The 3 Types of Metabolism and How to Cater to Yours

The 3 Types of Metabolism and How to Care to Yours

What ismy metabolic type?

Your metabolism is how your body converts what you consume into energy for movement and functioning. Think of it in terms of how efficiently your body turns fuel into action, like how a car turns gas into forward motion.

 Some bodies are keen to use fuel as soon as it is brought on board, where others are more inclined to hang onto it for a future need. Maintaining a healthy weight and optimal functioning is dependent on bringing in the best types of fuel for that body; similarly, exercising the body in a way that allows it to most effectively use the fuel brought in helps keep things running smoothly. It’s all about economizing and helping the body stay well in its uniquely preferred way.

 The three main body types (or somatotypes) are endomorph, ectomorph and mesomorph. You’ll probably identify most with one of these, or you may see yourself reflected in a combination of two.



Endomorph Metabolism 

One of the many characteristics of a person with endomorphs metabolism is they are soft and short people with a fuller body. If you gain muscle as well as fat easily and find it hard to lose, then, you have an endomorph metabolism. People with endomorphs have a sluggish metabolism, so it’s simple for them to put on weight (the greater part of which is fat, not muscle) but difficult to lose them. 

If you fall in this category, then you can start with a mix of cardio and strength training coupled with a diet where you consume fewer calories are essential for burning fat. When you cut down your carb intake and increase your protein and fats intake, you can lose weight more easily.   

Endomorph diet

At Atlantic Endocrinology & Diabetes Center, we know that the key for endomorph metabolic bliss is to consume foods that provide steady, lasting fuel without spiking blood sugar. (Spikes in blood sugar cause a surge in insulin production, which is the body’s “storage” hormone and encourages the body to hang onto as much as it can.) Endomorphs tend to do best with a diet that lends itself to less storage and higher burn, as the tendency to store calories and nutrients can become problematic with a diet high in foods prone to easy conversion to storage. 

This means focusing on complex carbs from veggies and grains, rather than simple carbs like white starches and sugars. The former will be converted to more steady energy when consumed in low to moderate amounts semi-regularly. Endomorphs can also help keep their metabolisms humming with high-protein, higher-fat foods — think fish, healthy oils, avocado and nuts — that help regulate hunger and energy levels without spiking blood sugar. Paleo- and ketogenic-inspired diet plans can also be beneficial.

Ectomorph Metabolism

People with an ectomorph metabolism tend to be smaller in frame and bone structure. They’re naturally thinner, leaner, and often find it hard to gain weight. They have a fast metabolism, which allows them to burn up calories quicker than other metabolism types. To gain weight, ectomorphs usually need a huge caloric intake.

For ectomorphs, workouts should focus on the big muscle groups. Make sure you include a blend of cardio and strength training, with more focus on strength training than cardio. Workouts that target specific muscle groups rather than full body movements are usually best.

As with any training program, diet is a major part of results. Starchy carbs can be your best friend because they’re high in calories and give you quick energy to power through intense workouts. Because ectomorphs have to eat such a large number of calories, supplements can be a game changer. It’s also a good idea to eat before bed to prevent muscle catabolism during the night.

Ectomorph diet

Due to the high rate at which ectomorphs burn fuel, small and regularly timed top-ups can be extra beneficial. Ectomorphs can also stand a higher quantity of carbohydrates — up to 50-60% of their entire diet, from all carbohydrate sources — than the other types, as these provide quick hits of energy that can keep the body running well. The advice to consume five or six small meals throughout the day makes the most sense for this body type. 

The balance of the ectomorph diet should be divided fairly evenly between protein and fat (although if one is looking to build muscle, additional protein and less fat can be a good approach). Think well-balanced, clean foods with high energy potential: whole grains, nuts, seeds, veggies, fruit and clean protein are great options.

Mesomorph metabolism

Mesomorphs, as the name suggests, fall somewhere in the middle of the other two. The mesomorph body is athletic and prone to quicker muscle gain and strength development; however, it can also be prone to fat accumulation, particularly in the lower body. Mesomorphs are strong, respond well to exercise (i.e. they see quick change and results when starting a new workout routine) and can eat a moderate amount of food relative to their activity level without gaining a ton of weight. Metabolically, too, they fall in the middle of the other two types.

