The SexMD Podcast by Dr. Debra Durst

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-Radiofrequency microneedling to the face is notoriously painful - so why does the same intravaginal microneedling treatment feel almost nothing like it? Dr. Debra Durst breaks down the science behind it.
In this conversation, Dr. Debra Durst of RevitalyzeMD talks with intimacy expert  @BetterLover   intravaginal RF microneedling (using the Empower device), why the vaginal canal responds so differently to needling than facial skin does, and how at-home and in-office vaginal restoration devices fit together for a complete protocol.
Subscribe for more physician-led conversations on sexual wellness, hormone optimization, and regenerative medicine.
#IntravaginalMicroneedling #VaginalRejuvenation #SexualWellness #RegenerativeMedicine #HormoneHealth


If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people.

What You'll Learn in This Episode
-Why radiofrequency microneedling is comfortable intravaginally even though the same treatment on the face is painful 
- the theory comes down to nerve receptor types
-What the Empower device treats: vaginal tightening, incontinence, lubrication, and orgasmic strength
-How at-home devices like red light photobiomodulation support and extend in-office vaginal rejuvenation results
-A look at a new cold-chain, placental-exosome topical cream being used for post-laser and post-surgical scar healing


Start Your Transformation — Grab Your Free Guide
📘  Perimenopause vs. Menopause Guide
Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again.
👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide


These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

Shop My Favorite Medical-Grade Products
https://www.revitalyzemd.com/products/

Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for. 

...

Work With Me: https://www.revitalyzemd.com/consulta...
All My Links: https://t.mtrbio.com/drdebradurst
Website: https://debradurstmd.com/

About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

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Your erections could be the fifth vital sign, and sometimes the earliest sign that something is wrong with your blood vessels.
Your erections may be telling you more about your health than you think. Erectile dysfunction could be the fifth vital sign, and sometimes the earliest warning of blood vessel problems.
Dr. Debra Durst explains why questions about erection strength and morning erections belong in every screening conversation, and how daily low-dose Cialis (tadalafil) works on the blood vessels, not just in the bedroom.


If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people.

Key takeaways:
-Penile arteries are the smallest in the body (1–2 mm), so they may show vascular problems before larger arteries do.
-Strong erections require healthy blood vessels, healthy smooth muscle, nitric oxide production, and good blood flow.
-Research suggests daily low-dose tadalafil may support vascular health and reduce inflammatory markers.
-Added benefits can include stronger erections and relief of BPH-related urinary symptoms.

If you're curious about erectile dysfunction as an early warning sign, the vascular benefits of daily low-dose Cialis, or relief for BPH symptoms, this episode is for you.

Start Your Transformation — Grab Your Free Guide
📘 Men’s Performance Playbook
Improve erection quality, boost libido, and learn what really works for male sexual performance.
👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips

These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

Shop My Favorite Medical-Grade Products
https://www.revitalyzemd.com/products/

Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.

Work With Me: https://www.revitalyzemd.com/consulta...
All My Links: https://t.mtrbio.com/drdebradurst
Website: https://debradurstmd.com/

About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

A Kegel is just one of 36 different pelvic floor skills. And it's the easiest one.

Kegels are just the beginning. Pelvic floor training can do far more than most women realize for arousal, lubrication, libido, and vaginal orgasms.
On this episode of The SexMD Podcast, Dr. Debra Durst sits down with pelvic floor expert Bel De 'Lorenzo, author of The Gohddess Method. They discuss pompoir, a method that trains the vaginal muscles the way you'd train any other muscle for strength, endurance, and control. They cover why most women struggle with vaginal orgasms, what brain research reveals about different types of orgasm, and how pelvic floor training fits alongside hormone optimization and regenerative treatments.

If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people.

What You'll Learn in This Episode
-The pelvic floor is a group of muscles running in different directions, and each area can be trained on its own.
-Clitoral, vaginal, and cervical orgasms light up different areas of the brain and travel along different nerve pathways.
-An overly tight pelvic floor can cause the same symptoms as a weak one, including leaking, pain, and numbness during sex.
-In perimenopause and menopause, the most common complaint women bring to Belle's program is lost libido.

Learn more from Bel at gohddess.com. Use code SEXMD for a discount.


If you're curious about pelvic floor training, vaginal orgasms, or what really lies beyond Kegels, this episode is for you.

📘  Perimenopause vs. Menopause Guide
Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again.
👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide


These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

Shop My Favorite Medical-Grade Products
https://www.revitalyzemd.com/products/

Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.
...

Work With Me: https://www.revitalyzemd.com/consulta...
All My Links: https://t.mtrbio.com/drdebradurst
Website: https://debradurstmd.com/

About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

Is there a guarantee with erectile dysfunction? Yes. It will progress if left untreated.

