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Avoiding Heat Exhaustion and Staying Hydrated

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By Coronado Health Direct Primary Care

As summer temperatures rise across the Las Vegas valley, so does the risk of heat-related illnesses. While sunny days bring opportunities for outdoor fun and increased physical activity, they also pose serious health challenges if you are not properly prepared. At Coronado Health Direct Primary Care, we are committed to helping you and your family stay safe, healthy, and informed throughout the warmest months of the year.

In this blog, we will explore the signs of heat exhaustion, how it differs from heatstroke, the importance of hydration, and practical steps you can take to protect your body from overheating in the Nevada sun.

Understanding Heat Exhaustion

Heat exhaustion occurs when your body overheats due to prolonged exposure to high temperatures, especially when combined with physical activity and inadequate fluid intake. It is part of a spectrum of heat-related illnesses, starting with heat cramps and potentially progressing to heatstroke, which is a medical emergency.

Common Symptoms of Heat Exhaustion:

  • Heavy sweating
  • Cold, pale, or clammy skin
  • Weakness or fatigue
  • Dizziness or fainting
  • Nausea or vomiting
  • Muscle cramps
  • Rapid pulse
  • Headache

If left untreated, heat exhaustion can progress to heatstroke, which can damage the brain, heart, kidneys, and muscles. Heatstroke requires immediate medical attention.

Who Is at Risk?

While anyone can develop heat exhaustion, certain individuals are more vulnerable, including:

  • Older adults (especially over age 65)
  • Children and infants
  • People with chronic illnesses (such as heart disease, diabetes, or obesity)
  • Outdoor workers or athletes engaging in prolonged physical activity
  • Those taking certain medications, including diuretics, beta-blockers, and antihistamines

Understanding your personal risk factors is a key part of staying well during the summer. Our team at Coronado Health Direct Primary Care can help you review your medications, chronic conditions, and lifestyle to make sure you are prepared.

What To Do If You Experience Heat Exhaustion

If you or someone near you is showing signs of heat exhaustion, it is important to act quickly:

  1. Move to a cooler location – Get out of the sun and into a shaded or air-conditioned space.
  2. Loosen clothing – Remove or loosen tight or heavy clothing.
  3. Apply cool cloths – Place wet, cool cloths on the skin or take a cool shower or bath.
  4. Hydrate – Sip water slowly. Avoid caffeine and alcohol, which can worsen dehydration.
  5. Rest – Stop physical activity and allow the body to cool down.

If symptoms do not improve within an hour, or if they worsen, seek medical care immediately. Heat exhaustion can escalate quickly, and early intervention is key.

The Importance of Hydration

Staying hydrated is one of the most effective ways to prevent heat exhaustion. Your body depends on water to regulate temperature, remove waste, lubricate joints, and keep cells functioning.

During summer months, especially in desert climates like Henderson and Las Vegas, your body loses more water through sweat. Replacing that lost fluid is critical.

Signs of Dehydration:

  • Thirst
  • Dry mouth or lips
  • Dark yellow urine or infrequent urination
  • Fatigue
  • Dizziness or confusion
  • Headaches
  • Dry skin

If you notice these symptoms, increase your fluid intake and rest in a cool environment.

How Much Water Do You Really Need?

While recommendations vary based on age, weight, activity level, and climate, a general rule of thumb is to aim for:

  • Women: About 9 cups (2.2 liters) of fluids daily
  • Men: About 13 cups (3 liters) of fluids daily

However, in extreme heat or with increased physical activity, you may need significantly more.

Pro tip: Do not wait until you are thirsty. By the time thirst kicks in, you may already be mildly dehydrated. Instead, sip water consistently throughout the day.

Hydration Tips That Work

  1. Carry a water bottle with you everywhere. Make it a habit to sip regularly.
  2. Flavor your water with lemon, cucumber, or mint to make it more appealing.
  3. Eat water-rich foods like watermelon, cucumber, oranges, and strawberries.
  4. Avoid sugary drinks, sodas, and energy drinks. These can dehydrate rather than hydrate.
  5. Monitor urine color as a simple hydration gauge. Pale yellow means you are likely hydrated.

At Coronado Health, we encourage all our patients to make hydration a conscious daily habit—just like brushing your teeth or taking medications.

Sun Safety Beyond Hydration

In addition to drinking water, follow these steps to protect your body from overheating:

Time Your Activities

Plan outdoor activities for early morning or late evening, when temperatures are cooler. Avoid strenuous activities between 10 AM and 4 PM, which is when the sun is strongest.

Dress for the Heat

Choose lightweight, loose-fitting, and light-colored clothing. Breathable fabrics like cotton or moisture-wicking athletic wear can help keep your body cool.

Use Sunscreen

Apply a broad-spectrum sunscreen with at least SPF 30 every two hours, and after sweating or swimming. Sunburn reduces your body’s ability to cool itself and increases the risk of dehydration.

Seek Shade

Whenever possible, stay in shaded areas. Umbrellas, wide-brimmed hats, and sunglasses offer extra protection.

Cool Down Periodically

If you are outdoors for extended periods, take breaks in air-conditioned spaces or use cooling towels and portable fans.

Special Considerations for Children and Older Adults

Children’s bodies heat up faster and cool down more slowly than adults, putting them at higher risk. Make sure they drink water frequently and take breaks from play.

Older adults may not feel thirsty or notice signs of dehydration as quickly. Encourage regular water intake and check in on elderly loved ones frequently during heat waves.

The Role of Direct Primary Care in Summer Wellness

One of the benefits of being a Coronado Health Direct Primary Care member is that you have easy access to your provider when health concerns arise—even when they are heat-related.

Whether you are experiencing symptoms of dehydration, need medication guidance, or want to develop a personalized summer wellness plan, our team is here to support you.

We also offer in-office and virtual visits, making it convenient to get care whether you are home or traveling this summer.

