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So far Alex Goldberg has created 145 blog entries.

Olympians Spot On About Benefits of Cupping

Cupping is a therapeutic treatment that has been used for thousands of years. Still very popular and in common use today, it has grabbed the attention of many people in the United States that are not familiar with Traditional Chinese Medicine. Professional athletes, such as MLB players and many competitors at the 2016 Olympics, have been using this treatment for years. Some athletes are using cupping as a singular therapy, and while they may be experiencing relief, the benefits would be more profound when using TCM as a Whole System. If you are experiencing pain, looking for relief and would like to find a place that offers cupping in Brooklyn that is safe, you have come to the right place. We highly recommend cupping therapy only be administered by a properly trained professional that also understands Whole Systems TCM and the energy system to avoid adverse effects and reactions.

What is Traditional Chinese Medicine (TCM)?

Traditional Chinese Medicine was developed in China thousands of years ago. It is a healing system based on the life energy called Qi which flows through specific meridians and pathways in the body. The relationship between our mind, body and spirit with the world around us should be in harmony and we are healthy when all energy is balanced. Our habits, diet, lifestyle, stress, emotions, genetic constitution, seasons and environment all play a role in the free flow of energy.

Obstructions in the flow of energy in our organs and the meridians will cause imbalance, manifest symptoms and develop to disease. Using an extremely comprehensive method of identifying patterns of disruption and having a deep understanding of the relationships between organs and energy pathways, a skilled TCM practitioner will use food as medicine, lifestyle and nutritional counseling and herbs to help bring back balance. The most popular physical treatment in the TCM toolbox is acupuncture, which involves the insertion of fine needles at very specific points located on the organ/energy meridians. At these points, the energy in the meridians can be accessed and stimulated. Each acupuncture point has very specific, defined actions. Other effective treatments in this toolbox are gua sha, tui-na, moxibustion, electric stimulation, acupressure, tai qi, qi gong and cupping.

What is Cupping?

Acupuncture and Acupressure are not the same treatment but both part of Traditional Chinese Medicine. They both follow the same energy meridians and points but have different applications and different effects on the body, blood and energy. Acupuncture uses needles to stimulate these points and Acupressure uses pressure at these points. Cupping is a form of acupressure.

Instead of the practitioner using their hands a device is used; in the case of cupping, a glass or bamboo spherical cup. A flame is placed inside the cup and quickly extinguished when it is turned over to be placed on the skin, creating a temperature change inside the cup. This action creates pressure downward around the lip of the cup and suction at the center where the skin is slightly lifted off the body into the cup. This vacuum effect can be achieved via a few different techniques. The combination of heat, pressure and suction at specific points on the energy/organ meridians is what brings about balance and therapeutic outcome.

Video Footage Credit “hafakot/shutterstock.com”

What are the benefits of cupping?

Top athletes strive to be in optimal physical and mental condition so it is no surprise that cupping is front and center at the 2016 Olympics. Here are just a few benefits Cupping has to offer:

  • Encourages free flow of qi and fresh blood which may be blocked or obstructed by overuse, injury, diet or environmental factors.

  • Loosens muscles and affects muscle and connective tissue up to 4 inches below external application site. Commonly used for muscular pain in the back, neck and leg & pain and obstruction at the joints.

  • Engages the parasympathetic nervous system which reduces stress and anxiety, reduces blood pressure and stimulates digestion.

  • Releases toxins and decreases inflammation.

  • Clears congestion in the lungs.

Is cupping scientifically proven?

All Traditional Chinese Medicine recommendations and treatments (including cupping) are completely individualized which means every application of treatment, diet recommendation and herb may differ from person to person based on the pattern causing imbalance. Even if symptoms or diagnosis are similar from a Western perspective, how a person reached that diagnosis is absolutely not the same from an Eastern perspective and therefore treatment is not the same. This proves to be problematic in Western scientific studies as the test groups are not controlled. The treatment would need to be identical for each individual and this simply is not how TCM works. This is basically the issue when attempting to isolate acupuncture, cupping or any singular aspect of TCM for studies. Until scientific studies are conducted in a manner that is in alignment with how the medicine and treatments are actually administered, relevant and accurate studies will not exist here in the United States. Also, Western medicine has yet to figure out how to measure the presence or flow of Qi. That doesn’t disprove anything and that does not relegate results to placebo effect even though they try to do so. It just means Western Science does not have the answer and is not designing studies correctly in the first place which seemingly they have a hard time admitting.

