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10 Steps towards building a Successful Medical Spa

A medical or med spa is known to be quite a lucrative business prospect. These days there are so many med spas seen here and there. Hence, you can understand that the profitability of this business is quite high. If you are also thinking of starting this business, you have to follow 10 steps.

  • Learn about business and services

At first have to know about the services offered at a typical med spa out there. You can search with medical spa near me on Google and you will get to see the list of services provided there. Decide on the treatments that you want to provide at your med spa.

  • Explore business requirements

Knowing the business requirements is the next step. You will have to work with doctors and other professionals. Moreover, you will also have to rent a space or location for your salon to provide med spa service.

  • Design the salon

Now you have to design your salon by professional architecture. The salon should be spacious and well decorated. The place is to e neat and clean. It would be best if you kept some books and magazines there.

  • Get a license

Then you have to get licenses to start the business. First of all, get a health license and then apply for a business license. Hiring a tax professional is also essential for you in this regard.

  • Advertise your business

You have to promote your business and services properly to get to know about it. The whole business depends on its promotion and marketing of it. People should find your salon while searching with medical spa near me.

  • Hire expert employees

You need to hire expert and professional employees to run your med spa. Consult with some expert doctors who wish to work with you in this business. They should be certified and registered.

  • Follow up with customers

Once a customer gets treatment at your spa, you have to follow up with them for further treatment or meet-up. You should make sure that your customers are happy after getting your treatment. 

  • Introduce latest treatments

As science and technology improve day by day, the latest beauty treatments are being introduced. You should keep yourself updated regarding this matter and introduce such the latest procedures at your spa now and then. This will attract new customers.

  • Keep customers happy

Keeping your customers happy is the most important thing to grow your business. If your customers are happy, their reviews and feedback are to promote your business to the fullest, and more customers will visit your med spa. 

  • Keep doing the hard work

The thing is that you have to keep working hard to hold your market position even after your business has become a success. Hard work is the only way to beat your competitors and retain the old customers while getting new customers in this line of work. This is how you can expect to set-up an amazing and successful med spa business. 

Why Is Laser Hair Removal Better Than Traditional Removal Methods?

Going to the beach provides you with a refreshing and soothing feeling, and it is the best place to show off your arms and legs. But hairs on legs and arms can spoil your fun and makes you look dull. In addition, shaving your body might leave cuts and nicks, waxing can be painful and tweezing is tedious, and these all options last for a short duration. No need to worry because this page has an easy and quick solution for your problem, i.e. laser hair removal. The laser hair removal provides you with smooth and shiny skin without a long procedure.

What is included in laser hair removal?

Laser technology produces a focused and narrow beam of light. The melanin pigment present in the hair absorbs the laser light in the hair removal procedure. Once the light is thrown at the treatment area, it is converted into heat energy, further damaging hair follicles and preventing further hair growth.

As we all know, all hairs don’t grow equally or simultaneously; therefore, you may need to take two to three treatments to remove all the hairs from the area. Moreover, the laser treatment lasts too long that it can also be called a permanent treatment. The best part of laser hair removal treatment is that it can be used for all skin types, but it is most effective for people with dark hair and light skin.

Dark hair is good for laser treatment as it absorbs the laser light, and it allows the pigment in hair, not in the skin. Moreover, due to advancements in technology, laser treatment has also become effective for hair colours like blond, grey, white and red which don’t absorb the light easily.

In what areas can you use laser treatment for hair removal?

Some common areas where laser treatment works best include:

  • Chest
  • Bikini area
  • Back
  • Upper lip and chin
  • Legs
  • Shoulders
  • Armpits

So this page allows you to know that the laser hair removal treatment can be possible on all areas of the body except eyelids and its surrounding area. If you have tattoos on your skin, laser treatment is not an option because the ink absorbs the laser light.

What precautions must you take prior to hair removal treatment?

Prior to your laser treatment, it is advisable:

  • To shave the area of treatment as it removes the hair present above the surface area, this might burn at the time of treatment.
  • Avoid other methods of hair removal as it can damage hair follicles
  • Don’t go out in the sun; if necessary, then apply sunscreen

When you go for laser treatment, they will give you a topical anesthetic to make you unconscious and offer you goggles to protect your eyes.

Next, a hand-held device is applied to the treatment area, which allows the laser light to reach hair follicles. Moreover, some gels are also used in the treatment to protect your skin from any side effects.

Here the question arises, is laser treatment painful? The answer is no; when the laser energy reaches the follicles, you will feel the sensation of a warm pinprick but no pain.

Top 8 Best Tips to Be Ready for Your First Coolsculpting Treatment

If you’ve been thinking about getting a coolsculpting treatment, but have doubts or questions about what to expect, here’s the short version: it’s a targeted fat-freezing procedure that makes your body contour more excellent and tighter in just one hour. It doesn’t get rid of the fat from your body. Instead, it freezes and destroys those pesky bulges for you. The results are best seen on your trouble spots, most prominently, your belly, thighs and love handle.

