Preventive Care“An ounce of prevention is worth a pound of cure!” How many times have you heard that quote? At avecinia wellness center, we definitely believe in it! Due to the success of public health interventions, we are living longer, but many of us are also living with one or more chronic diseases. Because of medical, scientific and technologic advances in the last few decades, we know what it takes to live a long, healthy life. Putting it into practice is the hard part. When you have a busy day full of work, family, school and community responsibilities, it is hard to make time to keep yourself healthy. However, now is the time to start, and avecinia is here to help! Click on “read more” to learn more about preventive care! Use the handy tool to the right to discover which preventive services and/or screenings are recommended for you based on your age, gender and certain habits. Clicking on “submit” will take you to Agency for Healthcare Research and Quality (“AHRQ”) website
Health Management
DiabetesDiabetes is a metabolic disorder characterized by high blood glucose (sugar) levels. Insulin, a hormone that is released from the pancreas, helps keep blood glucose levels normal. For example, when we digest our food, glucose enters the bloodstream. Insulin helps transport blood glucose into our muscles, fat, and liver cells where it can be used as energy. Diabetes is classified into three different categories
Diabetes Type IType I is usually diagnosed in children and young adults. In Type I diabetes, the pancreas does not produce insulin. Only 5-10% of people are Type I. In order to maintain blood glucose levels, daily insulin injections are needed;
Diabetes Type IIType II is more common among African Americans, Latinos, Native Americans, Asian Americans/Pacific Islanders, and the elderly. In Type II, the pancreas produces insulin but it does not produce enough or the cells ignore the insulin. 90% of people with diabetes have Type II diabetes.
Gestational DiabetesGestational Diabetes occurs during pregnancy in approximately 4% of pregnant women every year. Gestational Diabetes affects women who have never had diabetes prior to their pregnancy
Cholesterol ManagementCholesterol is a fatty substance (lipid) that is made in the body by the liver. It helps form part of our cells, hormones, vitamin D, bile acids, and performs other vital functions. Sometimes our bodies make more cholesterol than we need. This excess cholesterol circulates in the bloodstream. High levels of cholesterol in the blood can clog blood vessels and increase the risk of heart disease and stroke. There are two types of cholesterol: low density lipoprotein (LDL) and high density lipoprotein (HDL)
Hormone Replacement Therapy (HRT)Bioidentical Hormone Replacement Therapy (“BHRT”) refers to the treatment of symptoms and disorders associated with menopause using hormones that are molecularly identical to hormones the body naturally makes. The therapy is tailored to the individual using saliva test and other means of identifying specific hormone imbalances and having a compounding pharmacies tailor a specific replacement therapy. In recent years, BHRT has gained popularity through the media because it is identified with being “natural” and specific to the individuals and thus safer as opposed to using non-bioidentical hormones. However, the American College of Obstetricians and Gynecologist, the Endocrine Society, the North American Menopause Society, the United States Food and Drug Administration, and the Mayo Clinic have taken the position that there is no difference in the benefits or risks of using bioidentical instead of non-bioidentical hormones for replacement therapy. The concern lays in the use of biodentical hormones from compounding pharmacies because there are currently no regulations or FDA guidance regarding their safety, purity and potency. At avecinia, we do not follow trends. Instead, our healthcare providers (e.g., Dr. Hayat, Ali Kunkel) work with each patient, beyond applying a saliva test, to determine which type of hormone replacement therapy is best suited for them. Click “read more” to learn more about Hormone Replacement Therapy at avecinia wellness center
High Blood Pressure (Hypertension)Blood pressure is determined by the amount of blood your heart pumps and the resistance to blood flow by your blood vessels. Normal blood pressure is below 120/80. The top number is the systolic blood pressure. It represents the pressure in the blood vessels when the heart contracts. The bottom number is the diastolic blood pressure. It represents the pressure in the blood vessels when the heart is at rest. When your blood pressure is above 120/80, you are at increased risk for developing serious health problems such as a heart attack or stroke. At avecinia wellness center, we offer a comprehensive hypertension/high blood pressure management program
