Orthopaedic surgery can place significant stress, damage or even remove part of your lymphatic system. Your immune system plays a vital role in maintaining fluid balance and immune defense. However, after orthopaedic or any type of surgery, especially procedures involving lymph node removal or disruption, the lymphatic network may become compromised, leading to fluid accumulation and persistent swelling known as lymphoedema. Among other strategies, proper nutrition is a crucial to reduce lymphoedema risk, yet often overlooked; it is also a key element of post-surgical care that supports lymphatic health, improves and speeds up healing, and reduces the risk of developing other secondary conditions. Let’s see how…

Inflammation is a natural response to surgery, it means you are in a recovery process, but excessive or prolonged inflammation can worsen lymphatic congestion, edema and turn into lymphoedema (also caused by damage in your lymphatic system). After surgery, your  lymphatic system can be more vulnerable to fluid retention leading to lymphoedema. Eating properly to reduce systemic inflammation and oxidative stress is key to avoiding chronic inflammation. Polyphenols, natural antioxidants found in colorful fruits and vegetables, specifically target inflammation and support healthy lymphatic vessel function. Weight management through a balanced, calorie-controlled diet also improves lymphoedema symptoms and reduces limb swelling by lowering pressure on lymphatic ducts. Next a list of some foods you can introduce to your daily diet:

Post-orthopaedic surgery Nutrition:What to Eat to Reduce Lymphoedema Risk

1. Eat Foods to Promote Circulation and Reduce Inflammation

Focus on whole, unprocessed foods that contain anti-inflammatory nutrients, antioxidants, and healthy fats, for example:

• Leafy greens

 Detoxify the body, are full of antioxidants and provide magnesium for circulation and muscle relaxation, allowing lymphatic and vascular flow. Some that you can include are:

      Common Leafy Greens

Spinach, kale, lettuce (romaine, butterhead, iceberg, leaf, etc.), Dandelion,  Swiss chard, collard greens, mustard greens, arugula (rocket), cabbage (green, red, savoy, napa), etc.

 Herbs often used as greens (have same properties)

Parsley, cilantro (coriander leaves), basil, dill, mint.

• Berries

They contain antioxidants and flavonoids that reduce oxidative stress and inflammation that can block lymph flow. Some of them are: raspberry, blueberry, blackberry, cranberry, gooseberry, etc.

• Citrus fruits

Such as oranges, lemons, and grapefruits are rich in vitamin C, which supports immune and lymph vessel function.

• Healthy fats

 Most known and easy to find in stores are: avocados, nuts, seeds, and fatty fish (such as salmon). All of them provide omega-3 fatty acids that decrease chronic inflammation and promote vascular health. Disclaimer: Consume with moderation, healthy, doesn´t mean: eat all you can.

• Lean proteins

Lean proteins like fish, poultry (chicken, turkey, quail, etc.), lean meats (beef, pork) and legumes support tissue repair (especially after surgery), immune cell production, and promote lymphatic health.

• Anti-inflammatory spices

Reduce cellular inflammation and support circulation. Most used in kitchen are:

Turmeric (curcumin is the active compound, activate it with black pepper,  ginger, cinnamon, cloves, cardamom, star anise, chili peppers (capsaicin), cayenne pepper, paprika, garlic, black pepper ( remember piperine enhances curcumin absorption), fennel seeds, mustard seeds, coriander seeds, cumin, etc.

• High in water vegetables and fruits

Help detoxification and fluid balance due to their high water and low fructose and sodium content, like: cucumber, celery and watermelon.

2.Hydrate to flow well

Lymph fluid is primarily water, so maintaining adequate hydration is crucial to keep the lymphatic system moving and prevent fluid stagnation. Aim for 8–10 glasses of water daily, adjusting for activity level and climate.

3.Limit sodium and processed foods to avoid fluid retention

High sodium intake causes water retention, increasing swelling and lymphatic overburden. Avoid processed and fast foods because they tend to be high in salt and additives that exacerbate inflammation and fluid retention.

4.Probiotics and fiber for digestive and immune health

Probiotics (found in yogurt, kefir, fermented food, etc.) and prebiotics: Fiber-rich foods such as whole grains, fruits, and vegetables aid digestion and promote a healthy gut microbiome. The gut microbiota reduce systemic inflammation and regulate mental and immune function while, indirectly, benefiting the lymphatic system’s function.

In short

Post-surgical lymphatic nutrition is a cornerstone of lymphoedema prevention and recovery after orthopaedic surgery. A diet focused on reducing inflammation, supporting immune function, maintaining hydration, and providing necessary nutrients optimises lymphatic healing and reduces swelling risk. Combined with MLD, physical therapy, compression (if needed), and medical follow-up, proper nutrition gives you the power to support your lymphatic and general wellbeing after orthopaedic or any type of surgery.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pereaclinic.com/nutrition-and-lymphedema-foods-that-support-a-healthy-lymphatic-system/

https://pubmed.ncbi.nlm.nih.gov/36252267/

https://www.pagepressjournals.org/index.php/vl/article/view/8220

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Feeling blue?  Having low mood and sadness are normal responses to difficult situations, those that move something inside us. But what happens when this sensation persists over time? This human experience is linked to an imbalance in the complex neurochemical network in our bodies, particularly involving the neurotransmitter serotonin and the Gut-Brain Axis. For that reason, today, we will talk about: why we feel blue, the role of the multifaceted serotonin and how the gut-brain connection works. Let’s have a closer look…

What Is Serotonin?