Takeaway: Summer Should Be Enjoyable, Not Risky

The desert heat in Southern Nevada is no joke. With temperatures regularly exceeding 100 degrees, the risks of heat exhaustion and dehydration are real. But with the right habits and awareness, you can enjoy the sunshine safely.

Quick Recap:

  • Know the signs of heat exhaustion and act fast.
  • Stay consistently hydrated, even when you are not thirsty.
  • Plan your day around the sun and take breaks in cool environments.
  • Check on vulnerable loved ones.
  • Reach out to your Coronado Health provider if something feels off.

Summer is a time for connection, relaxation, and exploration. Don’t let a preventable illness put a pause on your plans. Take care of your body, and let us help you stay on track with your health goals all year long!

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Discover the Benefits of NAD Therapy: Coming Soon to CHDPC

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By Coronado Health Direct Primary Care

NAD therapy is quickly becoming one of the most talked-about wellness treatments in the world of regenerative medicine and functional healthcare. Whether delivered as an intravenous (IV) infusion or intramuscular injection, NAD therapy is showing promising results in energy enhancement, cellular repair, cognitive support, and even addiction recovery.

At Coronado Health Direct Primary Care in Henderson, Nevada, we are committed to offering our patients innovative treatments that go beyond symptom management and promote long-term vitality. That is why we are excited to soon introduce NAD injection therapy as part of our growing list of wellness services.

In this article, we’ll explore what NAD is, how it works, who it is best suited for, and why it may be a beneficial addition to your wellness or recovery plan.

What is NAD?

NAD stands for Nicotinamide Adenine Dinucleotide. It is a coenzyme found in every single cell in your body and plays a critical role in energy production, DNA repair, cellular function, and aging. Simply put, without NAD, your body wouldn’t be able to function.

NAD exists in two forms:

  • NAD+ (the oxidized form)
  • NADH (the reduced form)

These forms are responsible for transferring electrons in metabolic processes. One of NAD’s most important jobs is to fuel the mitochondria, which are the “powerhouses” of your cells. Mitochondria rely on NAD+ to convert the food you eat into usable energy (ATP).

As we age, NAD levels naturally decline, contributing to fatigue, cognitive decline, decreased physical performance, and slower recovery. Lifestyle factors like poor diet, stress, alcohol use, and exposure to toxins can further deplete NAD.

This is where NAD therapy comes in. By replenishing NAD levels through IV or intramuscular delivery, patients can experience improved cellular health, enhanced energy, and a sharper mind.

What is NAD IV Therapy?

NAD IV therapy involves administering a carefully dosed solution of NAD+ directly into the bloodstream through an intravenous drip. Because it bypasses the digestive system, IV therapy allows for 100 percent absorption, making it especially effective for those who need immediate results or higher doses.

A typical NAD IV session can last anywhere from 60 to 120 minutes depending on the dosage. The slow, controlled drip allows the body to absorb and utilize NAD efficiently without overwhelming the system.

Many patients report feeling mentally clearer, more energized, and more focused even after the first treatment. For best results, NAD IV is often administered in a series of treatments followed by maintenance sessions.

What are NAD Injections?

For patients who prefer a quicker option, NAD injections offer an alternative method of delivery. These are administered as intramuscular shots, usually in the arm or glute, and take only a few minutes to complete.

While NAD injections may not deliver the same volume as IV therapy, they are still highly effective for maintenance, energy support, and convenience. Many patients at Coronado Health choose injections as part of their weekly or monthly wellness routine.

Who Can Benefit from NAD Therapy?

NAD therapy is a versatile and powerful treatment that benefits a wide range of individuals. Here are some of the most common groups who may benefit from regular NAD IV or injections:

Individuals with Fatigue or Low Energy

If you constantly feel sluggish or tired despite getting enough sleep, you may be suffering from mitochondrial dysfunction or NAD depletion. NAD therapy can help restore optimal energy levels by boosting mitochondrial performance.

People with Brain Fog or Cognitive Decline

NAD plays a crucial role in neuroprotection and brain health. Patients experiencing mental fatigue, memory issues, or decreased focus often find NAD therapy helpful for improving clarity and concentration.

Athletes and Active Individuals

Whether you are a professional athlete or someone who enjoys staying fit, NAD can help you recover faster, reduce inflammation, and support muscle repair. It also helps maintain endurance and stamina.

Patients Battling Chronic Illness

Conditions like fibromyalgia, chronic fatigue syndrome, Lyme disease, and autoimmune disorders are often associated with cellular dysfunction and low NAD levels. NAD therapy may offer supportive benefits for symptom management and energy recovery.

People Going Through Detox or Addiction Recovery

NAD IV has gained recognition in the addiction treatment community for its ability to reduce withdrawal symptoms, improve mood, and restore neurological balance. It supports detoxification and may lessen the dependence on medications during recovery.

Those Interested in Anti-Aging and Longevity

NAD is essential for DNA repair and cellular regeneration. Regular therapy may slow down age-related degeneration, reduce oxidative stress, and promote overall longevity.

High-Stress Professionals or Entrepreneurs

If you’re constantly in overdrive and burning the candle at both ends, your NAD stores are likely being depleted faster than your body can replenish them. NAD therapy may help you bounce back faster and stay mentally sharp.

When Will NAD Be Available at Coronado Health DPC?

We are excited to announce that NAD injection therapy will be available at Coronado Health Direct Primary Care starting Fall 2025. Our team is finalizing training, sourcing pharmaceutical-grade NAD, and preparing a comfortable space for injections.

If you are interested in trying NAD therapy for yourself, take the first step to Become a Patient with Coronado Health Direct Primary Care. Our members will be the first to receive notification when NAD Injection therapy becomes available at our office.

Why Choose Coronado Health for NAD Therapy?

At Coronado Health DPC, we are more than just a primary care office. We are your partner in wellness, prevention, and optimal living. Our mission is to offer care that is proactive, personalized, and rooted in evidence.

By adding NAD therapy to our offerings, we continue our commitment to helping our patients thrive at every stage of life. Whether you are struggling with burnout, dealing with chronic illness, or simply want to invest in long-term vitality, NAD therapy could be the missing piece.

