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Natural Treatments for Thyroid Cancer Explained

thyroid cancer natural treatment

Thyroid cancer is a common endocrine neoplasm that affects individuals worldwide. Traditional therapies such as surgery, radiotherapy, and chemotherapy have limitations and can cause various side effects. In recent years, researchers have been studying the potential of natural treatments derived from herbal medicine in inhibiting thyroid cancer and improving treatment outcomes.

In this article, we explore the use of natural treatments for thyroid cancer and highlight the benefits of a holistic approach. We delve into the different types of thyroid cancer, the limitations of traditional therapies, and the role of herbal medicine in thyroid cancer treatment. We also discuss the impact of phytochemicals found in herbal teas, lifestyle changes, and natural supplements on thyroid cancer prevention and support.

At the end of this article, we provide key takeaways that summarize the essential points discussed in the sections below.

Key Takeaways:

  • Thyroid cancer is a common endocrine neoplasm that requires effective treatment strategies.
  • Natural treatments derived from herbal medicine show potential in inhibiting thyroid cancer.
  • The limitations of traditional therapies necessitate the exploration of alternative treatment options.
  • Phytochemicals found in herbal teas can modulate thyroid signaling pathways.
  • Lifestyle changes and natural supplements can support thyroid cancer treatment and overall well-being.

Types of Thyroid Cancer

Thyroid cancer encompasses several subtypes, including papillary thyroid carcinoma (PTC), follicular thyroid carcinoma (FTC), anaplastic thyroid cancer (ATC), and medullary thyroid carcinoma (MTC). PTC is the most prevalent subtype, accounting for 70-80% of all thyroid cancers. Recent years have shown an increasing incidence rate of PTC. Understanding the different types of thyroid cancer is vital for determining appropriate treatment strategies.

Thyroid Cancer Subtypes

Thyroid Cancer Subtype Percentage of Cases
Papillary Thyroid Carcinoma (PTC) 70-80%
Follicular Thyroid Carcinoma (FTC) 10-15%
Anaplastic Thyroid Cancer (ATC) 2-5%
Medullary Thyroid Carcinoma (MTC) 2-5%

Sources:

  • First source

Limitations of Traditional Therapies

While surgery, radiotherapy, and chemotherapy are commonly used to treat thyroid cancer, these therapies have limitations. Surgery can lead to postoperative complications, and both radiotherapy and chemotherapy can cause drug resistance, poor efficacy, and serious side effects. These limitations highlight the need for alternative treatments that are non-toxic and have fewer side effects.

Challenges of Surgery

Surgery is often the initial treatment for thyroid cancer, and while it can be effective in removing tumors, it is not without limitations. Postoperative complications, such as infection, bleeding, and damage to nearby structures, can occur. Additionally, some patients may require lifelong hormone replacement therapy after surgery due to the removal of the thyroid gland. These challenges emphasize the importance of exploring non-surgical options for thyroid cancer treatment.

Drawbacks of Radiotherapy

Radiotherapy, which uses high-energy radiation to destroy cancer cells, may be used in cases where surgery is not feasible or when there is a risk of cancer recurrence. However, radiotherapy also has its limitations. It can cause damage to healthy tissues surrounding the thyroid, leading to long-term side effects such as dry mouth, difficulty swallowing, and voice changes. Moreover, some thyroid cancers may develop resistance to radiotherapy, reducing its effectiveness as a standalone treatment.

Limitations of Chemotherapy

Chemotherapy, as a systemic treatment, is used to target cancer cells throughout the body. However, it is less commonly used for thyroid cancer due to its limited effectiveness. Chemotherapy drugs may not specifically target thyroid cancer cells, leading to poor efficacy. Additionally, chemotherapy is associated with various side effects, including hair loss, nausea, fatigue, and impaired immune function. These limitations have prompted the search for alternative therapies that can provide better outcomes and fewer adverse effects.

Treatment Limitations
Surgery – Postoperative complications
– Lifelong hormone replacement therapy
Radiotherapy – Damage to healthy tissues
– Risk of resistance
Chemotherapy – Poor efficacy against thyroid cancer cells
– Side effects

Importance of Herbal Medicine in Thyroid Cancer Treatment

Herbal medicine has long been recognized in Asian countries as an integral part of preventive and treatment approaches for various diseases, including thyroid cancer. The active ingredients derived from herbal medicine have shown promising potential in inhibiting the proliferation of thyroid cancer cells and enhancing the immune response. This natural approach to treatment offers a holistic and long-lasting solution for individuals with thyroid cancer.

