Exciting New Chapter for Pedga: We’re Welcoming Patients at Our New Clinic Location Starting May 20th!

It brings us immense joy to announce a significant milestone in the journey of Pedga, your trusted Pediatric Gastroenterology clinic. Starting May 20th, our clinic will officially move from 8955 SW 87th Court, Miami, FL 33176 and operate from a new location: 10045 South Dixie Highway, Miami, FL 33156. This move is a leap forward in our enduring mission to provide unparalleled pediatric gastroenterology care.

A Testament to Dedication

The decision to relocate has been the accumulation of months of planning, dedication, and tireless effort from the entire Pedga team. Behind this move is the undying commitment to enhance our service delivery and improve the healthcare outcomes of our young patients. The sacrifices made during this period, from extensive planning sessions to the physical move, reflect our unwavering dedication to our patients and their families.

Moving to South Dixie Highway places us at the heart of Miami, increasing our clinic’s accessibility and ensuring that we can reach and impact more families. Our new location is not just a physical space; it’s a statement of our growth and our promise to continue offering top-tier pediatric gastroenterology services.

Our New Home Awaits

The excitement amongst our team about the move and what it represents is palpable. Our new clinic is designed to foster an environment of care, comfort, and healing. It reflects our commitment to creating a welcoming and reassuring space for children and their families as they navigate the challenges of pediatric gastroenterological conditions.

Our new, state-of-the-art facility will enable us to leverage advanced technologies and innovative treatment approaches. This enhanced capacity means a great deal to us; it means improved healthcare outcomes, smoother patient journeys, and the ability to provide education and support to more families than ever before.

An Invitation to Our New Beginning

As we embrace this new chapter, we extend an open invite to all our current and future families to visit us at our new address starting May 20th. Our promise to you remains unchanged: to provide the highest standard of pediatric gastroenterology care in a compassionate, family-centered environment.

We are deeply grateful for your continued trust and support through this transition. This move is a step toward fulfilling our collective vision—a future where every child with gastroenterological needs receives the best possible care.

Thank You for Your Trust in Us

This relocation marks the beginning of a new era for Pedga. It’s an era that we step into with gratitude and optimism, knowing that we have the support of our incredible patients and their families. Together, in our new home, we will continue to make strides in pediatric gastroenterology care, research, and education.

We can’t wait to open the doors of our new location to you.

Here’s to new beginnings, improved health, and continued partnership.

Warmest regards,

The Pedga Team

36 thoughts on “Exciting New Chapter for Pedga: We’re Welcoming Patients at Our New Clinic Location Starting May 20th!”

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    HDL is the helpful ldl cholesterol score that, when excessive, can decrease blood pressure, and when low, can spike blood strain. Choosing between injectable and
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    I’m often finding new and higher methods to do things, like altering doses slightly or timing, etc.
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  6. Most customers might be happy with the usual testosterone primary compound.
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    Nevertheless, IFBB professionals today commonly make the most
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    specifically erectile dysfunction, in our male patients.

    This article pertains to steroidal androgens; nonsteroidal androgens like the selective androgen receptor modulators
    (SARMs) andarine and enobosarm (ostarine) aren’t included here.

    If you’ve ever puzzled how the cumbersome weight lifters
    down on the fitness center get so huge, typically it isn’t by
    way of a strict routine of weight lifting and food plan, but via the
    illegal use of steroids. Normal levels of testosterone are important for improvement and total
    wellbeing. This section focuses totally on steroid usage statistics among teenagers.
    You’ll study just how many teenagers use steroids, why they try
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    Athletes are among the highest users of steroids, and they do these for various causes.

    It will not lead to an excellent increase in muscle
    mass, however still a substantial quantity. Not overly
    “wet” or “dry” in any sense, just a nice
    addition to a Testosterone base cycle. Will
    minimal serious side effects, it can be a fantastic compound if
    used accurately. Can have a slight anti estrogenic impact, so it may allow you
    to with wanting dryer, leaner, and more aesthetic.
    Facet effects are principally testosterone shutdown, hair loss and
    issues with ldl cholesterol.
    It’s a very small factor, but using steroids has been proven to change
    you mentally. You are extra assertive, your relationship may suffer if your associate isn’t 100%
    in tune with your “why” and it could damage relationships
    as a result. If you aren’t snug walking around wanting like somebody who obviously takes steroids,
    then don’t take them.
    More-dangerous kinds of anabolic steroids are known as designer steroids.

