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Magnesium is possibly the most underrated mineral required in the human body. 
 
Many common ailments in the human body probably link back in some way to low magnesium levels amongst other pathologies. Magnesium supplements have been shown to be beneficial in the following conditions: 
- Premenstrual syndrome
- Depression
- Seizures
- Diabetes
- Fibromyalgia
- Muscle weakness
- Osteoporosis
- Restless legs syndrome
- Muscle cramping
- Athletic performance
- Chest pain and cardiac arrhythmias
- Headaches and migraine
- Acid reflux
- Constipation
...amongst many other conditions!
 
Magnesium is required in the human body for over 300 different types of enzyme reactions, which importantly affect: 
• Energy metabolism
• Glucose metabolism
• Protein metabolism
• DNA metabolism
• Reactions relating to bone, nerve and muscle functioning
 
As humans, we excrete magnesium daily. For this reason, our daily intake of magnesium needs to be adequate. Common sources of magnesium include:
o Green leafy veggies such as kale and spinach
o Nuts
o Seafood
o Beans, lentils and legumes
o Avocado
o Banana
o Dark chocolate
 
Certain medications and lifestyle habits will require higher daily intake of magnesium not to become deficient. This includes substances such as alcohol. Alcohol can increase your magnesium requirements to 2-4 times the normal recommended dose, even in a mild to moderate drinker!
PPI’s used for stomach inflammation, ulcers and heartburn; as well as diuretics (water tablets) also significantly deplete magnesium. 
 
Awareness of low magnesium levels has increased so much, that one of the highest trending searches by patients in clinical medicine last year centred around magnesium, and magnesium deficiency. 
 
Cooking methods, food choices and processing of foods have decreased the magnesium content of much of what we eat. 
 
Magnesium levels can be difficult to test, as 99% of magnesium is stored in tissue, and only 1% or less is circulating in the blood stream.
 
Certain cells such as red blood cells can be practically tested to determine whether you are deficient in magnesium. 
 
Supplementation is probably the best way to increase your magnesium levels. Oral supplementation can take several months to significantly increase magnesium levels. IV infusion of magnesium is recommended in symptomatic patients. 
 
 
Yours in Health, 
Dr Claire Jacobsohn
 
To contact The Aesthetics HQ, please click here.

Hormones are chemical messengers that your body manufacturers to affect specific tissues and organs within the human body. Hormones are produced in glands within the body, as well as our sex organs (ovaries and testes). This bodily system is referred to as the endocrine system.
 
Hormone imbalances can present with a variety of symptoms, which often creep up on you slowly over time. It is often difficult to pinpoint exactly when the symptoms of hormone imbalance started. 

Hormones can be protein based or cholesterol based in nature, and include examples such as thyroid hormone, sex hormones (oestrogen, progesterone and testosterone), insulin and cortisone.

It may be time to see your doctor to have your hormones checked if you experience any of the following symptoms: 
• Unexplained weight gain or weight loss
• Hot flushes or inability to tolerate cold
• Feeling tired 
• Low libido (sex drive)
• Mood swings, irritability or depression
• Insomnia (you can’t sleep)
• Headaches
• Dry skin or signs that your skin appears to be aging rapidly
• Sexual dysfunction, including vaginal dryness and erectile dysfunction
• Poor memory/ ”brain” fog
• Fluid retention
 
Hormonal imbalances are correctable – but without testing, they will not be detected. It is a worthwhile investment in your quality of life and wellbeing to have symptoms looked into. 
 

Your in Health,
 

Absolutely! 
 
Botulinum Toxin A (tradenames Botox® or Dysport®) is a purified toxin that is injected into skin and muscle to relax lines or wrinkles created by expression – particularly useful in the upper half of the face. 
 
These lines of expression, or dynamic lines, can make you look old, angry, hostile, sad and unapproachable. You often will not see these lines as much in the mirror as what you do in photographs and videos. The reason for this is that you don’t animate your face when you look in the mirror, nor view yourself from multiple angles. You may not realise how old and tired you look to others until that photo appears on social media! 
 
Botulinum Toxin A requires multiple, tiny injection points (almost painless). Botulinum Toxin does not spread far from the site of injection (usually less than 1cm). While it is true than an inexperienced clinician may “over inject” areas, resulting in a frozen and undesirable appearance, an experienced clinician is very unlikely to, but the results are never permanent. 
 
Botulinum Toxin A injections will leave you looking relaxed, refreshed and more youthful. You will have some movement in the treated area, but shallower wrinkles and a youthful and fresher face. 
Botulinum Toxin injections need to be repeated approximately every 3-4 months to maintain the effect. The cost is R60/unit at The Aesthetics HQ.
 
For more information on how we can keep you looking your absolute best, please view our skin care treatments and feel free to contact us with any queries.
 
Yours in health, 
Dr Claire Jacobsohn
 

 
At The Aesthetics HQ, I frequently recommend that patients check and supplement their vitamin D3 levels. 
Vitamin D is vital in the body for calcium and prosperous absorption from your intestines. It also stimulates the formation of new bone. 
 