Serotonin(link1)( 5-hydroxytryptamine (5-HT)) is a neurotransmitter found throughout your brain. It has a pivotal influence in your:

• mood 
• emotion (fear)
• sleep patterns
• appetite
• digestion
• cognitive functions (memory, focus)
• stress response
• sexuality
• addictions
• breathing
• body temperature

Why is serotonin so important for mental health?

Serotonin is your natural mood booster, when hormone levels are balanced and enough, you feel calm, focused, and happy. On the other hand, low levels of it are strongly linked to depression and feelings of deep sadness (“feeling blue”). On the contrary, too high levels of serotonin gives you that sensation of Euphoria.

Why do we feel blue all the time?

This persistent “blue sensation- feel blue”, with no apparent reason, can arise from serotonin imbalances in your brain, affecting mood regulation, stress response, and your cognitive functions (focus, memory, etc.). Factors that influence these imbalances include: genetic predisposition, environmental stressors, diet, and gut microbiome composition (because your gut produces more serotonin than your brain).

When serotonin signaling is disrupted, brain circuits involved in emotion and motivation are affected, leading to symptoms of depression or anxiety. For that reason, enhancing serotonin level is the main target in depression or trauma treatment.

Serotonin outside my brain?: How is it possible?

It might surprise you, but about 90% of our body’s serotonin is produced in the gut;  yes, our intestines produce the majority of the happy hormone! Actually, serotonin is produced by specialised cells called enterochromaffin in the intestinal mucosa thanks to the help of microbiota (good bacteria in your intestinal tract). 

This gut-derived serotonin directly influences appetite and digestion, but does not cross the blood-brain barrier directly. Despite this division in production, your gut’s serotonin plays a crucial role influencing brain function and mood.

How can the brain and gut communicate?: The Gut-Brain Axis

Your gut and brain communicate through a bidirectional system known as the gut-brain axis. This system links the enteric system (nerves in the wall of your gastrointestinal tract), the vagal nerves (part of the autonomic nervous system, connecting CNS and organs) and the central nervous system (CNS brain-spinal cord). This network also includes endocrine, humoral, metabolic, and immune routes. 

How does gut serotonin affect your mood and cognitive function?

The serotonin produced in your gut interacts with the 5-HT receptors (serotonin from the brain) on vagal nerves, then, the signals are sent through the vagus nerve to the brainstem and are received in different brain regions influencing mood, cognitive function, mental health and your general well being.

How can I support my serotonin production?

As we mentioned before the majority of your serotonin is produced in the gut, so when your intestines are full of good bacteria and these organisms are well fed your serotonin levels will be balanced.

Happy intestine, happy brain?

Ingest probiotics (to feed microbiota) through what you eat, for example: kefir, Greek yogourt, fermented food, kimchi, etc., these are good probiotic providers. If your microbiota is low, you can take pills of probiotics, there are different brands, just be sure they have plenty of strains and a lot of millions of each of them. Remember you should have a diet full of good prebiotics and fiber (what probiotics eat). Just eat properly, consume a wide variety of vegetables, fruits, whole grains, legumes, and nuts; drink plenty of water, reduce stress factors, sleep well and avoid processed food and alcohol.

A final word…

Feeling blue is  normal after some events, what you have to pay attention to is that it does not persist over time or affects your daily life.  If it does, check your serotonin levels, what you eat and your habits. Remember that serotonin produced in the gut supports your brain serotonin, so a happy intestine means a happy brain and vice versa. More probiotics and prebiotics, less stress, avoid processed food and alcohol and enjoy the ride of life!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

1.https://www.ncbi.nlm.nih.gov/books/NBK545168/

2.https://www.apa.org/monitor/2012/09/gut-feeling

3.https://www.ncbi.nlm.nih.gov/books/NBK537171/

4.https://pmc.ncbi.nlm.nih.gov/articles/PMC7495222/

The post Why do we feel blue? The Role of Serotonin in mental health and the Gut-Brain connection appeared first on Perea Clinic.

Lipoedema is a chronic condition that primarily affects women. Its main characteristic is the abnormal accumulation of fat, particularly in the legs, hips, buttocks and sometimes arms. This condition often leads to pain, swelling, and reduced mobility. While there is no cure for lipoedema, adopting an anti-inflammatory diet can play a crucial role in managing symptoms and improving quality of life. In this blog, we explore the top anti-inflammatory foods for lipoedema that can help lipoedema patients to reduce inflammation and support overall health.

Why Focus on an Anti-Inflammatory Diet?

Chronic inflammation is the key factor in the exacerbation of lipoedema´s symptoms. Inflammation can worsen pain, swelling, and tissue damage. An anti-inflammatory diet works by reducing the body’s inflammatory response through nutrient-dense foods rich in antioxidants, omega-3 fatty acids, and other bioactive compounds. By incorporating these foods and avoiding inflammatory triggers like processed foods and refined sugars, lipoedema patients can alleviate symptoms and promote lymphatic health.