    Anabolic steroids haven’t any medical use that’s permitted by the federal government.
    The patient and their assist group, household, and associates,
    need to appreciate that the approach to this
    dependancy may be much like addiction to different medicine and
    alcohol. In reproductive target tissues, testosterone may
    be thought-about to be a prohormone, being readily converted by 5α-reductase to the more
    potent androgen dihydrotestosterone (DHT). In other tissues, similar to
    fatty tissue and parts of the mind, testosterone is converted by aromatase to the estrogen, estradiol (E2).
    In bone, the mechanism of action of the anabolism of androgens has not been completely elucidated however each a
    direct impact of testosterone and a mediated impact by aromatization to estradiol
    are necessary 54, fifty five. In the human skeletal muscle collected lower
    than 12 hour autopsy, 5α-reductase exercise either type
    1 or 2 is not detectable 56, so testosterone itself is chiefly binding
    to the androgen receptor (AR).
    The recognition of those platforms amongst adolescents has steadily risen since 2010 and constantly adjustments with
    the discharge of latest platforms such as TikTok (Vogels et
    al., 2022). As of 2022, adolescents’ hottest social media platforms are Youtube, TikTok, Instagram,
    and Snapchat, which heavily revolve round movies and pictures (Vogels et al.,
    2022). Corticosteroids quickly lower inflammation by mimicking the consequences of cortisol.

    While they are often useful for acute or extreme continual inflammatory conditions, these drugs are additionally infamous for his or her negative unwanted effects over time.
    Corticosteroids, on the opposite hand, are medications used to assist treat a selection of acute and chronic health conditions.
    They decrease irritation in the physique and can also work
    as immunosuppressants and vasoconstrictors.

    References:

    PedsElite

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    a hormone that’s naturally made by your adrenal glands, which sit above your kidneys.

    In this text, we’ll take a more in-depth look at steroid injections, the circumstances they treat, what the procedure is like, and possible unwanted effects.
    Autoimmune issues like rheumatoid arthritis and joint situations like tendonitis
    might not appear to have a lot in common. Nonetheless, there’s one essential thing these
    two forms of situations share — they can each be handled with steroid injections.
    Whereas it is exhausting to suggest common echocardiographic screening in this group of patients because of lack of proof, it can be considered on an individual
    basis. Detrimental adjustments to the structure and function of the heart that floor upon echocardiographic
    examination may additionally assist in convincing the affected person to cease
    using AAS. Gynecomastia is the benign enlargement of the glandular
    tissue of the breast (197).
    Lifestyle and genetic components can even affect the finish result of a trenbolone cycle.
    In many locations, it’s categorised as a managed substance, making its non-medical use unlawful.
    It’s important to bear in mind of native laws relating
    to anabolic steroid use and possession. Bear In Mind, accountable Primobolan utilization entails not only adhering to beneficial
    dosages but also prioritizing general well being, well-being, and informed decision-making.
    It is essential to strike a balance between attaining
    desired outcomes and minimizing potential dangers, always inserting safety as the highest precedence.

    Maybe EQ’s foremost mechanism of motion is its
    capacity to increase pink blood cell rely considerably.
    All anabolic steroids will enhance purple blood cells to a degree,
    but EQ is understood to be one of the powerful in this regard – therefore
    its ability to transfer extra oxygen to the muscle tissue and enhance endurance.
    Equipoise has such a powerful capability to boost pink blood cell rely that this will become an issue and is one thing
    you should carefully monitor whereas utilizing this steroid.
    According to the latest analysis obtainable regarding anabolic steroids, there are a quantity of bodily results of steroid
    misuse.
    Even if such testing was more widespread, research has but to obviously decide if drug
    testing is effective in decreasing drug use. In Accordance to the Nationwide Institute on Drug Abuse, many
    of the info the agency has gathered concerning the long-term results of anabolic steroids has been obtained from
    case reports and never from formal epidemiological
    studies. Most of the analysis conducted on long-term steroid results thus far
    has been accomplished with animal studies. The pursuit of health should be
    about enhancing total well being, bettering quality of life, and building a strong, resilient body.