That said, a 2012 study has shown that cupping may be more than a placebo siting the following: “Meta-analysis showed cupping therapy combined with other TCM treatments was significantly superior to other treatments alone in increasing the number of cured patients with herpes zoster, facial paralysis, acne, and cervical spondylosis. No serious adverse effects were reported in the trials.” There have been a number of studies showing that acupuncture can reduce pain by up to 50% without the use of pharmaceuticals and many citations about its effectiveness for pain relief.

Why does scientific proof seem to be such a roadblock? Honestly, we don’t know. If the people with funding for large scale studies really wanted to study TCM they could. If the public needed less medication and procedures, that would be a potential threat to the bottom line of certain industries.. First thing, understand that acupuncture or cupping alone are hardly ever the only part of the treatment for a presenting pattern. For example, if you want to know if TCM works for reducing headaches, you can’t only test people solely receiving acupuncture and only stimulating the same two points. That is just as useless as inserting needles at random points that may or may not even be acupuncture points. You would have to use all TCM methods together and use all acupuncture points that are indicated for the individual and all recommendations that would be indicated for the individual, as you would in real life application, and measure outcome from there.

This method doesn’t fit in the western paradigm where a standard medicine is given at a standard dose to treat the symptom of pain. TCM treats the pattern of imbalance that is causing the pain versus just blocking the message of pain that your body is sending. (To get a feel for the difference in theory and application of eastern and western medicine, we encourage you to read our article on headaches here.)

The effects of Traditional Chinese Medicine have been determined by THOUSANDS of years of recorded patient observations and reported outcomes by patients. We don’t understand how anyone can dispute that much data, basically being the largest and longest study ever conducted in medicine. It is disheartening when practitioners who are supposed to “cause no harm” are ignorant to the evidence because it doesn’t fit into their flawed system of belief. While Western medicine is extremely effective and can save many lives, it has a limited scope of understanding. Alas it is still a young medicine, much like a teenager that thinks they know it all.

Whether or not positive outcomes are “scientifically proven” and understood from a western perspective…Whether or not the positive outcomes are anecdotal…Whether or not the positive outcomes are placebo… Does it really matter if it works? Isn’t that the whole point; that it works? People should not be discouraged from therapies that are effective and have no harmful side effects. All patients would benefit from open minded practitioners embracing an integrative approach that is less pharmaceutically aggressive when it is not necessary.

 

For more information about treating Pain, Injuries and Fibromyalgia with Acupuncture and Traditional Chinese Medicine, visit our specialty page here.

Our team at Garden Acupuncture has over 50+ years of combined experience utilizing the Whole System of Traditional Chinese Medicine. We are your source for all the tools in the TCM toolbox including acupuncture and cupping in Brooklyn.

 

 

By |August 10th, 2016|Uncategorized|0 Comments

Acupuncture For Opioid Induced Constipation

Pain Meds Killing Your Bowel Movements? Opioid Induced Constipation.

How Acupuncture for Opioid Induced Constipation Can Help.

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What is Opioid Induced Constipation (OIC) ?

Opioid Induced Constipation (OIC) is a side effect that millions of people suffer with. At least 8 million of the 38 million people prescribed opioids for chronic non-cancer pain have reported this side effect according to the US Pain Foundation. That number could be low because bowel habits are not a subject anyone likes to talk about. The prescription of opioids has increased in numbers over the last decade despite concern and evidenced risk of side effects such as Opioid Induced Constipation, tolerance to the medication leading to increased dosages as well as opioid addiction. Because of the severity and discomfort of the constipation experienced, people will skip doses of their opioid medication which is not advised.

Opioids bind to mu-opiod receptors in the central nervous system and pain relief is experienced. However, these receptors are also found in the gastrointestinal tract. When opioids bind to the mu-opioid receptors in the GI tract, it inhibits the muscle contractions of the intestines called peristalsis which slows transit of waste material in the large intestine and colon.

How is OIC treated?

