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Hi everyone,


Today I wanted to talk to you all about some fascinating medical research regarding ageing that has recently been published which I thought you may all find interesting as I certainly did! This latest research paper demonstrating bursts of ageing that occurs at 44, and at 60 years old. As we journey through life, ageing is an inevitable process we all face. However, the way we age can significantly differ based on the choices we make and the knowledge we possess.


The research breakthrough. The latest studies have unveiled a startling truth: we do not age in a linear, chronological fashion. Instead, we experience dramatic, transformational shifts in our genetics at specific ages, 44 and 60 years old, and possibly again at 78. These changes occur in both men and women and are thought to correspond with perimenopause and andropause. Interestingly, while society often discusses women's hormonal changes, the 'midlife crisis' in men, or andropause, is seldom acknowledged in mainstream media... I wonder why?!


The first wave of age changes at around 44yrs included molecules linked to cardiovascular disease and the ability to metabolise caffeine, linked to drinking which may be greater for people in worse health, alcohol and lipids, which is why so many people reduce or even ditch alcohol with age.


The second wave of changes included molecules involved in immune regulation, carbohydrate metabolism, and kidney function. Molecules linked to skin and muscle ageing changed at both time points; 44 and 60.


There is an upward trend with distinct patterns around the age of 44 and 60 of neurodegenerative disease including Alzheimer's and Parkinson's as well as type 2 diabetes and oral and gut microbiome disregulation and the up regulation of pro inflammatory cytokines. With an uptick in neurodegenerative diseases, type 2 diabetes, and microbiome imbalances around these ages, it's easy to feel disheartened. But fear not! Research is a tool that empowers us to make positive changes for a better future... so let's think about some positive behaviours we can implement to LIVE A LIFE BETTER! By making small, consistent changes in our daily lives and passing this knowledge to the next generation, we contribute to a better future for humanity. Let's embrace the ageing process with grace and make informed choices that enhance our well-being.



Tactics and Strategies - In light of these findings, here are some strategies to help us LIVE A LIFE BETTER: What can we do?




Reduce alcohol consumption. Now I'm not going to tell you to ditch alcohol but alcohol is a type 1 carcinogen. This means there is no form of alcohol consumption that is risk-free. Even low levels of alcohol consumption carry some risks and can cause harm. Alcohol consumption is found to play a causal role in more than 200 diseases, injuries and other health conditions. Alcohol increases the risk of several cancers, including breast, liver, head and neck, oesophageal and colorectal cancers. Alcohol increases the risk of developing anxiety, depression and neurodegenerative disease.


The old and poor study that showed "one glass of red wine with your meal" was good for your heart has now been widely discredited and the new advice is there is no good amounts of alcohol. The study also demonstrated disruption in your ability to metabolise alcohol with age. Gosh it sounds terrible...so my advice is if you love a glass of vino, consider having alcohol free days and lowering the amount consumed... your future self will thank you!



Increase your exercise. We all know that we loose muscle mass as we age. The study demonstrated accelerated muscle loss after age 44, though we know that men and women lose 1% year on year after 35 so it's really important consistently exercise for both physical and mental health. If you don't use your muscles consistently, you lose it. Muscle mass is so important as it protects our bone density and protects hormonal balance including testosterone in men. Frailty and weak muscles will negatively impact function and increase the risk of osteoporosis. Hip fractures in women have been shown to negatively impact life span....so the bottom line, look after it whilst you still have it, and start now. Even if you don't have access to the gym you can try doing body weight excercises at home and incorporate walking where possible. Personally I too suffer with time constraints juggling work and family life, but when I went into menopause age 46 I decided that regular exercise and diet was non negotiable! Where possible I walk to work - walking is weight bearing exercise and has been shown to reduce telomere attrition (one of the 12 hallmarks of ageing) and I try and visit the gym 3 days a week.



Diet overhaul - Try and avoid ultra processed food. Again I'm not going to get preachy but I LOVE cooking in my spare time and healthy eating is a passion! Try and reduce refined sugars, fruit juices and white carbohydrates when doing the weekly shop. Our bodies struggle to process processed carbohydrates as we age. Seed oils (rapeseed oil, sunflower seed oil etc) should be avoided where possible. Swap in with the good types of fats such as avocados, olive oils, organic butters, oily fish high in omega 3 and alpha lipoeic acids. Maximise your daily greens and make sure your eating good fruits especially berries! Also its a great idea to increase your protein intake. Now I'm not a nutritionist so what works for me may not work for you...if you're struggling with your diet choices especially in menopause it's always best to seek professional advice from a nutritionist.