Top Anti-Inflammatory Foods for Lipoedema

Here’s a breakdown of the best foods to include in your diet:

1. Omega-3 Rich Foods

Omega-3 fatty acids are renowned for their potent anti-inflammatory properties. These healthy fats can help reduce swelling and improve circulation. Examples: Fatty fish (salmon, mackerel, sardines), flaxseeds, chia seeds, nuts, etc.

2. Leafy Greens and Cruciferous Vegetables

Rich in vitamins, minerals, and antioxidants, leafy greens and cruciferous vegetables combat oxidative stress and inflammation. Examples: Spinach, kale, broccoli, Brussels sprouts, etc.

3. Berries and Low-Glycemic Fruits

Berries are packed with antioxidants like anthocyanins that reduce inflammation without spiking blood sugar levels. Like Blueberries, strawberries, raspberries and more.

4. Whole Grains

Whole grains are high in fiber, which supports gut health by promoting the production of short-chain fatty acids with anti-inflammatory effects. Like Quinoa, brown rice, oats.

5. Healthy Fats

Monounsaturated fats found in certain oils and fruits help reduce inflammation while supporting heart health. That the case of olive oil or avocados.

6. Herbs and Spices

Certain spices contain natural anti-inflammatory compounds that can alleviate pain and swelling. Some of them are: Turmeric (rich in curcumin), ginger, garlic, cinnamon.

7. Fermented Foods

Probiotics in fermented foods improve gut health and may indirectly reduce systemic inflammation. E.g. Sauerkraut, kefir, Greek unsweetened yogurt.

8.Lean Protein Sources

• • Fish (especially fatty fish) and seafood (if not allergic): Salmon, mackerel, and sardines are rich in omega-3 fatty acids, but also white fish.
  • Poultry: Skinless chicken and turkey offer high-quality protein with minimal saturated fat, making them good choices for reducing inflammation.
  • Eggs provide complete protein and essential nutrients, and are generally well-tolerated in anti-inflammatory diets for lipedema.

• Legumes: Lentils, chickpeas, and beans are plant-based protein sources that are also high in fiber and antioxidants, supporting both satiety and inflammation reduction.
• Tofu and Tempeh: soy-based proteins are low in saturated fat and suitable for those seeking plant-based or dairy-free options.

9. Get rid of inflammation with spices combination!

Turmeric

• Contains curcumin, a potent anti-inflammatory compound.
• Shown to inhibit molecules involved in inflammation.

Ginger

• Contains gingerols, which reduce inflammation and pain.
• Also aids digestion and relieves nausea.
• Can be used fresh or powdered in a variety of dishes or infusion.

Garlic

• Rich in sulfur compounds like allicin, which have anti-inflammatory and immune-boosting effects.
• Regular intake may lower risk of chronic diseases, such as heart and inflammatory diseases.

Cinnamon

• Contains cinnamaldehyde, which reduces inflammation and may help lower blood sugar.

Cayenne Pepper

• The active compound capsaicin inhibits production of inflammatory compounds and reduces muscle pain.

Cloves

• High in antioxidants and eugenol, which may help combat inflammation and oxidative stress.

Oregano

• Contains carvacrol and thymol, both shown to reduce inflammation and fight infections.

Basil

• Contains eugenol and other essential oils with anti-inflammatory and antioxidant properties.

Sage

• Rich in rosmarinic acid and ursolic acid, both associated with reduced inflammation and potential cognitive benefits.

Saffron

• Shown in studies to reduce inflammatory markers such as CRP and pro-inflammatory cytokines.

Other Notable Spices and Herbs

• Black pepper (especially when combined with turmeric)
• Rosemary
• Thyme
• Coriander
• Parsley
• Bay leaf
• Sesame

How to integrate spices to your meals

• Research has shown that consuming a blend of spices (including basil, bay leaf, black pepper, cinnamon, coriander, cumin, ginger, oregano, parsley, red pepper, rosemary, thyme, and turmeric) can significantly lower inflammation markers after a high-fat, high-carb meal.

• Add turmeric and black pepper to curries, soups, or smoothies.
• Grate fresh ginger into stir-fries, teas, or baked goods.
• Use garlic in sauces, marinades, or salad dressings.
• Sprinkle cinnamon on oatmeal, yogurt, or coffee.
• Add cayenne pepper to soups, stews, or roasted vegetables.
• Use fresh or dried oregano, basil, and sage in Mediterranean or Italian dishes.
• Experiment with spice blends for maximum benefit.

Best anti-inflammatory foods: what to avoid

To maximise the benefits of an anti-inflammatory diet for lipoedema management, it’s equally important to limit or avoid certain pro-inflammatory foods:

• Processed foods 
• Trans fats
• Refined products
• Excessive salt
• Alcohol
• Sugar
• Fatty cuts of red or any meat.

7 Days Sample Meal Ideas

Incorporating anti-inflammatory foods can be easy. Here are some simple meal ideas:

Monday

• Breakfast: Scrambled eggs with turmeric and spinach cooked in olive oil.
• Lunch: Grilled salmon on a bed of mixed greens with avocado slices and olive oil dressing.
• Snack: Bell pepper strips with guacamole.
• Dinner: Roasted cauliflower soup with fennel and ginger paired with quinoa salad.