CoolSculpting is relatively painless, safe and fast. It is also a procedure that people tend to like very much. However, to be ready for your treatment, it’s a good idea to do some prep work so you can relax and enjoy the procedure and the results afterwards. Here are some points that can help you get ready for your treatment if you plan to get one.

Tips to Consider

  1. Have original expectations in terms of what you can achieve with Coolsculpting. Getting rid of your fat isn’t a guaranteed thing, so you shouldn’t expect miracles and disappointments.
  2. If you don’t fit into the recommended Coolsculpting package, which is usually between 1 and 2 areas to be treated and feel a limitation, talk to your doctor about other alternatives. The treatment can be tailored for individual clients, and it may be possible to get just 1 area treated for less money or more if you’re already committed to a larger package.
  3. Do your research. The internet is full of beneficial information about Coolsculpting, but you have to be aware of plenty of myths before deciding on it. Find out what the different kinds of Coolsculpting and other options for fat freezing like laser lipo, radiofrequency and other techniques are all about before you decide on one in particular.
  4. Get a consultation from your doctor before you decide on Coolsculpting.
  5. You can expect a faster effect after your procedure with Coolsculpting than you would get with other methods. It takes only 1 hour to do the full treatment, while some laser lipo sessions that target fat may take three or more hours to be adequate to justify the time and cost involved.
  6. Avoid alcohol, caffeine and other beverages with stimulant effects before treatment as they have been linked to adverse effects, including dehydration and dizziness.
  7. Eat something light and healthy before your procedure to avoid alarming your stomach.
  8. Have your garment ready before getting into the chair; this will help put you at ease as it stops you from worrying about covering bits that you usually wouldn’t cover with a swimsuit or thong.

Once you consider all the tips, it will automatically help you have better results while planning to get an excellent sculpting treatment. Make sure that you learn about this treatment first and only consider having it. It will help you have better results and allow you to get a wonderful experience after the treatment. Try to stay focused and greatly impact your health and future lifestyle.

Microneedling Device- How To Use At Home?

Perhaps, people things doing microneedling at home is a challenging task. The micro-needling or dermaroller is a device that helps to treat acne scars. Indeed, many people face issues related to the skin, especially acne. What do you understand by microneedling vs dermaplaning treatments? Dermaroller is a convenient way to go with and help your skin to remove all the scars.

Initially, it was used for forehead, cheeks, under-eye, but now it is used as an anti-ageing process. Ageing is natural, but removing fine lines and wrinkles is best. The best part about the derma roller as it is an expensive and convenient way to get the desired results.

Most importantly, if you are going for a derma roller is at home, make sure you know the proper techniques. Otherwise, it may cause symptoms and marks on your skin that not be reduced at any cost. So let’s discuss how to use the dermaroller appropriately at home.

Step 1 (Proper Selection of Device)

There is a wide selection of models while selecting derma roller. Especially when you are getting your hands on a device to use at home, there are the best-suited models for you. The most important thing is to select the best one for you. If the device is not appropriate, you won’t get the expected results. There are three types of models –

  • Derma stamp
  • Derma pen
  • Derma roller

All of them are used in different ways, but the result is the same. For different people, it is beneficial in other ways. Undoubtedly, derma rollers are an inexpensive device, and you can use them as a paint roller. However, it has been known that few doctors recommend going with Dharma stem or derma pens as it is less painful and easier to use at home.

Step 2 (Selection of Needles)

Needles size also varies from the product. Few people go with shoulder-length, and others go with longer ones. Make sure which size of the needle is well suited for your purpose. Do not go wrong, as you will not get the desired results.

Want to use it at home? Make sure you are going with the shorter length that varies from 0.5 MM to 3MM as shorter needles are safe and secure for those who are new and making use of roller at home.

There are no worst symptoms that you can face. However, if you want to treat your acne scars, longer needles that range from 1.5mm in length are helpful. But make sure you take the consult from your doctor to make the best use.

Step 3 (Read all Instructions)

There are plenty of options in the micro-needling device, and it’s essential to consider all the instructions carefully. Every device is different in storage and how to use it safely. Before getting the treatment from micro-needling devices, the most important thing is to sanitise. Take a bowl with rubbing alcohol and place your device. Make sure you keep your device in the bowl for at least 1 to 2 minutes.

Step 4 (Clean your Face Properly)

If you have applied make-up before or not, make sure you wash your face to begin your treatment. First, take a gentle cleanser and remove all the dirt and make-up from the surface. The fundamental objective to remove the dirt and face the wash is removing the bacteria to get the appropriate result of the micro-needling process. After that, pat your face.