SupplementsA supplement is usually a dietary substance that you either eat or drink. Supplements can be vitamins, herbs, plants, minerals, amino acids, or a blend of these and they come in pills, liquids, powders or mixed into foods. Supplements are an addition to food and should never be a substitute for food. The most common supplements are usually multivitamins, plant products such as Garlic tablets, or naturally occurring substances derived from animals or such like Omega 3. A healthy, nutritious diet rarely needs additional supplementation. A supplement can never cure or treat a disease and the U.S. Food and Drug Administration (FDA) does not regulate supplements
Aesthetics-Skin Care
Skin Conditions Treated
Wrinkles and Aging Skin(Sagging, splotchy, dark circles under eyes). Caused by aging and environmental factors, some of which we can help you control with specially designed skin care products, services and treatments
Melasma/Skin DiscolorationCaused by sun damage, hormonal changes or a combination
Acne/Acne ScarringCaused by changing hormones, bacteria and environmental factors. Scarring is caused by improper treatment
Sun DamageProlonged exposure to the sun without adequate protection can increase visible signs of aging such as wrinkles and sun spots and cause skin cancer
RosaceaIs a chronic inflammatory skin condition that can cause redness and produces small, red, puss-filled bumps
Thinning EyelashesCaused by aging in most cases. Seasonal allergies may cause you to rub your eyes a lot which can shed eyelashes as well
Acne and Acne ScarringAcne is a skin condition caused pores becoming clogged. Pores get clogged when glands produce too much oil and get blocked. Dirt, debris and bacteria build up and form a “plug” or “comedone” (forming whiteheads or blackheads). If the plug breaks, the resulting swelling forms red bumps that are the visible signs associated with acne
Skin DiscolorationMelasma and Skin Discoloration is common skin disorder. Melasma is also known as “chloasma” or the “mask of pregnancy” and it usually effects young women with brownish skin tones
RosaceaRosacea is a chronic, but harmless, skin disorder involving inflamation of the cheeks, nose, chin, forehead, or eyelids. It appears as redness, prominent spider-like blood vessels, swelling or skin eruptions similar to acne. Although the cause(s) of rosacea are unknown, you are more likely to develop the skin condition if you are fair skinned, blush easily, are female and/or between the ages of 30 and 50. There is no known cure for rosacea. The goal is to identify and avoid possible tirggers and thus reduce flare-ups. Keeping a symptom diary to help identify specific triggers can help you manage flare-ups. Avoiding sun exposure, prolonged activity in the sun, stress, spicy foods and alcoholic beverages can also reduce flare-ups. Medication with metronidazole (such as Obagi’s Rosaclear) can help control skin eruptions. Obagi’s Rosaclear also comes with gentle cleanser and moisturizer to help keep your skin calm. To return to the top, click on: Rosacea treatments in Fresno. If you have more question about treating Rosacea, email our Medical Esthetician, Malinda Wintemute, at aesthetics@avecinia.com.
Sun DamageSun Damage is both a serious skin condition and a cause of other skin conditions. Excessive exposure to the sun or UV rays (e.g., tanning beds) without adequate protection literally breaks apart your DNA. There are two types of UV rays: A and B. UVA rays penetrate deep into the skin and are the major source of early aging and skin cancer. UVB rays primarily access the surface of the skin and are the key source of sunburns
Thinning EyelashesThinning eyelashes, also known as hypotrichosis, is part of the natural aging process. Aging weakens the hair follicles and makes them brittle. In some cases, nutritional deficiencies, stress or hormonal imbalance can cause thinning eyelashes or eyelashes to fall out. Rubbing your eyes excessively during seasonal allergies may also cause your eyelashes to fall out
Wrinkles and Aging Skin
Skin Care Products
BotoxIs used to reduce and treat the appearance of wrinkles
JuvédermIs a hyaluronic acid filler used to fill deep facial lines and add volume to facial structures such as lips, smile lines and cheeks
RadiesseIs a Calcium based filler used for soft tissue augmentation
LatisseIs a prescription based treatment designed to give you longer, thicker, darker eye-lashes
ObagiIs a medical grade skin care line designed to substantially improve many types of skin conditions
VivitéIs a medical grade skin care line designed to improve and maintain healthy skin
Colorescience Pro Mineral MakeupCreated to remedy and camouflage specific skin concerns and protect skin from the sun and the environment. From problem skin, anti aging, skin discoloration, skin redness, and sensitive skin, colorescience has you covered
EMatrix Sublative Skin RejuvinationThe latest in anti-aging skin rejuvination technology. Improve the appearance of wrinkles, acne scars, tone, texture and more with little or no discomfort and downtime. It also works on skin types and colors that lasers don’t!
Clarisonic Skin Cleansing SystemImprove your skin tone and reduce the appereance of pores by removing 6 times more makeup and 2 times more dirt and oli than cleansing with your hands alone! No serious skin treatment regimen should be without Clarisonic!
