At the Institute for Progressive Medicine, we offer a variety of therapies and services. If you have an interest in, or are scheduled to receive any of our services, take a few minutes to read about them below.

This information is provided for educational purposes only. Never add, change, or discontinue medication or treatment without first consulting your doctor.

To make an appointment with a doctor at the Institute for Progressive Medicine, please call 949.600.5100.

When a new patient arrives, the first action is a comprehensive medical evaluation. We find out what you are here to handle, and through interview and examination, look for underlying causes. In order to provide a thorough and comprehensive workup of your personal medical situation, most of our new patient evaluations run a full hour in length. Return visits are usually for 30 minutes.

We offer a comprehensive menu of laboratory and diagnostic testing, including specialized studies usually considered a part of alternative medicine. Most testing is performed right here in our laboratory.

Laboratory And Diagnostic Testing:

We offer a comprehensive menu of laboratory and diagnostic testing, including specialized studies usually considered a part of alternative medicine. Most testing is performed right here in our laboratory. Other testing not listed below is available as ordered by your doctor. Please let us know if you do not see what you are looking for.

Laboratory Testing:

Blood count (CBC)
Chemistries (including liver and kidney functions)
Thyroid studies (TSH, free T3 and free T4)
Estradiol, Estriol
Progesterone
Testosterone
DHEA
Insulin
FSH, LH
Cortisol
Glycohemoglobin (Hgb A1C)
Glucose-insulin tolerance test (GITT)
Lipid profile
Lipoprotein a
Homocysteine
B-type natriuretic peptide (BNP)
C-reactive protein (CRP)
IgF-1
Urinalysis and urine culture
Sed rate (ESR)
Hemoccult
PAP smear
Urine pregnancy test (hCG)
Cancer Markers (Ca 125, CEA, PSA and others)
Viral Antibodies (HIV, Hep B, Hep C and others)

Cardiovascular Studies:

Treadmill stress test
Cardiolite stress test
Echocardiogram
Coronary artery calcium score
Ultra fast C-T Angiogram
Cardiac MRI
Cardiac PET scan
Carotid ultrasound
Arterial and venous Doppler studies of the legs
EKG/ECG

Special and Alternative Studies:

Adrenal Stress Index
Antioxidant Levels
Bioimpedance Analysis
Biochemical Testing for Autistic Children
Bone Resorption Study
Candida Antibodies (yeast overgrowth)
Comprehensive Stool Analysis
Environmental Allergens
Environmental Organic Toxins
Essential Fatty Acid Analysis
Estrogen Metabolites (for breast cancer risk)
Fertility Testing (hormones & subclinical infection)
Food Allergy Testing
Heavy Metal Testing- urine, blood, feces and hair
Ion Panel
Liver Detoxification Panel
Neurotransmitter Testing
Plasma Amino Acids
Serum Fatty Acids
Urine Hormone Testing
Urine Organic Acids
Vitamin and Mineral Analysis

Other:

Diagnostic Ultrasound
Spirometry
DXA Bone Scan
Allergy skin testing
TB skin test
Continuous Glucose Monitoring (CGMS)

We offer specialty laboratory testing from a number of outside labs. If you don’t see something specific you are looking for, please ask.

Hormone depletion is a major cause of aging. Despite the medical establishment’s recent stance against hormone replacement therapy, there are major benefits derived from the careful prescribing of bio-identical hormones. Bio-identical hormones are molecules produced from a plant precursor that are chemically identical to your body’s own hormones. The effectiveness of prescribed hormones is also highly variable depending on the route of administration that is chosen. The highly publicized adverse effects of hormone replacement relate to the use of synthetic or non-bio-identical formulations given by sub-optimal routes of administration.

At the Institute for Progressive Medicine we may prescribe hormone replacement therapy using the following hormones:

  • Estradiol

  • Estriol

  • Progesterone

  • Testosterone

  • DHEA

  • Thyroid hormone

  • Human growth hormone

Administration is oral, sublingual, trans-dermal, by injection or by pellet depending on the best method of delivery for a specific therapy.