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Meet Sierra, Our New Clinical Operations Manager—And Say Hello to Cooper, Our Office Dog!

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At Coronado Health Direct Primary Care, we believe that exceptional care starts with exceptional people just like you! We’re thrilled to introduce two new members of our team who bring energy, experience, and a whole lot of heart to our clinic: Sierra, our new Clinical Operations Manager, and her lovable Mini Goldendoodle, Cooper.

A Leader with a Heart for Patient-Centered Care

Sierra joins our team with more than a decade of hands-on healthcare experience and a passion for delivering patient-centered care. As Clinical Operations Manager, she brings a well-rounded perspective shaped by diverse roles across the healthcare landscape. From her beginnings as a Medical Assistant and New Patient Coordinator, to her time as a Certified Nursing Assistant (CNA) in Med-Surg and Stroke units, and her experience as a Registered Pharmacy Technician… Sierra has done it all.

Her background gives her a deep understanding of clinical workflows, staff coordination, and what it takes to create a smooth, supportive, and caring experience for our patients and our team.

But her journey doesn’t stop there. Sierra is currently completing prerequisite coursework as she prepares to pursue nursing or Physician Assistant (PA) school—a testament to her dedication to continuous learning and clinical excellence.

Empowering the Team, Enhancing the Patient Experience

Sierra is already making a meaningful impact by leading with empathy, building team cohesion, and streamlining clinical processes. She’s committed to fostering a culture where both staff and patients feel seen, heard, and supported.

Her strengths lie not only in operational know-how but also in her natural leadership, communication skills, and ability to inspire those around her. Whether it’s refining our workflows or helping patients feel at ease during a visit, Sierra is someone who leads with both skill and heart.

Life Outside the Clinic

When she’s not at the clinic, Sierra is a proud and devoted mom to her energetic 6-year-old son, and enjoys an active home life with her fiancé and their furry companion, Cooper. You’ll often find her unwinding through powerlifting sessions or Commit Dance Fitness—both of which reflect her vibrant energy and dedication to health and wellness.

And Now… Meet Cooper!

We’d be remiss if we didn’t introduce the newest (and possibly most popular) member of our Coronado Health team: Cooper, Sierra’s Mini Goldendoodle and our official office dog! Cooper is more than just adorable, he’s a comforting presence for both staff and patients alike.

With his friendly demeanor, soft curls, and wagging tail, Cooper brings a smile to everyone who walks through our doors. While he’s not involved in patient care, his role as a “wellness ambassador” definitely boosts morale and adds a special charm to our patient experience.

We’re So Glad You’re Here, Sierra and Cooper!

Please join us in giving a warm welcome to Sierra and Cooper. Their presence is already making a positive difference at Coronado Health Direct Primary Care, and we’re excited for the continued growth, compassion, and care they bring to our community!

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Hormone Replacement Therapy: What Is It and When Do You Need It?

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By Coronado Health Direct Primary Care in Henderson, Nevada

Hormonal changes affect nearly every part of your life from how you sleep to how you think, feel, and perform. If you’ve been struggling with fatigue, mood swings, weight gain, or low libido, it might not be “just stress” or aging. It could be a sign that your hormones are out of balance.

At Coronado Health Direct Primary Care, located in Henderson, Nevada, we offer HRT therapy to help patients from across the Las Vegas Valley restore balance, improve quality of life, and feel like themselves again. In this post, we’ll break down what hormone replacement therapy is, how it works, and when it may be right for you.

What Is HRT Therapy?

Hormone Replacement Therapy (HRT) is a medical treatment that supplements or balances hormones that your body is no longer producing in optimal amounts. This therapy is often used to relieve symptoms associated with menopause, perimenopause, low testosterone (Low T), thyroid dysfunction, or other hormonal imbalances.

HRT therapy can involve the replacement of:

  • Estrogen and progesterone (primarily for women)
  • Testosterone (for both men and women)
  • Thyroid hormones, if clinically necessary

At Coronado Health Direct Primary Care, we provide customized hormone therapy plans tailored to your body’s unique needs, using lab testing and thorough consultations to guide every decision.

Why Do Hormones Matter?

Hormones are your body’s internal messengers. They regulate:

  • Sleep cycles
  • Energy levels
  • Mood and memory
  • Metabolism
  • Muscle mass and bone density
  • Sexual function
  • Menstrual cycles and fertility

When hormones become imbalanced, even slightly, it can affect your entire well-being. That’s why HRT therapy in Henderson, NV, isn’t just about symptom relief—it’s about restoring balance and vitality to your everyday life.

Signs You Might Need HRT Therapy

Hormonal imbalances can look different depending on your age, gender, and health history. Below are common signs we see in patients throughout Las Vegas and Henderson who benefit from hormone replacement therapy.

For Women:

  • Hot flashes or night sweats
  • Brain fog or difficulty concentrating
  • Vaginal dryness or discomfort
  • Mood swings, anxiety, or depression
  • Irregular or absent menstrual cycles
  • Weight gain, especially around the abdomen
  • Low libido
  • Fatigue that doesn’t improve with rest
  • Sleep disturbances

For Men:

  • Low libido or erectile dysfunction
  • Fatigue and reduced stamina
  • Loss of muscle mass or increased body fat
  • Mood changes or irritability
  • Difficulty focusing
  • Hair thinning
  • Sleep issues
  • Lack of motivation

If any of these symptoms sound familiar, HRT therapy at Coronado Health Direct Primary Care may be worth exploring.

When to Consider Hormone Replacement Therapy

Hormone replacement therapy is not one-size-fits-all. We help patients decide whether HRT is appropriate based on lab results, symptoms, and overall health goals. Here are some common scenarios where HRT is recommended:

1. Menopause and Perimenopause

Women entering perimenopause or menopause often experience rapid shifts in estrogen and progesterone levels. HRT can dramatically reduce symptoms like hot flashes, night sweats, mood changes, and sleep disturbances.

