Fibromyalgia and gluten

I just finished seeing a patient on whom I did an open re-do Nissen fundoplication about 2 weeks ago. He had been on methadone 5 times a day and about 10 norco per day as well for chronic joint pain and fibromyalgia. He had seen every type of specialist in the area. He had a … Continued

Breast Cancer Risks

Why are so many women getting breast cancer? Another young patient in the office today with a new diagnosis of breast cancer discovered with mammography. It is an early one, and after treatment she will be fine, but it is so disruptive to a person’s psyche and sense of well being. Her body has let … Continued


Traditional medical practices are struggling. Insurance reimbursement is so low and paper work and bureaucracy is so high that many primary care physicians allocate only 10 to 15 minutes per visit. A quick, usually pharmaceutically based treatment plan is instituted and the patient is sent on her way. At my Sacramento bioidentical hormones practice we … Continued

Changing Habits from Bad to Good

There’s no way to be thin without exercising. There’s no way to be your ideal weight without exercising. For 99% of people, there’s no way to eat yourself into health. You have to exercise in order to be your proper weight.

Too Much Weight — A Common Problem that Needs to be Treated

I would say that 80% of the people we see have a weight problem. When you ask them what’s bothering them the most, that shows up for almost everybody ­— that they’re too heavy or they feel like they’re too heavy.

Finding a Workout Regimen that Works for You

A lot of people have been completely sedentary all their life, and never really worked out at all. If that sounds like you, I just want you to walk every day, even if it’s just a half hour every day. Just get out. Outside is preferable, but if you can’t, or if the weather is bad, then get to a gym, or at least get on a treadmill or elliptical trainer, and start walking. Build up a little bit of sweat for just half an hour.

Curb Those Unhealthy Cravings

A lot of times, when you’re craving a food, what you’re craving is actually something you’re allergic to, or that’s causing you problems. What I’ve found is that most people like that have to have a white-black thing. You have to be off it completely — it’s not something that you can just have once in a while.

Improving Your Health for a More Fulfilling Life

While most people we see aren’t the picture of health, and we really try to emphasize that they have a long life left. Most of the patients we see are in their late 40’s or early 50’s, and that means that they likely have 30 or 40 more years left. So, you can either use this opportunity to launch into a good 30 or 40 years, or continue to slide into a future that isn’t very fulfilling — a situation where you’re really not getting much out of those 30 or 40 years.

Meet Sacramento Bioidentical Hormone Therapy Expert, Bob Ghelfi, M.D.

More and more patients come to me with the signs of hormonal imbalance, including fatigue, depression, night sweats, hot flashes, foggy thinking, weight gain and diminished libido. With a combination of BHRT – arguably the most effective treatment for hormonal imbalance – a structured fitness regime and a diet rich in antioxidants and nutrients, we can help the women and men who come to us achieve optimum health.

One in Three Children Will Face Diabetes in Their Future

Diabetes is a scourge that is wreaking havoc in our country and creating immeasurable damage to our collective health and wealth. It’s estimated that one-third of children born since the year 2000 will grow up to become diabetics. Fortunately, diabetes is fully preventable. Our lifestyle choices and food selections continue to fuel this devastating disease. Obesity, a growing epidemic, sets the stage for inflammation and toxicity that can tax our abilities to manage our endocrine system efficiently and this failure oftentimes leads to diabetes, cancer and heart disease.