    In addition, diagnostically reliable exams for AAS abuse
    ought to be standardized. In this regard, to prevent
    the use of AASs, public health measures in all settings are
    crucial. These measures consist of improved data
    among healthcare staff, proper doping screening tests, instructional interventions, and
    updated laws. Studies in feminine rodents have proven that AAS can lead
    to elevated aggression, inflammation, lowered neuronal density, and adverse impacts on the myocardium and blood
    vessels.
    As an oral steroid, Primobolan is amongst the solely oral steroids that isn’t a C17-alpha alkylated (C17-aa) steroid.
    Missing the standard C17-aa structure, this additionally means oral Primobolan is not toxic to the liver.
    Nonetheless, whereas it is a bonus, most will find oral Primobolan to be a comparatively delicate or perhaps a week steroid in comparability with many others in a
    performance enhancing capacity.
    Analysis exhibits pure endogenous test production is restored after
    4–12 months upon discontinuation (19). The
    body’s testosterone ranges will rise when first taking Dianabol, because of it essentially being
    exogenous testosterone. Nevertheless, the physique will recognize that testosterone ranges are excessively excessive,
    and thus, in a bid to take care of homeostasis, it’ll shut down pure testosterone
    production through the testes (17, 18).
    Gynecomastia in men and masculinizing results in girls could also be irreversible.
    AAOS doesn’t endorse any treatments, procedures, merchandise, or physicians referenced herein. This data is offered as an educational service and is not intended to function medical advice.
    Anybody seeking specific orthopaedic recommendation or
    help should seek the assistance of his or her orthopaedic surgeon, or find one in your space
    through the AAOS Discover an Orthopaedist program on this web site.
    Nutritional/dietary supplements are substances bought legally from dietary
    stores or through the internet which are typically taken together with
    other APEDs. The Dr. Muscle group contains professional fitness writers
    and editors supported by AI who fastidiously
    fact-check each article to deliver accurate, evidence-based insights and practical
    suggestions. The Dr. Muscle app takes the guesswork out
    of your health journey, automating every little thing from train choice to progression tracking.

    Below, you’ll find essentially the most comprehensive information to injecting steroids, containing every little thing you want to know to get it proper
    every time. For ladies who are confident enough with
    their earlier steroid expertise and feel prepared to
    combine a couple of steroid in a cycle, a more superior cycle could be
    undertaken. This cycle goals significantly at cutting or fat loss and is useful for contest prep, where attaining a
    lean and hard physique is the objective. 4-8
    weeks is good, beginning at 20mcg/day for the first
    1-2 weeks, then growing the dosage by 10mcg each 1-2 weeks (depending in your chosen cycle length).
    This is less than perfect so far as outcomes go, but it
    does allow you a break from the unwanted side effects should you discover you’re delicate to points like anxiety or insomnia.
    Females will generally discover the other steroids detailed above
    are higher options if gaining lean muscle is the primary goal.

    References:

    PedsElite

  8. Given the high mortality of atherosclerotic illness and AAS-induced cardiomyopathy, in addition to the
    danger of sudden cardiac death reported within the
    literature, primary and secondary prevention are
    crucial in AAS users so as to avoid severe consequences.
    The scientific group ought to intensify its efforts to assess the pathophysiology
    of conduct and cognitive impairment as a result of long term AAS exposure.
    Furthermore, evidence is urgently required to support the development
    of a reliable diagnostic device to determine precociously
    AAS abuse as properly as evidence-based remedy [57,one hundred twenty five,126,127,128,129,130,131].
    In Accordance to latest data, 20% of sufferers who were being handled for symptomatic hypogonadism had beforehand used
    AASs. Recognition of the specific particulars of the user’s
    AAS publicity is essential for his or her medical administration. Management strategies for male infertility secondary to AAS induced hypogonadism ought to concentrate on the underlying hypogonadal state [105,106].

    There have been no variations between the two teams
    with respect to age, top, systolic blood pressure,
    or coaching hours per week. AAS users exhibited considerably elevated maximal power ranges in both bench press and floor raise when compared to WLC.
    The two major types are corticosteroids and anabolic-androgenic steroids (or anabolics for short).
    Anabolic steroids may be administered in varied ways, including oral drugs, injections, creams
    or topical gels, and pores and skin patches. Each
    methodology has its personal advantages and
    downsides, and the choice of administration route will rely upon a quantity of components,
    including the specified effect, the specific steroid getting
    used, and the individual’s preferences and desires.

