Xeomin vs. Botox: Which Is Right for You?

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You’ve been told you have a thyroid issue. Maybe it was after months of fatigue, weight gain, brain fog, or feeling like a stranger in your own body. You were prescribed thyroid medication, maybe Synthroid or levothyroxine, and told, “This should fix it.” But here’s the thing: you still don’t feel like yourself. And you’re not alone. At our practice, we meet patients every week who are technically “treated” for hypothyroidism—but still feel exhausted, foggy, bloated, and completely out of sync. If that’s you, let’s talk about what might be going on, and what you can do about it.  You’re Not Crazy. You’re in the Tired Thyroid Trap. The most common medications for hypothyroidism contain T4 , the inactive form of thyroid hormone. The idea is that your body will convert T4 into T3 , the active hormone that fuels your metabolism, energy, mood, and more. But here’s the catch: that conversion doesn’t always happen smoothly. And if you’re only being treated with T4 (like Synthroid or levothyroxine), but your body can’t convert it properly? You’ll still feel off, even if your labs look “normal.” So, What Blocks T4 → T3 Conversion? A few common culprits: Chronic stress (hello, elevated cortisol) Inflammation and autoimmune activity Nutrient deficiencies (especially selenium, zinc, and iron) Gut imbalances that impair absorption and conversion Liver dysfunction (your liver plays a huge role in this process) Excess reverse T3 , which “blocks” the good stuff from working In short, it’s not just about having enough hormones. It’s about what your body can do with it. Why “Normal” Labs Don’t Always Mean Optimal Function Most conventional testing only checks TSH —your brain’s signal that tells your thyroid to get to work. But this doesn’t show us whether your body is effectively producing or converting hormones, or how your cells are actually responding to them. At our clinic, we run comprehensive thyroid panels that include: TSH Free T3 Free T4 Reverse T3 TPO and TG antibodies (to screen for Hashimoto’s) Nutrient markers that support thyroid function This gives us a much fuller picture—and helps us understand why you might still be feeling off, even on medication. So What Do You Do If This Is You? If you’re in the “I’m on meds but still feel terrible” camp, here’s the good news: there are options. And they don’t all involve increasing your dose. In our practice, we help patients: Identify and remove conversion blockers (stress, gut imbalances, toxins, inflammation) Support their adrenals and nervous system (you can’t out-supplement chronic stress) Optimize nutrients like iron, selenium, and B vitamins Explore different medication options , including combination therapy with T3 when appropriate Look at the full hormone picture , including sex hormones and insulin resistance, which often play a role The result? A personalized plan that supports your thyroid and the rest of your body—and helps you feel like yourself again. The Bottom Line If you’re doing everything “right” but still feel tired, foggy, or stuck in a body that doesn’t feel like your own, it’s time to dig deeper. Your thyroid is part of a complex, interconnected system—and treating it takes more than just hitting a number on a lab report. You deserve care that listens, investigates, and helps you heal from the inside out. We’re here for that. Want to take a closer look at your thyroid health? Book your consultation today and let’s get to the root of what’s really going on.

