Customized Medicines

Customized Medicines
Dr. Sonja O'Bryan, Pharm.D., ABAAHP Board Certified Health Practitioner Diplomate-American Academy of Anti-Aging Medicine: "Creative Medicines" for Hormones-Weight-Pain-Fatigue-Skin Diseases-Pediatrics-Autoimmune Disorders-Veterinary Needs. Using Complimentary, Integrative, Regenerative, Bio-Identical, and Lifestyle Medicine For Health and Healing.

Wednesday, March 7, 2018

Here We Grow Again! Meet Dr. Tracy Douthard Inside Providence Medical Spa

Things have really been moving fast over the last three months as the team at Providence Medical Spa nestles into its new location and brand new, state-of-the-art facility in Branson MO. 

Reflecting back further though, there's so much that has taken place over the last 9 years between Co-Owners Jana Kueck RN, and Dr. Robin Talley MD who are the founders of Providence with a vision to bring to the Midwest a team of expert providers that are fully connected in their efforts to provide WHOLE person wellness through means of mind-body-spirit care.  They wanted hand-picked, uniquely gifted, truly passionate, faith filled providers that would come alongside them in their efforts to see the Dream Team of the Midwest become a reality. Today Providence Medical Spa is just that.  'One Destination-Endless Possibilities' in the care that this collaborative team provides and the reason why people are making Providence their choice for wellness services in the Midwest.  Of recent, we have had clients and visitors from across the U.S. who want to take in some relaxation and specialty care while they are visiting for a business conference or just vacationing in Branson.  If you're planning a visit this summer, make sure to put Providence on your schedule.  You will LOVE, LOVE, LOVE the new location!!! 

Here we GROW again!!!!  Another specialty care service is now available to our Providence MedSpa family of clients and we don't want you to miss this information.

Today we want to introduce our newest member, Dr. Tracy Douthard, DMin, PT. 

Dr. Douthard will provide private pay Physical Therapy including specialized therapy for Womens Health inside the Medical Spa.  Not only will Dr. Douthard provide evaluation and treatment of the musculoskeletal system to treat pain, lack of movement, mobility, or function throughout the body, but she also is a specialist provider in things like urinary incontinence, pelvic floor muscle treatment, biofeedback assessment, and more.  Dr. Douthard has ministered physical healing as a physical therapist for 16 years in various environments including outpatient, homecare, hospital acute care,  rehabilitation, nursing home, and public school patient care settings.  Tracy recently sought specialization to treat women's health issues such as incontinence, prolapse, and pelvic floor muscle weakness and pain because its common to so many female patients who prefer the avenue of muscle therapy versus surgical interventions to alleviate the problems they are experiencing.  Tracy's provision of care will be such an incredible addition to the mind, body, spirit options inside the Medical Spa and we want to extend our warmest welcome to her. 
To set up a private appointment with Dr. Douthard call 417-230-1662
or email:

All the Best,
Dr. Sonja O'Bryan

Tuesday, February 13, 2018

Low Hormones, High Anxiety, and Low Mood-Is There A Link?

In the aging process have you noticed that your moods and emotion seem a little more tender than in years past?  Has it been suggested that you take an anti-depressant for your depression? Is there a potential link between declining hormones and anxiousness? 

I'm asked these questions pretty commonly and wanted to address them more broadly through this blog post.  When it comes to depression and anxiety, serotonin frequently steals the spotlight with medical providers in regards to these concerns of their patients.  But, should another discussion open in considering declining hormones, the menopausal transition, and hormone replacement therapy as a therapeutic intervention?  I say YES! Anti-depressants may provide improvement for some in mood and stability, but have fallen short of optimal for others.  I'm happy to have 20+ years experience behind me in saying that the therapeutic toolbox seems to be opening up more in addressing the wondrous complexity of hormones and their affect on mood, emotions, and anxiety.  The heads of the medical community are now turning their attention to hormonal balance as a means to help patients in health and wellness.

Serotonin the "happiness molecule" helps us with many things such as adaptation to stress, energy balance, sleep, sexual behavior, and of course mood. To make serotonin in the brain and the rest of the body, humans convert tryptophan through food sources like meat, fish, dairy, nuts and seeds into serotonin.  A very important enzyme makes this happen but there are some other important cofactors that contribute as well (i.e. Vit B6, iron)  The pendulum can swing the other way in breaking down serotonin to the very important sleep neurotransmitter melatonin by yet another enzyme. Too much or too little can make a tremendous difference in symptoms for a person.

Estrogens are very important to serotonin in terms of it's production and lingering effectiveness. Simply, when estrogen goes down, serotonin may also take a dive leaving an individual with the classic symptoms of what we connect with depression, anxiety, and fluctuating moods.   A recent study provides evidence that depressive symptoms can be improved or prevented with hormone replacement therapy. This information is significant to many women who would otherwise have to take anti-depressants which can dampen sexual desire and performance.  Hormone deficiencies, it appears, need to be evaluated and included in the 'whole person' approach to health-care. 