2. Low Testosterone in Men (Andropause)

Testosterone levels in men tend to decline with age, starting as early as the 30s. Testosterone replacement therapy (TRT) is a form of HRT that helps restore energy, libido, mental clarity, and muscle strength.

3. Post-Surgical Hormone Loss

Women who have undergone hysterectomy or oophorectomy (removal of ovaries) may experience immediate hormonal drops. HRT can help maintain bone health, mood stability, and sexual function.

4. Thyroid Hormone Deficiency

Though technically separate from estrogen or testosterone therapy, thyroid hormone replacement is a vital part of full-body hormonal balance. Symptoms of low thyroid often include fatigue, cold intolerance, brain fog, and weight changes.

5. Premature Menopause or Hormonal Imbalance at a Young Age

Some women experience early menopause or primary ovarian insufficiency before age 40. For these patients, HRT can help prevent long-term complications like osteoporosis and cardiovascular disease.

Is HRT Therapy Safe?

One of the most common questions we hear at Coronado Health Direct Primary Care is whether hormone replacement therapy is safe.

Research shows that for most patients under age 60—or within 10 years of menopause—HRT is both safe and highly effective. As with any medical treatment, risks depend on personal and family history, lifestyle, and the type of hormones used.

We offer bioidentical hormone replacement therapy (BHRT) for many patients, which uses hormones chemically identical to those your body naturally produces. This approach may reduce the risk of side effects for some individuals.

Our team takes a conservative, science-backed approach to dosing and monitoring, ensuring that your HRT plan is as safe as it is effective.

What to Expect at Coronado Health Direct Primary Care

Here’s how we approach hormone therapy for our patients across Las Vegas, Henderson, and surrounding areas:

Comprehensive Consultation

We take time to understand your full health history, current symptoms, and long-term goals.

Lab Testing

We run detailed hormone panels to measure levels of estrogen, progesterone, testosterone, thyroid, DHEA, and cortisol.

Personalized Plan

If hormone imbalance is confirmed, we create a personalized HRT plan using your preferred method—whether oral, topical, injectable, or pellet-based therapy.

Ongoing Support

Hormone therapy requires fine-tuning. We regularly monitor your levels and symptoms, adjusting as needed to keep you feeling your best.

Complementary Approaches to HRT Therapy

Hormone therapy works best when combined with healthy lifestyle habits. At Coronado Health in Henderson, we coach patients on how to support hormone health naturally through:

  • Nutrition counseling
  • Stress management
  • Sleep optimization
  • Targeted supplements
  • Regular movement and strength training

These changes often enhance the effectiveness of HRT therapy and help patients see more lasting results.

You Don’t Have to “Push Through It”

If you’ve been told your symptoms are just part of getting older—or if you’re tired of feeling like a shell of your former self—know that HRT therapy may help you feel vibrant, strong, and balanced again.

At Coronado Health Direct Primary Care, we’re proud to support patients from all over the Las Vegas Valley, including Henderson, Summerlin, Green Valley, North Las Vegas, and beyond. We believe in listening to your story, using evidence-based care, and walking with you through every step of your wellness journey.

Ready to take the first step to accessible, affordable, and exceptional healthcare?

Become a patient to learn more about our hormone replacement therapy options in Henderson, Nevada.

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Why Women’s Symptoms Are Often Overlooked

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By Coronado Health Direct Primary Care

When a woman walks into a clinic or emergency room complaining of chronic cramps, bloating, diarrhea, constipation, or abdominal discomfort, she often faces more than physical pain—she also encounters a healthcare system that may delay diagnosis, underestimate her symptoms, or mislabel them as psychological. While women have made significant strides in healthcare access and representation, the medical world still carries a history of gender bias that affects how women’s symptoms are perceived and treated.

At Coronado Health Direct Primary Care, we believe every patient deserves to be heard, respected, and thoroughly evaluated. We’re raising awareness about why women’s gastrointestinal and abdominal symptoms are too often dismissed—and what can be done to change that.

A Pattern of Dismissal

Women are statistically more likely than men to experience delays in diagnosis for conditions that involve chronic pain, abdominal distress, or non-specific digestive symptoms. For instance:

  • Irritable Bowel Syndrome (IBS) affects more women than men, yet many women report years of symptoms before receiving a proper diagnosis.
  • Endometriosis, a condition affecting roughly 1 in 10 women, often causes intense abdominal and pelvic pain, yet the average delay in diagnosis is 7 to 10 years.
  • Celiac Disease and other autoimmune-related gastrointestinal issues are more common in women, but symptoms are frequently labeled as stress or dietary intolerance without proper testing.

So, what’s behind this pattern?

Historical Bias in Medicine

Historically, medical research and clinical trials have prioritized male subjects. For decades, men were considered the “default” patient, and women were excluded from many studies because of perceived complications like hormonal cycles or pregnancy potential. This has led to a gap in knowledge about how diseases present differently in women.

The result? Many diagnostic criteria are still based on how symptoms appear in men. For abdominal pain or gastrointestinal distress, that means a woman’s symptoms may not match textbook expectations, leading doctors to second-guess or deprioritize her concerns.

The “It’s Just Stress” Response

Too often, women’s symptoms are attributed to emotional or psychological causes. When a woman describes recurring cramps, bloating, or unpredictable bowel movements, she may hear:

  • “It’s probably just stress.”
  • “Maybe it’s hormonal.”
  • “You’re overreacting.”

While it’s true that stress and hormones play a role in overall health, this explanation should never be used to bypass testing or dismiss valid physical symptoms. Women’s complaints of pain or discomfort deserve the same clinical curiosity and investigative rigor as anyone else’s.

Complex Symptoms, Overlapping Conditions

Another reason women face diagnostic delays is the complexity of their symptoms. Conditions like PCOS, IBS, interstitial cystitis, endometriosis, and thyroid disorders can overlap in symptoms such as:

  • Abdominal pain
  • Bloating
  • Fatigue
  • Digestive issues
  • Mood changes

These symptoms can be vague, intermittent, and hard to pin down. But complexity shouldn’t be a reason to ignore them—it should be a reason to dig deeper.