Chronic Pain is experienced by millions and is classified by unresolved pain lasting more than 3 months. Typically it is caused by tissue or nerve pain, often from acute injury or repetitive motion injury, though that is oversimplifying as chronic pain often has many layers with overlapping, combination factors. Opioids such as hydrocodone and oxycodone as well as combination drugs like percocet have become commonplace for treatment of chronic pain including things like headaches which typically can be addressed in other ways. Constipation arising from these medications many times goes unaddressed for many reasons. Some doctors are not aware of the side effect at all or the severity of the side effect. Some prescribing doctors may know that opioids can cause constipation and even mention it to the patient but they are often unaware when constipation is being experienced due to lack of reporting.

When a physician is aware that their patient is experiencing OIC, stool softeners and laxatives are suggested. There are two problems that arise with this. One, if the patient continues to have a problem it is possible they won’t bring it up again due to it already being an embarrassing subject; the doctor will remain in the dark. Two, laxatives become long-term and may cause a lazy bowel on top of the already inhibited GI tract.

Next up are relatively new medications that have come out to address OIC such as Relistor and Movantik. The commercials for these medications are quite controversial. Regardless of my personal feeling of the drugs themselves or the advertisements, the fact is that they have been successful in drumming up conversation about an otherwise unspoken topic.

These medications address the issue by blocking the opioid receptors in the gut. Combination therapies such as harsh laxatives may also be suggested to produce bowel movements. Besides the already known potential risk and side effects of the opioids themselves, the medications for OIC also have their own side effects such as gas, nausea, diarrhea, dizziness, increased sweating and more severe side effects such as abdominal pain and blood in the stool.

Acupuncture by itself has shown to decrease pain by up to 50% without the use of medications. When utilizing all parts of Traditional Chinese Medicine together, which includes herbs, food as medicine and nutritional counseling, lifestyle recommendations and acupuncture treatments, that percentage of pain reduction has the potential to be much higher. The benefits of TCM are not widely known about in the public and traditional medical world. We are working to change that so people have access to TCM and Acupuncture as a first line of defense before moving to a serious drug like opioids for pain relief. If already on opioids and experiencing OIC, acupuncture for constipation is a viable and safe solution.

Acupuncture for Constipation.

Constipation is caused by a few factors but it is the muscular contractions (peristalsis) that occur to move stool through the colon that opioids are inhibiting. Once stool is not being moved along, heat builds up drying the stool making it even more difficult to pass. In addition to the ability to reduce pain that opioids were prescribed for in the first place, Traditional Chinese Medicine, which includes acupuncture, can help relieve constipation. It also can help restore and retrain the GI tract and associated organ systems to function properly.

  • Chinese Herbs to produce a bowel movement quickly, naturally and safely.

  • Address deficiency in Spleen and Stomach systems caused by habitual and chronic constipation induced by pain killers.

  • Proper nutritional counseling to help restore healthy composition of stools.

  • Opioids affect cytokines which activate the immune inflammatory response and acupuncture has shown to modulate cytokines decreasing this response.

  • Traditional Chinese Medicine can help significantly reduce pain and may be an alternative to your opioid medication which is causing constipation. We can work closely with your prescribing physician if this is an appropriate option for you.

Our goal is not to have you avoid seeing your physician but rather embrace an opportunity to work together to help alleviate pain and associated side effects of opioids. This natural and integrative approach is a way to hopefully help avoid medications like this or at least start reducing dosages. Optimally we would like to start seeing chronic pain managed in a less medication aggressive manner as a first line of defense since TCM has shown to be effective for the relief of chronic pain conditions.

Why drugs may not be the answer. Link to dementia.

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Have you taken medicine from the drug store for allergies, colds or sleep?

Before jumping to medications, which are not as harmless as you would like to think, give acupuncture a try . CBSNews.com reported that a class of drugs called anticholinergics (like antihistamines, Benadryl, Tylenol PM, Advil PM, Dimetapp, Dramamine, Paxil, Unisom, just to name a few) may be responsible for side effects like cognitive impairment and increased risk of dementia.

The spokesperson which represents the drug makers says it’s safe.

The spokesperson for the Consumer Healthcare Products Association, which represents over-the-counter drug makers noted, (that in our personal opinion is spin until proven otherwise), “the study didn’t look at how long people were taking them…the active ingredients are approved by the U.S. Food and Drug Administration and recognized as safe and effective when taken as instructed on the product label”.