What are AGE's? Advanced glycation end (AGE) products are proteins or lipids in your body that become permanently modified by excess sugar intake. AGEs form when sugar interacts with proteins or fats in the bloodstream. High levels of AGEs have been linked to inflammation, oxidative stress, Alzheimer’s, diabetes, heart disease, and renal failure. Overeating and obesity are known to cause serious health problems. They increase your risk of developing insulin resistance, diabetes, and heart disease. However, studies have found that AGEs may also have a powerful effect on your metabolic health - regardless of your weight. AGEs accumulate naturally as you age and are created when certain foods are cooked at high temperatures. AGEs are a biomarker that may be involved in ageing and the development or worsening of many degenerative diseases, such as diabetes, atherosclerosis, chronic kidney disease, and Alzheimer's disease. So the take home message is ... let the right foods be your medicine to future proof your health in my humble opinion!!



Take care of your oral and gut microbiome. The study showed that oral and gut microbiome was shown to become disregulated after 44 and again a drastic change at 60yrs old. We know that gram negative anaerobic bacteria in the mouth is associated with gum disease. Gum disease increases the risk of developing Alzheimer's disease and those with Alzheimer's disease that have disregulated oral microbiome get an 8 fold accelerated disease. People with gum disease (also known as periodontal disease) have two to three times the risk of having a heart attack, stroke, or other serious cardiovascular event... but there may not be a direct connection. As a dentist who practised for 23 years (so I can be preachy here!) my advise is to get your gums cleaned regularly by a hygienst and see your dentist at least once a year. No excuses - gum disease is preventable and treatable!!


So feed your gut with good bacteria where possible. Have keffir, sauerkraut, live yoghurt, sourdough bread. I take a pre and post biotic daily. This becomes increasingly important in women in the perimenopause as imbalanced gut bacteria negatively impacts ostrogen which makes the symptoms of the menopause worse.



Take care of your Mitochondria Ok what does that actually mean? So mitochondria are often referred to the powerhouses of our cells. Mitochondrial dysfunction is a key hallmark of ageing and is linked to many age-related diseases. Our mitochondria are responsible for many important functions in the body, including energy production, metabolism, and calcium balance. As people age, their mitochondria can accumulate damage and mutations, which can lead to a loss of function. It's really important where possible to get exposure to early morning and late evening sunlight. Your body absorbs light and your mitochondria (the batteries in your cells) are positively impacted by exposure to visible light. Walk outdoors where possible! It also supports vitamin D synthesis:).... but please remember to wear broad spectrum sunscreen daily and particularly when the UV index is high as we know that 90% of premature cellular damage is caused by UV exposure.


Ageing is a natural part of life, and it's a privilege to experience it, but by addressing factors that contribute to oxidative stress and mitochondrial damage, such as diet, exercise, sleep, stress management, supplementation, hormonal balance and environmental toxins, we can improve mitochondrial function and reduce the risk of age-related diseases.


Take NAD+ A key proven supplement you can take to reduce biological ageing and support mitochondrial function is NAD+. I personally take Nuchido if you want to as well, you can source it via my W-Wellness portal. https://w-wellness.co.uk/shop





At The Medi-Shed, we're dedicated to empowering you with this knowledge, so you can make informed decisions that lead to a healthier, more vibrant life. In conclusion... if your all still here reading this... I know a lot to digest, let's all see if we can make small changes in our daily lives to optimise and biohack our health and pass them on to the next generation. We are helping the future of humanity! LIVE A LIFE BETTER!


With love and health,


Dil x



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Hi everyone! Today, I want to talk to you about an exciting offering at The Medi-Shed called Radiesse. Well, Radiesse is not exactly new - it's been a trusted name in the world of medical aesthetics for over 20 years, supported by more than 200 clinical studies proving its excellent safety profile. This is why we are thrilled to offer Radiesse at The Medi-Shed.


We all know that collagen loss is a key factor in skin ageing—it's a subject I talk about A LOT! Many treatments we offer aim to increase collagen production in different ways. When we are young, collagen is organised in a dense network that keeps our skin firm, smooth, and radiant. Over time, this network loosens, and less collagen is produced. As a result, you begin to see the common signs of ageing, such as skin sagging and wrinkles.

However, we must understand that all five layers of our face age - the skin, superficial fat, muscle, deep fat, and bone. This is why we always need a multi-modality approach to age-appropriate facial rejuvenation.


What is RADIESSE+?

Most dermal fillers are made with a naturally occurring substance called hyaluronic acid (HA). RADIESSE+ is different; it is made with calcium hydroxylapatite (CaHA), which is stiffer than HA gel fillers and therefore provides excellent support in areas such as the cheek bone, chin, and jawline. RADIESSE+ lasts 12-14 months and stimulates collagen production, making it great for adding structure to the lower face.