Mesomorph diet

The mesomorph body is the one that thrives in the middle of the nutrition spectrum: a good balance of carbs, protein and fat (along the lines of 40%/40%/20%) is essential for keeping weight in check and staying energized. 

Because mesomorphs tend to put on muscle quite easily, including a source of protein at each meal can be a good way to support the body’s natural inclination; plus, this can help keep hunger signals a little more regular and promote a nice even-humming metabolism. A paleo-inspired approach (where most of the carbs come from veggies and fruit instead of grains, and where there is ample protein from animal and/or plant sources coming) can provide a good framework for an ideal nutrient profile for this body type. If weight fluctuation tends to be an issue for you, upping protein and cutting down on carbs (adjust those percentages by about 10% to see a difference) can provide quick results; however, if you’re extra active, don’t decrease your carb intake too much, lest your body start consuming muscle tissue for fuel.

Handling Hypoglycemia

Handling Hypoglycemia

Do you get a buzz from your morning coffee or smoothie, but lose steam with each passing hour? 

Maybe you get cranky, tired, shaky, and light-headed; it’s harder to stay focused.

And then you feel a lift after lunch, but you crash in the late afternoon?  

You eagerly await your 4 o’clock coffee or chocolate chip muffin – and that almost holds you until dinnertime… If these ups and downs sound familiar, you may be struggling with low blood sugar, or hypoglycemia.



What Are The Symptoms Of Hypoglycemia?

Low blood sugars are one of the sucky realities of living with diabetes. Luckily, the symptoms are easy to spot if you can feel them and know what to look for!

Education is key for early intervention to reverse hypoglycemia. Specifically, the most common signs of low blood sugar are:

  • Fatigue, Weakness, or Clumsiness
  • Feeling Lightheaded or Dizzy
  • Anxiety, Irritability, Impatience
  • Sweating or Clamminess
  • Feeling of Shakiness
  • Pale Skin
  • Ravenous Hunger
  • Rapid/Racing Heartbeat
  • Numbness/Tingling of the face

If the blood glucose drops are more severe, the symptoms can also include:

  • Confusion
  • Erratic Behavior
  • Blurred Vision
  • Seizures
  • Loss of Consciousness

“Hidden” Low Blood Sugar 

At Atlantic Endocrinology & Diabetes Center we know you may not have the classic symptoms of low blood sugar, like those mentioned above. Blood sugar dysregulation may show in less obvious ways, such as:

You may even have a very healthy diet and normal body weight but still have many of these symptoms.

If so, what’s going on? Let’s look at one of the regulators of blood sugar, your adrenal glands.

Tired Adrenals

Your adrenals are a pair of small, triangular-shaped glands that sit on top of your kidneys. They have several important roles, including:

  • Initiating the fight or flight response
  • Regulating sodium/potassium levels
  • Sex hormone production (androgens and estrogens)

After acute or prolonged periods of long days, little sleep, tons of work, and high stress, adrenals can get taxed and no longer function optimally. (Oh and let’s not forget our days of junk food and partying until the wee hours!) and adrenals play a big role in regulating blood sugar. 

Excessively craving salt can be a sign of low adrenal function

Once you’ve used up the glucose from a meal, your central nervous system signals your adrenals to produce cortisol, the hormone that liberates glucose reserves and maintains a reliable, steady supply of glucose to all the cells in your body. This gives you constant ATP, or energy.

Along with classic signs of hypoglycemia, you may notice a cluster of symptoms associated with low adrenal function. These include:

  • Low blood pressure
  • Craving salt
  • Frequent urination
  • Muscle cramps
  • Exhaustion after workouts

If your adrenals are not up to par, then you may be susceptible to low blood sugar.

What Causes Hypoglycemia?