Step 5 (Don’t use Rollers Aggressively)

Some people often go for rolling with pressure. However, it is one of the wrong methods to use a derma roller. It deeply penetrates under the skin and causes marks on skin. That cannot be healed afterwards. To avoid such situations, make sure you are gently using rollers. If you are not aware of the speed, consult your doctor. Otherwise, applying too much pressure on the skin will lead to many side effects.

Step 6 (Take Safety Measures)

After using a derma roller is it’s important to consider a few things afterwards. Otherwise, your skin may feel irritated and result in inflammation. The most important thing does not to get sun exposure. Try to put a layer of sunscreen to protect your skin from itchiness. After getting an, A session makes sure you are not getting out for at least one or two days. Most importantly, do not go for the derma roller session frequently as it will damage your skin.

Final words

After considering the appropriate method to use dermaroller is at home, it can be easily stated that one should get the proper guide. Otherwise, the results are inappropriate, and you don’t get the expected results. It also saves you from not getting the worst marks on your skin that cannot be avoided. Hopefully, the above instruction will help you make the best use of the microneedling device.

How To Select The Best Clothing Online?

It has been observed a lot of times that people face a significant number of difficulties in getting the best clothing from the online platform. The main reason behind this fact is that they do not focus on getting the best product very quickly and comfortably. That is the main reason there wholly unable to get the best value for their money. If you are also one of those people, then it is essential to focus on the necessary activities. It can quickly help you a lot in selecting the best product without any difficulty.

 If you are looking to buy a different type of bag can you can also buy it from superior platforms such as So all you have to do is to focus on some necessary activities that can quickly help you a lot in getting the best amount of results.

How to select the best shirts online

If you are going to buy the best shirt from the online platforms are then some necessary tips can help you a lot. People must check out all these tips and tricks accurately. The main reason behind this fact is that if you do not check out all these things properly, then you will face a significant amount of problems in your purchase. Here are some top steps that are pretty essential for the people that are trying to buy online products.

  • The first and foremost in that you should always keep in mind is that you should always accept such kind of shirt that is of the perfect size. If you do not prefer a shirt that is a perfect size, then you have to face a significant number of problems in your purchase. People need to check out the best product that is entirely genuine.
  • Other than that, it would help if you also focused on the quality of the product. There are many fake platforms also available on the internet that will not provide you with the best quality. People need to stay away from all these fake platforms. The main reason is that they will not get the best amount of results in their purchase.
  • It would help if you also focused on the design of the shirt. If you buy a white shirt for your tuxedo suit, you should focus on the shine of colour. Unfortunately, there are a lot of people that do not focus on all these things accurately. That is the main reason they are unable to get the best result in their purchase.

This is all about the best advice that can quickly help you select the superior shirt without any difficulty. All you have to do is to follow all these things accurately to get a fantastic amount of results in a short period. On the other hand, if you do not focus on all these things properly, then you will not be able to get a superior product in a short period.

Varicose Vein – Top 6 Effective Asanas To Treat It!

Sometimes sitting for a long time or walking in uncomfortable shoes or heels may lead to varicose veins. The varicose veins refer to the swollen and spidery veins of the body, which provide people with a painful experience. Furthermore, such veins are caused by the increased blood pressure in the veins. It happens in the veins near the skin’s surface; they usually occur on the legs.

 However, pregnant women also suffer from the problem of it during their pregnancy. So for getting rid of the problem of swollen veins, there is a way, and that is yoga. So yoga helps people in solving the problem of such spidery veins problem. As there are many asanas are present, which makes it easier for people to have a painless feeling. Thus the top 6 effective asanas that will straightforwardly and efficiently treat the problems are listed below:

  • Tadasana:

 The Tadasana is also known as the Mountain Pose; it benefits the sufferer differently. As it is the most basic asana of yoga that will help people in having the body’s right alignment. Moreover, such asana of yoga will keep the leg of the person straight and toned. Tadasana also strengthens the entire body parts like knees, ankles, and thighs. However, doing such asanas of yoga is the most efficient thing to do, as a person just has to stand straight. Also keeps the feet apart and allows the hands to hang alongside of the body. After doing such a thing, the person should have to strengthen each part of the body and have to look up and breathe. Thus, this is the tadasana that anyone can easily and straightforwardly do. 

  • Uttanasana: 

Uttanasana is also known widely by various names like Padahastasana, Standing Forward Bend, and Hasta Padasana. Such yoga asana helps people in improving the blood circulation in each part of the body. Doing such yoga asana is the most efficient thing to do. A person just has to stand straight and keep their hands on the hips. After doing it, the person just has to inhale and bend downwards and exhale. The hands that are placed on the hips now must be placed as the floor beside the feet. Also, make sure that the feet should have a parallel position. By doing this, a person can easily have good blood flow in each body vein. Moreover, people can also search the vein treatment center near me for yoga asanas. 