Hormone Pellets – The Strongest and Most Effective Treatment
Hormone pellets are the strongest available hormone therapy. We have been using hormone pellets for 12 years. The procedure is very simple, quick and often nearly pain-free. They are smaller than a grain of rice and cannot be felt once inserted under the skin.

To insert hormone pellets, the doctor marks a spot on the upper buttock where the patient doesn’t sit and injects lidocaine to numb the area. A small cut in the skin with a scalpel blade of about 1/8 of an inch is made and the pellets are placed using a hollow metal tube called a trocar. Once pellets are placed, the site is covered with a sterile bandage and no stiches are used.

Blood levels rise in minutes and patients feel an effect in 1-7 days. With pellets, hormone levels stay elevated 24 hours a day, so there is no dosing peaks and valleys as with other methods of hormone delivery. Pellets are usually good for 3-6 months in women and 4 months in men. We measure hormone levels before putting in pellets and then again one month later to see where blood levels are.

For most women pellets include both estradiol and testosterone. Progesterone would require too big a pellet, therefore it is taken as a capsule orally at night. Progesterone is very helpful for sleep.
In women we usually have them return in 3 months for new pellets, and take blood just before putting in pellets to see where the levels are.  Then we decide if they can go longer before the next pellets are needed.

In men we measure the testosterone level, PSA, and the blood count before putting in pellets, measure testosterone one month later, and take blood before putting in pellets four months later.
Testosterone is naturally converted to estrogen in fat cells. We include anastrozole with the pellets to block this conversion.  Without anastrozole testosterone does not last as long and higher estrogen levels may cause breast enlargement.

-Allan Sosin, MD

Prolotherapy is a method of strengthening weakened, stretched and partially torn ligaments and tendons, enhancing the support systems of bones and muscles. These connective tissues are damaged as a consequence of injury or just wear and tear, resulting in altered structure and function. Pain often intervenes, and efforts to compensate for imbalances leads to further injury and impairment. Ligamentous injury may lead eventually to arthritis, and chronic irreversible problems. Surgery on bones and joints may be recommended and pursued, often without resolving the problem, because the real problem has not been addressed. Prolotherapy is underutilized. It is a non-surgical approach that can strengthen backs, necks, arms and legs, eliminate pain and restore function. Fees vary depending on sites and number of injections.

Prolotherapy is very different from using steroids. Steroids actually weaken the tissues into which they are injected. They do not promote healing, but retard it. Continued use of steroids causes joints to become looser and more unstable. Prolotherapy has the opposite effect, strengthening joints and connective tissue. Prolotherapy provides benefit in over 50% of cases. It may be effective even after surgery has been unsuccessful. Almost any area can be treated with prolotherapy. The most commonly treated locations are the knees, shoulders, lower back, hips, neck and elbows.

How it works

Concentrated dextrose, or sugar water, is combined with a pain-killer such as procaine, B vitamins, and saline, then injected into the involved ligament or tendon where the tissue meets the bone. There is an initial inflammatory response, initiated by the irritative effect of the dextrose. White cells enter the injected area, proliferate and then differentiate into connective tissue-forming cells.

The whole process takes about three weeks. Ligaments and tendons thicken and tighten, re-establishing a proper alignment of the bones, and alleviating pain. The same areas can be reinjected every 2–4 weeks if necessary. If the problem is chronic, usually three or more injections are necessary to achieve a full effect.

If you have any questions about prolotherapy and how it can help you, please call our office at 949-600-5100.

Torn or damaged ligaments, tendons and muscles are a major source of pain. Steroids usually provide temporary pain relief, but may provoke tissue degeneration.  Surgery is expensive, painful, may cause complications such as phlebitis or infection, requires long-term rehabilitation, and may not offer permanent recovery.

Effective injection techniques exist for the treatment of muscle, joint, ligament and tendon problems without resorting to steroid injections or orthopedic surgery.  It is preferable to use these simple injection techniques before pursuing surgical options.  They often reduce pain and improve function, and may be repeated when necessary. One of these techniques is Platelet Rich Plasma or PRP. With this treatment blood is withdrawn from the patient’s vein, treated with heparin to prevent clotting, and spun in a centrifuge to separate the red blood cells from plasma and platelets.  The PRP is injected into damaged or painful tissues. Growth factors from platelets and lymphocytes stimulate new tissue growth, and heal the painful area. PRP can be used alone or in conjunction with other effective therapies such as Prolozone and can be injected through the same needle used for prolotherapy.  Injections should be given at least one month apart to allow for the full effect. We have treated patients who were told they needed joint replacement surgery, whose x-rays revealed severe degeneration, but nevertheless responded to injections with a significant reduction or elimination of pain and restored function.

