COMPANY MD February/March 2014

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The Hill Country’s Premier Medical Publication Vo lu m e 2 : : I s s u e 1 : : Fe b r u a r y / M a r c h 2 014

CARE. DELIVERED. Allison Smoot and her and her team have worked tirelessly to maintain their patient’s quality of life.

HEALTHY LIVING KIDS AND FITNESS AND MORE...


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WELCOME | COVER FEATURE Administration / Advertising Publisher Benjamin D. Schooley ben@thecompanymag.com

Dear Reader,

One of the key steps to starting a successful business is identifying a need for what you want to offer. Sometimes you can create that need with creative marketing or other means. But the most successful businesses offer something to fulfill a genuine human need. A product or service that makes life better. Or easier. In this day and age, when we think of something that would make our life better we typically conjure images of sleek new tech gadgets. Or a car that gets better gas mileage and saves us money at the pump. Rarely would the average person think of providing health or hospice care. But Allison Smoot is not your average person. Allison, along with her mother, saw that there was a need in the Hill Country for in-home care and hospice care and decided to do something about it. And when you think about it, there aren’t many more basic human needs than being cared for when you or a loved one is unable to do so for themselves. Even if the service Allison and her group are offering, only make life better for a short time before the patient passes, it probably means more to that person and their family than a world of tech gear. After starting the business a few short years ago in the back room of her house, Allison and her mother Mary Lou, along

ADVERTISING SALES 210-507-5250 sales@thecompanymag.com

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with their team of nurses and medical professionals, have quickly grown their business into one of the most respected home health and hospice care providers in the Hill Country. It takes special people who posses a love and desire to care for others to do this kind of work. Something that requires long hours and should never be taken for granted. Something we can be greatful for that there are people like Allison and her team living right down the road from us. Willing to care for the ones we love most in their greatest time of need, or in their last days in this wonderful life. Welcome to COMPANY MD magazine. We hope you find inside it’s pages a multitude of information. We have worked hard to make this issue what it is and hope you learn something you didn’t know before!

Ben Weber Creative Director 4 | COMPANY MD MAGAZINE

Allison Smoot is bringing in-home & hospice care to the Hill Country.

8 HEALTHY LIVING

ART Creative Director Benjamin N. Weber ben.weber@smvtexas.com

thecompanymag.com

12 NEW PRACTICE 22 KIDS FITNESS

COMPANY magazine is published by Schooley Media Ventures in Boerne, TX. COMPANY Magazine and Schooley Media Ventures are not responsible for any inaccuracies, erroneous information, or typographical errors contained in this publication submitted by advertisers. Opinions expressed do not necessarily reflect the opinions of COMPANY and/or Schooley Media Ventures. Copyright 2013 Schooley Media Ventures, 409 E. San Antonio, Boerne, TX 78006


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As a Master in the Academy of General Dentistry, Dr. Chet Hawkins posses the highest level of education recognized for a dentist. As a graduate of the Pankey Institute, he’s had the finest post-doctoral training in the world. “I want to establish a master plan and then develop a blueprint for my patients’ long-term care,” he explains. “We want to solve the causes of the problems before we do anything else to their teeth. Then we can rebuild or repair with confidence that the fix will last as long as possible. We also educate our patients about other health issues related to oral disease. There is a connection between periodontal disease and heart disease that people need to know about.” Dr. Hawkins and his wife, Deby, have been residents of Boerne for 7 years and are excited to be joining the practice in Boerne.

I just went to see Dr. Hawkins yesterday for an exam and cleaning. I was promptly seen, the procedures were done painlessly and in a timely manner with the latest equipment. My necessary dental work was explained fully to me. Everyone in the office greeted me warmly and made me feel special. - Elaine The moment you enter the office you are greeted by Kim’s warm smile and friendly personality. The hygienists are professional and make you feel very at ease. Dr. Hawkins is very calm and soft spoken with a gentle touch. The office runs very smoothly and on time for appointments. - Charlotte Pleasant, friendly staff. No wait. Dr. Hawkins listens to your issues and then provides clear solutions. Great dentist. Also, great hygienist. Overall, great experience. - Cindy

30 YEARS EXPERIENCE Boerne’s ONLY Master Dentist The Dental Wellness Center • 806 N. Main St. • Boerne 830-249-7870


“Doing whatever it takes, when it matters most”

What is hospice?