In simplest terms, low blood sugar is derived from an imbalance between insulin and glucose levels in the body. Outside of diabetes, hypoglycemia is rare but can happen as a byproduct of non-diabetes related illnesses or certain medications. However, hypoglycemia for people with diabetes usually occurs due to too much insulin. This can occur for a multitude of reasons:

  • Exercise – While it has a host of benefits, exercise can be tricky to navigate for people with who take insulin since it utilizes the free glucose floating in your bloodstream up to 4-48 hours post-workout depending on the activity. Overcorrection of a high blood sugar can send you plummeting later.
  • Miscalculation of Carbs – Different types  of carbohydrates can all impact your body in fun and unique ways. Variety is the spice of life! Understanding how carbs affect your body is vital in preventing a correction factor snafu.
  • Illness or Vomiting – If you throw-up your carbs, the end result is too much insulin in the bloodstream. Beyond that, illness can mess with a whole host of biological processes, including a temporary shift in insulin sensitivity.
  • Hormones – Women in all phases of life can enjoy the added perk that hormone fluctuations can impact insulin sensitivity cyclically. What a bloody mess!
  • Alcohol Consumption – Booze impacts your liver’s natural glucose release. A little precaution before, during and after a night out is critical for people with diabetes. Typically people with diabetes see a drop in glucose 6-10 hours after starting drinking.

QUICK TIP: Being drunk can sometimes look a lot like low blood sugar. Weird, right!? So take extra precautions to educate yourself and your companions on hypo-protocols before a night out.

Don’t let the above list scare you! As much as it can sometimes feel like the hypo-monster is always looming. With a little preparation, and an ounce of prevention, you can be well-guarded from some of the more common causes of hypoglycemia.

Can hypoglycemia be prevented?

Yes, hypoglycemia can be avoided with preventive steps—whether you have diabetes or not.

If you have hypoglycemia with diabetes, it’s all about sticking to your diabetes management plan. Double-check your insulin or medication dosage before taking it, and let your healthcare provider know if you change your eating or exercise habits. It might affect your glucose levels.

Or, consider a continuous glucose monitor (CGM). It transmits blood sugar to a receiver, and alerts you if it’s dropping too low. Then, be sure to always have glucose tablets or injectable glucagon on hand. If you pass out from low blood sugar and require immediate treatment, your friends or loved ones can administer a dose.

If you have hypoglycemia without diabetes, diet and exercise adjustments should prevent many episodes of hypoglycemia if there is no underlying condition. Your healthcare provider may recommend eating frequent small meals, consuming a varied diet of fats, protein, and carbohydrates, or only exercising after eating. 

Just remember, snacks and diet changes aren’t a long-term cure if it’s due to a health condition or medication. Work with your healthcare provider to find and resolve the true cause of your hypoglycemia.

Diabetes And Women’s Health

Diabetes And Women’s Health

Diabetes poses multiple challenges to women’s health.

The prevalence of diabetes in women of reproductive age is increasing and, with it, the proportion of pregnancies complicated by preexisting diabetes. The baby’s organs are formed during the initial 7 to 8 weeks after the last period. Uncontrolled diabetes in early weeks of pregnancy significantly increases the chances of birth defects and miscarriages. Because these early weeks are so important, it is essential to have good blood glucose control for three to six months prior to conceiving.

Men and women with diabetes tend to have very different outcomes

According to a 2007 study in Annals of Internal Medicine, the death rate for men with diabetes fell between 1971 and 2000, reflecting the many advances in diabetes treatment. However, the death rate for women with diabetes showed no signs of improvement during the same time frame. Additionally, the difference in death rates between women who had diabetes and those who didn’t more than doubled.



This study of diabetes in men and women offered several possible reasons for the gender differences, including:

  • Women often receive less aggressive treatment for cardiovascular risk factors and conditions related to diabetes.
  • The complications of diabetes in women are more difficult to diagnose.
  • Women often have different kinds of heart disease than men.
  • Hormones and inflammation act differently in women.

Women suffering from diabetes are at a higher risk of:

  • Heart disease
  • Birth anomalies (if blood glucose is deranged during pregnancy)
  • Recurrent urinary tract infection
  • Vaginal infection
  • Kidney problems
  • Depression

Roughly 10% of pregnant women have high blood glucose levels which are detected around 24 to 28 weeks of pregnancy. This condition called gestational diabetes mellitus or GDM occurs due to hormonal alteration during pregnancy makes the mother resistant to insulin. GDM usually goes away after delivery but women with a history of GDM are prone to develop diabetes in future. GDM, has not been properly treated, can result in a large baby (weighing more than 4 kg). Increase in size of the baby can result in injury to the mother or baby during delivery and increase the chance of cesarean section. Recent research shows that large babies born to mothers with GDM have a higher chance of obesity and type 2 diabetes in later life.