–     Allan Sosin MD

Ozone (O3) is a modified form of oxygen, produced from oxygen (O2) in an electric generator. It is produced as a gas, with powerful oxidizing properties and multiple medical uses, both intravenously and locally.


Ozone increases oxygen utilization by improving the ratio of NAD/NADH. NAD is a major component of the Krebs cycle, the energy-producing system in mitochondria. Mitochondria supply energy for all cellular functions. Aging and age-related diseases result from degeneration of the energy cycle and a decline in energy production.


Ozone resolves infections from bacteria, viruses, and fungi by increasing production of cytokines, chemical messengers made by white blood cells to enlist immune support. It also stimulates antioxidant molecules like glutathione, which help ameliorate autoimmune diseases including rheumatoid arthritis, lupus, Crohn’s disease, and multiple sclerosis.


IV Ozone (MAH and 10-Pass):

Prolozone: This is an injection used to treat tendon, ligament, muscle or joint problems, including low back pain. The involved area is injected with procaine, glucose, vitamins and minerals to support healing, and then with ozone through the same needle. It can effectively resolve pain and inflammation, and repair damaged areas without surgery. Prolozone injections may also resolve carpal tunnel syndrome, plantar fasciitis, Dupuytren’s contractures, and pain from scars


Rectal insufflation: done as an outpatient procedure, treats Crohn’s disease, ulcerative colitis or proctitis, diverticulitis, pouchitis. A catheter is inserted into the rectum and ozone is infused through a syringe. This therapy can be performed in conjunction with intravenous ozone therapy.


Bladder insufflation: done as an outpatient procedure, treats interstitial cystitis and acute cystitis. Introduce a catheter into the bladder, drain the bladder, and inject a combination of procaine, traumeel, heparin, steroid and saline, then remove the catheter. After 20 minutes, reinsert the catheter and inject ozone. Treatment can be repeated several times a week.


Sinus infection and inflammation, and dental infection: Inject procaine followed by ozone into the soft gingival tissue, at the base of the canine teeth for sinus infection, or at the base of the involved tooth for dental infection.


Ozonated saline: ozone can be bubbled into saltwater (saline), and this solution can be applied orally, vaginally, rectally, or applied to eyes, skin, or ears to treat infections. When refrigerated, it can be used for five days.


Limb bagging: to treat ulcers or infection, the arm or leg is wrapped in a plastic bag, secured with an ace wrap after air is expelled, and ozone is then let into the bag. Treatment lasts 30 minutes and can be employed several times daily.


Ozone in olive oil: Olive oil can retain a high concentration of ozonides (ozone derived molecules) indefinitely. As a cream or stick, ozone in olive oil can treat hemorrhoids or rectal pain, warts, or fungal infection of the toenails.


Nasal ozone:  Ozone gas can be injected through the nostrils into the sinuses, using a syringe.There is often an initial heavy drainage of mucus. Ozone helps resolve sinusitis due to infection or allergies.

We offer a wide variety of intravenous drips and pushes. Our dedicated intravenous therapy room is staffed five days a week by a registered nurse and a licensed vocational nurse. The therapies we use have been developed over years of research and experience, for managing a number of medical conditions. Fees vary depending on the treatment recommended by your doctor.

Major Auto-Hemotherapy (MAH) And 10-Pass Ozone Therapy

It is also used to treat degenerative conditions such as macular degeneration. It may be used in combination with ultraviolet light therapy to treat infection and autoimmune disease. Six ounces (about 200 ccs) of blood are drawn then combined with heparin to prevent clotting. Two hundred ccs of ozone gas is added and lightly mixed. The blood is then reinfused into the patient.