Does shockwave therapy really work for erectile dysfunction? After using GainsWave acoustic shockwave since 2019, our practice upgraded to GainesWave 2.0, and there's a clinical reason why.
In this video, Dr. Debra Durst explains what GainsWave actually is: a provider network with standardized protocols and tracked outcomes, not just a device. She covers the difference between the original radial shockwave and the new focused OmniWave technology, what the research shows, and who is a good candidate for treatment.


If this conversation resonates, hit like and subscribe — it helps us bring more honest, physician-led conversations on hormones, intimacy, and confidence to more people.

What You'll Learn in This Episode
-Focused shockwave penetrates deeper and more precisely than radial shockwave, which improves targeting of the small penile vessels and the larger groin vessels that feed them.
-GainesWave outcomes are tracked with the validated SHIM score, so improvement is documented, not just anecdotal.
-Erectile changes can be an early marker of cardiovascular disease, so they're worth addressing, not ignoring.
-The earlier ED is treated, the less treatment it requires and the more lasting the results tend to be.

If you're curious about shockwave therapy for erectile dysfunction, focused vs. radial shockwave, or what ED can reveal about your heart health, this video is for you.

📘 Men’s Performance Playbook
Improve erection quality, boost libido, and learn what really works for male sexual performance.
👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips


These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

Shop My Favorite Medical-Grade Products
https://www.revitalyzemd.com/products/

Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.

Work With Me: https://www.revitalyzemd.com/consulta...
All My Links: https://t.mtrbio.com/drdebradurst
Website: https://debradurstmd.com/

About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

Curious what real laser skin resurfacing before and after results actually look like? Studies show women who get two IPL photofacials a year look noticeably younger a decade later — even when every pigmented spot isn't fully lifted. Dr. Debra Durst breaks down exactly what's happening under the skin.

On this episode of the SexMD podcast, Dr. Debra Durst — founder of RevitalyzeMD, a physician-led hormone optimization, sexual wellness, and regenerative aesthetics practice in Knoxville and Farragut, Tennessee — sits down with a guest to walk through her own collagen stimulating treatments journey: layered lasers, PRF, bio-stimulatory fillers, and IPL for age spots and pigment. They also get into growth hormone peptides for anti-aging, PT-141, and why "aging well" is a full-body strategy, not a single procedure.

If you found this helpful, hit like and subscribe so you don't miss the next episode.

What you'll learn:
- Why layering treatments works better than a single "quick fix" laser
- What PRF is and how it differs from PRP for facial rejuvenation
- How IPL targets pigment and age spots without a full resurfacing downtime
- The difference between growth hormone, growth hormone releasing peptides, and PT-141
- Why consistent, low-grade collagen stimulation beats occasional aggressive treatments

If you're curious how regenerative, physician-led treatments can support your skin and hormone health long-term, subscribe for more conversations like this one — and watch the full episode for the complete breakdown.

#iplphotofacial #AntiAgingSkincare #RegenerativeMedicine #HormoneOptimization #Longevity

These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

Shop My Favorite Medical-Grade Products
https://www.revitalyzemd.com/products/

Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.

Work With Me: https://www.revitalyzemd.com/consulta...
All My Links: https://t.mtrbio.com/drdebradurst
Website: https://debradurstmd.com/

About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

Curious whether a vaginal rejuvenation laser can really change how sex feels? Intimacy expert  @BetterLover   shares her honest 90-day results.

On this episode of the SexMD podcast, Dr. Debra Durst — founder of RevitalyzeMD, a physician-led hormone optimization and sexual wellness practice in Knoxville, Tennessee — sits down with intimacy expert Susan Bratton to talk through her 90-day experience with the Fotona 4V Lux laser. This non-surgical vaginal tightening approach goes beyond the vaginal canal to address the full vulvovaginal system, including the clitoris and labia, using a dual-wavelength, non-ablative technology built for collagen stimulation and tissue regeneration.

If this was helpful, hit like and subscribe for more honest conversations about sexual wellness.
📘  Perimenopause vs. Menopause Guide
Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again.
👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide

What you'll learn:
- Why regenerative vaginal treatments can take up to 90 days to show full results
- The difference between older ablative (CO2) lasers and newer non-ablative technology
- Why treating only the internal vaginal canal misses a major part of female sexual anatomy
- How blood flow, collagen stimulation, and nerve regeneration work together to improve sensation, lubrication, and orgasmic function
- What role PRP and exosome injections play alongside laser treatment

Shop My Favorite Medical-Grade Products
https://www.revitalyzemd.com/products/

Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.