How Does RADIESSE Work?

RADIESSE is composed of tiny microspheres of calcium hydroxylapatite (CaHA) suspended in a gel. The CaHA microspheres activate the body's natural processes to produce new collagen and elastin. Over time, your body breaks down these tiny microspheres and the gel, leaving behind your own newly formed natural collagen. Your skin is left with improved structure and quality, offering immediate and long-lasting, natural-looking results.


What Does the Treatment Involve?

Following your consultation, the treatment session will typically take about 30 minutes. During the session, RADIESSE+ is injected into the specific area with a needle or cannula.


How Soon Will I See Effects from My RADIESSE Treatment?

Depending on the treatment performed, the effect can be visible immediately after injection due to the lifting and contouring effects. Additionally, by stimulating your body's own collagen and elastin production, the benefits of skin quality enhancement with RADIESSE will continue to develop over time.


How Long Do the Effects of RADIESSE Last?

The duration of the results depends on age, skin type, lifestyle, metabolism, and, of course, the area treated. RADIESSE results are particularly durable, lasting up to 12 to 18 months.


What is Hyperdiluted Radiesse?

Hyperdiluted Radiesse is simply a form of Radiesse that has been diluted or thinned out using a sterile saline solution. This mixture makes it an easily manageable and spreadable biostimulator capable of skin remodelling over a larger area. When this diluted mixture is injected into areas where collagen has been lost, it triggers the body to produce new sets of collagen and elastin. The result is a skin rejuvenating treatment that provides smoother, firmer, younger-looking skin. People benefit from Hyperdiluted Radiesse by having tightened and thickened skin and a much-reduced appearance of fine lines, wrinkles, and creepiness. Additionally, treatments of the décolletage will help reduce pigmentation caused by sun damage. Overall, there is a remarkable improvement in skin tone, texture, and elasticity.


How Does It Work?

Hyperdiluted Radiesse comprises thinned-out calcium hydroxyapatite (CaHA) gel microspheres that work their magic immediately upon injection. CaHA is composed of ions of phosphate and calcium, which are naturally produced in the human body. These injectable gels initially fill in all the volume you want. Over time, the CaHA starts stimulating your naturally-occurring collagen, allowing your skin to begin creating more of its natural fillers. Eventually, the CaHA is absorbed back into the body, leaving all the new collagen produced in its place. Because of the fantastic science behind Hyperdiluted Radiesse, treatment results are known to last for over a year, possibly longer in some cases. Facial massage is essential twice daily post-treatment for a week to allow for good product integration.




How Much Downtime is Needed After Treatment?

There is normally minimal downtime required after being treated with RADIESSE. Swelling, possible bruising, and numbness are common following treatment and usually resolve within 7 to 10 days. You should avoid sun exposure, tanning lights, saunas, and intense facial treatments for one week after treatment.


I hope you have found this interesting. As ever, every face is different, and consultation is key!


Speak soon,


Love Dil x



 




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Hi everyone, today I am excited to introduce the newest launch from HADERMA - the company behind the popular injectable treatment Profhilo. Introducing Profhilo Structura!! This innovative treatment is alteady a firm favourite of patients at The Medi-Shed.The Profhilo® Structura patient is just like you and me.... our inspiration isn't social media; its that summer holiday photo from 10 years ago when we looked genuinely happy, rested, fresh-faced, and vibrant:) Both types of profhilo are key players in regenerative aesthetic medicine.



What is Profhilo® Structura?



Profhilo® Structura is a groundbreaking injectable treatment designed to lift, contour, and rejuvenate the facial profile by targeting superficial fat layers.


By regenerating and repositioning these fat layers, Profhilo® Structura counteracts the natural flattening of facial angles and tissue descent that occur over time. The result is a more lifted, naturally contoured profile without obvious projections or the appearance of artificial enhancements.


So the midface (our cheeks) plays a pivotal role in achieving facial harmony and youthful vitality, yet many patients are nervous about the fillers commonly used in this area. Profhilo® Structura is the first injectable treatment to naturally address midface rejuvenation by uniquely restoring facial fat, challenging conventional approaches with transformative and natural-looking results that continue to redefine beauty standards.


By stimulating natural fat regeneration, Profhilo® Structura has the potential to delay or even eliminate the need for traditional fillers with some patients, empowering them to explore more natural approaches to facial rejuvation.