If you're working on improving your metabolism, energy, recovery, or skin—and feel like the usual approaches just aren’t cutting it—you’re not alone. More and more people are turning to peptide therapy as a way to support their body’s natural healing, hormone production, and repair processes from the inside out. Peptides are one of the most exciting tools in functional and regenerative medicine. They’re subtle, science-backed, and designed to help your body do what it’s naturally wired to do—just more efficiently. What Are Peptides? Peptides are short chains of amino acids that act as messengers in the body . They send signals to your cells to perform specific tasks—like producing growth hormone, reducing inflammation, healing tissue, stimulating libido, or building collagen. Many of these peptides occur naturally in your body, but levels often decline with age, stress, or illness.  Supplementing with peptides gives your body a gentle, targeted push to support function, repair, and optimization—without overcorrecting or shutting down natural processes. Why We Use Peptide Therapy in Functional & Aesthetic Care Peptides are precise, customizable, and versatile. We use them to support a wide range of goals, including: Fat loss and body composition Lean muscle support Sleep and recovery Hormone balance and graceful aging Injury repair and inflammation reduction Cognitive clarity and stress resilience Sexual wellness Skin and hair rejuvenation Immune and gut support They pair beautifully with hormone therapy, nutrition, GLP-1 support, and aesthetic treatments—making them a cornerstone of integrative, whole-body care. Categories of Peptides and What They Do Growth Hormone–Stimulating Peptides These peptides stimulate your body’s natural production of growth hormone, which supports fat metabolism, lean muscle maintenance, cellular repair, and deep sleep. Ipamorelin + CJC-1295 – A widely used combination for metabolism, recovery, and anti-aging Tesamorelin – Targets visceral fat and supports insulin sensitivity Sermorelin – Great foundational support for energy, metabolism, and hormone signaling AOD-9604 – A GH fragment that supports fat metabolism without increasing GH levels These are commonly used in weight loss, body composition, and longevity plans. Repair & Recovery Peptides These peptides are favored for tissue regeneration, injury healing, gut support, and inflammation reduction. Often used in performance optimization, post-surgical recovery, or for clients with chronic pain or GI dysfunction. BPC-157 – Supports soft tissue healing, gut repair, and inflammation regulation TB-500 (Thymosin Beta-4) – Enhances recovery, especially for muscle, tendons, and ligaments Used alone or together, these peptides help support your body’s natural healing mechanisms. Immune-Modulating & Anti-Inflammatory Peptides These peptides help regulate immune function, inflammation, and resilience. Often used in chronic illness, autoimmunity, long-haul viral recovery, or when the body needs immune balance. Thymosin Alpha-1 – Modulates immune response and promotes immune surveillance LL-37 – A broad-spectrum antimicrobial that supports chronic infection protocols and biofilm disruption These are often used in conjunction with gut, adrenal, and detox support. Cognitive & Mood-Supportive Peptides These nootropic peptides are used for stress reduction, focus, mental clarity, and neurological resilience. Selank – Supports anxiety reduction and stress resilience Semax – Improves focus, memory, and cognitive function under stress Epitalon – A longevity peptide that supports melatonin, sleep, and cellular aging These are helpful in protocols focused on burnout, brain fog, performance, and aging. Sexual Wellness Peptide PT-141 (Bremelanotide) – Works at the brain level to support desire and arousal (for men and women). A great addition to libido and sexual wellness protocols, especially when paired with hormone optimization. Skin, Hair & Aesthetic Support Peptides GHK-Cu – A copper peptide used for skin rejuvenation, collagen support, and wound healing. Applied topically or injected in aesthetic protocols for natural, regenerative results. These peptides often complement microneedling, exosome therapy, and other regenerative aesthetics. What to Expect with Peptide Therapy Most peptides are administered via tiny subcutaneous injections (some are available as nasal sprays or topical solutions) Protocols typically run 6–12 weeks. Some effects are felt quickly (like better sleep or libido), while others build gradually (like fat loss or skin texture) Peptides are well tolerated and are often used long-term in cycling or maintenance phases. Our Philosophy on Peptides We view peptides as part of a growing, versatile toolkit that can be adapted to your goals, phase of life, and health status. Whether you’re recovering from stress, supporting aging, improving performance, or enhancing your glow—they offer precision support without the intensity of traditional medications. We don’t believe in one-size-fits-all protocols. The best peptide plan starts with a conversation, a clear understanding of your goals, and a personalized approach to dosing and follow-up.

Discover how PRP and exosome therapy can restore hair growth and improve density. Learn about the transformative effects of these treatments at Selah Aesthetics.

Achieve your desired body contour with Kybella & PCDC. Explore how these treatments can help reduce stubborn fat just in time for summer fun.

Discover how summer facials can protect and rejuvenate your skin. Learn tips for maintaining a radiant complexion under the summer sun with Selah Aesthetics.

Spring is finally here—bringing warmer temperatures, blooming flowers, and unfortunately, new skin concerns . If you’ve noticed your skin feeling more irritated, dry, or reactive this time of year, you’re not alone. Seasonal allergies, increased sun exposure, and shifts in humidity can all trigger eczema flare-ups, redness, breakouts, and inflammation .  At our practice, we take a whole-body approach to skincare—addressing the underlying causes of seasonal skin issues while providing targeted treatments to soothe and strengthen your skin. Let’s dive into the common springtime skin concerns and how we can help you restore balance and achieve your healthiest skin yet. Why Spring Can Be Tough on Your Skin Springtime brings environmental changes that can throw your skin off balance. Common culprits include: Increased pollen & allergens – Can trigger eczema, rashes, and breakouts , especially for those with sensitive skin. Shifts in temperature & humidity – May lead to dryness, oil imbalance, or increased irritation . More sun exposure – Can cause hyperpigmentation, sun damage, and flare-ups of rosacea or melasma . Sweat & clogged pores – Rising temps can mean more oil production and acne-prone skin . If your skin is reacting to the season, the good news is we have solutions . How We Address Springtime Skin Concerns Our medspa treatments go beyond surface-level fixes—we focus on skin health and resilience to help you feel confident all season long. 1. Soothe & Strengthen Irritated Skin If you’re dealing with eczema flare-ups, redness, or inflammation , we offer: LED Light Therapy – Reduces inflammation and calms sensitive skin. Custom Facials & Peels – Hydrate, rebalance, and strengthen the skin barrier. Medical-Grade Skincare – Barrier-repairing ingredients like ceramides and niacinamide to protect against seasonal stressors. 2. Protect & Repair from Sun Exposure More time outdoors means increased sun damage and hyperpigmentation risks . We help protect and reverse damage with: Laser Resurfacing & IPL Treatments – Treat sunspots, pigmentation, and uneven skin tone. Antioxidant-Infused Facials – Support skin repair and defend against environmental stressors. SPF & Skincare Consultations – We’ll help you choose the best sunscreen and skincare routine for spring. 3. Combat Allergy-Induced Breakouts & Puffiness Allergies don’t just cause sneezing—they can lead to puffy, irritated skin and congestion . We recommend: Lymphatic Drainage and Hydracials – Reduce puffiness and promote detoxification. IV Therapy for Hydration & Detox – Helps flush out allergens and replenish key nutrients for clearer, calmer skin. 4. Treat Seasonal Acne & Oil Imbalance If warmer weather has your skin producing more oil and breaking out , our acne-focused treatments include: Chemical Peels – Exfoliate, decongest pores, and reduce acne-causing bacteria. Microneedling – Improves skin texture and minimizes post-acne marks. Customized Acne Protocols – Targeted skincare and treatments designed to keep breakouts under control. Spring is Here—Let’s Get Your Skin Ready If seasonal changes are stressing out your skin , we’re here to help. Our integrative medspa offers customized treatments to address eczema, acne, redness, and sun damage —all while strengthening your skin for long-term health. Book a consultation today and let’s create a personalized spring skincare plan that leaves you glowing all season long.