Different herbal compounds have demonstrated anti-Papillary Thyroid Carcinoma (PTC) effects. For instance, apigenin, genistein, and curcumin have been found to be particularly beneficial. These herbal compounds have been shown to target the specific mechanisms that drive thyroid cancer growth and development, effectively inhibiting the disease progression.

By incorporating herbal medicine into thyroid cancer treatment, patients can benefit from the synergistic effects of multiple active compounds. These compounds work together to create a comprehensive solution that not only targets the cancer cells but also supports overall well-being. Moreover, herbal medicine offers a natural alternative to conventional therapies, reducing the risk of adverse side effects commonly associated with traditional treatments.

The Role of Phytochemicals in Thyroid Signaling Modulation

Phytochemicals found in herbal medicine play a critical role in modulating the signaling pathways associated with thyroid cancer. These natural compounds have been shown to inhibit the expression of key genes and pathways that contribute to the growth, migration, invasion, and angiogenesis of thyroid cancer cells. Additionally, phytochemicals have the potential to regulate the expression of noncoding RNAs, which are known to be associated with aggressive clinicopathologic features of thyroid cancer.

The modulation of thyroid signaling pathways by phytochemicals provides a promising avenue for both the prevention and treatment of thyroid cancer. By targeting these pathways, these compounds have the potential to disrupt the molecular processes underlying the development and progression of the disease. The ability of phytochemicals to modulate thyroid signaling is particularly valuable due to their non-toxic nature and relatively few side effects compared to traditional therapies.

The Impact of Phytochemicals on Thyroid Signaling

The role of phytochemicals in modulating thyroid signaling is multi-faceted. These natural compounds have been shown to:

  • Inhibit the activation of nuclear transcription factors involved in thyroid cancer progression
  • Suppress the expression of genes that promote cellular proliferation
  • Block the pathways that facilitate cancer cell migration and invasion
  • Reduce the formation of new blood vessels that supply nutrients to tumors (angiogenesis)
  • Regulate the expression of noncoding RNAs associated with aggressive thyroid cancer features

Through these mechanisms, phytochemicals can effectively disrupt the growth and spread of thyroid cancer cells. Their ability to target multiple pathways simultaneously makes them promising candidates for combination therapies and provides new opportunities for personalized treatment approaches.

To provide a better understanding of the impact of phytochemicals on thyroid signaling modulation, the following table summarizes key studies that have investigated the effects of specific phytochemicals on thyroid cancer:

Phytochemicals in thyroid signaling modulation

Phytochemical Effects on Thyroid Signaling References
Apigenin Inhibits the expression of genes promoting cell proliferation and angiogenesis Reference 1
Genistein Blocks key signaling pathways involved in thyroid cancer progression Reference 2
Curcumin Suppresses the expression of genes facilitating cancer cell migration and invasion Reference 3

These studies highlight the potential of specific phytochemicals to modulate thyroid signaling and underscore their importance in the development of targeted therapies for thyroid cancer.

Protective Effects of Herbal Teas on Thyroid Cancer

Several studies have investigated the potential protective effects of herbal teas on thyroid cancer. Of particular interest are chamomile tea, sage tea, and mountain tea. Consuming these herbal teas regularly has shown promising results in reducing the risk of both benign and malignant thyroid diseases.

A study focusing on chamomile tea consumption revealed an inverse association with thyroid cancer and benign thyroid diseases. Individuals who regularly consumed chamomile tea experienced a significant reduction in the odds of developing these conditions. Furthermore, the duration of chamomile tea consumption had a protective effect, with a 30-year consumption period reducing the risk of thyroid cancer and benign thyroid diseases by nearly 80%.

Similar protective associations were observed for sage and mountain tea. These findings suggest that incorporating herbal teas, especially chamomile, into your daily routine may offer protection against the development of thyroid cancer and other benign thyroid diseases.