  • Navasana:

 Navasana is one of the most famous yoga asanas, which provides a relaxed and stress-free feeling. However, such asana is also known by the name Boat Pose and Naukasana. This asana is the easiest one to do, as a person just has to sit in the Dandasana. After sitting, people have to lift their legs upside and manage the balance of hands by lifting them up from the floor. Create the position of alphabet V with the upper and the lower body and breathe long and release. This asana reduces the pressure on the veins and offers a painless feeling. 

  • Viparita Karani: 

The Legs Up the Wall or the Viparita Karani is the extremely relaxing asana of yoga. Anyone can simply do it as it doesn’t require any stretching or hard work. The only thing a person needs to do is sit across the wall and has to raise legs gently. After this, lie down and stretch the arms. Also, make sure to place the palms upwards. Also, close the eyes and breathe and release the breath after a few minutes. Doing this will offer the legs the comfiest feeling. It also improves blood circulation and flushes out the toxins from the blood. For the varicose veins, the Viparita Karani is the best and most outstanding asana to do. 

  • Sarvangasana: 

The Sarvangasana, or we can say the Supported Shoulder Stand, will enhance the blood circulation in the entire body of the people. This yoga asana is the most relaxing one. However, doing this for treating the varicose veins is the best thing to do. As it works effectively against the varicose veins. Any person can get rid of such a problem without searching the vein treatment center near me or visiting it. For doing such yoga asana, the people just have to lie down in the Shavasana and have to lift their legs upwards. Also supports the hips with the palms and puts the entire body weight on the shoulders. 

So these are the top 5 effective yoga asana that helps people treat the problem of varicose veins. However, the Matsyasana and Pawanmuktasana are widely known for curing such problems. 

Regenerative Medicine: Successes, But No Miracles

The public’s expectations of regenerative medicine are great. Some could be fulfilled, others not. 

Hardly any other field within biomedicine has developed so rapidly in the last ten years and is associated with such high hopes as that of regenerative medicine. “Thyroid gland bred for mice” or “Nose cell transplant enables paralysed dogs to walk” – these are just some of the headlines of the past months. Common to all the research approaches described is the motto: regenerate instead of repair.

Indeed, the potential of regenerative medicine is great. But its path into medical care is long. Scientists stated that the vision of simply being able to rejuvenate diseased organs is far from reality. Regenerative medicine has been marked by many successes in recent years, but also by setbacks.

Deficits in skin replacement

In clinical practice, regenerative procedures have already been used for skin, cartilage or heart. But while ten years ago the transplantation of adult stem cells was considered a very promising application of stem cells to improve heart function after a heart attack, large clinical studies have meanwhile put this hope into perspective again.

The situation is similar for skin replacement: Despite intensive research, tissue engineering of human skin has so far disappointed. Despite minor successes, it is not yet possible to prevent the formation of scars, to regress existing scars or to pigment the “new skin”, said the surgeon. He sees future regenerative approaches in treatment with suspensions containing the patient’s mesenchymal stem cells, but also in combination with biophysical therapies.

But there are also success stories: Haematopoietic stem cell transplantation is now considered a standard therapy that saves lives in many leukaemias and lymphomas. “We have now learned that the interaction of the stem cells with the so-called stem cell niches determines the fate of the stem cells such as self-renewal, differentiation and ageing. 

To break the bond between stem cells and the niche, reagents such as Plerixafor are used nowadays, he said, which ensure that the haematopoietic stem cells leave their niche in the bone marrow and are flushed out into the blood, where they can be harvested for transplantation purposes. 

Plerixafor is now approved for stem cell harvesting and represents a good example of the achievements of mechanism research in the development of stem cell technologies. 

However, it took more than 20 years for stem cell transplantation for blood cancer to gain worldwide acceptance as a standard therapy, and another ten years for the treatment to be recognised by insurance providers, the oncologist pointed out: Realistically, we are only at the beginning of a long road in stem cell research for regenerative medicine.

Immune modulation possible

We reported on immunomodulatory procedures for the adjuvant therapy of type 1 diabetes mellitus. 

Children are currently being treated with cells from the blood of their own umbilical cord as part of a study by her research group. It contains a lot of cells that can correct the wrong reaction of the immune system. Whether the therapy will work in the long term, however, cannot yet be assessed.

So far, however, the children have tolerated it well; it does not cause side effects. “The study is an important further step on the way to understanding tolerance induction in autoimmune diseases we emphasised.

Assured the scientists of the support of politics in their research. There is no alternative to a policy that focuses on research, development and innovation

The scientists need support from the legislator, for example, with regard to biobanks. We have to protect the individual rights of donors in the legal regulation of biobanks and at the same time promote research. 

It is problematic that in addition to some large biobanks, there are still about 10,000 small projects for which the same strict regulations are applied as for the large biobanks. The researchers therefore plead for graduated regulations.