The process takes 30–40 minutes, and has virtually no side effects. It is repeated twice a week or more in acute situations, and once a month for maintenance. Patients should be well-hydrated and well-fed before therapy. MAH is not recommended during pregnancy, or with recent myocardial infarction, active bleeding, hyperthyroidism, very low platelet count, or G6PD deficiency. Your doctor can go over this therapy with you in more detail. (Add 10-Pass data here)

Other IV Treatments

Other intravenous therapies are available and can be prescribed for a variety of other chronic conditions. Homeopathic additions for many different conditions can be included with several types of IV treatments at the doctor’s request. Specially designed formulas are currently used for a wide variety of conditions and treatments, including:

Amalgam (silver filing) removal
Trace minerals
Macular degeneration
Wound healing
Asthma
Arrhythmia
Liver support/hepatitis
Viral or Bacterial Infection
Chronic fatigue
Cognition and Mental Function
Amino acid
Anti-Inflammatory

Chelation Therapy

Chelation therapy involves the infusion of specific drugs, usually EDTA or DMPS, to remove heavy metals from the body. Lead, mercury, cadmium, arsenic, and aluminum are toxic to the body in milligram amounts. They may contribute to cardiovascular disease including heart attacks, heart failure and strokes, dementia and other neurological disorders including autism, diabetes, kidney disease and several forms of cancer. Because of their slow elimination, heavy metals may be stored in various body tissues for many years. 

Because blood testing does not accurately assess body stores of heavy metals, we measure urinary excretion of these metals after giving a provocative dose of a chelating agent. 

Chelation therapy, given as an infusion of vitamins and minerals and EDTA, has been employed for over fifty years as a treatment for cardiovascular disease. Patients receive an initial series of infusions, two or three times a week for a total of thirty treatments, thereafter once a month indefinitely as maintenance therapy. 

A recent study revealed that chelation significantly reduced heart attacks in individuals with pre-existing heart disease, especially diabetics. 

Aluminum has been implicated in Alzheimer’s disease and other forms of dementia. Arsenic contributes to diabetes, neuropathy and skin cancer. Lead causes brain damage, osteoporosis, renal disease and cataracts. Cadmium causes lung cancer. Mercury causes brain damage, chronic fatigue, heart damage and sterility. 

Patients with early symptoms of these conditions, or concerns about them, especially those with occupational exposure to heavy metals such as dentists and automobile mechanics, should be tested with a 6-hour urine collection after DMPS and/or EDTA administration. We also test for heavy metals in children with autism.

Metallic joint implants may release toxic levels of cobalt and chromium into the blood stream. All individuals with these implants should be evaluated with a test dose of EDTA followed by urine collection for heavy metals. 

Case studies: 

A 62-year-old man with diabetes mellitus had cardiac bypass surgery 18 years ago, after balloon dilatation of a coronary artery resulted in a heart attack. Anginal symptoms (chest pain) later appeared, but he refused catheterization for fear of more complications. Instead he began chelation therapy, although at first he believed it was an unproven therapy. His angina resolved. Twice again over the next few years, angina recurred. He repeated chelation with good results each time, and declined cardiac catheterization. He continues chelation approximately every month, and has no current symptoms.

A 70-year-old man presented with exertional chest pains fourteen years ago. He has never had angioplasty, instead relying on chelation therapy to manage his symptoms, along with lifestyle changes. There has been no progression of disease, and his symptoms are minimal. 


Immune Drips

We have given thousands of these infusions to patients with a large variety of applicable situations. Immune drips contain high concentrations of vitamin C, B vitamins including vitamin B12 and folic acid, calcium and magnesium, trace minerals and glutathione, a powerful antioxidant and detoxifier. 

We use immune drips to treat acute infections including upper and lower respiratory infections, chronic fatigue, emotional stress, preparation for and recovery from surgery, and patients receiving radiation and chemotherapy. Patients going for major elective surgery receive a series of immune drips both before and after the procedure. The drips reduce post-operative pain and speed healing. 