Social Conditioning and the Tolerance of Pain

Many women are raised to believe that pain is just a part of life. From menstrual cramps to childbirth, there is a cultural expectation that women should “tough it out.” This mindset can lead women to minimize their symptoms, delay seeking care, or doubt themselves when their symptoms aren’t taken seriously.

Add to that the pressure to juggle careers, families, and social expectations, and it’s easy to see how many women might deprioritize their own health until the symptoms become debilitating.

The Role of Medical Gaslighting

Medical gaslighting refers to situations where a patient’s concerns are dismissed or minimized by a provider, leaving them feeling confused, unheard, or ashamed. Women—especially women of color—are disproportionately affected by this.

For example, a woman might report ongoing digestive distress, only to be told to try a new diet or drink more water. If her tests come back normal, she may be told “everything looks fine,” despite the very real discomfort she’s experiencing daily.

This can lead to:

  • Loss of trust in healthcare providers
  • Delayed diagnoses of serious conditions
  • Worsening symptoms over time
  • Increased anxiety or depression

Diagnostic Challenges in GI and Reproductive Health

Some gastrointestinal and gynecological conditions share very similar symptoms. For example:

  • Endometriosis can mimic IBS.
  • Ovarian cysts can cause bloating and abdominal pain.
  • Food intolerances can look like hormone-related cramping.

Without a coordinated approach between primary care, GI specialists, and gynecology, women often bounce between appointments with no clear answers. That’s where Direct Primary Care can play a unique and powerful role.

What Coronado Health DPC Is Doing Differently

At Coronado Health Direct Primary Care, we believe in a holistic, patient-centered model that emphasizes listening and long-term care. Here’s how we approach women’s health—especially when it comes to complex, recurring symptoms:

We Take Time to Listen

Because we don’t operate under the constraints of traditional insurance billing, our visits aren’t rushed. We offer longer appointment times, which allows us to hear the full story—not just a few bullet points.

We Trust the Patient’s Intuition

You know your body better than anyone. If you feel something is off, we take that seriously. Symptoms don’t have to fit a textbook mold to be real.

We Coordinate Care

When needed, we advocate for timely referrals to GI specialists, gynecologists, and labs. We also help patients navigate imaging and testing, ensuring nothing falls through the cracks.

We Focus on Root Causes

Instead of masking symptoms with quick fixes, we investigate potential causes—whether hormonal, autoimmune, structural, or related to diet and lifestyle.

We Empower Patients

Education is part of every visit. We help patients understand the why behind their symptoms and guide them toward sustainable solutions, not just symptom suppression.

When to Speak Up

If you’ve been living with bloating, cramps, diarrhea, constipation, or abdominal pain for more than a few weeks—or if your symptoms interfere with your daily life—it’s time to speak up. Don’t settle for “it’s probably nothing” if your gut is telling you otherwise.

Red flags that warrant medical evaluation include:

  • Symptoms that occur with every menstrual cycle
  • Blood in your stool
  • Sudden weight loss or gain
  • Persistent fatigue
  • Severe or sharp abdominal pain
  • Symptoms that have lasted longer than a month

You Deserve Better

Women’s health is complex, and that’s exactly why it deserves more attention—not less. At Coronado Health Direct Primary Care, we are committed to changing the narrative. We want to end the cycle of dismissal and delay that too many women have experienced.

Your pain is real. Your symptoms matter. And answers are possible.

If you’re looking for a healthcare partner who listens, advocates, and sees the full picture—you’ve come to the right place.

Image by FreePik.com

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Why Direct Primary Care Is the Future of Medicine: A Conversation with Dr. Harpreet Tsui of Coronado HealthWhy Direct Primary Care Is the Future of Medicine

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In today’s fast-paced, insurance-driven healthcare system, many patients feel rushed, overlooked, or frustrated by the complexities of getting care. That’s one reason why Dr. Harpreet Tsui, founder of Coronado Health Direct Primary Care in Henderson, Nevada, made the bold decision to step away from the traditional model and open her own Direct Primary Care (DPC) practice. In a recent episode of Sit Downs with City Lifestyle – Vegas Edition, Dr. Tsui shares her inspiring journey and how her practice is transforming the patient experience in Southern Nevada.

The Problem with the Traditional Healthcare System

Dr. Tsui’s decision to leave traditional fee-for-service medicine wasn’t made lightly. After years of practicing in systems dominated by insurance regulations and time constraints, she found herself burned out and disillusioned. Like many other physicians, she realized that she wasn’t able to provide the kind of care her patients deserved. Appointments were rushed, documentation requirements were excessive, and patient relationships became increasingly transactional.

“I went into medicine to help people,” Dr. Tsui explains in the interview. “But I found myself spending more time with a computer than with my patients.”

This disconnect inspired her to research alternative care models—leading her to Direct Primary Care.

What Is Direct Primary Care?

Direct Primary Care (DPC) is a membership-based model that eliminates the middleman—insurance companies—and allows patients to pay a flat monthly fee for unlimited access to primary care services. At Coronado Health Direct Primary Care, this means longer appointments, more frequent visits, same-day or next-day scheduling, and 24/7 direct communication with your doctor.

No insurance billing. No hidden fees. Just high-quality, personal care.

Dr. Tsui describes DPC as “healthcare the way it should be.” Because she’s not beholden to insurance reimbursements or quotas, she can spend more time with each patient, focusing on prevention, education, and wellness—not just symptom management.

Who Is DPC Good For?

Dr. Tsui emphasizes that Direct Primary Care works for a wide range of patients—from healthy young professionals who want convenient, transparent care to older adults managing chronic conditions. It’s also an excellent fit for small business owners, entrepreneurs, or families who want affordable, comprehensive healthcare without the hassle of insurance paperwork.