In the general population, women live longer than men, largely because of their lower rates of heart disease. Yet, when women get diabetes, they cease to have this advantage. Women under age 50 with diabetes are more vulnerable to heart attacks and strokes as the disease seems to cancel protective effects of estrogen on a woman’s heart before menopause. It is observed that approximately two-thirds of women with diabetes ultimately die from heart disease and stroke.

Many women with Polycystic Ovary Syndrome (PCOS) also have diabetes. The unifying link between the two diseases is possibly insulin resistance or inability of insulin to act properly in the body. Urinary tract infections and vaginal yeast infections are more common in women with diabetes. The fungi and bacteria that cause these infections thrive in a high-sugar environment, and the body’s immune system can’t fight them in the setting of uncontrolled diabetes. Women suffering from diabetes also have a higher risk of kidney and eye problems, depression and menstrual irregularities. Few medications are used for treatment of diabetes but can cause osteoporosis or weakening of bones and should be avoided in women who are at increased risk of fracture. All these complications of diabetes can be prevented by timely diagnosis, dietary and lifestyle changes and use of appropriate medications when necessary.

Symptoms of diabetes in women

Women with diabetes experience many of the same symptoms as men. However, some symptoms are unique to women. Understanding both will help you identify diabetes so you can seek treatment early when the disease is easier to manage.

Symptoms unique to women include:

  • vaginal and oral yeast infections
  • vaginal thrush
  • urinary infections
  • female sexual dysfunction
  • polycystic ovary syndrome

Symptoms experienced by women and men:

  • increased thirst and hunger
  • frequent urination
  • weight loss or gain that has no obvious cause
  • fatigue
  • blurred vision
  • wounds that heal slowly
  • nausea
  • skin infections
  • patches of darker skin in areas of the body that have creases
  • irritability
  • breath that has a sweet or fruity odor
  • reduced feeling in hands or feet

NOTE: At Atlantic Endocrinology & Diabetes Center we want you to know It’s important to keep in mind that many people with type 2 diabetes have no noticeable symptoms.

Tips to stay healthy with diabetes

  • Exercise regularly
  • Eat a low-fat diet
  • Maintain a healthy weight
  • Don’t Smoke
  • Control your blood pressure
  • Take care of diabetes
  • Regulate your blood lipid levels
  • Screen for complications periodically

Reasons to See an Endocrinologist 

Reasons to See an Endocrinologist 

An endocrinologist is an internal medicine physician with an additional 2–3 years of training focused on the diagnosis and treatment of endocrine glands and the hormones they produce. Endocrine disorders are due to a hormonal imbalance (too much or too little) or an abnormal gland. Endocrine glands have complex functions affecting the entire body. Endocrine glands include the pancreas, thyroid, parathyroids, ovaries and testes, adrenals, and pituitary.

reason- to-see-an-endocrinologist

When To See an Endocrinologist

If you are questioning when to see an endocrinologist, at Atlantic Endocrinology and Diabetes Center you are in the right hands. There are many reasons why someone might reach out to one of these specialists. The endocrine system plays a big part in how your body functions, so there are multiple ways that it can malfunction. This could present itself through anything from unusual weight gain to changes in your libido.

A common issue that is treated in this field is hypothyroidism. This disorder often comes with a long list of symptoms that you might not realize are related at first. Some common problems include:

  • Weight gain
  • Sore or stiff muscles
  • Heavy or irregular periods
  • Hair thinning
  • Depression
  • Higher blood cholesterol levels
  • Higher sensitivity to the cold

Some of the first clues many women have are unexpected weight gain, thinning hair, and depression. They also might suffer from anemia, which can be caused by hypothyroidism. In fact, it’s possible for women to discover that they have anemia before they find out about the cause of it. Although, it’s estimated that only 33% of women worldwide are anemic.