Our point is that no, they don’t know the exact correlation of use of this class of drugs with the side effects. They just know these side effects are happening. The study participants could very well have been taking “Tylenol PM” just as instructed on the label.

It’s fine as long as I follow the directions right?

Is it possible that it is just not yet understood the threshold of the body to exposure over time? Maybe you take something short term just as the directions say but you shouldn’t take it again for x amount of time or not over a certain amount of times in a lifetime…these things have not exactly been figured out yet…or have they? Dr. Sowa said, “We know based on previous studies that as little use as 60 days, or even 90 days non-consecutively over the course of a lifetime, can be associated with these risks. It’s not every night for 30 years, it’s sometimes or sporadically.”

Why take the chance when things like allergies, sleep and simple colds can be addressed in a way that will have no side effects like this?

Instead of relying on antihistamines and other medicines to temporarily mask symptoms, let Traditional Chinese Medicine, which includes acupuncture, help retrain your body to have the appropriate balanced response.

Did you know it has been shown that acupuncture improves sleep quality by enhancing slow wave sleep? Another study now shows acupuncture combined with herbal medicine demonstrates outcomes of improved sleep compared to western pharmaceuticals. The study was completed comparing Acupuncture combined with herbs were measured against the drug estazolam. The acupuncture plus herbs group obtained a “significantly better overall effective rate” than the estazolam group. (96.8% total effective rate vs. 72.4% total effective rate)

Estazolam is a benzodiazepine. It is used in the treatment of insomnia and exerts its effective action by slowing the central nervous system. Estazolam which indeed causes drowsiness, also creates undesirable side-effects such as headaches, fatigue, dry mouth and dizziness.

Acupuncture combined with herbal medicine had significantly better patient outcomes with no adverse effects. The researchers document that the acupuncture plus herbs group “improves the patients’ sleep quality.”

Did you know the American Journal of Rhinology & Allergy reviewed multiple research studies of groups receiving acupuncture versus control groups. The researchers determined that acupuncture treatments improve allergies. They stated treatments “produced significantly higher diminution of nasal symptoms” and continued “our meta-analysis showed that the acupuncture group has superior effect(s) in reduction of both rhinitis symptoms and the requirement for anti-allergic medication compared with the control group.”

Acupuncture has the ability to modulate cytokines, which are immune system cell secretions, as well as the ability to induce anti-inflammatory actions. These two properties make acupuncture an effective tool in addressing allergies.

Learn More.

At Garden Acupuncture we encourage questions. Traditional Chinese Medicine is wonderful for a lot of conditions but we know that information on this topic can be overwhelming. Many are not sure how to understand things like Qi and energy and we want to help make it easy. Don’t let the unknown or misunderstood get in the way of the medicinal option and system that may just be exactly what you need.

Feel free to write us note.

Start a conversation on Twitter using #AskGardenAcu

Jump in and make your first appointment!

 

 

 

 

The Effect of Weight and Fertility

The Effect of Weight and Fertility

A Guest Post by:

You overslept this morning, so grabbing a coffee and breakfast sandwich at your local place was a necessity. Someone brought donuts to the office – yay! A quick “pick me up” is just what you needed mid-morning. Take-out for lunch (remember that crazy morning you had?). Around 3 o’clock a trip to the vending machine keeps you from falling asleep at your desk. You finally get home – so what’s for dinner?

Does any of this sound familiar?
If so, you’re not alone.

But knowing you’ve got lots of company doesn’t make the scale rising any less depressing. You know you should be eating better and exercising more, but who has the time for that? Plus there’s all these celebrations – holidays, birthdays, anniversaries – and we just love to share the joy with family and friends (not to mention we LIKE LOVE chocolate!). Besides, you’re happy, in love and trying to have a baby. It hasn’t happened as quickly as you hoped, so treating yourself to some comfort foods, well they’re just comforting!

But did you know that being overweight (or underweight) affects your chances of conceiving and having a healthy baby?

According to the American Society for Reproductive Medicine, one of the easiest ways to determine if you are underweight or overweight is to calculate your body mass index (BMI). A BMI between 19 and 24 is considered normal; less than 19 is considered underweight. A BMI between 25 and 29 is considered overweight, a BMI greater than 30 is obese, and a BMI of 40 and above means extreme obesity.