    The first step in treating anabolic steroid dependency is to discontinue
    use and search medical assist. For instance, corticosteroids might help folks with asthma breathe by decreasing
    inflammation in the airways. According to the Nationwide Institute on Drug Abuse (NIDA), steady use of AASs can result in issues such as tolerance, which means an individual needs greater
    doses to achieve the same results. A Swedish national population-based cohort study discovered a cardiovascular morbidity and mortality fee
    twice as high in individuals who examined constructive for
    AAS use in contrast with those who tested adverse (149). Equally, a Danish retrospective matched cohort study found non-ischaemic heart disease rates, corresponding to cardiomyopathy and atrial
    fibrillation, to be three times higher in those that tested positive for AAS
    use in contrast with matched controls (212).
    For example, oral tablets are simple to use and handy but may have the next danger of liver
    toxicity, whereas injections can present more secure blood levels however may carry a risk of
    infections or injection site reactions. Following dimerization, the complicated binds
    to androgen response parts (AREs), which are specific promoter
    regions of target genes, and this interplay affects the transcription course of [9].
    In addition, rapid steroid hormone activation can occur through
    non-genomic pathways, which contain the interference of the steroid hormone
    with the G-protein coupled receptor.
    The dose-response curve for anabolic steroids has not been clearly
    defined, however male athletes and physique builders usually
    use mega dosages 28. They additionally often use quite a lot
    of anabolic steroids simultaneously (“stacking”) or sequentially (“cyclically”) due to
    a perception that these regimens are safer 28. With the exception of some elite feminine athletes and body builders, girls seldom use supraphysiologic dosages of anabolic steroid.

    There are few knowledge on the effects of exogenous androgen therapy
    in ladies, but modestly supraphysiologic dosages of testosterone appear to
    increase muscle mass and power in girls 67, sixty eight.

    Boldenone’s level of estrogenicity is less
    clear as there is no strong knowledge available that provides details on its interaction with aromatase in people.
    AASs have an necessary position in musculoskeletal tissue homeostasis and have been reported to influence the biology of muscle, bone, tendons,
    and ligaments.50,fifty one,fifty two,fifty three A concise summary is offered under.
    This steroid was first commercially manufactured in 1960 by Ciba under the model name Dianabol and shortly became the most used and abused steroid worldwide, remaining
    so to date. It jokingly got here to be often known as “the breakfast of champions” in sports circles.

    These actions present the potential effectiveness of an interprofessional team method to anabolic steroid
    use or misuse. Anabolic steroids additionally upregulate
    and enhance the variety of androgen receptors, thus enabling increased coaching depth and
    not directly contributing to elevated muscle size and power.
    They even have a stimulatory impact on the mind by way of their diverse results on various central nervous system neurotransmitters, antagonism of glucocorticoids, and stimulation of the expansion hormone-insulin-like
    progress factor-1 axis. Latest clinical and experimental research proved that the elevated activity of the renin-angiotensin-aldosterone system (RAAS) plays a pivotal
    function within the pathogenesis of cardiological diseases.
    The over-activation of the RAAS might result in modifications in the cardiovascular system
    noticed in topics taking AASs for doping functions.
    A prime time to use Sustanon 250 is throughout low season bulking, the place you probably can build
    up lean mass with elevated testosterone ranges while seeing
    a decreased tendency to gain fats – as lengthy as your food regimen is
    correct. Sustanon 250 protects lean muscle tissue, and your dosage and exercises
    will determine how much you can acquire. Deca-Durabolin is
    the most well-known brand of Nandrolone Decanoate and is used by intramuscular injection. Deca has comparatively
    weak androgenic effects but very strong anabolic effects, which gives it a decreased risk of unwanted side effects in contrast with another steroids.

    Both medicine mildly stimulate gonadotropin and testosterone production and don’t
    suppress spermatogenesis. Testosterone substitution must be withheld as long as potential, because it interferes with HPG axis recovery, and prescribed provided that no further recovery of the HPG is expected.
    All users of anabolic steroids, assuming a major exposure, have side effects, although
    nearly all of these unwanted effects is mild and transient and some go unnoticed by the abuser.

    One Other weaker endogenous androgen, androstenediol, also binds to oestrogen receptors.
    The anabolic steroids utilized by athletes are often forms of testosterone made in a lab.

    Anabolic steroids can be found by prescription and
    are used to treat conditions that end in abnormally low testosterone ranges (hypogonadism).
    The causes may embody undescended testicles, testicle injury,
    pituitary disorders, obesity, and superior HIV
    an infection.

    References:

    PedsElite

  9. If first-line therapy with benzoyl peroxide
    or a topical retinoid yields unsatisfactory
    results, a low dosage isotretinoin regimen beneath the supervision of
    a dermatologist could be thought-about in those that refuse to quit their AAS use.
    Remedy may also forestall acne scarring which can, obviously, be permanent even after stopping AAS use.
    Testosterone is bioactivated into a more potent androgen in tissues expressing enzymes
    of the 5α-reductase household.
    It’s undoubtedly the most well-liked anabolic steroid with feminine athletes of different
    sorts. There are plenty of reasons ladies choose not to use steroids
    to boost their physique or boost performance. Females who use steroids are vulnerable to considerable physiological modifications.