A general rule of thumb is that if you are noticing unusual changes in your body or moods that seem hard to explain, you should discuss it with your family doctor. They should be able to do some tests and find out if you need to be referred to an endocrinologist for specialized treatment.

Why would you need to see an endocrinologist?

Both common and uncommon endocrine disorders can require the expertise of an endocrinologist. Here are some reasons to see an endocrinologist.

1) Diabetes mellitus

Diabetes is the most common endocrine disorder in the United States. In 2018, 34.2 million Americans had diabetes1—approximately 10.5% of the population. Nearly 1.6 million Americans have type 1 diabetes. We can group diabetes into categories, including type 1, type 2, and gestational. There are other types of diabetes outside our discussion.

  • Type 2 diabetes accounts for 90–95% of all diabetes. Insulin resistance and the inability of the pancreas to produce enough insulin leads to elevated blood sugars.
  • Type 1 diabetes is due to the body’s destruction of its own insulin-producing cells in the pancreas. In medical terms, it is autoimmune destruction. This leads to a complete deficiency of insulin. Treatment requires replacement of insulin via injections or an insulin pump.
  • Gestational diabetes refers to diabetes that develops during pregnancy. Obstetrician/gynecologists (Ob/gyns) screen women for gestational diabetes at 24-28 weeks of pregnancy. 

2) Obesity

It may surprise some to see obesity here. Obesity is NOT the result of lack of discipline or poor choices. Obesity is a complex, chronic disease that increases the risk of developing other diseases and health problems. It is not just a cosmetic concern.

Like other chronic diseases, obesity requires lifelong treatment. Obesity treatment involves nutrition, physical activity, medications, and/or surgery. A board-certified obesity medicine doctor can perform a thorough medical evaluation and create a personalized weight loss plan with you.

3) Thyroid

The thyroid is a butterfly-shaped gland in the front of the neck. It produces the hormones T4 and (to a lesser extent) T3. Thyroid hormone affects nearly every organ in the body, including the brain, heart, gastrointestinal system, and bone.

Disorders of the thyroid gland include causes of a low thyroid level (hypothyroidism) and high thyroid level (hyperthyroidism). The most common cause of hypothyroidism is Hashimoto’s thyroiditis. Causes of hyperthyroidism include Graves’ disease, toxic multinodular goiter, toxic adenoid, and less common causes.

Endocrinologists also diagnose and manage conditions related to the structure of the thyroid gland, such as thyroid nodules and thyroid cancer.

4) Low testosterone (male hypogonadism)

Male hypogonadism refers to the failure of the testes to produce a normal concentration of testosterone and/or a normal number of sperm. Symptoms can include reduced libido, decreased spontaneous erections, erectile dysfunction, low sperm count, decreased energy and motivation, and poor concentration.

Low testosterone clinics and men’s health clinics have grown in popularity. These settings come with the risk of incorrect diagnoses and inappropriate treatment that leads to health risks and harm. In a future post, we will discuss the importance of seeing an endocrinologist to determine whether low testosterone truly exists, why it does, and how to treat it safely and effectively.

5) Adrenal

The adrenal glands are 2 pyramid or crescent-shaped glands. One sitting above each kidney. They produce steroid hormones critical for life, such as cortisol and aldosterone.

Disorders of the adrenal glands include abnormal levels of the above steroid hormones. Examples include too little cortisol (adrenal insufficiency), too much cortisol (Cushing syndrome), and too much aldosterone (hyperaldosteronism).

CT and MRI scans sometimes reveal incidental adrenal masses. These masses, referred to as adrenal incidentalomas, require a thorough evaluation by an endocrinologist.

Next Steps

You can find more reasons to see an endocrinologist by contacting us. If you need the care of an endocrinologist, we are happy to help. Schedule a consultation to discuss how we can create a personalized plan for you.

Tips on how to get pregnant with PCOS

Tips on how to get pregnant with PCOS

Whatever your reason, whether it is advancing age or just excitement, at Atlantic Endocrinology & Diabetes Center we know most people don’t want to spend months taking pregnancy tests when trying to get pregnant. If you have been diagnosed with Polycystic Ovary Syndrome (PCOS), then you will know that it can take longer for some women with PCOS to get pregnant. To give yourself the best possible chance of getting pregnant fast with PCOS, read on for some quick tips.