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How weight and fertility affects women

Women who are underweight often have irregular menstrual cycles and may stop ovulating completely. Women who are overweight, or obese, require higher doses of fertility medications. They also have fewer eggs retrieved when undergoing IVF, a lower pregnancy success rate, and higher miscarriage rates. Obese women are at an increased risk for developing pregnancy-induced (gestational) diabetes and high blood pressure (pre-eclampsia). Obese women also have a higher chance of delivering by cesarean section. Obesity is also associated with PCOS – a common cause of infertility, affecting 5-10% of women of reproductive age.

How weight and fertility affects men

Overweight or obese men may have low sperm counts and low sperm motility.

EXTRA WEIGHT COSTS YOU PHYSICALLY AND FINANCIALLY!

BMI Calculator

Determining your BMI is crucial not only for pregnancy, but for your health as a whole. CLICK HERE for a free online BMI calculator from the Center for Disease Control and Prevention (CDC). Knowing where you stand is the first step in making progress. Now that you have your BMI – develop a healthy plan!

On your way to a healthy new you!

With a healthy eating plan and regular exercise, you’ll be on your way to a healthy weight. You should always consult with your doctor before beginning a new diet or exercise plan. Once your doctor gives you the ok to begin, save yourself time (and money) and skip the fad diets; their results don’t last. A good rule of thumb for a healthy eating plan is to “Eat less CRAP and Eat more FOOD”.

Eat Less CRAP:
C – Carbonated drinks
R – Refined Sugars
A – Artificial sweeteners & Colors
P – Processed Foods

Eat More FOOD:
F – Fruits & Veggies
O – Organic lean protein
O – Omega 3 Fatty Acids
D – Drink Water

If you need a bit more guidance, consider meeting with a nutritionist. Based on your health goals or medical needs, the nutritionist can provide guidance on how to safely and effectively reach your goals.

Double up your dieting efforts by starting an exercise plan. It doesn’t need to be anything extreme – to start can be as simple as walking regularly. It requires no special equipment besides a good pair of sneakers (pretty much a wardrobe essential!). It can be done outdoors or indoors – in fact, many malls offer free walking programs, so you’re indoors and no costly gym membership needed.

However, any physical activity you can do on a regular basis could work. Maybe take that ballroom dancing class you wondered about; grab your significant other and a few friends for a competitive game of paint ball – or laser tag – or beach volleyball. The point is to make exercise fun!

To optimize success of fertility treatments, your weight should be in the normal BMI range (19-24)

BMI Policy at GENESIS

  1. We recommend weight loss, to a BMI of less than 30, for all women trying to conceive. However, if you are obese, even a 10% weight loss can increase your fertility. Ideally, for the best possible outcome of your fertility treatments and your future pregnancy, your goal BMI should be 19-24.
  2. Women, whose BMI exceeds 40, and are seeking fertility therapy, may be asked to see a high risk obstetrician or MFM before starting treatment.
  3. To undergo IVF treatment at Genesis, your BMI needs to be less than 35. This is to ensure your safety and health while undergoing anesthesia.

Your doctor will discuss with you the importance of your weight as part of the overall review of your medical records and history. We will encourage, or as necessary, require a program of weight loss combining diet and exercise, prior to embarking on fertility therapy and conception.

If you’re trying to have a baby and would like to learn more about GENESIS Fertility or are ready to schedule an appointment,

please speak with one of our New Patient Specialists at 718-283-8600.

 

References

https://www.asrm.org/FACTSHEET_Weight_and_Fertility/

http://yourfertility.org.au/for-women/weight-and-fertility

http://www.webmd.com/diet/lose-weight-fast-how-to-do-it-safely

http://walking.about.com/od/weightloss/fl/How-to-Walk-for-Weight-Loss.htm

http://www.livestrong.com/article/284404-what-is-the-role-of-a-nutritionist/

By |March 1st, 2016|Fertility, Infertility, Nutrition, pregnancy, Uncategorized|0 Comments

5 Reasons a TCM Fertility Specialist Will Help You Conceive

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A TCM Fertility Specialist can help you conceive.