Weight Loss & Management
Weight Loss and ManagementAt avecinia wellness center, we believe losing weight is only effective when you learn to manage your weight. That is why, as your partner in health and well being, we have developed unique weight management programs instead of just weight loss programs. Our Group Weight Management Counseling program is designed for individuals seeking a more independent approach to losing and managing their weight. Our Medical Weight Management program has been designed by Dr. Hayat and her trusted colleagues to address more severe weight issues that require additional attention and guidance. Our Medical Weight Management program is the only weight management program in Fresno and the Central Valley that combines a medical and fitness approach in a unique, proven, result oriented manner. After reading the description of each program below, call us at (559) 450-7299 to learn more or set an appointment for a free consultation. Click on avecinia’s Weight Loss Program to download our brochure
AcupunctureAcupuncture has been used to help with weight loss in traditional Chinese medicine for thousands of years. Dr. Hayat has been practicing medical acupuncture in Fresno for the past several years. The exact science of how acupuncture helps individuals lose weight has not been determined but it has been shown to help individuals control their appetite, boost metabolism and reduce stress. All three are vital to weight loss
Group PlansThe group weight management counseling is designed to allow individuals to work together and support each other in reaching their weight loss goals, improving their knowledge about weight and health, and empowering them in optimizing their well-being. The Group approach is ideal for groups of 3-5 individuals who are friends, who are willing and able to support each other’s efforts and are able to participate in each meeting together. Group sessions are 30 minutes and include the following (generally): 1) Weigh-In; 2) BMI and Waist Ratio; 3) Acupuncture Seed Placement; 4) B12 Shot; and 5) Counseling/Educational Seminar. Depending on the weight loss and management goals of the group, avecinia wellness center may include or suggest other modifications to the session such as additional Acupuncture, Cholesterol Check or a Weight Loss Prescription. Some of these services may have an additional fee. See our fee schedule to see a list of common services and their fees. The Group approach does not include membership with Fitness Studio 108 but it is compatible with any gym or fitness program you may belong too already. Each session is $60 per person and sessions are not covered by insurance. Sessions are ideally every other week. Saturday sessions are also available. Call (559) 450-7299 to learn more and make an appointment for your first group session
Individual PlansMedical weight loss and management program. The following two packages are designed to diagnose and treat weight related diseases, help you with your weight loss, prevent future weight gain and maintain a healthy lifestyle. They are ideally suited to individuals who have been diagnosed with a weight related disease or are likely to have such a diagnoses due to their weight
Acupuncture
AcupunctureAcupuncture has been part of eastern healing practices for thousands of years. The term “acupuncture” involves a group of procedures aimed at stimulating anatomical points in the body using a variety of techniques to restore health and wellness through the stimulation of these specific points. It has become a key component to traditional Chinese medicine (TCM) and certain benefits have been supported by the National Institutes of Health (NIH)
Traditional Chinese MedicineIn TCM the body is viewed as a balance between two opposing forces known as Yin and Yang. Diseases can be brought about by an imbalance of Yin and Yang which leads to a blockage of the body’s vital energy (known as qi) along pathways called meridians. Qi affects a person’s spiritual, emotional, mental and physical conditions. According to TCM, qi can be unblocked by using acupuncture at certain points that connect these meridians. The unblocking of this qi allows the body to return to a balanced state and a healthy center
Modern MedicineNIH research has shown acupuncture provides pain relief and improved function for osteoarthritis, reduce post traumatic stress disorder, and improve rates of pregnancy following in vitro fertilization. Acupuncture also fared better than usual care for the treatment of chronic lower back pain. According to the National Cancer Institute, acupuncture has shown to have many proven benefits for cancer patients. It has been shown to improve the immune system response, reduced the amount of pain, and reduced nausea and vomiting among cancer patients