I often find my clients haven’t heard about metabolic flexibility or rather inflexibility! When this is the case, it means your body struggles to switch between burning carbs and fat for fuel, keeping you stuck in an energy rollercoaster and making it harder to maintain a healthy weight.  What is Metabolic Flexibility? Metabolic flexibility is your body’s ability to adapt its fuel source based on what’s available—switching seamlessly between glucose (from carbs) and stored fat for energy. When your metabolism is flexible, you: Have steady, all-day energy Burn fat efficiently Maintain stable blood sugar levels Adapt easily to different eating patterns However, if you’re metabolically inflexible , you might experience: Blood sugar crashes and cravings Brain fog and energy dips Difficulty losing weight Increased risk of insulin resistance Your body should naturally shift between burning carbs and fat. If it can’t, it’s time to retrain your metabolism. Why Metabolic Flexibility is Essential When your body efficiently switches between carbs and fat for fuel, you gain major health benefits: 1. More Energy, Less Fatigue No more energy crashes after meals or feeling like you “need” sugar to get through the day. A flexible metabolism keeps you fueled and focused, no matter what. 2. Easier Fat Burning & Weight Management When your body relies too much on glucose, it struggles to burn fat. Improving metabolic flexibility teaches your body to access stored fat for energy , making weight loss easier and more sustainable. 3. Improved Blood Sugar & Insulin Sensitivity A flexible metabolism helps control blood sugar and lowers the risk of insulin resistance, diabetes, and inflammation —key factors in long-term metabolic health. 4. Freedom from Constant Hunger & Cravings When your body can efficiently burn fat for energy, you don’t feel hangry every few hours. You can go longer between meals without feeling weak or foggy. How to Improve Your Metabolic Flexibility If you feel stuck in energy crashes, weight plateaus, or metabolic dysfunction , here’s how to retrain your body: 1. Eat to Support Flexibility Protein first – Helps stabilize blood sugar and supports muscle mass. Healthy fats – Promotes fat oxidation and keeps you satisfied. Smart carbs – Choose fiber-rich carbs to prevent blood sugar spikes. 2. Improve Insulin Sensitivity GLP-1 receptor agonists (like semaglutide or tirzepatide) help regulate blood sugar and curb glucose fluctuations. Metformin improves insulin sensitivity and metabolic function. Supplements like berberine, inositol, and magnesium support blood sugar balance naturally. 3. Strength Train & Move More Building muscle improves insulin sensitivity and helps your body burn fat more efficiently. Try: Strength training at least 2-3 times per week. Walking after meals to help regulate glucose. HIIT or resistance workouts to enhance metabolic flexibility. 4. Play with Meal Timing & Fasting Extend your overnight fast to 12-14 hours to encourage fat burning. Avoid late-night eating , which can interfere with metabolism. Try occasional fasting if your body responds well to it. 5. Prioritize Sleep & Stress Management Lack of sleep and chronic stress increase cortisol and insulin resistance , making it harder to burn fat. Support your metabolism by: Keeping a consistent sleep schedule . Using stress-reducing techniques like deep breathing or journaling. Supplementing with magnesium and adaptogens to support relaxation. You’ve Got This! Metabolic flexibility is the foundation of a healthy metabolism . When your body can seamlessly switch between carbs and fat for fuel, you’ll have steady energy, better blood sugar control, and improved fat metabolism —all while reducing the risk of chronic disease. If you feel stuck in metabolic dysfunction , we can help you assess your metabolic health and build a customized plan to optimize nutrition, movement, and hormone support for long-term success.