Regenerative medicine the alternative

The aim of regenerative medicine is not to replace joints but to reconstruct them. Two paths can lead to the goal: the regeneration of a tissue can take place outside (in vitro) but also inside (in vivo) the human body.

In orthopaedics, tissue replacement of destroyed joints with adult stem cells within the framework of regenerative medicine is an innovative therapy option. Only a few centres, such as Orthopaedics, have the highly specialised knowledge to be able to use the therapy option of differentiating adult stem cells.

Human mesenchymal stem cells (hMSCs) are extremely versatile cells from the bone marrow and have the potential to differentiate into various tissue cells. Stem cells are harvested from the patient’s iliac crest without opening the joint. 

This operation is significantly less risky than a second joint operation. hMSCs represent a cellular alternative for autologous transplantation due to their proliferation behaviour and differentiation ability. 

Differentiation is stimulated by the addition of growth factors. In the field of regenerative medicine, the question is therefore increasingly being asked whether the use of mesenchymal stem cells represents a sensible alternative for covering cartilage, bone and tendon defects.

Can You Really Freeze Your Belly Fat Away?

Stubborn rolls of flab just freeze away? It really can be done! More and more beauty practices are offering cryolipolysis, a non-invasive treatment for fat reduction, which is marketed under the brand name Coolsculpting as a gentle solution against problem zones. How exactly does it work, what are the risks and for whom is the treatment really worthwhile we have investigated.

What is Coolsculpting?

Coolsculpting is the brand name of a cooling machine that stands for a new method of fat reduction: cryolipolysis. Unlike liposuction, this beauty treatment does not involve the use of a scalpel. Fat deposits that patients find disturbing are treated with strong cold to achieve the death of the fat cells. The method was developed by scientists at Harvard University and has now been in practice for six years.

For whom is the procedure suitable?

The Coolsculpting device can be used to remove “localized excess fat” – but not severe excess weight. The procedure is therefore primarily suitable for people with isolated problem areas who are resistant to dieting and exercise. The treatment is possible for virtually any adult, he said. 

Exceptions: Pregnant women or women who are breastfeeding, as well as people with certain health impairments. For example, about cold urticaria, a cold allergy that can lead to hives and unpleasant swellings on the skin of those affected from around five degrees Celsius. Regular use of blood-thinning medication is also not compatible with cryolipolysis.

How does the treatment proceed?

The areas to be treated are thoroughly cleaned and protected with a gel pad before the Coolsculpting device is used. The tissue is sucked in through a vacuum cup. The fat that is in this container is the treatment area, so to speak. The Coolsculpting machine uses sensors to keep the skin at a constant plus four degrees Celsius. 

This is cold enough to destroy the fat cells, but at the same time does not cause cold burns on the skin. Depending on the area being treated, the cooling modules run for between 35 minutes and an hour. The subsequent and final treatment step is a two-minute massage of the iced area to finally destroy the fat cells and promote their breakdown.

The non-invasive treatment can, in principle, be performed during a lunch break. The patient is not put under anesthesia, and the ability to drive and work are not restricted. Pain afterwards is also unlikely. Only anti-inflammatory drugs such as Thomapyrin or ibuprofen should be avoided during the following days, as they could falsify the results.

Which problem areas are suitable for cryolipolysis?

Excess fat that sticks out – i.e. a small belly, fat pads on the buttocks or thighs, even a double chin. The attachments of the Coolsculpting device must be able to suck in the areas to be treated. Icing fat that is evenly distributed on, for example, strong legs, could lead to dents after the treatment.

What is the CoolSculpting Procedure? 

CoolSculpting non-careful fat decreases innovation tenderly and successfully focuses on the fat cells under the skin while leaving the actual skin unaffected. 

The Science and Technology 

A long time back, researchers at Harvard University saw that a few kids who ate popsicles got dimples in their cheeks. The researchers understood that the popsicles were freezing and dispensing with little pockets of fat cells. 

The possibility that cold can target fat cells—without harming the skin or encompassing tissue—was the knowledge behind Cryolipolysis, the demonstrated science on which the CoolSculpting methodology is based. 

Fat Reduction versus Weight reduction 

Numerous individuals think fat decrease and weight reduction are exactly the same thing. They’re definitely not. The CoolSculpting technique is FDA-cleared to target obstinate fat lumps in explicit zones: midsection, flank/side (“overhang” or “extra padding”), inward thigh, external thigh, twofold jaw. 

Is it appropriate for me? 

You and your CoolSculpting doctor will decide whether you’re a decent contender for non-careful fat decrease.


Am I a decent applicant ? 