In addition to primary care services, Coronado Health Direct Primary Care offers lab testing, chronic disease management, women’s health, wellness exams, and coordination of specialty care. The flat monthly fee makes it easy to budget for healthcare, and patients are never surprised by unexpected bills.

Building a Better Relationship with Your Doctor

One of the most powerful aspects of the Direct Primary Care (DPC) model is the renewed doctor-patient relationship. With fewer patients on her panel, Dr. Tsui is able to get to know each individual personally. She understands their health goals, family dynamics, and life circumstances—and she works with them as a partner in their wellness journey.

This level of care is especially meaningful in today’s fragmented healthcare environment, where patients are often bounced between providers and rarely see the same doctor twice.

“I get to do what I love—really care for people,” Dr. Tsui says. “It’s incredibly rewarding.”

Serving the Greater Las Vegas Area

Coronado Health Direct Primary Care proudly serves Henderson, Summerlin, Enterprise, Spring Valley, and surrounding communities in the Las Vegas Valley. Whether you’re new to the area or simply tired of the limitations of insurance-based care, Coronado Health offers a fresh alternative that puts patients first.

If you’re ready to experience healthcare in a more personal, affordable, and empowering way, schedule a free meet-and-greet with Dr. Tsui.

Source:

Watch the full interview with Dr. Harpreet Tsui on City Lifestyle Vegas

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How to Get 25 Grams of Fiber Per Day

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By Coronado Health Direct Primary Care

Fiber plays a crucial role in maintaining good health, yet many Americans fall short of the recommended daily intake. According to the American Heart Association, the average adult should aim for about 25 grams of fiber per day for optimal health. Getting enough fiber helps support digestion, regulate blood sugar levels, lower cholesterol, and even reduce the risk of chronic diseases like heart disease and certain types of cancer.

If you are wondering how to realistically meet that 25-gram target, you are not alone. In this blog, Coronado Health Direct Primary Care will guide you through everything you need to know about fiber and provide practical, easy ways to incorporate it into your daily routine.

What Is Fiber?

Fiber is a type of carbohydrate found in plant-based foods that the body cannot fully digest. While most carbohydrates are broken down into sugar molecules, fiber passes through the body largely intact. There are two main types of fiber:

  • Soluble fiber dissolves in water and forms a gel-like substance. It helps lower blood cholesterol and glucose levels. Good sources include oats, apples, citrus fruits, carrots, and legumes.
  • Insoluble fiber does not dissolve in water. It adds bulk to stool and helps food move through the digestive system, promoting regularity. Sources include whole wheat flour, wheat bran, nuts, beans, and vegetables like cauliflower and potatoes.

For best health, it is important to consume a mix of both types of fiber.

Why Is Fiber So Important?

Fiber offers a wide range of health benefits, including:

  • Improved Digestive Health: Fiber helps prevent constipation and promotes regular bowel movements.
  • Heart Health: Soluble fiber can lower total blood cholesterol levels by reducing low-density lipoprotein, or “bad” cholesterol.
  • Blood Sugar Control: Fiber, particularly soluble fiber, slows the absorption of sugar, which can help manage blood sugar levels.
  • Weight Management: High-fiber foods are more filling, which can help you eat less and stay satisfied longer.
  • Reduced Risk of Chronic Disease: A diet high in fiber is associated with a lower risk of developing type 2 diabetes, colorectal cancer, and cardiovascular disease.

Now that we understand the importance of fiber, let’s discuss practical strategies to help you reach 25 grams per day.

Easy Strategies to Boost Your Fiber Intake

Start Your Day with a High-Fiber Breakfast

Breakfast is an excellent opportunity to set the tone for the rest of your day. Choose options that are naturally high in fiber.

Examples include:

  • A bowl of oatmeal topped with berries and a sprinkle of chia seeds (10 grams)
  • A whole-grain English muffin with peanut butter and banana slices (8-10 grams)
  • Greek yogurt parfait with high-fiber granola and mixed fruits (7-9 grams)

Choose Whole Grains

Whenever possible, swap refined grains for whole grains. Whole grains retain all parts of the grain — the bran, germ, and endosperm — providing more fiber and nutrients.

Good options include:

  • Brown rice instead of white rice
  • Whole wheat pasta instead of regular pasta
  • Quinoa, barley, or farro as side dishes
  • Whole grain bread with at least 3-5 grams of fiber per slice

Reading labels can help. Look for products where “whole grain” is the first ingredient.

Load Up on Fruits and Vegetables

Fruits and vegetables are some of the most fiber-rich foods you can eat. Aim to fill half your plate with produce at every meal.

Here are some high-fiber choices:

  • Raspberries: 8 grams per cup
  • Pears (with skin): 5.5 grams per medium pear
  • Broccoli: 5 grams per cup cooked
  • Carrots: 3.5 grams per cup raw
  • Avocado: 10 grams per whole fruit

Keeping the skin on fruits and vegetables provides the most fiber, so wash thoroughly and enjoy.

Incorporate Legumes

Legumes — such as beans, lentils, and peas — are powerhouses when it comes to fiber content. Adding legumes to your meals can significantly boost your fiber intake.

Some ideas:

  • Add black beans or kidney beans to salads and soups
  • Prepare a lentil stew or curry
  • Snack on roasted chickpeas
  • Use hummus as a dip for vegetables

One cup of cooked lentils contains about 15 grams of fiber, getting you more than halfway to your daily goal.

Snack Smart

Snacking offers another chance to sneak in more fiber. Instead of chips or cookies, opt for fiber-rich options.

Smart snack ideas include:

  • A small handful of almonds or pistachios (3-4 grams)
  • Fresh fruit like an apple or a pear
  • Vegetables with hummus
  • Popcorn (air-popped and minimally seasoned, about 4 grams per 3 cups)

Add Seeds

Seeds such as chia seeds, flaxseeds, and pumpkin seeds are tiny yet packed with fiber.