Hospice is not a place, but rather a philosophy of care focused on providing comfort to individuals with life limiting illness. Alamo Hospice focuses on physical, mental, social, and spiritual well-being for patients, their families, and their support network. We provide care to patients in their own homes, assisted living facilities, and other community-based care settings.

What makes us different?

 Hometown delivery of service • Mission-driven, Active community resource, Local decisions, Local leadership and staff. • Local Medical Director Ben Stahl MD  National reach • Recognized “model program” for quality care, Boerne “Best of the Best” • National recognized accredited prepared program.  Team approach to care • Access to 24 hr. care by the hospice team to include; Physician, Registered Nurses, Social Workers, Spiritual care coordinators, Bereavement counselors, Dieticians, Pharmacists, Hospice aides, Various therapists (massage, pet, PT, OT, ST), and Volunteers.

830-816-5024 Fax: 830-331-9058

118 West Bandera Rd , Boerne Texas 78006 thecompanymag.com | 7


HEALTHY LIVING |

Nitric Oxide Improves Your Body’s Performance in More Ways Than One by Leigh Ann Grasso, Pharm.D., RPh, Annie’s Apothecary – Specialty Pharmacy

As the calendar turned over, our thoughts were once again on resolutions to start out the New Year. January was a great time to reflect on our physical health and lifestyle choices. Now in February we have a chance to reflect on our hearts’ condition and to embrace Heart Health Month. Without adequate heart health, heart disease can become common. “Heart disease” is a term collectively used to describe several types of heart conditions including coronary artery disease which is the common cause of heart attack, angina, heart failure, and arrhythmias. Of course we should already “know” how to maintain a healthy heart. Eat a diet rich in fruits and vegetables. Exercise daily. Keep body weight within normal. It seems so simple to accomplish. Unfortunately, about 715,000 Americans have a heart attack a year. About 600,000 people die from heart disease in the United States each year. Heart disease can be prevented if the right choices are made. Most people also know and can readily find information about taking supplements to help your heart which include omega-3 fatty acids, red yeast rice, and niacin. All of which may assist in lowering cholesterol to prevent heart disease. Coenzyme Q 10 also shows beneficial effects on heart muscle by helping the mitochondria work more efficiently. There is another molecule that is often overlooked when it comes to improving your heart health. Nitric oxide (NO) is a naturally occurring molecule produced in the blood vessels that sends important signals to every part of the body. It has a wide range of functions which include supporting the immune system, aiding in wound healing, and maintaining cardiovascular health. One 8 | COMPANY MD MAGAZINE

of the most important roles of NO is its ability to reduce the risk of stroke and heart attacks. By causing the smooth muscles around blood vessels to relax, nitric oxide allows blood to flow more easily. This keeps arteries flexible and prevents high blood pressure, which is a major risk factor for stroke and heart attacks. So what else can this molecule do? The benefits of nitric oxide seem to be endless. It has been shown to increase exercise tolerance, to improve blood flow, to reduce swelling and inflammation, to assist the immune system and limit damage caused by the sun. Studies have linked deficient nitric oxide levels to depression, dementia, arthritis, and asthma. It is also believed to naturally enhance sexual performance by improving blood flow in both men and women. Many patients experience enhanced sensations during climax. Who can benefit from nitric oxide? People who suffer from arthritis, high blood pressure, high cholesterol, erectile dysfunction, and anyone who wants to improve their overall health. Athletes can also greatly benefit from the effects of increased nitric oxide. By improving blood flow, more oxygen and nutrients reach the muscles. This can lead to improved exercise tolerance, increased muscle gain, and increased strength and endurance. The improvement in blood flow and oxygenation lowers blood pressure and will put less strain on the heart and lungs. Increased nitric oxide can also help alleviate high altitude symptoms due to less oxygenation of the body. Our body produces nitric oxide by several different mechanisms. One way is by utilizing the nitrate and nitrite from our diet and converting it to NO. Foods rich in these com-


