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Gabriel treats OA as inflammatory condition, not just "wear and tear"—inflammation drives cartilage destruction, address inflammation and support cartilage repair.
Gabriel treats OA as inflammatory condition, not just "wear and tear"—inflammation drives cartilage destruction, address inflammation and support cartilage repair. NOT inevitable with aging (genetics play role but lifestyle determines whether you develop OA). Protocol: 1) Reduce inflammation (anti-inflammatory diet, omega-3, curcumin—as effective as NSAIDs), 2) Support cartilage repair (glucosamine, chondroitin, collagen, MSM, hyaluronic acid—proven effective despite conventional dismissal), 3) Weight loss if overweight (5-10% loss dramatically reduces joint pain and slows progression—single most effective intervention), 4) Strengthen muscles (support joints—reduces stress), 5) Improve biomechanics (physical therapy, correct movement patterns), 6) Reduce systemic inflammation (heal gut, eliminate inflammatory foods). Goal: reduce pain, slow/stop progression, avoid or delay joint replacement. Many patients dramatically improve with comprehensive approach—avoid NSAIDs long-term (GI bleeding, cardiovascular risk).
Standard Treatment
Pain management: Acetaminophen (Tylenol—first-line for pain, but liver toxicity with chronic use), NSAIDs (ibuprofen, naproxen, celecoxib—for pain and inflammation), Topical NSAIDs (diclofenac gel—less systemic side effects than oral), Topical capsaicin cream (pain relief—depletes substance P), Tramadol (weak opioid—for moderate pain, addictive), Opioids (for severe pain—highly addictive, last resort, avoid if possible), Corticosteroid injections (intra-articular—temporary pain relief, 3-4 months, limit 3-4/year—damages cartilage long-term), Hyaluronic acid injections (viscosupplementation—lubricates joint, series of 3-5 injections, modest benefit, expensive), Physical therapy, Occupational therapy, Weight loss advice (often inadequate support), Glucosamine/chondroitin (sometimes recommended but dismissed by many—despite evidence), Surgery: Arthroscopy (debridement, meniscus repair—limited benefit in OA, controversial), Osteotomy (realign joint—delays replacement), Joint replacement (total knee, hip, shoulder—when severe, disabling pain, last resort)
The Problem
NSAIDs (ibuprofen, naproxen): Effective short-term pain relief but TERRIBLE long-term (most OA patients take chronically), Side effects: GI (ulcers, bleeding—very common, hospitalization, death), Cardiovascular (heart attack, stroke risk—especially COX-2 inhibitors), Kidney damage (chronic use), Hypertension (raises blood pressure), Doesn't slow progression (may WORSEN cartilage breakdown—inhibit repair), Acetaminophen: Liver toxicity (leading cause of acute liver failure, dangerous with alcohol, chronic use), Doesn't reduce inflammation (just pain—inadequate for OA), Recent studies question effectiveness for OA, Opioids: Highly addictive, Tolerance (need higher doses), Side effects (constipation, sedation, hormonal disruption), Overdose epidemic, Don't use for chronic non-cancer pain (CDC guidelines—but still prescribed), Corticosteroid injections: Temporary relief (3-4 months), Repeated injections damage cartilage (accelerate OA—ironic), Limit 3-4/year, Infection risk, Doesn't address root cause, Conventional approach: Manages pain without addressing: Inflammation (systemic inflammation from diet, gut, obesity drives OA), Cartilage support (glucosamine, chondroitin, collagen, MSM—proven effective but dismissed by many conventional doctors despite evidence), Weight loss (mentioned but inadequate support—most effective intervention, should be emphasized as PRIMARY treatment), Diet (anti-inflammatory diet dramatically helps—rarely discussed), Supplements (curcumin, boswellia, omega-3—as effective as NSAIDs without side effects), Biomechanics (physical therapy, strengthen muscles, correct movement—often not emphasized until late), Regenerative options (PRP, prolotherapy, stem cells—not offered until severe, surgery considered), Many patients on long-term NSAIDs (liver/kidney/GI damage) when natural approach could manage pain without side effects: Glucosamine + chondroitin + MSM (proven effective), Weight loss (if overweight—dramatic improvement), Anti-inflammatory diet (reduce systemic inflammation), Curcumin, boswellia, omega-3 (natural anti-inflammatories), Exercise (strengthens muscles, maintains mobility), Surgery (joint replacement): Effective for severe OA with disability (improves quality of life), BUT: Major surgery (risks—infection, blood clots, complications), Long recovery (3-6 months full recovery), Limited lifespan (15-20 years—may need revision), Not perfect (some patients still have pain post-op), Avoid if possible with conservative management (many patients jump to surgery without trying comprehensive natural approach first)
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What's Included
Available through Fullscript
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What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
In-person therapies that complement your protocol
$25-75 per session
Specific wavelengths of red and near-infrared light penetrate tissue to boost cellular energy, reduce inflammation, and accelerate healing.