Work With Me: https://www.revitalyzemd.com/consulta...
All My Links: https://t.mtrbio.com/drdebradurst
Website: https://debradurstmd.com/

About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

🎯 Perimenopause affects millions of women, yet many say no one prepared them for what was happening. In Part 1 of our Women's Roundtable, real women share their experiences with perimenopause, menopause, hormones, brain fog, anxiety, and feeling dismissed by the healthcare system.
This isn't another lecture from medical experts. It's an honest conversation between women about the symptoms they experienced, the answers they couldn't find, and why these conversations need to happen more often.
In this episode:
Why so many women say, "Nobody warned me."
The early signs of perimenopause that often get overlooked
Brain fog, anxiety, mood changes, and feeling like yourself is slipping away
Why so many women were dismissed or told their labs were "normal"
Why finding the right hormone specialist made a difference for many women
If you've ever felt like something was wrong but couldn't get answers, you're not alone.
Subscribe for more conversations on women's health, hormones, menopause, sexual wellness, and evidence-based treatment options.


🔥 Start Your Transformation — Grab Your Free Guide

Take the next step in your wellness journey with one of my physician-created resources. These guides are designed to give you clear answers, real solutions, and immediate action steps you can start using today.


📘  Perimenopause vs. Menopause Guide
Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again.
👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide

Why it matters: These resources give you the same foundational education I provide to patients in the office—so you can start improving your health before you ever book an appointment.

📘 What You’ll Learn in This Video
Why body composition changes during perimenopause and menopause — and why the usual diets and workouts stop working
The real difference between perimenopause vs. menopause, and why so many doctors miss the hormonal signs
The truth about testosterone for women — including the biggest myths and side-effect fears
Testosterone creams vs. injections vs. pellets: which delivery method actually works
Why your labs can look "normal" while you still feel off — and what to do about low testosterone in women

🔔 Stay Connected: If you enjoy this video, don’t forget to subscribe and tap the bell 🛎 so you never miss new content on hormones, sexual wellness, and feeling your best at every age.

💬 Join the Conversation: Comment your questions or future topics you want covered—I love creating content based on what you are searching for.

🌟 My Favorite Medical-Grade Products
- Nitric Oxide Booster: https://berkeleylife.com/?affiliate_code=DDUR1&mode=patient
- Penis Pump: https://drjoelkaplan.com/whopper?a_aid=rlypecumfbfanr&a_bid=83d20a03
- Designs for Health: https://www.designsforhealth.com/u/debradurst
- Metagenics: https://www.metagenics.com/en-us (FIRST CREAT AN ACCOUNT AND USE PROFESSIONAL ID: ​​DEBDUR0824)
- Nutrafol: https://growthpartner.nutrafol.com/pages/revitalyzemdnutrafol
- KeraFactor: https://shop.mykerafactor.com/collections/all-hair-products?sca_ref=9469685.cNphuEubHlL
- ZO Skin Health: https://zoskinhealth.com/
- SkinMedica: https://revitalyzemd.brilliantconnections.com/
- Shop My Merch: https://revitalyze-md-shop.fourthwall.com/?utm_source=youtube&utm_medium=product_shelf

👉 Work With Me
Curious about your own revitalization journey? Start here:
https://www.revitalyzemd.com/consultation/

🌐 Connect with Me
- All My Links: https://t.mtrbio.com/drdebradurst
- Visit my Website for Expert Advice: https://debradurstmd.com/

🌟 About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

⚠️ Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

💡 Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel—thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

Research shows the #1 trait that makes you attractive to the opposite sex isn't intelligence, success, or income - it's playfulness.
In this episode, Dr. Debra Durst sits down with Kim Seltzer, dating and confidence expert from the Charisma Quotient podcast, to explore how outer confidence — style, body language, and flirting - shapes attraction just as much as biology and hormones do. Kim shares how she went from feeling invisible after her divorce to helping thousands of men and women rebuild confidence from the outside in.

📘 What You’ll Learn in This Video
- The #1 trait research shows both men and women find most attractive — and it's not what you'd expect
- Why "dressing for other women" is one of the biggest mistakes women make when dating
- Simple ways couples can keep the spark alive long after the honeymoon phase ends
- Why charisma is a learnable skill, not something you're born with

📘  Perimenopause vs. Menopause Guide
Finally understand your symptoms and get a roadmap to feeling balanced, energized, and confident again.
👉 Download Free: https://offers.revitalyzemd.com/perimenopause-guide
These guides give you the same foundational education we provide to patients in the office—so you can start improving your health before you ever book an appointment.

Shop My Favorite Medical-Grade Products
https://www.revitalyzemd.com/products/

Join the Conversation: Comment your questions or future topics you want covered — we love creating content based on what you're searching for.