pounds include fruits and vegetables, mainly dark green leafy vegetables. It has also been shown that foods containing polyphenols, including pomegranate juice, apples, dark chocolate, black and green teas can boost nitric oxide levels. Nitric oxide is also synthesized from the conversion of L-arginine and oxygen by the enzyme eNOS. L-arginine supplements can be taken to increase NO; however, caution should be exercised in those with history of Herpes Simplex Virus since high arginine increases breakouts. Usually taking additional lysine can resolve this problem. However, if you are over the age of forty, overweight, have high blood pressure, diabetes, high cholesterol, or if you smoke, your body can not effectively convert L-arginine to nitric oxide. Other ingredients can enhance nitric oxide production such as Hawthorn Berry, Beet Root, and L-Citrulline. A product called Neo40® has these exact ingredients. Your nitric oxide production may increase from this supplement regardless of your age, cardiovascular risk or smoking status. Even though NO is produced naturally, often times our bodies don’t produce enough of it to receive the full benefits. Optimum levels can easily be achieved with supplements that promote nitric oxide production. For any questions or to receive a quick noninvasive test to determine if you are deficient in nitric oxide, please give Annie’s Apothecary a call at (830) 981-4774. Neo40® and argininecontaining products are also available for purchase.

Dr Leigh Ann Grasso, University of Texas alumnus, is the compounding pharmacist and owner of Annie’s Apothecary in Boerne. Her passion is educating people to improve their health by replacing hormonal and nutrient deficiencies. She lives in Fair Oaks Ranch with her husband and three children. thecompanymag.com | 9


OVER 30 YEARS OF EXPERIENCE • Creating a healthy mind • Improving the functionality of the nervous system • Achieving optimal nutrition • Building personalized exercise regimens • Minimizing the intake of toxins • Message therapy: - Deep tissue - Sciatica relaxation - Pre natal - Therapeutic - Reflexology - Lomi lomi • Community Support

Doctors:

Dr. Chad Carpenter Dr. Jesus Castaneda

830.816.4357 Fax: 830.331.8718

1510 S. Main St. • Boerne, Texas 78006 www.thecarpenterstouch.com


BrimLocke Custom Pools mission - to remain the unquestioned leader in quality, performance, style, and services. We recognize, in order to achieve our on-going mission, we must place our customers first, and continually earn their respect. Our purpose is to provide a worry and hassle free oasis where you and your family can safely enjoy your backyard retreat. At BrimLocke Custom Pools, we guarantee that our state of the art technology and quality of services will surpass any other. One on One from Concept to Completion. BrimLocke Custom Pools provides unequaled quality and workmanship – we are not a track pool company. With BrimLocke Custom Pools, you deal with the owners from start to finish. State of the Art Equipment and Products. ECO Friendly  Self-Cleaning Pools. You have more important things to do than clean your pool. Your pool can be built to clean itself.  Virtually chlorine free pools. Eliminate red eyes and dry skin - environment friendly - Saves on chemicals and energy costs.  Multi-Speed Pumps. Energy savings up to 90% versus traditional pumps, near-silent operation, and long service life.  State of the Art Electronic Controls, Phone, or Internet Access.  Under Water Low Voltage LED Lighting. An Array of amazing underwater lighting effects, without the risks of 110 voltage generally used. Nights become spectacular and safe. Quality and Care. BrimLocke Custom Pools installs the latest technology and the safest equipment available - we continually strive to be the leader in Design, Safety, and Technology. We are proud to support the men and women of our Armed Services and thank them for the sacrifices they have made. To our Hero’s we offer a military discount.

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PRACTICE PROFILE |

GREAT THINGS CAN COME IN SMALL PACKAGES

(SMALL PACKAGE WEIGHT OVER 30,000 LBS) By Bob Bower MD, Neurologist

When I saw an abandoned MRI (magnetic resonance imaging) facility on the main drag of Boerne, my first thought was “This must be a God thing”. My family had moved to Boerne from New Braunfels so our children could attend Geneva School. I had been in the imaging business for 12 years. Then reality set in. Boerne is small and clearly could be a tough market for any small business. My business judgment suggested I should just keep on driving. Well I decided, in faith, to make a run at creating a different type of imaging center. This imaging center would focus on low cost services for anyone needing an MRI with high deductibles or no insurance. That certainly seems to be a problem for many of my patients. I can’t count the number of times my patients told me they could not afford the MRI they desperately needed. So now Boerne has MRI NOW. Why the corny name? My wife hates that name. Well, it communicates the service focus of our center. For those paying cash, there is no delay in scheduling needed. MRI NOW also provides cash paying patients the lowest price that I am aware of being offered in Texas. While most imaging centers charge $2,600 per body part. We can do it for $390. This includes interpretation by one of 14 board-certified specialized radiologists!