What patients don’t always know about vitamin D, is that it is important for so much more. Vitamin D is important both in immunity, cancer, and chronic diseases:
•Colorectal cancers and melanomas show improved outcomes on vitamin D. 
•Cardiovascular disease and diabetes shows improved outcome with vitamin D. 
•Depression and cognitive function improves with vitamin D. 
•Autoimmune diseases require increased vitamin D. 
It is also worth noting that any disease states that increase systemic inflammation (measured by a HS – CRP level on a blood test), will decrease your vitamin D absorption.
 
 
How can we be deficient in vitamin D in South Africa, if it requires sunlight?
 
Vitamin D levels are lower in populations who have decreased sunlight hours, such as Europe and Northern America. We are seeing in it sunny countries such as South Africa due to sun-avoidance. People avoid the sun and use sunblock as the sun causes photo-aging (wrinkles, thin skin, pigment changes); skin cancer and pigmentation disorders. 
- Darker skin types also require increased time exposed to the sun to create sufficient vitamin D levels for health. 
- People may not have sufficient dietary intake of vitamin D to compensate for the insufficient sun exposure. 
- Medications such as anti-epileptics increase a person’s vitamin D requirements. 
- Obese patients have lower vitamin D levels.
- Liver and kidney disease patients need more vitamin D.
 
 
What is Vitamin D2 and what is Vitamin D3? 
 
Doctors will recommend that you take vitamin D3 over vitamin D2 every time. Vitamin D2 is also known as ergocalciferol. Vitamin D3 is known as cholecalciferol and is the “natural” active form of vitamin D the body makes on ultra-violet exposure from the sun. 
Vitamin D2 isn’t a natural form of vitamin D seen in human physiology – it is a plant based vitamin D. 
Vitamin D3 therefore has a far better bioavailability in the body – it is basically better absorbed and more active. 
Vitamin D2, although often found in supplements and food, has a short shelf-life. The actual level of D2 in supplements and food is generally far lower than the packaging states for this reason. 
Vitamin D2 and vitamin D3 also cost the same price-wise – so it makes sense to supplement with D3 over D2. 
Vitamin D3 is however, animal derived. Vegans and vegetarians may have to take vitamin D2 purely due to their belief systems. 
Vitamin D3 is easily supplemented – it is best taken either once a week in high dose, or daily in smaller doses. This is dosed according to blood test levels. 
Vitamin D3 is synthesized on sunlight exposure, or found in egg yolk and seafood. It can also be found in certain mushrooms, such as Reishi. 
 
 
Dr Claire Jacobsohn
 
 
To contact The Aesthetics HQ for more information on treatments, click here.

With the summer and festive seasons rapidly approaching, Dr Claire offers advice on how to time when you should have your procedures for maximal impact at your special events.

Many patients wait until right before events and holidays to come in to have anti-aging and beautification procedures performed. This is a huge mistake.
Certain aesthetic procedures that would result in a refreshed appearance can be performed close to an event, such as light chemical peels, or RF Cinderella facials.

For the rest of your Aesthetics procedures, remember:
• Your procedures may take several sessions, over a few weeks or even a few months, for optimum results.
• Your procedures may have settling time. Botox may take up to 10 days to take full effect. Fillers often look their best 2-6 weeks post procedure.
• Procedures, once settled, may require a top-up to perfect your new look
• You may have temporary inflammation, bruising, or swelling. Not cool the night before the holiday starts.

For most patients, and for big or special events and occasions, I advise that we stop with any aggressive treatments 2-4 weeks before the date.
Start to prepare for the end of the year now – don’t wait!

 
Vitamin K is known to function within our clotting cascade – it helps our blood to clot. What is not commonly known about vitamin K is that there are different types: vitamin K1, and the pro-vitamin, vitamin K2 (also known as menaquinone).
Vitamin K2 can decrease bone loss, decrease fracture risk and help to increase bone density. Vitamin K2 also improves the elasticity of arteries and may help decrease the formation of plaques in your arteries. Both vitamin K1 and vitamin K2 improve insulin levels in diabetics. 
 
Vitamin K2 is not generally found in food – where needed, supplements may be required. The best way to ensure that you have sufficient vitamin K2 is through a healthy diet that promotes gut bacteria health. Colon bacteria produce most of our required vitamin K2. 
 
Vitamin K levels are often affected by:
• Illness
• Antibiotics
• Anti-convulsants
• Sulphur 
• Too much vitamin A and vitamin E
• Weight loss medications (especially those that bind fat such as Orlistat).
• Statins for cholesterol. These drugs lower both your co-enzyme Q10 as well as your vitamin K2 levels
 
For more articles on health and wellness from Dr Claire Jacobsohn, click here.
 
 

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Physical address: 64 Wessels Road, Rivonia, 2128
GPS:  26º 02’ 40" S   |   28º 03’ 39" E
Postal address: P.O. Box 1861, Sunninghill, 2157
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e-mail: drclaire@tahq.co.za

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