The CoolSculpting fat-decrease technique is extraordinarily intended for the individuals who have undesirable fat in focused territories. Dissimilar to weight reduction medical procedure (e.g., gastric detour), the CoolSculpting methodology isn’t a weight reduction answer for individuals who are large. Great possibilities for the CoolSculpting system have perceptible lumps in specific regions they’d prefer to dispose of. Numerous individuals need a non-careful option in contrast to liposuction.

Is the treatment painful?

By nature, pain is perceived differently from person to person, as Dr. Heitmann points out. Basically, however, he describes the procedure as easy to endure and in no way comparable to the accompanying symptoms associated with liposuction, for example. After the cold effect is clearly noticeable at the beginning, the unpleasant feeling subsides after a few minutes – the skin is then as if lightly anesthetized and less sensitive to temperature. The least popular part: the two-minute “kneading” following the cold treatment. The idea here is to manually destroy the degenerated fat cells and ultimately achieve greater treatment success. “For some patients, the massaging brings tears to their eyes,” the specialist describes. “Others, however, can relax well during the process and even fall asleep.”

Hormone Replacement Therapy – Hormones During Menopause

In hormone replacement therapy (HRT), the hormone deficiency that develops during menopause is artificially compensated for by medication. 

Hormone replacement therapy does not aim to exactly restore the previous hormone concentration in the body, but rather to specifically eliminate the estrogen deficiency-related complaints and diseases of menopause. 

Menopausal symptoms such as vasomotor symptoms like hot flashes as well as sleep disorders, depressive moods, urological complaints and other ailments, which sometimes considerably impair the quality of life and performance of some women, can be effectively treated casually by hormone replacement therapy. 

The symptoms mentioned can be improved or ideally eliminated if they occur for the first time or intensify during the menopause. 

Medical reasons (indications) for the use of hormone replacement therapy are currently considered to be the treatment of climacteric symptoms such as hot flushes and tissue atrophy of the genital mucosa (atrophy) and associated urogenital complaints. 

The prevention of diseases (e.g. osteoporosis, depression) is not a conventional medical indication for hormone replacement therapy. For primary prevention of osteoporosis, hormone replacement therapy is recommended only when there is a high risk of bone fracture and intolerance or contraindications (contraindications) to other drugs approved for prevention of osteoporosis.

Before hormone replacement therapy is recommended by a gynecologist, a comprehensive examination, thorough questioning and counseling of the patient, and possibly a determination of hormone levels by blood test are essential. 

The doctor and patient will then jointly weigh up the benefits and risks of the therapeutic options. A therapeutic decision for the use of hormones is always made together with the patient – as with other treatments. Two principles are always observed in hormone replacement therapy: the lowest effective dose is used for the individually required duration of treatment. 

There should also be regular assessment of intake. In particular, this should assess whether the menopausal symptoms being treated are receding and whether there is satisfaction with the results of treatment. During the course of treatment, regular annual check-ups should be carried out, including recording of blood pressure, body weight and gynecological check-ups as well as breast examinations.

To date, no binding recommendation can be made regarding the duration of hormone replacement therapy. One can, for example, consider the conclusion of hormone replacement therapy in the form of a slow discontinuation (“phasing out”) of the medication after 3-5 years of use. 

Of course, this must always be discussed with the treating physician. To end therapeutic measures, the dose can be slowly reduced over a period of about 2-3 months, for example. If symptoms reappear, hormone replacement therapy can be prolonged.  


The decision for or against treatment with hormones always focuses on the personal level of suffering and the severity of the symptoms, which are weighed against the individual risks. Ultimately, the therapy is designed according to the personal wishes of the patient, who can decide for or against hormone replacement therapy after intensive information.

It is clear that vasomotor menopausal symptoms with the leading symptom of hot flashes can be effectively treated by hormone replacement therapy. In addition, other complaints such as depressive mood, sleep disturbances, performance and memory disorders, bone and joint complaints as well as urogenital complaints (skin and mucous membrane changes), which in some cases considerably impair the quality of life of women, can be alleviated. On the other hand, as with almost all drug treatments, various risks exist that necessitate a careful risk-benefit assessment. 

Various constellations have emerged in which hormone treatment has a clear benefit or should be considered only in exceptional cases. Today, treatment considerations are even more strongly geared to the individual medical needs of women, and risk factors and pre-existing conditions can be included in treatment planning in a more defined way. Likewise, the various active ingredients and preparations can be used in a more targeted manner. There are different estrogens and progestins with different risks.


For women with menopausal symptoms, a well-founded explanation of the advantages and disadvantages of hormone replacement therapy is very important in order to be able to make a competent and self-determined decision in connection with the treatment of their menopausal symptoms.

Among other things, the age of the women and the timing of their individual menopause are key factors in the therapy decision. Ideally, replacement therapy should begin at the onset of menopause, but no later than age 60 or less than 10 years after the onset of menopause. Furthermore, there should be no contraindications or increased risks, e.g. for cardiovascular diseases or breast cancer. 