Case study: 

A 50-year-old man was referred for surgical preparation by his cardiac surgeon. He had a history of dissecting aortic aneurysm. He was under treatment with very high doses of antihypertensive agents in advance of a major surgical procedure to replace his aorta with a graft. The surgery was a high-risk procedure, and the patient was weakened by the high doses of required medications. He received immune drips weekly for two months prior to the procedure, along with other supportive nutrients and hormones. He sailed through the surgery with no complications, and returned home in five days.

Invented in Boston in the late 1960s, ECP was effective in treating cardiogenic shock, or severe heart failure due to heart muscle damage, a condition that was otherwise almost uniformly fatal. The technique was cumbersome, and fell out of favor while more intricate and expensive procedures such as cardiac bypass surgery came into use. Researchers in mainland China during the 1980s improved the technology and effectively treated patients with heart disease and stroke.

In 1990 a brilliant physiologist named Dr. John Hui brought the technology back into the United States, and persuaded physicians at Stony Brook Hospital in New York to begin research. ECP proved so effective in reducing angina symptoms that the FDA approved it for the treatment of stable angina. Many insurance companies, including Medicare, now reimburse for treatment. 

ECP may be covered by Medicare or private insurance for specific diagnoses. As a courtesy to our patients, we will bill ECP treatments to insurance for patients with appropriate diagnoses. 

ECP is an excellent therapy for heart disease. It creates collateral circulation in the heart, relieves chest pain and improves heart muscle function in heart failure. It also improves circulation throughout the body, including the brain and kidneys. ECP helps recovery from stroke. It is a major anti-aging treatment.

Today, ECP (also known as EECP for Enhanced External Counterpulsation) is also approved by the FDA to treat congestive heart failure, which is responsible for the greatest number of hospitalizations in our country.

How it works

ECP is completely noninvasive and requires no anesthesia or recovery time. A set of inflatable cuffs is placed around the legs and pelvis. The cuffs are sequentially inflated from the bottom up, under high pressure. This causes the arteries and veins in the lower extremities to collapse and forces the blood upwards toward the heart. A wave of pressure then proceeds into the heart and into the coronary arteries. The result is a significant increase in cardiac blood flow. After a series of treatments, usually 35, lasting one hour each, collateral blood vessels develop around the heart, creating a natural bypass around the occluded vessels. Statistics show the response rate for patients suffering from angina is around 80 percent, with none of the risks of open-heart surgery or angioplasty. 

People who complete a series of ECP treatments often have fewer episodes of angina, reduce or eliminate their need for anti-angina medications, have greater exercise tolerance and improved endurance and have a greatly improved overall quality of life.

 

ECP treatment is similar to having a set of giant blood pressure cuffs on your legs. Since the cuffs are inflated and deflated in time to your heart beat, some patients compare treatment to a rhythmic massage. Most patients listen to music, read a book or even take a relaxing nap while receiving ECP treatments. Many feel alert, rested and energetic after their treatment is over.

Because it boosts circulation throughout the body, external counterpulsation is a general panacea. It is perhaps the most potent antiaging therapy. There are numerous other benefits, since having counterpulsation is like adding a second heart to the body. Increased blood flow occurs in the brain, kidneys, intestines, and all other parts of the body. Complex hormonal interactions are stimulated, resulting in improved kidney functions, lowering of blood pressure, increased energy, endurance, and sense of well being. Patients with stroke have experienced much quicker improvement than would otherwise occur. It should be considered in any program to support individual wellbeing.

There are numerous other benefits, since having counterpulsation is like adding a second heart to the body. Increased blood flow occurs in the brain, kidneys, intestines, and all other parts of the body. Complex hormonal interactions are stimulated, resulting in improved kidney function, lowering of blood pressure, increased energy, endurance, and sense of wellbeing.

Patients with stroke have experienced much quicker improvement than would otherwise occur.

Medications used for treating chest pain as well as high blood pressure may be reduced and sometimes completely eliminated. ECP is also effective in boosting athletic performance, providing a complete, passive cardiovascular workout, reducing lactic acid buildup and increasing blood and lymph flow in muscles.