    The formulation also reveals massive intra- and interindividual variation in bioavailability, making
    it cumbersome for alternative remedy. To address
    this, testosterone undecanoate has recently been formulated in a self-emulsifying drug delivery system (SEDDS) to
    further enhance lymphatic absorption and reduce intra- and interindividual variation (10).
    However, it must be dosed twice daily to maintain up physiological testosterone levels
    throughout the day. An alternative technique facilities round significantly retarding
    metabolism of the compound. This structural modification greatly
    will increase oral bioavailability, though it comes with hepatotoxicity (11).

    Steroids have a powerful anti-catabolic impact on muscles (after all, they’re ANABOLIC steroids – the other of
    catabolic). Stress hormones like cortisol, naturally rising throughout intense exercise, contribute to muscle breakdown and loss.
    Anabolic steroids are different from general steroids,
    generally known as corticosteroids, that are anti-inflammatory medication similar
    to prednisone and cortisone, in accordance with the Cleveland Clinic.
    However some social media users might have forgotten these high-profile downfalls, as they boast of the health
    and muscle positive aspects from taking the identical unlawful drugs.
    If dysphonia is detected early on, the effects may be reversed
    via discontinuing the use of steroids. To combat these results, a quantity of athletes
    also use oestrogen-suppressing medication generally known as
    aromatase inhibitors.
    If, for whatever reason, you want to go together with injectable Winstrol over oral (perhaps to keep away from liver toxicity),
    20mg every 4 days is a perfect dose. Whichever form of Winstrol you take, the recommended cycle length is four
    weeks, with six weeks being the maximum. Winstrol is quite a potent steroid;
    subsequently, females don’t require giant doses to see exceptional outcomes.
    Keeping your dosage of Winstrol as little as potential will present the dual reward of excellent
    outcomes combined with minimal unwanted effects (potentially allowing you to get away with zero aspect effects).
    Primobolan is another steroid derived from DHT, which is comparatively
    female-friendly at lower doses.
    Bodybuilders beneath our care have used steroids similar to Proviron, Trenbolone, Anavar,
    and Winstrol to flush out as a lot fluid as attainable.
    We have discovered that steroids decrease collagen manufacturing, inflicting the skin to
    turn out to be thinner. Consequently, there’s
    much less epidermis overlaying the veins, enabling them to
    be positioned nearer to the floor of the skin. Medical research additionally correlate androgen deficiency with decreased cognitive perform.
    Anabolic steroids are illegal to make use of for cosmetic functions in most countries, together with the US and UK; nonetheless, a number of are FDA-approved on a prescription foundation. Support groups and
    peer counseling also can play an important role in restoration.
    It’s essential to know these potential side effects earlier
    than contemplating the usage of anabolic steroids.
    Steroid abuse typically includes large doses of illegally sourced medication, that provide a vastly
    larger degree of hormones than required for reliable testosterone alternative
    therapy. They are recognized for his or her balanced risk-benefit profiles, making them a number of the greatest steroid with least unwanted facet effects.
    In the lengthy term, anabolic steroids have an result on the
    central nervous system of the human mind, directly on neurotransmitter
    systems. Their major goal of action on the brain is those parts which are
    associated to regulating sexuality, aggression, and temper.
    The matter of drug abuse of any sort may be very complex and infrequently tough to assess precisely and objectively.
    Relating this biopharmacology to the individual abusing
    AASs is a particularly difficult task due to a quantity of elements.

    Similarly, the psychological well being impacts of steroid
    use could be amplified by components like stress, social isolation, and pressure to carry
    out. Athletes and bodybuilders who use these medication may
    find themselves caught in an ideal storm of psychological risk factors, making them notably vulnerable to mental health issues.
    One of probably the most troubling elements of anabolic steroid
    use is its potential for habit. While these medication don’t produce the same type of euphoric excessive as substances like cocaine or heroin, they will nonetheless lead
    to a strong psychological dependence. Steroid customers who inject the
    medicine with a needle are at risk for infection with HIV (human immunodeficiency
    virus), the virus that causes AIDS, if they share needles with different customers.
    Individuals who use soiled needles are also at risk for contracting hepatitis, a liver illness, or bacterial endocarditis, an infection of the internal lining of the heart.
    In males, steroids can lead to impotence, decreased sperm manufacturing in the testicles, and even smaller
    testicle size.

    References:

    Rapid Strength Training

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