Tuesday

• Breakfast: Scrambled eggs with onions and tomatoes
• Snack: Sliced apple with almond butter (sugar free)
• Lunch: Grilled chicken (use spices like turmeric, rosemary and black pepper) salad with mixed greens, cucumbers, and chia seeds.
• Dinner: Grilled salmon with roasted Brussels sprouts and sweet potatoes (eat the carbohydrate at the end for best results)

Wednesday

• Breakfast: Greek yogurt with berries and chia seeds
• Snack: Celery sticks with hummus or baba ghanoush 
• Lunch: Turkey and vegetable wrap (use cabbage to wrap the other veggies) with avocado spread
• Dinner: Baked chicken with roasted asparagus and quinoa

Thursday 

• Breakfast: Oatmeal with walnuts and cinnamon powder
• Snack: Blueberries with mixed nuts, add Greek you if you like it
• Lunch: Lentil soup with a side salad
• Dinner: Grilled steak with roasted cauliflower and fresh vegetables

Friday

• Breakfast: Smoothie with spinach, berries, almond milk
• Snack: Sliced bell peppers with your favorite deep (hummus, baba ganoush or one made of beans)
• Lunch: Grilled chicken with mixed greens, cherry tomatoes, and avocado
• Dinner: Baked salmon with roasted zucchini and fresh greens

Saturday

• Breakfast: Scrambled eggs with sautéed mushrooms and onions
• Snack: carrot slices with cashew butter
• Lunch: shrimps  with mixed greens, cherry tomatoes, and cucumbers
• Snack: Cherry tomatoes with mozzarella cheese
• Dinner: Grilled shrimp with roasted broccoli and quinoa

Sunday

• Breakfast: Greek yogurt with berries and granola (home made)
• Snack: Fruit and nuts
• Lunch: Grilled chicken with mixed greens, cherry tomatoes and baked cauliflower
• Dinner: Baked fish with roasted asparagus

Bonus

• Breakfast: Smoothie with kale, pineapple, and coconut milk
• Snack: Greek yogurt with roasted mixed seeds 
• Lunch: Tuna salad with mixed greens, cherry tomatoes, and olives
• Snack: Pineapple chunks
• Dinner: Tofu with roasted Brussels sprouts and fresh veggies

A final word

An anti-inflammatory diet is a powerful tool for managing lipoedema symptoms. By focusing on nutrient-dense foods like omega-3-rich fish, leafy greens, berries, whole grains, and healthy fats while avoiding inflammatory triggers, individuals can reduce pain and swelling while improving overall health. For personalised advice tailored to your specific needs, consult your GP, lipoedema therapist and registered dietitian experienced in lipoedema management.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.health.harvard.edu/staying-healthy/quick-start-guide-to-an-antiinflammation-diet

https://www.medicalnewstoday.com/articles/322897

https://www.medicinenet.com/10_herbs_and_spices_that_fight_inflammation/article.htm

https://www.lifeextension.com/wellness/herbs-spices/herbs-spices-inflammation

The post Top Anti-Inflammatory Foods for Lipoedema appeared first on Perea Clinic.

Lipoedema is a chronic condition characterised by the abnormal accumulation of fat in specific areas of the body, primarily the legs, hips, buttocks and, in some cases, arms. This condition predominantly affects women and is often accompanied by pain, bruising, and swelling. As chronic inflammation is the main cause or risk factor for many long-term conditions, nowadays. So, it is key to change our habits where proper nutrition (anti-inflammatory) can play a vital role in managing symptoms, improving quality of life, and avoiding the progression of chronic conditions like lipoedema.

Why start an anti-inflammatory diet for lipoedema?

Essentially, lipoedema has demonstrated an autoimmune response at the adipose tissue level. This excessive immune response is caused by repeated exposure to endogenous (inside) or exogenous (outside) stress factors, resulting in chronic low-grade inflammation with negative effects on adipose tissue. For that reason, it is pivotal to incorporate anti-inflammatory products, food and routines to our daily habits, while eliminating those that increase inflammation.

The Role of Nutrition in Lipoedema Management

1. Reducing Inflammation: Many foods have anti-inflammatory properties that can help reduce swelling and discomfort associated with lipoedema. Diets rich in antioxidants, healthy fats, and lean proteins are particularly beneficial.
2. Managing Weight: Although weight loss alone does not resolve lipoedema fat tissue, maintaining a healthy weight can alleviate additional strain on joints and reduce symptoms such as pain and fatigue while slowering fat build up. Combining dietary changes with exercise further supports this goal.
3. Improving Blood Sugar Regulation: Stable blood sugar levels are crucial for minimising fat storage and inflammation. Avoiding high-glycemic foods like refined sugars and white flour products is crucial.

Best Diets for Lipoedema

Several dietary approaches have been shown to improve lipoedema symptoms, some of them are:

Mediterranean Diet

• Focuses on fresh vegetables, fruits, whole grains, fish, olive oil, and nuts.
• Known for its anti-inflammatory benefits and ability to stabilise blood sugar levels.
• Reduces inflammation while promoting cardiovascular health.
• It´s the diet used in blue zones where people are healthier and prone to live longer.

Ketogenic Diet

• A low-carb, high-fat (good fats) diet that induces ketosis, encouraging the body to use fat as its primary energy source.
• Helps reduce inflammation and improve pain management.
• Supports gradual weight loss in some patients.
• Always ask a nutritionist to introduce and monitor this type of diet.