Investigate ECP for improvement in any of the following area:

Cardiac chest pain

Congestive heart failure

High blood pressure

Cardiomyopathy

Peripheral neuropathy, especially from diabetes

Stroke

Peripheral vascular disease

Impotence

Edema, or venous insufficiency

Chronic fatigue

Intestinal vascular insufficiency

Improvement of athletic performance

The importance of diet cannot be overstated. Together with our doctor/nutritionist team, we will guide you with nutritional therapy to better health. We address weight management, malnutrition, diabetes, heart disease, digestive disease, and fatigue issues. We work with you to normalize blood pressure, cholesterol, triglycerides, glucose and liver enzymes. 

We help you make important life style changes step by step .

Nutrition is an important aspect of any treatment, whether conventional or alternative. We offer only the highest quality nutritional supplements available. Your doctor will most likely recommend supplements and they are available in our office or from our Online StoreYou can also order online at any time, with or without a doctor’s recommendation.

You can also order over the phone: 949.600.5100.

Also known as collagen induction therapy or CIT, micro-needling is an aesthetic medical treatment used to improve skin appearance. It can reduce or remove fine lines, wrinkles and acne scars, and improve the skin’s texture, color and tone.

Micro-needling can be used on any part of the body. Most frequently, it is used on the face, neck, chest, arms, hands, legs, abdomen and back.

Micro-needling is done with a device that looks somewhat like a pen. This pen contains a number of micro-needles in the tip that the practitioner uses to create “controlled micro-injuries” to the skin’s surface. This, in turn, stimulates the skin to naturally produce collagen and elastin. The skin’s repair process results in a thicker, softer epidermis. 

The process takes about an hour, and most patients experience little or no pain and only minor discomfort. Immediately after treatment, the skin area treated will be red, but this passes in 2–4 days, sometimes even less. The skin’s appearance will continue to improve for up to 6 months. Normally, it’s recommended that you receive 2 or 3 treatments, spaced 6–8 weeks apart.

Regenerative Cell and Tissue Allograft Therapies

Stem cell therapy is well established in the treatment of orthopedic disorders.  Many studies have documented regrowth of cartilage and reduction of pain in damaged joints, especially knees and hips.  Any joint can be treated, including the back, neck, wrists, elbows, shoulders, feet, fingers and toes.  Injections can stimulate the rebuilding of torn and degenerated tendons including the Achilles tendon.  Partial tears can be reversed and individuals can return to prior activities without the prolonged healing time required after surgery.

The two sources of stem cells commonly used in regenerative medicine in the United States are autologous stem cells and Placental Tissue Matrix. Autologous stem cells are collected from fat tissue of the patient, specially processed and reintroduced by injection into another area of the body where they are needed. Placental Tissue Matrix contains growth factors and other cellular components useful in tissue repair and regeneration. Placental Tissue Matrix is obtained from human placental tissue after a healthy birth via cesarean section.

Ultrasound and Stem Cell Therapy

In our practice autologous regenerative cell therapy is performed as an outpatient procedure, with cell harvesting and injection completed in about two hours.  All injections are performed under ultrasound guidance, so we can verify exact needle placement.  I believe ultrasound guidance is critical in obtaining optimal results.  We like to review prior x-ray or MRI reports when we evaluate patients, then do an exam and perform an ultrasound study.  Ultrasound done meticulously can reveal tendon inflammation and tears, fluid collections, bone spurs and other abnormalities.  Only ultrasound can provide dynamic evaluations, where we can visualize abnormalities as the patient is moving.  We then select the best locations to inject.

Effective Results

Hundreds of thousands of knee and hip replacement surgeries are performed every year in the United States, along with over one million arthroscopic procedures.  Recovery is often prolonged and painful, particularly after shoulder and knee procedures.  Sometimes the surgery is ineffective and may even make the patient worse, especially back surgery. Stem cell injections may resolve pain, restore function, and eliminate the need for surgery.  When pain persists even after surgery, stem cell injections into ligaments and tendons around the joint may be effective.

In my opinion stem cell therapy should be considered before deciding for surgery, and certainly in older patients with coexisting medical problems.  Even “bone on bone” situations may respond. It is wonderful to eliminate pain that may have been present for months or years, and to recover function and be able to move again, to walk, dance or drive a car.

-Allan Sosin MD

Please call our office at 949-600-5100 to schedule an evaluation.