For InfertilityAcupuncture for Infertility is probably the most recognizable and popular alternative treatment for those trying to get pregnant. Acupuncture as a complementary component to Infertility treatment plans has been the most researched alternative treatment method. Most research has shown that Acupuncture can increase pregnancy rates in couples under going infertility treatment. One of the most popluar studies concluded that in women who received two, 25 minute acupuncture treatments – one before having fertilized embryos transferred into their uterus and one after, had a significantly higher percentage of pregnancies. However, researchers are hesistant to conclude that Acupuncture has a direct effect on infertility treatment. The overall consensus is that acupuncture has a positive effect and no adverse effect on pregnancy
Amenorrhea
Cervical / Uterine Issues
Endometriosis
Fallopian Tube Issues
Irregular and Annovulatory Menstraul Cycles
Low Sperm Count
Luteal Phase Defect LPD
Ovulation Issues
Pelvic Inflammatory Disease
Premature Ovarian Failure
Polycystic Ovarian Syndrome
Poor Egg Quality
Stress
For TMJAcupuncture can be an effective treatment for Temporomandibular Joint Disorder (“TMJ” or “TMD). Traditional theories of Chinese Medicine indicate that acupuncture acts by restoring the balanced flow of energy, or Qi. Modern research has shown that acupuncture is effective in treating TMJ possibly by directly stimulating nerve pathways thus changing the quality of signals along the pathway. Acupuncture also releases endorphin and other neurotransmitters that help dampen and block pain perception by the brain. TMJ can be the result of an injury to the joint, misalignment of the jaw and teeth, excessive or vigorous chewing, or the use of orthodontics. Habitual clenching or grinding of the teeth, especially while sleeping, can cause or aggravate symptoms. Other symptoms can include decreased range of motion, locking, popping, clicking, or sudden misalignment of the teeth. TMJ can lead to pain that radiates to the face, head, neck, and shoulders. Some chronic sufferers experience headaches, dizziness, earaches, and even difficulty hearing. About six (6) acupuncture treatments are recommend to begin the healing process and reduce pain. At avecinia wellness center, we can work with your Dentist or Orthodontist to create a treatment plan that best works for you and achieves the greatest results
For Weight LossAcupuncture has been used to help with weight loss in traditional Chinese medicine for thousands of years. Dr. Hayat has been practicing medical acupuncture in Fresno for the past several years. The exact science of how acupuncture helps individuals lose weight has not been determined but it has been shown to help individuals control their appetite, boost metabolism and reduce stress. All three are vital to weight loss
Massage Therapy
Massage TherapyMassage Therapy is considered one of the oldest forms of medical care. It is defined as the manipulation of soft tissue for the purpose of normalizing them with the basic goal of helping the body feel good and heal itself. Massage Therapy has been shown to help reduce stress, lower blood pressure, increase blood circulation, alleviate pain in individuals with migraine and tension headaches and much more! Massage Therapy at avecinia wellness center is unique in Fresno because of how we integrate your therapy with other health modalities if needed. The therapist works in close conjunction with the physcian to coordinate your care and healing process. Our close relationship with our partners, such as Drysdale Physcial Therapy, allow us to further coordinate care to maximize your healing processOptions:
25 Minute (40.00)
, 50 Minutes (80.00)
Pricing
Accessible HealthcareAt avecinia wellness center, we believe your health is your wealth. It is your best investment. We want to make quality healthcare affordable and available to everyone regardless of their health insurance status. We accept almost all PPO’s and EPO’s as well as Medicare health insurance plans. We also have plans for the un-insured or the under-insured. However, we are not contracted with Medi-Cal (including Cal-Viva) or HMO’s and therefore cannot provide medical care to individuals with either plan (even if you have a Medicare/Medi-Cal plan). However, our aesthetic services, acupuncture (if we are not submitting it to insurance) and massage therapy services are open to everyone
Convenient HealthcareWe accept all four major credit cards (visa, mastercard, discover and American express) as well as HSA/FSA cards supported by Visa/MasterCard. We can also securely store your credit card and set up pre-authorized payments as well as automatic payment plans to help you avoid extra paperwork and bills and budget your healthcare costs. By clicking on the following, you can see what the cost of an office visit, whether because you are sick, need a physical, would like acupuncture or would like Botox®, may be. The final cost will depend on the actual visit type and the details of the visit. Our prices can be compared to the average prices in Fresno by visit the Healthcare Blue Book