PCOS and your fertility 

A common symptom of PCOS, and often the first hint that something might not be quite right,  irregular, long cycles or sometimes, no periods at all. This is because your hormone imbalance and potentially the cysts on your ovaries affect ovulation. Ovulation is the process of a mature egg being released from the ovary. Some women with PCOS may ovulate irregularly or in severe cases, not at all. To get pregnant naturally, you need to ovulate, and it might be that you need to get advice from a doctor to help you with this. 

The best way to optimize your fertility when you have PCOS is to make the right lifestyle changes and my PCOS action plan below details changes you might like to make. 

Remember, it is possible to get pregnant with PCOS. You might just need a bit of help from a healthcare professional and a bucket load of motivation from yourself to make some healthy lifestyle changes! 

PCOS Action Plan 

  1. Nutrition 
  • Reduce your intake of sugars and refined carbohydrates, such as white bread, white rice and white pasta or sugary drinks, cakes and biscuits 
  • Enjoy high protein such as eggs, chicken, fish and lentils, green leafy vegetables such as spinach or kale and fruits low in sugar  
  • Seek specialist dietary advice and support if needed 
  1. Exercise 
  • Do 150 minutes of moderate intensity exercise per week to help with weight loss, if needed, or just to improve your fitness levels 
  • Enjoy a mixture of cardiovascular exercise, muscle strengthening and a lovely walk in nature 
  • Reduce your time spent doing sedentary activities such as watching television or working on your PC
  1. Lifestyle 
  • Reducing your intake of alcohol and, if possible, try to avoid alcohol altogether while trying to conceive
  • If you smoke, seek support to quit smoking 
  • Even just losing 5% of your body weight can improve your symptoms and your fertility
  • Avoid recreational drugs 
  • Limit caffeine to 1 or 2 cups per day
  • Keep hydrated as the amount of water in your cervical mucus can increase or decrease the ability of the passage of sperm to the egg 
  • Take action to try to reduce your stress levels 
  1. Get empowered 
  • Start tracking your cycle to understand when you’re fertile 
  • See a doctor or specialist nurse and get as much information about PCOS as you can 
  • Have regular sex. Ideally every 2-3 days throughout your cycle 

Getting pregnant with PCOS after 30

Natural fertility begins to decline significantly for women around age 32. With the addition of ovarian syndrome, women over 30 with PCOS will have greater risks associated with pregnancy, but a healthy pregnancy is still possible. Because of the insulin resistance that is often an issue for women with PCOS, one of these increased risks is gestational diabetes, when a woman develops diabetes during pregnancy. This condition is also more common in women over 25. To prevent and manage this, it is important to follow a healthy diet and exercise regularly. Women with PCOS may also want to get a glucose screening earlier during pregnancy than at the routine 24-28 weeks. 

Tracking your cycle is also very useful to improve your chances of conceiving as it helps you better understand your cycle and predict if and when you’re ovulating. There are a number of tools and apps available to help with this. Medication to treat PCOS and improve fertility is also available for women with PCOS who are trying to get pregnant.

Confirm ovulation with test strips 

To find out when you are ovulating, you can buy ovulation kits from your local pharmacy which work much the same way as a pregnancy test. Make a note of when you ovulate each month so you can find out how regular your ovulation is.

Reverse any insulin resistance 

Women with PCOS have problems with insulin resistance, which means that your blood sugar levels are elevated, as is your insulin level, this increases your risk of having trouble conceiving. Doctors can prescribe Metformin to help, but there are many side effects with this medication to consider. In the first instance, try cutting out sugar and refined carbs from your diet and making sure you get enough protein, fiber and healthy fats, and you will see your blood sugar levels and your insulin level drop. Myo-inositol has been proven effective in treating insulin resistance in some PCOS women. The new InofolicAlpha, which contains both myo-inositol and alpha-Lactalbumin, can help reverse insulin resistance even more effectively.

It is important to talk to your doctor at Atlantic Endocrinology & Diabetes Center and get the help you need to prepare your body to conceive.