Importance of superficial facial fat



Volume and Structure: Superficial fat provides essential volume and support to the skin, helping to maintain a naturally lifted appearance. As we age, the face loses the triangle of youth and begins to "square out"

Youthful Contours: The natural placement of superficial fat plays a vital role in highlighting youthful contours, including a defined jawline and sculpted cheeks. Over time, the gradual redistribution and depletion of this fat can result in sagging and hollowed areas which can be an issue for some people.

Wrinkle Reduction: Superficial facial fat cushions the skin, reducing the visibility of wrinkles and fine lines. As this fat diminishes, the underlying skin and connective tissue loose support, causing the skin to sag and become more prone to creasing, wrinkling, and the formation of folds.



Ageing and superficial fat



As we age, specialised cells in our fat loose their ability to create new fat cells. This leads to the breakdown of existing fat cells and a build up of old, inactive cells that release inflammatory substances, accelerating inflammation and other age-related issues.


Additionally, disrupted communication between cells in this fat layer results in an unhealthy accumulation of immune cells and reduces the body's capacity to produce hyaluronic acid, collagen, and elastin. These key substances are essential for keeping the skin hydrated, firm, and elastic. Consequently, the degradation of superficial fat hastens the overall ageing process, significantly affecting skin quality and health.



The science behindProfhilo® Structura



Profhilo® Structura is uniquely formulated to work harmoniously with superficial fat tissue. Its specific composition and concentration enhance this integration and compatibility.

Developed using patented NAHYCO® technology, Profhilo® Structura stabilises a distinct complex of high and low­ molecular-weight hyaluronic acid. Once injected, Profhilo® Structura activates ageing adipose fat cell receptors, subtly and safely encouraging them to mimic the behaviour of their youth.



What results can patients expect?



Profhilo® Structura is clinically proven to restore superficial fat to its original position, effectively tackling age-related concerns like pronounced facial hollows, skin laxity, and the development of a squarer facial shape resulting from midface fat loss.

95% of patients noticed lasting enhancements in the mid-face ar ea after the first treatment. This improvement was sustained three months later, highlighting the lasting benefits of Profhilo® Structura. Profhilo® Structura is a natural and regenerative option for those desiring subtle enhancements without drastically altering their appearance.



What to expect during a Profhilo® STRUCTURA treatment?


A Profhilo® Structura treatment consists of two sessions, administered one month apart.

Profhilo® Structura is injected in the preauricular area - the upper cheek region - using a protocol that evaluates facial structure, including midface projection, hollows, laxity, and skin density. There is minimal downtime with the treatment and patients can go about their day with ease after an appointment. A cannula ( blunt ended needle is used for this treatment.


How Profhilo® and Profhilo® Structura differ?


Profhilo® and Profhilo® Structura have different rheological properties and benefits.

Profhilo® is injected into the dermis (skin) where it is clinically proven to provide tissue restoration without volumisation. It does this by waking up dormant fibroblast tissue to regenerate collagen and elastin, visibly improving the skin's firmness, texture, and hydration.


Profhilo® Structura, on the other hand, is designed for deeper structural remodeling and is injected into the subcutaneous layers. It is clinically proven to reposition and regenerate the dynamic superficial fat pads located beneath the skin and connective tissue, and above the muscle and deep fat layers. Its advanced compatibility with fat cells helps counteract the flattening of facial angles and tissue descent that naturally occurs over time, resulting in a more lifted, contoured, and rejuvenated facial profile.


Both treatments offer unique benefits tailored to different skin concerns and treatment areas, ensuring a comprehensive approach to skin rejuvenation and anti-ageing. A thorough consultation would determine which particular treatment is best for you - some patients can have both if needed.


Is Profhilo® Structura a filler or skin booster?



Profhilo® Structura represents a unique category of advanced injectable treatments that specifically target and restore facial fat for natural, restorative and regenerative solution.

Unlike fillers that offer mechanical lifting and volumising effects, Profhilo® Structura adopts a restorative approach that the body recognises, controlling inflammation and providing subtle repositioning without triggering a foreign body effect.


Unlike skin boosters, which are injected into the upper layers of the skin to enhance radiance with less concentrated hyaluronic acid, Profhilo® Structura specifically targets the midface superficial fat. This tissue layer requires a treatment that is both biocompatible and bioavailable with its unique cellular function and ageing process.



Conclusion


So in conclusion... fat is back, and Profhilo® Structura is leading the charge!

Profhilo® Structura is a game-changer in aesthetics. Its innovative approach to restoring facial fat through natural regeneration represents a paradigm shift in non-invasive treatments. This treatment embodies the future of facial enhancement."


Fat gets fit with Profhilo® Structura!


With love,


Dil x




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