Medical Appointment
Medical VisitThe cost of quality medical care should not be a burden or impediment to healthier living. Our fees for medical services are affordable, provide transparency, and ensure that you receive the best medical care and patient service in Fresno, Clovis, Madera, Visalia, Selma and beyond. There are no membership fees to becoming a patient at avecinia. If you do not have insurance or have a high deductible or would like to pay with cash, credit card (or card on file) or check, you can easily do so at avecinia wellness center. Our insurance specialist can also help you manage your cost with a treatment plan that fits your budget and your health needs. The following is avecinia wellness center’s general fee schedule for the most common types of medical visits (for a more detailed version, click “Avecinia Fee Schedule“). Your actual visit and fees depends on the severity of the visit, the items/issues discussed during the visit, necessary in-house labs/test/orders, and the actual length of the total visit. Insurance may or may not cover all of these services. Services not covered by your insurance are your responsibility. Visit Aesthetics and Alternative for prices related to skin care services and for our alternative therapies
General Visit
120.00Detailed99203 Or 1 minor issueOptions:
(99203.00)
, 1 Minor issue
175.00Comprehensive I99204 Or 1 major issue or 20-30 minute consultOptions:
(99204.00)
, 1 Major issue, 20-30 Minute consult
225.00Comprehensive II99205 Or 2 major issues or 30-45 minute consultOptions:
(99205.00)
, 2 Major issues, 30-45 Minute consult
75.00Regular99213 Or 1 minor issueOptions:
(99213.00)
, 1 Minor issue
110.00Detailed99214 Or 2 minor issues or 1 major issue or 20-30 min consultOptions:
(99214.00)
, 2 Minor issues, 1 Major issue, 20-30 Min consult
150.00Comprehensive99215 Or 2 major issues or 30-45 min consultOptions:
(99215.00)
, 2 Major issues, 30-45 Min consult
35.00Urgent CareAdditional fee
Cardiac Testing
145.00Stress Test/ Treadmill (93015)
30.00Ekg (93000)
Pelvic Exam/Pap Smear
40.00Pelvic Exam (G0101)
50.00Pap Smear (Q0091)
Physical/Wellcheck
120.00Adult (12-17) (99394)
120.00Adult (18-39) (99395)
135.00Adult (40-64) (99396)
135.00Adult (65+) (99397
Vaccinations/Injections
20.00B12 Injection
25.00Flu Vaccine
100.00Hepatitis A or BOptions:
Hepatitis A, Hepatitis B
120.00Hepatitis A and B
175.00Gardisil (HPV)
150.00Meningitis Vaccine
110.00Mmr
50.00Pneumonia Vaccine
28.00Tetnus
35.00Tetnus, Diptheria
45.00Tdap
150.00Varicella
200.00Zoster (Shingles)
Cold/Fever/Flu/Dizziness/Breathing Problems
25.00Flu (Influenza) Test
35.00Single Breathing Test (94010)
90.00Breathing Test/Inhalation Treatment (94060 and 94640)
LatisseOptions:
(1 Box) (120.00)
, 2 Boxes (full treatment) (200.00)
, Additional box after full treatment (100.00)
RadiesseOptions:
(Per 1.5 ml syringe) (500.00)
, Additional syringe(s) (if needed after 2) (400.00)
EMatrix Sublative Skin RejuvenationOptions:
Per session for neck treatment (300.00)
, Per session for cheeks treatment (300.00)
, Per session for forward treatment (300.00)
, Per session for chest treatment (300.00)
, Per session for hands treatment (300.00)
, By 3 for (750.00)
, Per session for whole face treatment (500.00)
, Neck and chest treatment (500.00)
, Buy 3 or more sessions and get (200.00)
34-435Obagi Products (NuDerm, CLENZIderm, Obagi RX-C, etc)Call or email us for prices!
103.00Obagi Professional C Serum 20%
46.00Obagi Nu Derm Sunscreen SPF 50
Obagi Blue Peel RadianceOptions:
Per session (100.00)
, For 6 sessions (500.00)
30-500Vivité ProductsCall or email us for prices
Chemical Peel (Obagi Blue Peel Radiance or Vivité)Options:
Per session (100.00)
, For 6 sessions (500.00)
, Obagi blue peel tadiance, Vivité
20-60Colorescience Mineral Makeup
100.00Mole or Other Benign Skin Lession RemovalOptions:
Mole, Other benign skin lession removal
Alternative Therapy Appointment
AcupunctureOptions:
First session (75.00)
, Each additional session (50.00)
200.00Acupuncture for Infertility or for Weight LossFor 4 sessionsOptions:
Infertility, Weight loss
Massage TherapyOptions:
For 25 mins (40.00)
, For 50 mins (80.00)
600.00Individualized Weight Loss ProgramStarting at per month
120.00Health Management Program(Cholesterol or diabetes or hypertension or smoking cessation or BHRT) (per session/this not billed to insurance and insurance will not cover these programs)Options:
Cholesterol, Diabetes, Hypertension, Smoking cessation, Bhrt