Anti-Inflammatory Diet

• Emphasises foods like fatty fish (e.g., salmon), leafy greens (e.g., spinach), berries (e.g., blueberries), nuts, seeds, and herbs like turmeric and ginger.
• Avoids pro-inflammatory foods such as processed snacks, sugary drinks, and alcohol.

Practical Dietary Tips

Here are a few tips to optimise your nutrition program for lipoedema management.

• Consume Fresh Products: Include a variety of fresh vegetables like broccoli and zucchini, green leaves, etc. However, limiting high-sugar fruits such as bananas or grapes; instead, you can eat all types of berries and low fructose products.
• Choose Healthy Fats (rich in Omega3): Incorporate sources like avocado, olive oil, nuts, and seeds while avoiding trans fats found in processed foods.
• Reduce Salt Intake: Excess salt can lead to water retention in tissues; instead, you can opt for low-sodium alternatives.
• Stay Hydrated: Drink at least two liters of water daily to support lymphatic function.
• Avoid Blood Sugar Spikes: Avoid consumption of refined/processed products.
• Exercise Regularly: Pair dietary changes with physical activity to enhance mobility and manage stress.

A final word

When you change your eating habits to a tailored nutritional approach combined with lifestyle modifications such as exercise and stress management, you, as a lipoedema patient, will experience significant improvements in your symptoms and overall well-being.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pmc.ncbi.nlm.nih.gov/articles/PMC9194022/

https://pmc.ncbi.nlm.nih.gov/articles/PMC9710418/

https://www.lymphapress.com/blog/lipedema-diet-and-inflammation-tips-you-need-to-know/

https://pmc.ncbi.nlm.nih.gov/articles/PMC10748777/

https://lipedema.net/nutritious-eating-to-reduce-lipedema/

https://www.sciencedirect.com/science/article/pii/S0306987720333260

The post The Role of Nutrition and Anti-inflammatory Diets for Lipoedema appeared first on Perea Clinic.

Fat dissolving injections have become a tendency when we talk about fast reducing and body shaping solutions. However, there are many questions our patients have related to this topic; for that reason, I wrote this blog for you. I hope all your doubts can be solved, so let´s begin…

1.What are fat dissolving injections?

Intralipotherapy (lipotropic injections) is an aesthetic treatment that consists of injecting (fat removing substances (lipotropes-Aqualyx)) in areas with excess fat. These substances help to dissolve adipose tissue, converting fat into a liquid that will be expelled by urine.

2.Do fat dissolving injections really work?

Yes, they do. They improve the appearance and profile of moderate to severe submental fat. Deoxycholic acid is in a class of medications called cytolytic medications. It works by breaking down cells in fatty tissue.

3.Are they safe?

One of the most important characteristics of these injections is that they are 100% safe and biocompatible (do it in a certified place). Let me explain it to you better, your lymphatic system is in charge of draining the liquified fat and the remaining substances. Then, your body will eliminated all naturally (by urine). However, in order to have long lasting results, you should keep a healthy diet and exercise.

4.What are these injections (Aqualyx) made of?

Some of the most known ingredients are:

• Deoxycholic acid
• Buffering chemicals
• Sodium chloride
• Red microalgae sugars
• Other sugars
• Water

5.When can I see results?

The process is gradual, so you will notice the results after some weeks (depends on each body respond´s). However, final outcomes might be seen two to three months after the procedure.

6.Do these injections work on belly fat?

Lipotropic injections do work in belly fat, also they are used to reduce fat deposits in:

•  hips
• jowls
• back fat
• abdomen
• thighs
• knees 
• arms
• waist
• chest fat
• armpits

7.How long do fat dissolving injections last?

The achievements of fat dissolving injections (slimmer and contoured body shape) last the longer you maintain a healthy lifestyle (exercise and diet) and regular massage-lymphatic drainage to keep draining wastes/toxins and contouring your body.

8.Should I massage after the procedure (fat dissolving)?

Absolutely yes! and the most effective treatment is  MLD ( manual lymphatic drainage) because the main objective of MLD after lipotropic injections is to eliminate liquids that contain toxins and wastes (dissolved fat) to stimulate and activate circulation, thus reducing swelling. Then, you will expel  by urine a large part of the fats that obstruct circulation.

 Other benefits of MLD 

• Stimulates kidney functions.
• It’s useful for the treatment of blood circulation problems (venous insufficiency).
• Helps to reduce lymphatic problems.
• Stimulates the immune system, increasing the body’s own defenses.
• Helps to protect your body against bacteria and viruses as it works in conjunction with the immune system.
• It has a calming effect on the autonomic nervous system.
• Its direct effect on the parasympathetic system generates a relaxing effect.
• Tones the intestine, which helps fight constipation.
• Regulates the body’s water balance.
• Lowers blood pressure.
• Reduces stress

9.How often should I massage after the procedure?

You should start your massage treatment 3-7 days after the procedure to speed up recovery, decrease lumpiness and swelling and contour your body. Treatment sessions will be agreed and tailored with your therapist according to your needs.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. 

We are always happy to help. If you like this blog, please share!

References:

https://docs.google.com/document/d/15Oiw6nNwqwkKagL-g8wdmyqM-F1dXbslrEbcw0LAY3U/edit

https://artisanclinics.com/blog/the-truth-about-fat-dissolving-injections/#:~:text=Fat%20dissolving%20injections%20can%20help,healthy%20diet%20and%20regularly%20exercise.