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Our machine has special architecture (It’s OPEN) as well. It accommodates patients weighing up to 500 lbs and with broad shoulders. It is designed for claustrophobic patients. It has a gradient amplitude of 15mT/m and 30 T/m/sec slew rate. I know I know, stop. We took the machine and updated the software to allow for great imaging of most any body part. In addition to the great price we want patients to feel like family. So, we created a waiting area like a living room and can offer refreshments while they wait. And no you don’t have to walk down long halls to different departments and complete endless forms. We take most every medical insurance and welcome walk-ins. As one cash patient from Colorado told us, “ I can fly from another state, stay in a hotel, get my MRI, have my study read within 24 hours and fly home; and still save money!” MRI NOW’s address is 128 W. Bandera suite 4 in Boerne, TX. We are across the street from Wells Fargo Bank. Our phone number is 830-816-5518 and physicians can fax us at 830-331-1042. Toni or Melanie will be happy to help.



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Currently Accepting Medicare and private insurances.


CARE. DELIVERED. By Maggie Belden :: Photography By Ben Weber

Allison Smoot and her mother Mary Lou have worked hard to establish one of the Hill Country’s most respected home healthcare businesses. Overcoming a variety of obstacles, they have worked tirelessly to maintain their patient’s quality of life. To see the All County Home Care and Hospice building today, with its fresh paint and open floor plan, its hard to imagine that this thriving home health business was started just a few years ago in Allison Smoot’s back bedroom. As nurses, Allison and her mother, Mary Lou Shults, decided that the Hill Country needed a home health care company that was patient, not business, based. “We have a different outlook on the business side of nursing care.” Allison said, and so they teamed up to create the Hill Country’s go-to home health care provider, All County Home Care and Hospice. Allison Smoot is admittedly overwhelmingly busy, but shows that she thrives when she is balancing everything from being a wife and mother of two outdoor, raccoon-sneering boys (with one on the way), a business owner and nurse, as well as a leader in her field and contributor to the betterment of her town. Allison, an outdoorswoman with a love for animals and running, has become a pillar in the Boerne community through her involvement in both Boerne Leadership and through the Chamber of Commerce. She was humbled this year to receive a much-earned nomination for the Boerne Business Woman of the Year.

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The idea for All County started after Mary Lou, Allison’s mother and nurse of 34 years, took a job several years ago in Boerne with a home care company. Mary Lou was disappointed about many aspects the business’ operations and patient care. Allison remembers looking at her mom and saying, “We could totally do this!” Together, Allison and Mary Lou decided to embark on the exhausting journey of creating a home care company with the sole focus of patient care for Kendall County and surrounding areas. In 2007, Allison and Mary Lou quit their respective nursing jobs to avoid a conflict of interest and pursued their dream of providing responsible, respectful care for the sick, recovering, and homebound. Working odd jobs while they planned and implemented their vision, they worked day and night to get through the mountains of paperwork involved with health caregiving. As it goes with starting a small business from the ground up, the beginning proved arduous. Unable to get a small-business loan, Allison and Mary Lou put their proverbial financial lives on the line, finding creative ways to finance their business like using Allison’s home as their office; Allison laughed as she recalled the surveyor’s shock at coming to her home for his inspection. “Between the two of us we were able to bring it together.” Allison recalled of the launch, but it was over a year before they were fully operational. In September of 2008 Allison and Mary Lou excitedly began caring for patients, but because of licensing and home health care regulation standards, it was over a year and half of serving patients before All County Home Care was able to make any money. “You can’t back-file,” Mary Lou explained of the countless hours worked for free to earn their certifications. From conception of the business Allison has placed a strong emphasis on her faith. “We stepped out on a wing and a prayer,” Allison shared, completely relying on God’s provisions. And provide He did, Allison and Mary Lou are quick to proclaim, through the gratis work of their therapists and nurses, without whom they never could have survived.

thecompanymag.com | 17


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It was important for Allison and Mary Lou that their business serves “the heart of the Hill Country”. Being a Helotes native, Mary Lou is proud of her country roots, sharing with mama-pride that all three of her children were accomplished equestrians. “I think [showing animals] is part of why my children have been successful. It taught them hard work and responsibility.” Allison, who now resides in Bergheim, understands that being “from here” is important. “We’re your neighbors,” Allison says of knowing their clients and their families personally, unlike many large city-based companies providing similar care. All County takes pride in the fact that their nurses and therapists live in the area and can aide patients quickly.