Ways to use them:

  • Stir chia seeds into yogurt, oatmeal, or smoothies
  • Sprinkle flaxseeds over cereal or salads
  • Use pumpkin seeds as a crunchy salad topping
  • One ounce of chia seeds contains about 10 grams of fiber.

Drink Plenty of Water

As you increase your fiber intake, it is important to drink enough water. Fiber works best when it absorbs water, making stool soft and bulky. Without adequate hydration, increased fiber can sometimes lead to bloating or constipation.

Aim for at least 8 cups (64 ounces) of water per day, and adjust based on your activity level and climate.

Sample One-Day High-Fiber Meal Plan

Here is an example of how you might reach 25 grams of fiber in a day:

  • Breakfast: Oatmeal made with half a cup of oats, topped with half a cup of raspberries and a tablespoon of chia seeds (10 grams)
  • Snack: Apple with almond butter (5 grams)
  • Lunch: Salad with mixed greens, chickpeas, cucumbers, and a whole grain roll (8 grams)
  • Snack: Handful of pistachios (3 grams)
  • Dinner: Grilled chicken with roasted broccoli and brown rice (7 grams)

Total: About 33 grams of fiber

Tips for Success

  • Increase Fiber Gradually: A sudden jump in fiber can cause digestive discomfort. Add fiber-rich foods slowly over a few days.
  • Be Mindful of Portions: Some fiber-rich foods are high in calories, so balance portion sizes if you are managing your weight.
  • Combine Fiber Sources: Mix soluble and insoluble fiber foods for balanced benefits.
  • Be Consistent: Eating fiber-rich foods every day, rather than sporadically, will support better health outcomes.

When to See Your Doctor

If you experience persistent digestive issues such as bloating, gas, or constipation despite a high-fiber diet, it is important to consult your healthcare provider. Some gastrointestinal conditions, such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD), may require specialized dietary adjustments.

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Coronado Health DPC and Persona Nutrition

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By Dr. Harpreet Tsui, Coronado Health Direct Primary Care

At Coronado Health Direct Primary Care, our mission has always been to provide personalized, preventive, and whole-person care. We believe in treating the root causes of health concerns, not just the symptoms. That’s why I’m excited to share a new partnership that supports this philosophy—our collaboration with Persona Nutrition, a trusted provider of personalized supplement plans backed by science and data.

Through this partnership, my patients can now access a custom-tailored supplement program created specifically for their needs, lifestyle, and goals. Using my personalized link, you can also receive a special discount on your supplement plan.

Why Supplements?

Even with a well-balanced diet, it can be difficult to meet all of your body’s nutritional needs through food alone. Stress, aging, chronic illness, medications, and lifestyle factors like sleep and physical activity can deplete your nutrient stores over time. While supplements are not a substitute for healthy living, they can play a valuable role in supporting energy, immunity, mental clarity, digestive health, and more.

However, not all supplements are created equal. Many people take a guess-and-check approach to vitamins, which can lead to unnecessary costs or even ineffective or redundant combinations. That’s where Persona comes in.

What Is Persona?

Persona Nutrition is a science-based supplement company that creates personalized daily vitamin packs based on your unique health profile. By completing a quick online assessment, you provide information about your diet, lifestyle, medications, and health goals. The system then recommends a tailored set of supplements designed to work with your body—and with any prescriptions you may be taking.

Persona also has a team of licensed nutritionists available to answer your questions and help fine-tune your plan as your needs evolve. Their supplements are high quality, rigorously tested, and made without unnecessary fillers.

A Clinician-Approved Partnership

As your primary care provider, I have reviewed the ingredients, sourcing, and methodology behind Persona’s approach. I feel confident recommending it as a safe and intelligent option for many of my patients who are looking to fill nutritional gaps or address specific health concerns.

Through this partnership, my patients receive:

This is a completely optional offering and not a requirement of your care at Coronado Health Direct Primary Care. It’s simply one more way we are striving to support your overall wellness with thoughtful, individualized solutions.

How to Get Started

If you’re interested in exploring what supplements might be right for you, I encourage you to take Persona’s free nutrition assessment through my link. It only takes about five minutes and will give you a better understanding of what your body may be missing.

Once you complete the assessment, you will receive a personalized recommendation and can choose whether or not to subscribe. The supplements are conveniently organized into daily packets and shipped straight to your home.

Supporting You, Inside and Out

I believe strongly in a proactive approach to healthcare; one that helps you feel your best physically, mentally, and emotionally. By combining thoughtful primary care with tools like personalized nutrition, we can work together to support your long-term health.

To learn more or get started, visit:
https://harpreet.personanutritionpro.com/customers/

To your health,
Dr. Harpreet Tsui
Coronado Health Direct Primary Care

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Understanding Perimenopause: A Comprehensive Guide by Dr. Harpreet Tsui, Coronado Health Direct Primary Care

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Perimenopause marks a significant transitional phase in a woman’s life, often beginning in the mid to late 40s, though it can start earlier. This period, leading up to menopause, involves hormonal fluctuations that can result in a variety of symptoms affecting physical, emotional, and mental well-being. Understanding these changes is crucial for managing them effectively.​

What is Perimenopause?

Perimenopause is the time leading up to menopause, characterized by a decline in estrogen and progesterone levels. This phase can last anywhere from 2 to 10 years, with an average duration of about 4 years. During this time, women may experience a range of symptoms due to hormonal fluctuations.​

Common Symptoms of Perimenopause

Perimenopause can manifest through various symptoms, which may vary in intensity and duration among individuals. Common symptoms include:​

  • Irregular Menstrual Cycles: Changes in cycle length, flow, and frequency.
  • Hot Flashes and Night Sweats: Sudden feelings of warmth, often accompanied by sweating.
  • Sleep Disturbances: Difficulty falling or staying asleep.
  • Mood Changes: Increased irritability, anxiety, or depression.
  • Vaginal Dryness: Leading to discomfort during intercourse.
  • Decreased Libido: Reduced sexual desire.
  • Cognitive Changes: Memory lapses or difficulty concentrating.
  • Physical Changes: Weight gain, especially around the abdomen, and joint or muscle aches.​

These symptoms result from fluctuating hormone levels and can impact daily life and overall quality of life.​

Diagnosing Perimenopause

Diagnosis primarily involves evaluating symptoms and medical history. While hormone level tests can be conducted, they may not always provide definitive answers due to hormonal fluctuations. Tests that may be considered include:​

  • Follicle-Stimulating Hormone (FSH): Elevated levels can indicate the onset of perimenopause.
  • Estradiol Levels: To assess estrogen levels.
  • Thyroid Function Tests: To rule out thyroid issues that can mimic perimenopausal symptoms.
  • Luteinizing Hormone (LH): To evaluate reproductive hormone levels.