Our stressful lifestyles can be another impactful implication in the imbalance of hormones and neurotransmitter production.  Hyperactivation of Cortisol can be a wrecking ball to neurotransmitter production and is worth consideration in assessing an individuals levels. If Cortisol is ramped up all the time as a response mechanism to stress, the person will often have noticeable symptoms. Many of which cross over into the realm of anxiousness, insomnia, low energy, and poor mood.  Remember, when it comes to testing of hormones, salivary assessment is a great indicator of the levels and is very convenient and affordable. 

There's much more to be researched on these topics, but I'm really happy to see women and men testing their hormones and not just immediately signing up for an anti-depressant prescription.  Now let me be clear that it's not wrong to take these medications and to many, as noted above, it can be a critical help.  I've recommend anti-depressants many times for different individuals with different clinical needs. But, (there's that word), if you have suspicion that your hormones have taken a dramatic shift, then I would suggest you test and address that as a part of your care plan.   To treat and Band-Aid one area of health without noticing the other contributors can leave you lacking in efforts to have "whole" wellness. 

Give our team a call or email: if you would like to test your hormones.

All the Best,
Dr. Sonja O'Bryan

Monday, January 29, 2018

What You Might Not Know....

What you might not know, could be affecting your health in ways that you don't even realize.  If you have symptoms, concerns, or just want to know where you stand on certain healthcare matters we can help you.

Did you know? 
Our team provides so many options when it comes to addressing all of the needs that can come up in Health-care and Wellness.  I italicize healthcare because in America it seems that disease care is where most of the attention is focused.  You know....wait until the disease happens, and then respond to it.  Yikes! Never good.

 But.....the tide is changing back to true health-care. (sigh of relief)

Preventative, Functional, Integrative,, Longevity...(whatever name you want to call it "medicine"), is on the rise and I'm seeing trends in people wanting to take charge of their care long before a physician and medical team has to get involved in disease management. It's something I have spent over a 20 year career to see happen and I'm delighted that our team is trained, ready, and 'in the vein' (so to speak) of where healthcare is going.  Our patient base continues to climb and it's mostly based on referral, after referral, after referral.  We've had calls in the last week from Tennessee, Pennsylvania, Kansas, Oklahoma, and of course Missouri.  That's a far reaching distance, but it's because we provide so many great options to Assess and Address problems.   Even well known and famous celebrities are reaching out to our team for care.  Sometimes I pick up the phone and can't believe who's on the other end of the line.  That's life in the personalized medicine lane.....  It's what people want! So awesome!

What options are available? 
Todays blog is to give you a list of all of the options and interests that might help YOU in your quest to have better health and wellness.  The list is not fully comprehensive, but it should give a pretty good understanding of the most common requests that come our way. 

Hormone Testing-if you haven't tested your hormones, I would encourage you to do so.  We provide testing for both men  and women.   It's very easy, convenient, and affordable to test your hormones.
Adrenal Testing-worn out, fatigued, sleepy, foggy, not sleeping.  It could be adrenals?
Thyroid Testing-losing hair, unable to lose weight, tired.  I would suggest thyroid testing
Fertility Testing-If you have had difficulty getting pregnant or carrying a pregnancy to term, please give us a call.  We can provide some testing that will help to set the stage for a safe and successful pregnancy.
*I can mail a saliva testing kit, blood spot testing kit, or put in a blood work order to a laboratory near you. The fees will be 100% known before you test.  No surprise and shocking bills in the mail from labs and facilities.

Erectile Dysfunction-If you are a man with Erectile Dysfunction give our team a call. If you are a man that gets up in the night multiple times to pee, give our team a call.  We have a compounded option that can help with sexual and urinary dysfunction.  It's VERY affordable and worth trying for these needs.

Private Consultations-my favorite.  Let's sit down one-on-one.  Call Providence MedSpa for an appointment. 417-334-4032. We'll go over all of your history, concerns, and future goals. ($50)

Personalized Regimens-You probably have that stock of vitamins and supplements that you bought from the last round of get healthy and skinny peddlers and you're not sure if it's the best thing to use. If so, bring them with you upon your visit and we will go over the ingredient list to make sure.

Blood Work-If you are a personal and connected client, I can order blood work for just about anything you want to know.  (thyroid, hormones, nutritional status, cholesterol, glucose, insulin, etc.)

Food Allergy Testing-Are you noticing that certain foods just don't seem to agree with you?  Noticing skin rashes or flares?  Feeling bloated or swollen?  I can provide an at-home testing kit to find out if you have an inflammatory response to the 95 most common foods that Americans eat. 