Herbal Tea Protective Effects
Chamomile Tea Reduces the odds of developing thyroid cancer and benign thyroid diseases
Sage Tea Offers protective benefits against thyroid cancer and benign thyroid diseases
Mountain Tea Shown to have protective effects on thyroid health

Regular consumption of herbal teas, such as chamomile, sage, and mountain tea, can be a simple and enjoyable way to safeguard against thyroid cancer and promote overall thyroid health. While further research is needed to fully understand the mechanisms behind these protective effects, incorporating herbal teas into your daily routine may provide an additional layer of defense against thyroid diseases.

Mechanisms of Action of Herbal Teas in Thyroid Cancer Prevention

The mechanisms by which herbal teas, such as chamomile, sage, and mountain tea, protect against thyroid cancer are still not fully understood. However, these teas contain a rich composition of phytochemicals that possess antioxidant, anti-inflammatory, and antitumor properties. These properties may play a vital role in inhibiting the proliferation of thyroid cancer cells and preventing the development and progression of the disease.

Phytochemicals found in herbal teas have been shown to modulate thyroid signaling pathways involved in the development and progression of thyroid cancer.[Source] By inhibiting critical genes and pathways that promote cellular proliferation, migration, invasion, and angiogenesis, these compounds demonstrate their potential to regulate the noncoding RNA expressions that are associated with aggressive features of thyroid cancer.

Research on the specific mechanisms of action of herbal teas in thyroid cancer prevention is still ongoing. It is essential to further investigate their effects on thyroid cancer cells and signaling pathways to unlock their full potential as preventive agents.

Herbal Tea Phytochemicals Properties Potential Mechanisms of Action
Chamomile Tea Apigenin, luteolin, quercetin Antioxidant, anti-inflammatory Inhibition of cellular proliferation, modulation of thyroid signaling pathways
Sage Tea Rosmarinic acid, caffeic acid Antioxidant, antimicrobial, anti-inflammatory Suppression of tumor growth, modulation of thyroid hormone receptors
Mountain Tea Flavonoids, phenolic compounds Antioxidant, anti-inflammatory Inhibition of angiogenesis, induction of apoptosis in cancer cells

Integrative Approaches to Thyroid Cancer Treatment

In our pursuit of comprehensive thyroid cancer treatment, we recognize the importance of integrative approaches that combine conventional therapies with complementary and alternative treatments. By embracing a holistic approach, we aim to improve treatment outcomes, reduce side effects, and enhance overall well-being for individuals battling thyroid cancer.

Integrative therapies for thyroid cancer encompass a range of modalities, tailored to meet each patient’s needs. These therapies may include:

  • Herbal Medicine: Herbal remedies derived from nature’s pharmacy offer potential benefits for thyroid cancer treatment. Certain herbs and botanical compounds have shown promise in inhibiting cancer cell growth and promoting overall health.
  • Acupuncture: This ancient practice involves the insertion of thin needles into specific points on the body to stimulate healing and restore energy balance. Acupuncture may help alleviate symptoms, reduce treatment-related side effects, and improve overall well-being.
  • Mind-Body Techniques: Techniques such as meditation, guided imagery, and relaxation exercises can help alleviate stress, anxiety, and depression commonly associated with thyroid cancer. These approaches promote emotional well-being and support the body’s healing process.
  • Nutritional Supplements: Certain vitamins, minerals, and other natural supplements may complement conventional treatments and support thyroid health. These supplements can strengthen the immune system, reduce inflammation, and optimize overall health.
  • Lifestyle Modifications: Incorporating healthy habits into daily life can enhance treatment outcomes and support an individual’s overall well-being. Simple changes, such as adopting a nutritious diet rich in fruits, vegetables, and whole grains, engaging in regular physical activity, and managing stress, can make a significant difference.

By integrating these approaches, we address the physical, emotional, and spiritual aspects of healing. Our focus is on empowering individuals to actively participate in their treatment and promoting a sense of wholeness throughout their cancer journey.

At our clinic, we recognize that every person’s experience with thyroid cancer is unique. Our team of healthcare professionals is dedicated to crafting individualized treatment plans that combine the best of conventional and complementary therapies. Together, we strive to optimize treatment outcomes, minimize side effects, and support our patients in achieving a higher quality of life.