While their business continued to grow, Allison anticipated business model modifications, saying, “With the changing economy and all the changes in health care, we knew we needed to diversify.” It wasn’t until she filled in for a Hospice nurse on maternity leave that Allison understood like what that diversification might look. Through her time in Hospice, Allison was reminded of the great need and responsibility that comes with caring for individuals at the end of his or her life, and for that person’s grieving loved ones. “Hospice is challenging but so rewarding,” Allison shared. “To me it’s a ministry; it’s very faith-based. You’re helping people in their darkest hour.”

Not long after serving as a nurse for Hospice Allison subsequently helped her mother-in-law through Hospice care. “It was like a light bulb went off,” she said, realizing that Hospice was All County Home Care’s next step. In 2012, Allison once again bravely stepped out of the comfort of home care into the much more complicated and more highly regulated realm of Hospice. Once more Allison and Mary Lou found themselves facing the challenges of working on their business while working for their business. Because Mary Lou is self-described as too emotional to be a Hospice nurse Allison took on the task of serving as the sole Hospice nurse. Implementing Hospice as a part of their services proved even more trying than the thecompanymag.com | 19


home health care, not only because Hospice is so highly regulated by the government, but also because the needs of the dying are so immediate. “It takes so much energy to care for these people,” Allison confided. Additionally, with the climate of health care and all of the changes happening, Allison recalled that the paperwork and details of becoming operational took 19 months, again with no pay for the hundreds of hours spent caring for their Hospice patients. There is much for Allison and Mary Lou to be proud of now that their home care and Hospice departments are up and running smoothly. They have taken what started as a two person, in-home operation and turned it into an almost multimillion dollar company consisting of a 34-member team and housing out of a beautiful 3,300 square-foot office. All County Home Care and Hospice serves our community through “visiting nurses, rehabilitation therapy home health aides, medical social services and IV therapy”, as well as Hospice and Personal Assistant Services. The goal is relationship-centered nursing and therapy care for their patients, Allison explains. There is a priority placed on providing continuity of care by developing shortand long-term plans and allowing the caregiver to get to know the patient. “For me at the end of the day it’s all about patient care,” Allison continues, “No matter what happens [I want to know that] the patient and family are taken care of and are okay.” Going even beyond patient care, All County has set its operating and business standards high. They are the only individual health care provider other than the hospital to be accredited by the Joint Commission, which is a highly esteemed program that provides accreditation based upon strict standards of multiple aspects of home care including safety and patient care. Additionally, All County has teamed with Dr. Akin, a respected physician and Boerne community supporter. Allison and Mary Lou are grateful that Dr. Akin is their Medical Director for Hospice and trust that his faithbased practices help All County Home Care and Hospice to always stand above report. The journey to realization was slow, but Allison Smoot has succeeded in creating both a legacy for her sons and her community. Whether All County is serving the community through restoring equipment and donating it to patients in need, lobbying legislators in Austin for health care reform, or simply providing a person dignity in his or her final days, Allison can be proud that her diligence and demand for the best in home care has created a business that not only helps people in their greatest moments of distress, but that it is done ethically and with the highest principles. 20 | COMPANY MD MAGAZINE


Gentle, Caring, Family Practice, Courteous Professional Staff • State of the Art Procedures & Techniques

WE’ VE RECENTLY E XPANDED George E. Metz III, DDS • Michael Hoeppner, DDS

830-229-5581

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Now accepting appointments for Kevin Beitchman, DDS, MS - Orthodontist


FITNESS |

KIDS FITNESS:

MARIO & LUIGI ARE DOING JUST FINE By Kacey Wells It seems that each and every year we are inundated with data from reputable sources from all over the country telling us just how fast the obesity rate and lack of physical activity trends are growing amongst our youth. So as a practitioner working with this very population on the athletic side of activity for nearly 20 years I’m always curious as to how in the world the trends can get worse year after year when we as adults are consistently reminded of the statistics. Then a couple of years ago it hit me; the kids participating in sports during their school-aged years are not the ones to worry about when it comes to obesity and lack of activity. So that begs the question, what are the other kids doing if they aren’t even getting recreational physical activity. AH!!!! A research project has been born. There must be a correlation with some other aspect of life prominent in the world of the 10 to 18 year old. TV? Nah, too obvious. Laziness? Maybe, but there could be any number of underlying causes. Drugs and alcohol? Nope, both trends have actually decreased over the last 10 years. Video games? Hmmm, interesting. Well you do sit on your butt for hours on end trying to “win”. But surly the number of active athletes playing video games would skew the data because they are still playing but they are also fit. Right? Well let’s see. According to the Video Gaming Industry (yes there is actually a real organization called that) from 2003 to 2010 video game playing in Texas in the under 18 demographic increased by more than 17% at the same time the number of school aged children only increased by 13.2%. So there doesn’t appear to be any real direct correlation there. However, according to the CDC the childhood obesity rate in Texas grew from 19.1% in 2003 to 32.2% in 2008, YIKES! And the “no leisure time activity” rate grew from 26.3% to 28.8%. 22 | COMPANY MD MAGAZINE