Customized Bio-Identical Hormone Replacement Therapy-Once we see hormone levels from your saliva or blood work, we can discuss a plan for YOU as an individual.  None of this cookie-cutter medicine stuff right? Right!   Hormone testing and treatment are so important in anti-aging care.

High Quality/Highly Effective Supplements- Are you taking the right supplements for your symptoms?  Are you taking the right things to prevent certain diseases and problems in your family genetics?  Lets sit down and talk. 

Customized Pain Therapies- Where do you hurt?  What are you other medical needs?  What things have you tried to alleviate your pain?  We can help design a customized therapy for you which might include many different agents to control your pain and inflammation.

Autoimmune Disease- Sadly autoimmune disease seems to be on the rise.  Psoriasis, Hashimoto's, Crohns, Rheumatoid and other autoimmune conditions often require strategic regimens to combat inflammation. 

Hemorrhoids and Fissures - That's right! It's a common need that we get requests to provide custom therapies for.  We can help you with these discomforts.

Diaper Rash-There's nothing quite so disturbing as to try to comfort a baby with a sore bum.  Give us a call and we can direct you on a proven and effective therapy to relieve the burn and rash for your sweet little babe.

Thanks for reading todays BLOG.  It would be hard to include everything that we are able to provide because of our growing list of patient care offerings. So, if I missed something of interest to you on this list, please don't hesitate to reach out.  Chances are, that we have some great options and direction for you in navigating your health and wellness needs.

To your good HEALTH-CARE!
Dr. Sonja O'Bryan

Tuesday, January 23, 2018

Fertility Testing

Struggling with Infertility?  It's important to know what to test.                                                                                                                         
infertility_zrt_profile_2.4.13-821943-edited.jpgThis blog explains what hormones are tested in ZRT's Fertility Profile and why each one is important.
LH & FSH are pituitary hormones, which means they affect the brain. Their communication with growing egg follicles in the ovaries is one of the only positive feedback loops in the body. On day three or four of the menstrual cycle (day one is the first day of the period) LH & FSH are at their lowest level. This relationship is normally a 1 to 1 function, but some women have LH levels that are two or three times greater than their FSH levels on day three or four of their cycle. This is a sign of polycystic ovarian syndrome (PCOS) and occurs in approximately 50% of PCOS women. The opposite problem can also occur - high FSH and LH levels.

Tuesday, January 9, 2018

Daily Migraine Headaches-A Personal Patient Testimony

Hi Sweet Sonja!

I am over-the-top excited to tell you that I went through a full cycle, a full month without one migraine! God is faithful, and His timing is perfect.

In 2015, I had a migraine almost everyday. In retrospect, it was probably due, partly, to some very serious medicine I was on for the trigeminal neuralgia I developed in 2013. There were, also, many things that triggered the migraines, i.e. certain foods, not eating enough, not eating for long periods of time, bright light, loud sounds, not enough sleep, not good, deep sleep, etc. 

One of the main things, that seemed to be like an umbrella, over all these symptoms, however, were my hormones. 

In 2016, I was off the serious medicine, and the trigeminal neuralgia pain was beginning to subside. The migraines became less, but continued in a cycle. One, in the middle of the month around the 15th, and four to five, in the last two weeks of the month. Sprinkled with one here and there due to the other triggers. 

I met you at the 2017 Women of Purpose Conference on the heels of my asking the Lord for wisdom, direction, and discernment concerning my health. He was opening up many opportunities for me to minister His love to women, and the migraines were a huge interruption! 

I was blessed to attend your workshop, and your message and expertise spoke directly to my heart. You were so very personable and available to me. Your advice for my medical doctor. to order a full hormone panel, and a full thyroid panel were received. My results came back pretty good, as you know, because you were so gracious to read them. 

You recommended some key things that I should start taking and I breezed through the 15th, and only had a tension headache on the 28th, and NO MIGRAINE through the entire month!!! 

I am most grateful for you and your work. You are a sweet blessing from God. He has used you in a miraculous way. Anyone who has suffered with a migraine knows how debilitating they can be. God answered my prayers through you, and now that my health is better, I'm even more excited to see how He will use me in 2018 to share Jesus' love. It's all for His glory! 

I'm so very grateful for you!

Many blessings,

Still on a journey with the Lord Jesus Christ, Lisa Dorr tries to live her life yielded to the work of the Holy Spirit. She loves to encourage women to know who they are in Christ with Ephesians as her favorite book of the Bible. Blessed to have had opportunities to speak at MOPS and other Womens Ministry events, she has led Bible studies, worshiped on the worship team, and is a contributing author and editor for God Stories. Lisa is the author of Every Little Detail, which is her story written to encourage women to find God in the details of life. DASH Girls is a group of women she enjoys ministering with, as they travel together and share the love of Jesus. DASH stands for Destinies. Aligned. to Soar. Higher. She lives with her husband, son, and two cats in Dillsburg, Pennsylvania.