Work With Me: https://www.revitalyzemd.com/consulta...
All My Links: https://t.mtrbio.com/drdebradurst
Website: https://debradurstmd.com/

About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel — thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

Research shows most women don't peak sexually until decades later than they'd expect — and it's not for the reason you think.
In this episode, Dr. Debra Durst sits down with Dr. Alexandra Stockwell, physician, best-selling author, and host of The Intimacy & Marriage Podcast, to talk about why so many couples struggle to talk about sex — and how to change that at any age. Dr. Stockwell also shares her own experience receiving regenerative sexual wellness treatments in the office.

📘 What You’ll Learn in This Video
- Why 91% of long-lasting, happy marriages have one specific habit in common
- Simple ways to start talking about sex with your partner — even if you never have before
- How to communicate before, during, and after sex without killing the mood
- Why there's no such thing as "too old" for a fulfilling sex life
- If you're curious about intimacy, communication, or regenerative sexual wellness treatments, this episode is for you.

👉 Subscribe to The SexMD Podcast for more honest, physician-led conversations on hormones, intimacy, and confidence at every stage of life.


🔥 Start Your Transformation — Grab Your Free Guide

Take the next step in your wellness journey with one of my physician-created resources. These guides are designed to give you clear answers, real solutions, and immediate action steps you can start using today.

📘 Men’s Performance Playbook
Improve erection quality, boost libido, and learn what really works for male sexual performance.
👉 Download Free: https://revitalyzemd.aesthetixcrm.app/mensperformancetips

Why it matters: These resources give you the same foundational education I provide to patients in the office—so you can start improving your health before you ever book an appointment.

🔔 Stay Connected: If you enjoy this video, don’t forget to subscribe and tap the bell 🛎 so you never miss new content on hormones, sexual wellness, and feeling your best at every age.

💬 Join the Conversation: Comment your questions or future topics you want covered—I love creating content based on what you are searching for.

🌟 My Favorite Medical-Grade Products
- Nitric Oxide Booster: https://berkeleylife.com/?affiliate_code=DDUR1&mode=patient
- Penis Pump: https://drjoelkaplan.com/whopper?a_aid=rlypecumfbfanr&a_bid=83d20a03
- Designs for Health: https://www.designsforhealth.com/u/debradurst
- Metagenics: https://www.metagenics.com/en-us (FIRST CREAT AN ACCOUNT AND USE PROFESSIONAL ID: ​​DEBDUR0824)
- Nutrafol: https://growthpartner.nutrafol.com/pages/revitalyzemdnutrafol
- KeraFactor: https://shop.mykerafactor.com/collections/all-hair-products?sca_ref=9469685.cNphuEubHlL
- ZO Skin Health: https://zoskinhealth.com/
- SkinMedica: https://revitalyzemd.brilliantconnections.com/
- Shop My Merch: https://revitalyze-md-shop.fourthwall.com/?utm_source=youtube&utm_medium=product_shelf

👉 Work With Me
Curious about your own revitalization journey? Start here:
https://www.revitalyzemd.com/consultation/

🌐 Connect with Me
- All My Links: https://t.mtrbio.com/drdebradurst
- Visit my Website for Expert Advice: https://debradurstmd.com/

🌟 About Dr. Debra Durst
As founder and CEO of RevitalyzeMD, Dr. Debra Durst brings 25+ years of expertise in regenerative medicine, aesthetics, and sexual wellness. Her mission is to help women and men look great, feel great, and experience their best sexual health at every age through personalized, evidence-based care.

⚠️ Disclaimer: This video is for informational purposes only and is not intended to diagnose, treat, or cure any condition. Always consult a physician or qualified healthcare professional before pursuing medical treatment.

💡 Affiliate Note: Some links may be affiliate links. Purchasing through them supports this channel—thank you! As an Amazon Associate I earn from qualifying purchases.

Send us Fan Mail

What is the P-Shot? 🍆 Here's what you need to know.

Do you think men wait to long before seeking help for ED? Why or why not?

Curious about the Pshot procedure? Learn how this regenerative treatment uses your own platelets to potentially improve tissue health.

This video explains the science behind the Pshot and addresses common concerns about the process. We break down how the procedure works by using blood components to stimulate growth factors. If you have been researching options for tissue regeneration or blood flow improvement, this overview provides clear answers grounded in medical function.

We cover the specific mechanism of action, including how platelet concentrate helps with nerve regeneration and collagen production. Understanding these biological processes is essential for anyone considering this type of therapy. The goal is to clarify what happens during the treatment and how the growth factors actively support healthier tissue, blood vessels, and sensitivity.

Subscribe for weekly medical procedure breakdowns and comment below if you want to know more about regenerative health options.