Post Laser Hair Removal Skin Care Tips

Post Laser Hair Removal Skin Care Tips  

At Atlantic Endocrinology & Diabetes Center, we know unwanted body hair has long been the cause of low self-esteem in many people, especially females. But, not anymore, with the advent of laser hair removal, this age-old problem has been taken care of in an impeccable manner. Today, women need not go to a salon for a wax every fortnight, nor do men with abundant chest hair need to shy away from showing off their lean bodies.

But, as is the case with any cosmetic procedure, you will need to take steps towards maintaining the health of your skin post laser hair removal



Here is a small list of tips to help you in this:

  • For a span of 48 hours, post your Laser Hair Removal Treatment, make sure that you do not take a hot bath. You must also stay away from steam rooms and saunas during this time. Your skin will need some time to settle, and exposing it to heat wouldn’t help.
  • In case of any redness or pain, it is advisable to apply an ice-pack on the treated skin.
  • After facial hair removal, you must avoid using makeup for at least 1-2 days. If necessary, opt for mineral-based makeup only.
  • After underarm’s hair removal treatment, it is recommended not to use deodorants for 24 – 48 Hours because it may cause discomfort.
  • Skin exposed to lasers is often sensitive, and is prone to darkening. It’s for this reason you must always put sunscreen before going out in direct sunlight, especially if you are dark skinned. Ideally, a sunscreen with SPF 20 or upwards should be used.
  • If there is need, a post-care calming cream can be used, especially if your skin is very sensitive. You may ask your doctor to prescribe you one.
  • In case of facial hair removal, it is best that you stay away from topical medications and/or anti-acne creams for at least a week or two.
  • Avoid sport activities and extensive exercise in order to avoid sweating and heating up your body because it may cause irritation in the treated area.

4 Tips for Looking After Your Skin In Between Laser Hair Removal Sessions

Laser hair removal works by targeting the hair follicle and eliminating it. When performed by a skilled professional at Atlantic Endocrinology & Diabetes Center in New York, this is a very safe treatment. However, in some cases, it may irritate your skin, so it’s important to follow the right after-care tips following your procedure.

Here are 4 simple steps to ensure you get the best results from your laser hair removal treatment:

  1. Always Protect Your Skin From the Sun

While it is always recommended that you use sunscreen when you’re outside, this is an absolute must if you’ve had a laser hair removal treatment. 

Why? Even if you are exposed to the sun for just short periods of time, recently lasered skin is at a higher risk of:

  • Photodamage
  • Darkening
  • Premature Aging
  • Pigmentation

Extra Tip: Always use a sunscreen with a minimum SPF 15 to cover the treated area. Also, remember to re-apply so the efficacy of the lotion won’t diminish.

  1. Keep Away From Other Heat Treatments

Once you have had your laser hair removal procedure, you must avoid other heat treatments for at least 48 hours. This is because heat will open up your pores and may even irritate your skin and cause discomfort.

Make sure to avoid:

  • Hot showers and baths
  • Saunas
  • Steam rooms

Don’t forget about the swimming pool: In addition to heat treatments, stay away from any place that involves chemicals or chlorine for at least 48 hours after your procedure. This includes swimming pools.

  1. Don’t Use Conventional Makeup

It’s very natural that after your treatment, the tiny follicles in the treatment area will be highly sensitive, so try to limit the number of products you use. This will help you prevent any breakouts or reactions.

Do I have to avoid makeup? It’s recommended to avoid applying normal makeup. However, you may use mineral makeup to cover up any redness, just remember to remove it fully in the evening to allow your skin to recover.

How to clean your skin after using makeup:

  • Use tepid water
  • Use a fragrance-free cleanser
  • DON’T use harsh scrubs or exfoliators
  • Use some aloe vera to cool your skin and reduce any redness
  • Don’t shave or use any hair removal creams on the treated area
  1. Use an Ice Pack

There are few side effects associated with a laser hair removal treatment, but you may experience some mild discomfort or sensitivity in the area for at least 1-2 days. This is very normal and there are ways to ease your discomfort, including:

  • Using an ice pack
  • Applying aloe vera to the treated area
  • Talking to your doctor about any post-care numbing or calming creams

Always consult with your skin care specialist: To protect your skin, you must discuss any skin care products you intend to use with your specialist. They can advise on whether it is safe to use them.