1. Traditional Chinese Medicine (TCM) improves fertility for men and women because it works on the principle of cycles and homeostasis-just like your body. Your egg or sperm quality today is the reflection of your health 3 months ago so taking the time to prepare your body and mind for conception will help create a fertile environment for a healthy pregnancy and birth. Whole System TCM addresses all aspects of your health in 90 day cycles using acupuncture, herbs, nutritional counseling & monitoring as well as many other adjunct therapies. Garden Acupuncture recommends beginning TCM fertility care 2-3 months before you plan to conceive for optimal results. If you already began the process of trying to get pregnant that’s ok! Garden Acupuncture’s expertise can help you at any point in the journey to conceiving.

2. TCM understands the fluidity of fertility. Don’t be discouraged if you don’t become pregnant the moment you try. Where you fall in the fertility spectrum is largely due to imbalances caused by lifestyle, diet, emotional state and environment among many other factors. Age is often used as a biological panic button but it does not mean you don’t have enough time to start preparing your body before you jump in the deep end of natural or assisted reproduction. When body systems and energy are blocked and out of balance, women and men alike may experience fertility challenges. Garden Acupuncture’s expert fertility team will give you the individualized attention and the time you need to identify all areas that may be affecting your fertility and give the best recommendations to restore this delicate balance and prepare for pregnancy.

3. Your body’s attention will be directed to your reproductive organs. In many cases, reproductive organs have been starved of proper circulation of qi and blood. When acupuncture, herbs and nutritional counseling/monitoring are administered by a properly trained TCM Fertility Specialist, many positive fertility factors can be achieved. This includes increased egg quality, improved blood flow to the uterus, decrease of cysts and polyps, improved uterine lining, increased blood flow for placenta growth and improved sperm morphology, motility and count.

4. Your stress and the effect it has on your body and mind will be decreased. Living in NYC or Brooklyn is pretty much a recipe for higher stress levels and poor quality sleep. The struggle is real and so is the impact on baby making capabilities. Men and women should be aware that elevated, unaddressed stress can play a role in fertility by affecting ovulation, cortisol levels, impeding embryo implantation, testosterone levels and sperm production. TCM fertility specialists will know what acupuncture treatments, herbs and nutritional advice are safe and effective to significantly reduce stress and improve sleep when preparing to conceive.

5. TCM for Fertility increases success rates of IVF and IUI. Assisted Reproductive Therapies help many to conceive. Because IVF can be rigorous, expensive and emotionally challenging, Garden Acupuncture works closely with Reproductive Clinics and specialists to ensure you get the most comprehensive, integrative care. Whole System TCM, which is practiced by Garden Acupuncture’s team, has shown in their clinical practice and is evidenced in studies to increase conception and live birth rates. If you are planning to utilize any form of ART, preparing your body with a TCM fertility specialist prior IVF or IUI is encouraged as well as support during the process and pre and post embryo transfer.

Whole System Traditional Chinese Medicine for Fertility can be extremely effective for men and women. It is crucial that it be administered by nationally board certified practitioners with special training and advanced experience in fertility for optimal results.

Garden Acupuncture’s team has over 40+ years of combined clinical experience specializing in fertility which has contributed to their success helping so many people create families. Garden Acupuncture practitioners are nationally board certified and have trained with masters in their field amassing unique, applicable experience unparalleled in New York. Alex Goldberg, LAc Dipl. OM is one of the few in the Tri-State area to study directly with Dr. Randine Lewis - author of The Infertility Cure and a leader in fertility medicine. He is a member of the Clinical Excellence in Fertility Professionals. Denise Bradbie, LAc has been working in traditional Western and Chinese medicine for fifteen years, beginning her career as a geneticist contributing work to the Human Genome Project and training in three prominent styles of acupuncture. Dr. Jeffrey Winsauer PhD, OMD, LAc, lived, trained and worked in Japan and China. He pioneered acupuncture at the Mayo Clinic in Rochester and created a collaborative partnership between Mayo Clinic’s Integrative Medicine Department and Sun Yat-sen’s Zhongshan Medical School. He completed a residency in GYN and infertility at the Shenzen TCM hospital in China, was a guest medical professor at Sun Yat-sen University and has been mentored by world famous acupuncturist Professor Emeritus Jin Rui and the late Grand Master Xia Shuang-Quan.

 

Book an appointment with our Whole System TCM Fertility Specialists.

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Learn more about TCM for fertility.