So looking at the data it can be easily argued that the substantial growth in the obesity rate amongst Texas children correlates strongly to a combination of video game playing increases coupled with overall enrollment increases. So a logical conclusion might be “well then the number of students participating in athletics probably follows these same growth trends which is a good thing for fitness”, but drawing it would be wrong. The NFHS reports that in Texas the annual growth rate of sports participants is about 0.5% each year. Texas leads the nation in sports participation, but obviously that growth pales in comparison to the other data. So what is the conclusion? Easy. We are approaching a situation where we have two groups of kids in Texas; athletes and fat kids. The “physically fit but not an athlete” group of kids is dwindling by the year as the obesity numbers are sky rocketing. Does video game playing as a cause argument hold water? Certainly it does as a possible majority cause of inactivity, 17% growth rate is hard to argue against considering every other indicator for this demographic is actually declining or growing at a much lower rate. The most alarming statistic I found was one showing by survey that 96% of the time a video game is rented or purchased by a consumer under the age of 18 a parent is present. If this is true and we’re wondering where the real responsibility lies for the growth in obesity and lack of activity, we need to look no further than the closest mirror. It is OUR fault parents. If your child is a participant in school sponsored athletics you probably don’t have much to worry about. But if not you had better start worrying and acting because these growth rates are not a ripple in a calm pond. They are a tidal wave that has quite possibly already begun to overwhelm our society in terms of both physical and fiscal health.


So, what in the world does Mario and Luigi have to do with any of this? As the number one selling game of all time I took a look at these two pasta eating legends from Super Mario Brothers. There are 96 worlds in the game and the world record for finishing one world is 2:49 (roughly). Assuming, generously, that fastest time ever is how long it takes to finish every world it would mean nearly 4.5 hours of running and jumping for either of The Brothers. If you, as the gamer, are really good and can finish it in the minimum 12 worlds that’s still nearly 34 minutes of running and jumping. So from where I’m sitting those two have earned the right to eat as much as they’d like because their fitness levels are off the chart! Our kids? Get them off the couch and make them run one minute for every minute they play a video game.

Kacey Wells is the owner of P.E.S. Sports & Fitness Training as well as an AdvoCare Advisor. He has been in the strength & conditioning, fitness, and nutrition industry for nearly 20 years working with individuals and teams ranging from youth to professional athletes. He holds degrees from Georgia Southern and Georgia State Universities and has been certified by the NSCA, NASM, USA Weightlifting Federation, and USA Track & Field. If you have any performance training, fitness, or nutrition questions feel free to contact him at pessportstraining@gmail.com or 281-768-0334.
 Kacey Wells, USAW G.J. Gardner Custom Homes, Sales Manager AdvoCare, Advisor
281-768-0334
www.AdvoCare.com thecompanymag.com | 23


The Focus is the brainchild of Dr. Melissa Miskell, a board-certified obstetrician and gynecologist who specializes in total body wellness, anti-aging and weight loss. Dr. Miskell is an expert in the use of BioIdentical hormones to combat the symptoms of aging and menopause and created her practice, The Focus, to specifically target these issues. The Focus embodies Dr. Miskell’s vision to provide health and anti-aging services to men and women looking to take control of their lives. The Focus also specializes in revolutionary new methodologies of body contouring, weight loss and skin rejuvenation. Dr. Miskell and her exceptional staff will help you to improve the undesired symptoms of aging. No longer will you have to suffer unwanted body fat, wrinkles, brain fog, bone loss or other undesired symptoms of aging or illness. A younger-feeling and looking version of you is closer than ever. ** In network for most insurance companies **

• Bio-Identical Hormone Replacement for Men & Women • Nutritional Assessment • Cardiovascular Risk Assessment • Neurotransmitter Testing • Food Allergy Testing • Gynecology SKIN RENEWAL SERVICES: • TriPollar-Body Contouring • Laser Hair Removal • Botox & Juvederm


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