Benefits of Integrative Approaches to Thyroid Cancer Treatment

The advantages of integrative approaches to thyroid cancer treatment are numerous:

  • Improved treatment outcomes by combining the strengths of conventional and alternative therapies.
  • Reduced side effects, as integrative approaches often focus on gentle, non-toxic interventions.
  • Enhanced overall well-being by addressing the physical, emotional, and spiritual aspects of healing.
  • Increased patient engagement and empowerment, allowing individuals to actively participate in their treatment and make informed decisions.
  • Potential for synergistic effects, as the combination of treatments may produce better results than individual therapies alone.

By embracing an integrative approach to thyroid cancer treatment, we offer a comprehensive and balanced approach that honors the unique needs and preferences of each individual.

Lifestyle Changes for Thyroid Cancer Treatment and Support

Lifestyle changes are an essential component of thyroid cancer treatment and support. By incorporating healthy habits into your daily routine, you can enhance the effectiveness of other treatment modalities and promote overall well-being. Here are some lifestyle modifications that may benefit thyroid cancer patients:

  1. Adopt a Healthy Diet: Focus on consuming a variety of nutrient-rich foods, including fruits, vegetables, whole grains, lean proteins, and healthy fats. These foods provide essential vitamins, minerals, and antioxidants to support your immune system and nourish your body.
  2. Engage in Regular Physical Activity: Incorporate exercise into your routine to improve strength, endurance, and overall physical wellness. Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity each week, along with strength training exercises.
  3. Manage Stress: Stress management techniques such as relaxation exercises, mindfulness practices, and deep breathing exercises can help reduce stress levels and promote a sense of calm. Consider incorporating activities such as yoga, meditation, or tai chi into your routine.
  4. Get Adequate Sleep: Quality sleep is crucial for overall health and healing. Aim for 7-9 hours of uninterrupted sleep each night. Create a relaxing bedtime routine, minimize exposure to electronic devices before bedtime, and ensure your bedroom is cool, dark, and quiet.
  5. Maintain a Healthy Weight: Achieving and maintaining a healthy weight can positively impact your overall health and reduce the risk of complications. Focus on portion control, mindful eating, and incorporating regular physical activity into your routine.

By making these lifestyle changes, you can support your body’s natural healing processes and enhance the effectiveness of other treatment modalities for thyroid cancer.

Lifestyle changes for thyroid cancer treatment and support

Natural Supplements for Thyroid Cancer Support

Natural supplements can complement conventional thyroid cancer treatments and provide additional support for the body. Incorporating these supplements into a holistic treatment plan can help optimize thyroid function, boost the immune system, reduce inflammation, and promote overall health during the cancer journey. It is important to consult with a healthcare professional before adding any new supplements to your regimen to ensure safety and proper dosage.

Recommended Natural Supplements for Thyroid Cancer Support:

  • Selenium: Selenium plays a crucial role in thyroid hormone metabolism and has antioxidant properties that protect the thyroid gland from oxidative stress.
  • Iodine: Iodine is essential for proper thyroid hormone production. However, it is important to consult with a healthcare professional before supplementing with iodine as excessive intake can be harmful.
  • Vitamin D: Vitamin D deficiency is common in thyroid cancer patients and may contribute to disease progression. Adequate vitamin D levels support immune function and help maintain overall health.
  • Omega-3 Fatty Acids: Omega-3 fatty acids have anti-inflammatory properties and can help reduce inflammation associated with thyroid cancer.
  • Herbal Extracts: Certain herbal extracts, such as ashwagandha and turmeric, have been studied for their potential effects on thyroid health and cancer. They may aid in reducing cancer cell proliferation and promoting overall well-being. It is important to use these extracts under the guidance of a healthcare professional.

Remember, every individual is unique, and the impact of supplements may vary. Working closely with your healthcare team can help ensure the best possible support for your thyroid cancer journey.

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Herbal Remedies for Thyroid Cancer

When it comes to supporting thyroid health and combating thyroid cancer, herbal remedies have been used for centuries. Chamomile, sage, and mountain tea are just a few examples of herbal remedies that have shown promise in preventing and treating thyroid cancer.

These herbal remedies contain active compounds that have been found to inhibit the growth of thyroid cancer cells and reduce the risk of metastasis. The potent properties of these natural ingredients make them valuable additions to a comprehensive treatment plan.

Herbal remedies can be consumed in various forms, including teas, tinctures, or capsules. It is important, however, to seek guidance from a qualified healthcare professional before incorporating these remedies into your routine. They can help determine the right dosage and ensure proper usage.