The post Fat dissolving injections and massage appeared first on Perea Clinic.

Christmas is getting close and if you are hosting this holiday, Christmas dinner is one of your most important worries. At this point, you may be thinking about what to eat and how many calories should it have in order to be healthy (no regrets for 2023). I have the same concern about holidays, so in this blog, I want to share with you some options you can have for your dinner and the amount of calories each recipe has, this way you can choose what fits best your needs. 

Why should I count calories on Christmas?

The average amount of calories you eat on Christmas day are 5,373 (beverages included). This is the twice recommended amount for men and three times for women, so think about how much time you will need to burn out all those extra calories.

In addition, there are studies that have shown that most people gain 4lbs between Christmas and New Year’s eve. 

In other words, if you have been looking after your health and weight, why put everything in the trash? There are options that you can take into account to continue taking care of your general wellbeing.

Let’s start with beverages…

How many calories are in the Christmas traditional beverages?

I share this list with you, then you choose what you like the most and is best for your diet.

Examples of menus and amount of calories

Average Christmas dinner. These are the dishes that have never failed on our table since we were little kinder.

• Roast turkey (149 calories)
• Roast potatoes (127 calories)
• Stuffing (231 calories)
• Bread sauce (42 calories)
• Roast parsnips (102 calories)
• Boiled carrots (14 calories)
• Boiled Brussels sprouts (32 calories)
• Gravy (17 calories)
• Cranberry sauce (45 calories)
• Pork sausage (62 calories)
• Bacon (135 calories)

Desserts

• One slice of Christmas cake (249 calories)
• One portion of chocolate log (101 calories)
• One portion of cheese and biscuits (394 calories)
• Christmas pudding with cream (587 calories)
• Mince pie and cream (368 calories)

Know more options here

Vegetarian options

Starters

• Pumpkin, goat’s cheese, and parmesan savoury muffins (110 cal per serve)
• Hummus dip with veggie sticks or crackers (140 Cal per serve)
• Guacamole (110 Cal per serve)

Mains

• Veggie Packed Ginger & Tofu Stir-Fry. For an added Christmas touch, you can sprinkle on some cranberries.(410 calories per serve)
• Spinach and Sweet Potato Lasagne (411 calories per serve)

Sides

• Onion and Brie Yorkshire Pudding Bites (151 calories per serve)

• Courgetti and Parmesan Fritters (278 calories per serve)

• Broccoli, Spinach and Feta Frittata (285 calories per serve)

Deserts

• Sugar-Free Mince Pies (200 calories per serve)

• Healthy Fruit Trifle (173 calories per serve)

• Ginger Stars (194 calories per serve)

To know the recipes and get more ideas for a veggie Christmas visit this here

A final word

There are different menus you can do to enjoy Christmas dinner, just choose what is best for you and your guests. And if you want to continue having a healthy Christmas visit our blog.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References

https://www.mirror.co.uk/news/health/how-many-calories-actually-christmas-11733044)
https://www.performgym.co.uk/christmas-dinner-calories/
https://www.healthymummy.co.uk/healthy-recipes/15- Christmas-recipes-vegetarian

The post Enjoy a healthy Christmas! appeared first on Perea Clinic.

Many patients visit our clinic to receive a MLD (manual lymphatic drainage) treatment after lipotropic injections- Aqualyx. You may ask, why? First, because MLD speeds up the draining process. Second, due to its multiple benefits in addition to the improvement of the effects of the injections. Let’s go deeper…

1.What are lipotropic injections?

Intralipotherapy (lipotropic injections) is an aesthetic treatment that consists of injecting fat removing substances (lipotropes-Aqualyx) in areas with excess fat. These substances help to dissolve adipose tissue, converting fat into a more easily to expel liquid. 

2.What is Aqualyx?

Aqualyx is made of Deoxycholic acid DC and  is the most used substance in lipotropic injections. It  improves the appearance and profile of moderate to severe submental fat. Deoxycholic acid is in a class of medications called cytolytic medications. It works by breaking down cells in fatty tissue. 

One of the most important characteristics of these injections is that they are 100% safe and biocompatible. Let me explain it to you better, your lymphatic system is in charge of draining the liquified fat and the remaining substances. Then, all will be eliminated from your body naturally (urine).

3.What is Aqualyx made of?

Some of its main ingredients are:

• Deoxycholic acid
• Buffering chemicals
• Sodium chloride
• Red microalgae sugars
• Other sugars
• Water

4.Who can use lipotropic injections?

People who want to eliminate fat deposits without surgery and is allowed by their GP to do it.

5.What are the benefits of lipotropic injections?

The most common benefits are:

• Reduce localised fat
• Reduces volume (size)
• Fast treatment 
• It is performed on an outpatient basis (no-surgery)

6.What parts of the body can be treated with lipotropic injections?

This treatment  is especially indicated to eliminate localised fat on your:

•  hips
• Jowls
• back fat
• Abdomen
• Thighs
• knees 
• Arms
• Waist
• Chest fat
• Armpits

7.What can I expect during the procedure?