For women in the younger age groups, various preventive effects of hormone replacement therapy have been described, which, however, do not constitute an indication for HRT from a conventional medical point of view – but can be taken into account in individual cases: Protective effect against colon cancer (colon carcinoma), risk reduction with regard to the development of diabetes mellitus II and myocardial infarction. 

In women over the age of 60, hormone replacement therapy should be started under a strict risk-benefit assessment, as the risk of cardiovascular disease (CVD) increases from this age in predisposed women. 

Adverse effects of hormone replacement therapy.

An increased risk of breast cancer (mammary carcinoma) cannot be ruled out with long-term use of hormone replacement therapy (longer than 3-5 years). 

A corresponding increase in risk has been observed for the combination of estrogens with progestins (medroxyprogesterone acetate, norethisterone acetate) for more than five years of treatment. In this context, the treatment does not appear to initiate breast cancer initially, but rather to stimulate existing cancer cells to grow.

With estrogen monotherapy, the risk of endometrial cancer (cancer of the endometrium) is increased after 2-3 years of use. The increased risk is reliably reduced by the additional administration of progestogens. 

Hormone replacement therapy carries an increased risk of blockage of the bloodstream by endogenous substances (venous or arterial thromboembolism), at least in the case of a corresponding pre-existing condition or older age. 

The term “pre-existing condition” is used if the woman has a history of thrombosis, has a family history of thrombosis, is overweight, or has had to lie down for long periods (e.g., after a bone fracture, surgery, etc.). An increase in risk was observed here only with oral hormone replacement therapy. These risks can be reduced by estrogen substitution via the skin (transdermal) with a dosage below 50 micrograms. 

When making decisions, comparison with other factors that increase the risk of heart disease or cancer may be helpful. 

For example, severe obesity, regular alcohol consumption, physical inactivity and smoking increase the risk of breast cancer significantly more than hormone replacement therapy – another factor that has been shown in the past. 

However, the basic rule for the use of hormone replacement therapy is that the lowest effective dosage should be taken over the individually required period of time in order to minimize risks.


A basic distinction is made between monotherapy, in which only estrogens are used, and combination therapy, in which a combination of estrogen and progestin is used. 

The use of estrogens with the aim of alleviating hormone deficiency-related symptoms is referred to as estrogen substitution. 

The choice of active ingredients, dosages and dosage forms depends on various factors. Active ingredient administration by mouth through swallowing is also referred to as “oral”, while active ingredient absorption through the skin is referred to as “transdermal”.

Tablets, patches, creams and gels are available as dosage forms. For local treatment of exclusively urogenital complaints (e.g. vaginal dryness, urinary tract infections), estrogen-containing creams and ointments as well as vaginal tablets or ovules, pessaries and vaginal rings can be used.

The dosage of hormones is based on the lowest dose that adequately treats menopausal symptoms.

So far, there are no clear recommendations for the use of herbal medicines (phyto-therapeutics) – also because there is a lack of conclusive studies that clearly prove their efficacy.


With age, muscle mass decreases and energy requirements also decrease. Women who do not adjust their dietary habits accordingly must expect to gain weight. With sports and exercise, you can increase your energy needs and prevent weight gain.

Calorie intake can also be reduced by eating a balanced, whole-foods diet with little sugar, fat, sausage and white flour. Dietary or lifestyle changes can also include avoiding nicotine, alcohol, coffee, black tea or hot spices. 


Women who suffer from hot flashes can dress accordingly. For example, depending on the outside temperature, they can wear several thin layers of clothes on top of each other and flexibly take off individual layers when necessary. 

Functional underwear can better wick sweat away from the body. In addition, it can be helpful for women who suffer from sweating to also have a change of clothes on hand. 

Also, while sleeping in bed at night, they can be flexible to hot flashes and sweats by using two thin blankets instead of a thick one and functional underwear. Also, fanning yourself with a fan during hot flashes can provide relief. 

Hot flashes can also be suppressed during the onset if sufferers run cold water over their wrists. 

Regular exercise and sports, as well as relaxation exercises and alternating showers, can also help relieve the symptoms of hot flashes. Exercise and avoiding stress also helps with sleep disturbances. 


Bladder weakness can be counteracted by pelvic floor exercises – combined with ample fluid intake to avoid concentrated acidic urine. However, they should be permanently incorporated into the daily routine. For women with a frequent urge to urinate, there is also targeted bladder training aimed at increasing bladder capacity again. 

If the mucous membranes are dry, care creams can help against itching and soreness in addition to estrogens, while lubricants can protect against pain and irritation during sex. 

To support the skin, care should generally be taken to ensure sufficient fluid intake. This is a prerequisite for the skin to be well hydrated and also to look firmer. 