By harnessing the power of nature, herbal remedies provide a holistic and natural approach to supporting thyroid health and fighting against thyroid cancer.

https://www.youtube.com/watch?v=e4KgWF-xX90

Herbal Remedies Benefits
Chamomile • Inhibits the growth of thyroid cancer cells
• Reduces the risk of metastasis
Sage • Supports thyroid health
• Contains antioxidants that protect against cell damage
Mountain Tea • Enhances immune function
• Reduces inflammation

Non-Toxic and Integrative Cancer Therapies at Brio-Medical Cancer Clinic

Brio-Medical Cancer Clinic offers non-toxic and integrative cancer therapies for all stages and types of cancer, including thyroid cancer. Led by Brio-Medical, AZ MD, MDH, ABAARM, our clinic is dedicated to providing holistic cancer treatments that target the root causes of cancer and support the body’s natural healing processes.

At Brio-Medical Cancer Clinic, we understand the limitations of traditional cancer therapies and the need for alternative approaches that prioritize patient well-being. Our therapies focus on combining the best of conventional medicine with innovative complementary treatments.

Our Approach to Non-Toxic and Integrative Cancer Therapies

1. Herbal Medicine: We harness the power of natural compounds derived from herbal medicine to support the body’s fight against cancer. These herbs contain active ingredients that can inhibit the growth of cancer cells and promote overall health.

2. Nutritional Supplementation: We believe that proper nutrition is vital in supporting the body’s immune system and healing processes. Our experts provide personalized nutritional supplementation plans to ensure optimal health and well-being.

3. Lifestyle Modifications: We empower our patients to make positive lifestyle changes that can enhance the effectiveness of cancer treatments. Adopting a healthy diet, engaging in regular physical activity, and managing stress are crucial components of our integrative approach.

4. Mind-Body Techniques: We recognize the powerful connection between the mind and body. Our clinic offers mind-body techniques such as meditation, relaxation exercises, and counseling to support emotional well-being and enhance the healing process.

5. Other Non-Toxic Approaches: We embrace a wide range of non-toxic therapies that have shown promise in cancer treatment. These may include acupuncture, ozone therapy, hyperthermia, and more. Our team works closely with each patient to develop a customized treatment plan tailored to their specific needs.

By combining these non-toxic and integrative therapies, we strive to provide comprehensive care that addresses the physical, emotional, and spiritual aspects of healing. Our goal is to empower our patients and enhance their quality of life throughout their cancer journey.

Treatment Approach Benefits
Herbal Medicine – Inhibits cancer cell growth
– Supports overall health
Nutritional Supplementation – Supports immune system
– Enhances healing processes
Lifestyle Modifications – Improves treatment outcomes
– Enhances overall well-being
Mind-Body Techniques – Reduces stress
– Supports emotional well-being
Other Non-Toxic Approaches – Broadens treatment options
– Enhances personalized care

Through our non-toxic and integrative cancer therapies, we strive to provide a comprehensive and individualized approach to cancer treatment. We are committed to helping our patients achieve the best possible outcomes while prioritizing their well-being and quality of life.

Conclusion

Natural treatments and a holistic approach provide promising options for individuals seeking alternative methods to support thyroid cancer treatment and improve overall well-being. Incorporating herbal medicine, lifestyle changes, natural supplements, and non-toxic and integrative therapies can offer a comprehensive and individualized approach to thyroid cancer care.

Although further research is needed to fully understand the mechanisms of action and efficacy of these natural treatments, existing evidence suggests their valuable role in the management of thyroid cancer. By focusing on the body’s natural healing processes and addressing the root causes of the disease, these approaches offer a potential synergy with conventional therapies.

It is important to consult with a qualified healthcare professional and discuss all treatment options before making any decisions. They can provide guidance on the safe and appropriate use of natural therapies in conjunction with standard medical treatments.

As the field of thyroid cancer management continues to evolve, embracing a holistic and individualized approach that combines natural therapies with conventional treatments holds promise for optimizing outcomes and enhancing the quality of life for individuals with thyroid cancer.

FAQ

What are some natural treatments for thyroid cancer?

Natural treatments for thyroid cancer may include herbal medicine, lifestyle changes, and natural supplements. These approaches aim to support the body’s natural healing processes and enhance the effectiveness of conventional therapies.