• The substance is injected with only a puncture and a very fine cannula into the adipose tissue, liquefying the fat. 
• The lymphatic system eliminates naturally the lipids (fats). 
• You may need about  three sessions to get the results you desire, remember each case is different. Each session needs three weeks of rest between them.
•  It is a procedure that does not require anaesthesia.
• MLD improves and speeds up results.
• After finishing the injections, you may not feel discomfort.

8.Does Aqualyx have any risks ?

The side effects of Aqualyx-fat loss injections are mild. You may experience pain, light bruising or swelling around the injection area for a few days after treatment. 

It is not suitable for:

• pregnant or lactating women 
• people with diabetes
• liver or kidney disease
• skin issues
• patients with severe autoimmune diseases
• immunosuppressed patients
• patients with diseases affecting the organs.

Before using lipotropic injections, talk to your GP if Aqualyx is right for you. 

9.How does MLD  improve the benefits of lipotropic injections?

The main objective of MLD after lipotropic injections is to eliminate liquids that contain toxins to stimulate and activate circulation, thus reducing swelling and a large part of the fats that obstruct circulation are expelled through urine. Other benefits of MLD are:

• Stimulates kidney functions.
• It’s useful for the treatment of blood circulation problems (venous insufficiency).
• Helps to reduce lymphatic problems.
• Stimulates the immune system, increasing the body’s own defences.
• Helps to protect your body against bacteria and viruses as it works in conjunction with the immune system.
• It has a calming effect on the autonomic nervous system.
• Its direct effect on the parasympathetic system generates a relaxing effect.
• Tones the intestine, which helps fight constipation.
• Regulates the body’s water balance.
• Lowers blood pressure.
• Reduces stress

And there are more benefits, know all of them here

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.topdoctors.es/diccionario-medico/intralipoterapia#

https://www.medicalnewstoday.com/articles/lipotropic-injections

https://medlineplus.gov/druginfo/meds/a615026.html

https://harleystreet-md.co.uk/blog/fat-dissolving-injections-safe/

https://www.looklovelylondon.co.uk/aqualyx-fat-dissolving-injections/

https://www.drelif.co.uk/treatments/fat-dissolving-injections/fat-dissolving-injections/

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If that’s your case, let me tell you my dear friend that you are not alone, in 2019, roughly 27 thousand cosmetic surgeries were carried out in the UK.  When considering cosmetic procedures such as a nose lift or lip enhancement, one of the most  concerns for some people is wound healing, especially if the surgery has been done abroad. What to do if the wound gets infected, how to clean it daily without medical assistance and so on. It is important to take care of the wound in order to speed up the healing process, prevent complications and have the nice results you expect. 

The first step in your wound healing process is to follow your surgeon’s instructions in order to prevent further issues (infections or visible scars). In this blog, I give you 7 tips you can take into account to take care and speed up the wound healing process, let´s know them!

1.Keep your incision clean and dry.

Keep your incision clean and dry all the time, don’t allow water in your wound for the first 24 hours after surgery, or until the plastic surgeon recommends it. 

On the other hand, you have to avoid non-prescribed ointments, creams, lotions or gels in the wound at least 2 weeks after surgery. If there is an opening or a spitting stitch (that’s a separate issue and you need to talk to the surgeon or nurse). Excess of moisture can cause the stitch to fall and open, that is the reason why the incision must be dry. 

If you notice  that your wound takes longer to heal, sometimes this is due to lack of ventilation to the wound. Remove your garment for one or two hours per day and allow the wound to get fresh air, of course talk to your surgeon first.

2.Good energy means eating properly and stay hydrated

Food is your principal source of energy and helps your body to heal properly. However, not all foods are good for you, eat what benefits your body the most, in my blog What to eat to heal faster you can find more information on what to eat and what to avoid.  

Food has different roles for example:

• increase wound healing
• anti-inflammatory 
• boost your immune system
• create new blood cells
• reduce swelling
• heal faster
• etc.

As food is key for wound healing it is also hydration. Increase your plain or flavored water intake in order to eliminate toxins and residual products from the surgery, but avoid high calorie (sugar added) and carbonated beverages.

3.Clothes matters

What you wear is important for wound healing. Avoid tight and synthetic clothes specially on the incision area because it can cause irritation. In addition, according to your surgery type you will have to wear a compression garment right after surgery. It is key to reduce swelling and edema, increase fluid and lymph flow, help contour the area and protect the incisions from direct rubbing, so look for the correct one that really fits you. Invest in good quality garments to avoid skin and wound irritation (Colombian brands are the best!). 

4.Movement vs Rest 

It is important to move right after surgery. Move as much as you can, but be careful. You can start with walking or pumping exercises, these improve blood flow, prevent blood clots and increase lymph movement. All of them improve and speed up wound healing.

On the other hand, you should always listen to your body. If you feel tired just rest! You may feel anxious about getting back to work, but allow yourself to rest as needed. Ask your surgeon about returning to your daily life activities and follow her/his instructions.

And don’t forget to avoid movements that may affect the wound or its surrounding area. 

5.No sun = no visible scar

Sun exposure increases the risk of hyperpigmentation in wounds, so avoid direct sun exposure as much as you can and always wear sunscreen and sun protection clothing.