It should be at least 1.5 to 2 liters per day, unless a heart or kidney disease is against it. (Piped) water, unsweetened juices or tea are best. In addition, it is advisable to ensure adequate protection against UV radiation.


If they occur at the onset of menopause, immediate hormone replacement therapy can be effective. In the case of pronounced psychological problems, psychotherapeutic support may be necessary. 

Depression does not necessarily occur more frequently during the menopause than in other phases of life. However, women who have already experienced depressive episodes are more vulnerable during this phase of life. 

Other women may learn to adapt the demands they place on themselves to their resilience and adjust their lives to meet their needs. (2,6) Depressive mood cannot be safely prevented. But something can be done to reduce the risk and to feel balanced and better. 

In addition to plenty of exercise, preferably in nature, relaxation exercises help to reduce tension and stress and to improve one’s own body awareness and perception of one’s own needs. Healthy nutrition is also an important aspect as well as the perception of social contacts and an exchange with other people. 

How Often To Train To Build Muscle

If you want to really learn how to build muscle then the sad fact is that a lot of what you read online and in magazines is totally useless. So much of it is geared towards making you spend money on supplements, fancy equipment and all manner of stupid items with catchy names. This is NOT how to get huge. It is all bull, if you look at the training routines often given in magazines then they are literally going to floor you in a week. You will be exhausted, burnt out, and you certainly won’t gain.

So, let’s look at real life training for real life people, not workout routines for the minuscule proportion of human beings who are so genetically gifted that they would get huge just looking at a barbell.


If you look at the article on how to get big muscles fast you will see that I recommend training two to three times a week on a full body routine. For many even this is too much. OK, let’s take a look at some options for how often to weight train to pack on the pounds. Please also read the bodybuilding training frequency article for more insights into this topic.

But the one thing to always bear in mind is that we are all individuals. No two routines should be exactly the same. Over time everyone needs to find the best muscle building workout routine for them. The more you listen to your body, and the more that you can customize your routine to make it suit your recovery factors, then the faster you will gain that all important muscle.

The Routine To Build Muscle

See the best routine to build muscle. It is brief to say the least, it should take half an hour or so, and not much longer. But as you begin to advance with your training even a routine like this can be brutal and very taxing. This is because we are not playing here. We are lifting some serious weight and we are giving it our all. So our body needs time away from training to recover and also to grow.

So, how often should we be training on this brief but intense bodybuilding routine to build muscle and transform our bodies?

How Often To Train A Muscle

If you read the articles on the routine then you will note that I recommend full body workouts over split routines. I feel it gives the best return, allows you to train a muscle more than once a week, and means your training time is cut drastically, allowing you to recover fully.


For beginners you can train 3 times a week on a full body program. It is simply because the weights are not going to be heavy enough to make any kind of a serious inroad into your bodies ability to recover.

As always, the main thing to keep an eye on is progression. If you can add weight or reps every workout then you are progressing well. If there comes a point where you are going backwards, or are stuck at the same weight for more than a week or two, then the chances are that you are over-taxing the system and are not allowing your body to recover and grow. If your nutrition is in order, and you are getting sufficient calories, then it means that you need to cut down the number of workouts you perform each week.


Once you have reached the stage where you cannot add weight to the bar every week then you are probably in the intermediate stage. You will need to do some experimenting now to find out just how often you should train. It may mean that you take 2 days rest between workouts or it may be as many as 4 days.

There is no hard and fast rule. It all comes down to how much rest you need for your body to recover. Try 2 days off and see how your workout goes. If you are progressing again then stick to this cycle until you milk all that you can from it. It could be that you can continue like this for months and months. And more likely years, with a little bit of tweaking.

As soon as you hit a plateau then it is time to up the rest days even more. Personally, although I am nowhere near an advanced trainee, I cannot recover and grow unless I have 4 days between workouts. Being a Hardgainer I simply cannot recuperate unless I rest for 4 days after a workout. Heavy leg work is taxing on the whole system, but is at the heart of continuing to add muscle. So rest as often as you need to to ensure you keep the momentum going and keep adding weight to the bar.



Many advanced trainees may need up to 5 or even 6 days between a full body workout. Once your poundages are very impressive it taxes your system to a very high degree. At this level it may well be better to switch to a split routine, where you are training legs only once a week and training other muscles every 5 days or so.

For most people this kind of consideration is years and years into the future. Most trainees are going to progress for may years with a number of rest days of between 2 and 4.


Never neglect to make your routine fit you personally. Just because a friend can gain and keep adding weight by training 3 times a week it does not mean that you will.

If you are not progressing, and are eating enough to fuel your body for the work, then you need more rest days. Workout intensely, rest, and grow.

As soon as you stop being able to progress add in another rest day and see how your body responds. And as you get stronger and stronger and larger and larger add in more rest days. It may well be that you are best suited to having 3 or 4 days between workouts for optimal results.