Living With Glaucoma

Living With Glaucoma

At Atlantic Endocrinology & Diabetes Center, we know that patients who have recently been diagnosed with glaucoma often ask their eye doctor how and to what extent their condition will affect their day-to-day activities. Although glaucoma isn’t a life-threatening disease, loss of vision can elicit some rightful fears for the future. Glaucoma is the second leading cause of vision loss, with almost 66.8 million people affected worldwide. There’s no doubt lifestyle factors and other changes go hand-in-hand with low vision, and it is highly likely you’ll need to make some adjustments to your routine after receiving a diagnosis.



Everyday tasks may come as a challenge as your eye disease progresses; but it’s imperative to remember you do not have to live with glaucoma-related disability. Early detection is the best weapon against glaucoma; and current ophthalmic advancements offer treatment options which can help to manage, prevent or reduce the side effects of your condition.

Early detection, through regular and complete eye exams, is the key to protecting your vision from damage caused by glaucoma. 

A complete eye exam includes five common tests to detect glaucoma.

It is important to have your eyes examined regularly. You should get a baseline eye screening at age 40. Early signs of eye disease and changes in vision may start to occur at this age. Your eye doctor will tell you how often to have follow-up exams based on the results of this screening.

If you have high risk factors for glaucoma, diabetes, high blood pressure, or a family history of glaucoma, you should see an eye doctor now to determine how often to have Eye Exams.

A Comprehensive Glaucoma Exam

To be safe and accurate, five factors should be checked before making a glaucoma diagnosis:

Regular glaucoma check-ups include two routine eye tests: tonometry and ophthalmoscopy.


Tonometry measures the pressure within your eye. During tonometry, eye drops are used to numb the eye. Then a doctor or technician uses a device called a tonometer to measure the inner pressure of the eye. A small amount of pressure is applied to the eye by a tiny device or by a warm puff of air.

The range for normal pressure is 12-22 mm Hg (“mm Hg” refers to millimeters of mercury, a scale used to record eye pressure). Most glaucoma cases are diagnosed with pressure exceeding 20 mm Hg. However, some people can have glaucoma at pressures between 12 -22 mm Hg. Eye pressure is unique to each person.


This diagnostic procedure helps the doctor at Atlantic Endocrinology & Diabetes Center examine your optic nerve for glaucoma damage. Eye drops are used to dilate the pupil so that the doctor can see through your eye to examine the shape and color of the optic nerve.

The doctor will then use a small device with a light on the end to light and magnify the optic nerve.

If your intraocular pressure (IOP) is not within the normal range or if the optic nerve looks unusual, your doctor may ask you to have one or two more glaucoma exams: perimetry and gonioscopy.


Perimetry is a visual field test that produces a map of your complete field of vision. This test will help a doctor determine whether your vision has been affected by glaucoma. During this test, you will be asked to look straight ahead as a light spot is repeatedly presented in different areas of your peripheral vision. This helps draw a “map” of your vision.

Do not be concerned if there is a delay in seeing the light as it moves in or around your blind spot. This is perfectly normal and does not necessarily mean that your field of vision is damaged. Try to relax and respond as accurately as possible during the test.

Your doctor may want you to repeat the test to see if the results are the same the next time you take it. After glaucoma has been diagnosed, visual field tests are usually done one to two times a year to check for any changes in your vision.


This diagnostic exam helps determine whether the angle where the iris meets the cornea is open and wide or narrow and closed. During the exam, eye drops are used to numb the eye. A hand-held contact lens is gently placed on the eye. This contact lens has a mirror that shows the doctor if the angle between the iris and cornea is closed and blocked (a possible sign of angle-closure or acute glaucoma) or wide and open (a possible sign of open-angle, chronic glaucoma).


Pachymetry is a simple, painless test to measure the thickness of your cornea — the clear window at the front of the eye. A probe called a pachymeter is gently placed on the front of the eye (the cornea) to measure its thickness. Pachymetry can help your diagnosis, because corneal thickness has the potential to influence eye pressure readings. With this measurement, your doctor can better understand your IOP reading and develop a treatment plan that is right for you. The procedure takes only about a minute to measure both eyes