West Hollywood • Sunset Strip
First session free with any package
West Hollywood • Robertson
10% off all services with Gabriel
West Hollywood • Melrose
$15 off infrared sauna session
Anti-inflammatory diet (reduce systemic inflammation): Mediterranean or low-carb diet (both proven anti-inflammatory), Eliminate inflammatory foods: Sugar, refined carbs, trans fats, seed oils (corn, soy, canola—high omega-6), fried foods, processed foods, Increase anti-inflammatory foods: Omega-3 fish (salmon, sardines, mackerel—3x/week), Colorful vegetables (antioxidants, phytonutrients), Berries (anthocyanins—reduce inflammation), Dark cherries (tart cherry juice—proven for arthritis, reduces pain and inflammation), Turmeric and ginger (add to foods daily), Green tea (EGCG), Extra virgin olive oil (polyphenols), Garlic and onions (sulfur compounds), Pineapple (bromelain—anti-inflammatory), Bone broth (collagen, glycine, proline—joint support), Adequate protein (muscle repair—0.8-1g/kg), Sulfur-rich foods (eggs, garlic, onions, cruciferous vegetables—cartilage needs sulfur), Vitamin C foods (citrus, bell peppers, strawberries, broccoli—collagen synthesis), Avoid nightshades trial (tomatoes, peppers, eggplant, potatoes—some OA patients sensitive to alkaloids, trial elimination 30 days), Adequate hydration (cartilage needs water), Limit alcohol (inflammatory), Organic (pesticides inflammatory), Weight loss if overweight (MOST effective intervention—5-10% weight loss reduces pain 50%+, slows progression dramatically, reduces inflammation, less mechanical stress)
Weight loss if overweight (CRITICAL—every 1 lb lost = 4 lbs less pressure on knees with each step, dramatic pain reduction, slows progression), Exercise (CRITICAL despite pain—"motion is lotion," maintains mobility, strengthens muscles, reduces pain long-term): Low-impact aerobic (walking, swimming, water aerobics, cycling—daily 30 min), Strength training (build muscle—supports joints, reduces stress, 2-3x/week), Range-of-motion exercises (maintain mobility—daily), Yoga or Tai Chi (flexibility, balance, gentle strengthening), Avoid high-impact (running, jumping—worsens OA if already present), Start gentle (increase gradually, avoid overexertion), Aquatic exercise ideal (water supports body weight—reduces joint stress while exercising), Physical therapy (correct movement patterns, strengthen weak muscles, improve biomechanics), Heat and cold therapy: Heat (warm shower, heating pad, paraffin wax—before exercise, reduces stiffness), Cold (ice pack 15-20 min after activity—reduces inflammation), Contrast therapy (alternate hot/cold), Infrared sauna (pain relief, improves circulation—proven helpful), Massage therapy (reduces pain, improves mobility), Acupuncture (pain relief—proven effective for OA), TENS unit (transcutaneous electrical nerve stimulation—pain relief), Supportive devices: Braces or sleeves (provide support, reduce pain), Cane or walker (if severe—reduces joint stress), Proper footwear (cushioned, supportive—reduces impact on hips/knees), Orthotic inserts (correct biomechanics), Maintain healthy weight (prevent progression), Avoid prolonged standing/sitting (move regularly), Ergonomic modifications (work, home—reduce joint stress), Joint protection techniques (use larger joints, avoid repetitive stress, adaptive devices), Adequate sleep (7-9 hours—pain interferes with sleep, sleep deprivation worsens pain—vicious cycle, address both), Stress management (stress increases pain perception, muscle tension—meditation, relaxation), Regenerative treatments (if conservative measures fail): Prolotherapy (dextrose injections—stimulate cartilage repair), PRP (platelet-rich plasma—growth factors for healing), Stem cell therapy (experimental but promising—regenerate cartilage), Ozone injections (anti-inflammatory, stimulates healing)
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Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Daily meditation practice to reduce stress, lower inflammation, and support healing.
Developing healthy coping strategies to reduce cortisol and support immune function.
Conscious breathing techniques to regulate nervous system and reduce symptoms.
Time in nature to reduce stress, improve mood, and support physical healing.
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