What are the different types of thyroid cancer?

Thyroid cancer includes various subtypes such as papillary thyroid carcinoma (PTC), follicular thyroid carcinoma (FTC), anaplastic thyroid cancer (ATC), and medullary thyroid carcinoma (MTC). PTC is the most common subtype accounting for 70-80% of all thyroid cancers.

What are the limitations of traditional therapies for thyroid cancer?

Traditional therapies such as surgery, radiotherapy, and chemotherapy have limitations including postoperative complications, drug resistance, and serious side effects.

Why is herbal medicine important in thyroid cancer treatment?

Herbal medicine has shown potential in inhibiting the proliferation of thyroid cancer cells and improving immune response. It provides a holistic and long-lasting approach to thyroid cancer treatment.

How do phytochemicals modulate thyroid signaling?

Phytochemicals found in herbal medicine can inhibit critical genes and pathways involved in the development and progression of thyroid cancer. They can also regulate noncoding RNA expressions associated with aggressive features of thyroid cancer.

Do herbal teas have protective effects against thyroid cancer?

Yes, herbal teas such as chamomile, sage, and mountain tea have been associated with a reduced risk of thyroid cancer. Regular consumption of chamomile tea, for example, has been inversely associated with both benign and malignant thyroid diseases.

How do herbal teas protect against thyroid cancer?

The exact mechanisms are not fully understood, but herbal teas are rich in phytochemicals with antioxidant, anti-inflammatory, and antitumor properties. These properties may contribute to inhibiting the proliferation of thyroid cancer cells and preventing the development and progression of the disease.

What are integrative approaches to thyroid cancer treatment?

Integrative approaches involve combining conventional therapies with complementary and alternative treatments such as herbal medicine, acupuncture, mind-body techniques, nutritional supplements, and lifestyle modifications. These approaches aim to improve treatment outcomes, reduce side effects, and enhance overall well-being.

What lifestyle changes are beneficial for thyroid cancer treatment and support?

Lifestyle changes that may be beneficial for thyroid cancer patients include adopting a healthy diet, engaging in regular physical activity, managing stress, getting adequate sleep, and maintaining a healthy weight. These changes can support the body’s natural healing processes and enhance the effectiveness of other treatment modalities.

What natural supplements can support thyroid cancer?

Natural supplements such as selenium, iodine, vitamin D, omega-3 fatty acids, and herbal extracts can help regulate thyroid function, support the immune system, reduce inflammation, and promote overall health.

Are there herbal remedies for thyroid cancer?

Yes, herbal remedies derived from chamomile, sage, and mountain tea, for example, have been used for centuries to support thyroid health and prevent and treat thyroid cancer. These remedies contain active compounds that can inhibit the growth of thyroid cancer cells and reduce the risk of metastasis.

What non-toxic and integrative cancer therapies are available at Brio-Medical Cancer Clinic?

Brio-Medical Cancer Clinic offers non-toxic and integrative cancer therapies for all stages and types of cancer, including thyroid cancer. The clinic focuses on holistic cancer treatments that target the root causes of cancer and support the body’s natural healing processes. Therapies offered may include herbal medicine, nutritional supplementation, lifestyle modifications, mind-body techniques, and other non-toxic and integrative approaches.

Are natural treatments and holistic approaches beneficial for thyroid cancer?

Natural treatments and holistic approaches offer a comprehensive and individualized approach to thyroid cancer treatment and support. While further research is needed to fully understand their mechanisms of action, existing evidence suggests that they can play a valuable role in thyroid cancer care.

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Meet the Author
Brio-Medical, Scottsdale AZ, is a natural, holistic, and integrative expert in the cancer field. He is the medical director at Brio Medical, a holistic, integrative cancer healing center in Scottsdale, Arizona. Brio-Medical received his Bachelor of Arts from Louisiana Tech University and his Doctor of Medicine from LSU Health Sciences Center. He is Board Certified in Obstetrics and Gynecology and served as the Chief Resident in Obstetrics and Gynecology at the University of Tennessee. Brio-Medical is a Fellow in Functional and Regenerative Medicine, is a medical Advisor for NEO7 Bioscience and has been named as the President of the North American Society of Laser Therapy Applications (NASLTA).

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