It’s essential to consult with a healthcare provider to interpret these tests accurately and consider them alongside clinical symptoms.

Treatment Options

Management of perimenopausal symptoms focuses on alleviating discomfort and improving quality of life. Treatment options include:​

Hormone Therapy (HT)

HT involves supplementing estrogen, and sometimes progesterone, to balance hormone levels. It’s effective in relieving hot flashes, night sweats, and vaginal dryness. However, HT may not be suitable for everyone, and risks and benefits should be discussed with a healthcare provider.​

Non-Hormonal Medications

For those who cannot or choose not to use HT, alternatives include:​

  • Antidepressants: Certain SSRIs and SNRIs can alleviate hot flashes and mood swings.
  • Gabapentin: Originally for seizures, it can reduce hot flashes.
  • Clonidine: A blood pressure medication that may help with hot flashes.​

Lifestyle Modifications

Incorporating healthy habits can mitigate symptoms:​

  • Regular Exercise: Improves mood and sleep quality.
  • Balanced Diet: Rich in calcium and vitamin D to support bone health.
  • Stress Management: Techniques like yoga and meditation can reduce anxiety.
  • Sleep Hygiene: Maintaining a consistent sleep schedule and creating a restful environment.​

Alternative Therapies

Some find relief through:​

  • Herbal Supplements: Such as black cohosh or red clover, though evidence varies, and they should be used cautiously.
  • Acupuncture: May help with hot flashes and mood symptoms.

Always consult with a healthcare provider before starting any alternative therapies to ensure safety and appropriateness.​

Seeking Care

If you’re experiencing symptoms of perimenopause, it’s important to consult with a healthcare provider to discuss your symptoms and explore treatment options tailored to your needs.​

Dr. Harpreet Tsui is Accepting New Patients

At Coronado Health Direct Primary Care, Dr. Harpreet Tsui offers comprehensive care for women navigating perimenopause. With a focus on individualized treatment plans, Dr. Tsui is dedicated to helping patients manage symptoms effectively and improve their quality of life.​

If you’re interested in learning more about perimenopause and potential treatments, schedule a meet and greet to meet Dr. Tsui to become a patient at Coronado Health Direct Primary Care.

Note: This blog is for informational purposes only and does not substitute professional medical advice. Always consult with a healthcare provider for medical guidance tailored to your health situation.

Sources:
https://www.webmd.com/menopause/guide-perimenopause?utm_source
https://www.endocrine.org/menopausemap/understanding-the-diagnosis/index.html
https://www.hopkinsmedicine.org/health/conditions-and-diseases/perimenopause
https://my.clevelandclinic.org/health/diseases/21608-perimenopause

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Weight Loss Stalled on GLPs? Here’s How to Get Out of the Stall

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By Dr. Harpreet Tsui

GLP-1 medications have been a game-changer in the fight against obesity, helping many patients shed pounds, curb cravings, and gain better control over their health. But if you’re on a GLP like semaglutide or tirzepatide and your weight loss has stalled, you’re not alone. Hitting a plateau is incredibly common, even with the most powerful tools in our toolbox.

The good news? There are some highly effective ways to break through that stall and get the scale moving again. If you’re feeling stuck, here are five simple, strategic shifts you can start today:

Really Prioritize Protein

Protein isn’t just important—it’s essential. When you’re in a calorie deficit (especially on GLPs, which tend to suppress appetite), your body needs quality protein to maintain muscle mass and keep your metabolism humming. Aim for 90–120 grams of protein per day, depending on your body size and activity level.

Not sure how to hit that goal? Think lean meats, Greek yogurt, eggs, tofu, tempeh, and protein shakes. Start your day with 30 grams at breakfast, and build each meal around your protein source.

Get 25–30g of Fiber a Day

Fiber keeps you full, supports digestion, and plays a key role in stabilizing blood sugar. Yet most people don’t get enough.

Start adding more non-starchy vegetables, berries, legumes, chia seeds, and whole grains into your meals. If your current intake is low, increase slowly to avoid bloating—and don’t forget to pair fiber with plenty of water to keep things moving.

Increase Strength Training

Cardio is great for your heart, but strength training is your secret weapon for lasting fat loss. It boosts your resting metabolism by helping you build and preserve lean muscle, especially important if you’re losing weight quickly.

You don’t need to become a bodybuilder overnight. Start with two or three sessions per week focusing on compound movements (like squats, lunges, rows, and presses), and progress from there. Even resistance bands or bodyweight workouts at home can make a difference.

Limit Alcohol

Alcohol isn’t just empty calories. Alcohol disrupts sleep, impairs recovery, and slows your metabolism. On top of that, it can lower inhibitions and lead to overeating or skipping workouts.

If you’re serious about breaking a weight loss plateau, take a break or cut way back. Many patients notice improved energy, better digestion, and more consistent weight loss after reducing or eliminating alcohol.

Drink More Water

Hydration matters more than you think. Water supports fat metabolism, helps with appetite control, and ensures your body runs efficiently. Aim for at least 80–100 ounces per day, more if you’re exercising or live in a hot climate.

Not a fan of plain water? Add lemon, cucumber slices, or electrolyte packets to mix it up. Just steer clear of sugary drinks that can sabotage your progress.

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