health Tonic 500 Gm)
Sandu Makarprash®: Revitalising Family Tonic
• Sandu Makarprash® is a special ayurvedic revitalising health tonic for entire family.
• Sandu Makarprash® is a potent immuno modulator, it enhances immunity and provides protection from recurrent infections specially in respiratory system.
• Sandu Makarprash® has antioxidant potential protects and thus rejuvenates vital body organs and prevents aging.
• It satisfies the growing nutritional demands in children, prevents frequent attacks of cold, cough, fever and reduces absenteeism in schools due to ill-health.
• Sandu Makarprash® relieves stress, increases stamina and boosts performance.
• Sandu Makarprash® improves skin tone & lustre and maintains hormonal equilibrium in women.
• Sandu Makarprash® is antioxidant, rejuvenator, immunomodulator & it helps to maintain positive health in todays hectic lifestyle.