6.Manual lymphatic drainage to heal fast

MLD has many benefits, some of them are: 

• reduce swelling and edema, 
• improve lymphatic and blood flow, 
• reduce toxins and wastes, 
• boost your immune system 
• increase wound healing
• and more…

7.Bonus… (I think my wound could be infected)

call your surgeon or GP if there is:

•  too much pain in the area
• signs of infection like redness, heat  or swelling
• unexpected bleeding or pus
• bad smell
• your wound gets bigger or deeper
• necrosis ( black area around the wound)
• fever

A final word…

Every day more people book their post-surgery treatment even before surgery to speed up wound healing, reduce post-surgery risks and have better and long lasting outcomes. If that is your case do it with those who treat you better!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in  Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References: 

https://www.statista.com/statistics/594628/plastic-surgeons-in-the-united-kingdom-uk-by-staff-grade/#:~:text=In%202019%2C%20roughly%2027%20thousand,fold%20between%202003%20and%202015.

https://www.webmd.com/first-aid/surgical-wound-care#091e9c5e81126fd2-2-5

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Angry, cold sensation, anxious , depressed or physically  ill? If you have been feeling unwell for a long period of time may is time to check your Doshas (the 3 bio-energies that composed all matter) because they can be unbalanced.

In this blog, you can find different tips to know if your Doshas are unbalanced and how to get your balance back!

Let´s start…

What is Ayurveda?

Ayurveda is a short term people use for ayurvedic medicine. It is one of the oldest holistic medicines that improves your general wellbeing. The term Ayurveda means ayur (life) and veda (science). In other words, Ayurveda translates the science of life.  On our previous blog you can find the most important characteristics of this holistic medicine.

According to Ayurveda, our universe consists of five elements:

1. Ether
2. Air
3. Earth
4. Fire
5. Water

Ayurveda says that there are three principle bio-energies, these are the Doshas (vatta, pitta and kapha). They exist in all matter and every Dosha is also composed by different combinations of the five elements. So your body is composed by the combination of Doshas.

Ayurvedic medicine: Principles

Ayurveda is based on the belief that health and wellbeing depend on the balance between your mind, body, and spirit. In other words, when you are in harmony with the universe, you have good health; however, when something disrupts this balance, you get sick.

Causes of unbalanced

Among the things that can disrupt this balance are:

• Genetics
• Birth defects
• Injuries
• Climate and seasonal change
• Age
• Emotions.

How  know if your Doshas are unbalanced and how to balance them back.

1.Vata where the air and space elements dominate

Imbalance characteristics 

• Constipation
• Gas formation
• Belly distension
• Dehydration
• Astringent taste in mouth
• Dry and rough skin
• Pains or general body-ache
• Loss of strength and fatigue
• Disturbed or lack of sleep (Insomnia)
• Tremors and twitches
• Feeling vertiginous
• Sensitiveness to cold and desire for warmth
• Feeling anxious, nervous or stressed
• Desire of running away
• Feeling confused, fearful & shaky

What you can do to balance Vata

Cold causes Vata to contract and tighten, in addition, restricts the free flow of movement that is so vital to your well-being. Vata needs warmth on all levels. In other words, you need to feel warmed by everything that surrounds you (your friends and family, the environment, what you eat, etc.). Some examples of what you can do are:

• Stay warm.
• Choose hot foods like meals with sriracha and use natural spices (cinnamon, curcuma, etc.).
• Avoid extreme cold foods and frozen drinks.
• Minimize consumption of raw foods, especially apples and members of the cabbage family.
• Moderate your consumption of beans.
• Make sure food is hot, moist and well lubricated, for example soup, hot drinks, and rice with a little oil or butter.
• Choose sweet, sour, and salty flavours in your food.
• Keep a regular routine.
• Create a safe, calm, and secure environment (as much as you can).

Pitta where the fire element dominates

Imbalance characteristics

• Lethargy
• Decreased or no appetite at all
• Nausea
• Water retention
• Congestion, mucous formation
• Mouth secretions
• Breathing difficulties
• Excessive sleep
• Sweetness in mouth
• Feeling of heaviness
• Depression, sadness
• Dull, inactiveness
• Feeling unsupported or unloved
• Feeling greedy, entangled, possessive

How to balance Pitta

Pita is balanced when: First, you can trust your feelings and express them in ways that make you feel supported for those around you. Second, when you live your life with joy and courage. Remember that it is much easier to stay calm and focused when eating a diet that supports Pitta, there are some tips for you:

• Stay cool.
• Avoid excessive heat, steam and moisture.
• Avoid excess oils, fried foods, caffeine, salt, alcohol, red meat, and hot spices.
• Increase the consumption of fresh fruits and vegetables.
• Consume milk and cottage cheese.
• Eat whole grains.
• Get plenty of fresh air.
• Try to avoid anger (use techniques that help you like meditation or breathing exercises).

Kapha where the earth and water elements dominate

Imbalance characteristics

• Excessive thirst or hunger
• Heartburn and acidity
• Burning sensation in eyes, hands and sole
• Hot flushes in body
• Skin rashes, acne, and boils
• When you vomit bile (yellow water)
• Hypersensitivity to light
• Strong body odor
• Nausea and headache
• Loose motions
• Bitter taste in the mouth
• Sensitiveness to heat and desire for a cool environment
• Snappy speech and actions
• Judgmental or criticizing tendencies
• Anger, irritability, hostility
• Argumentative or aggressive attitude
• Impatience and restlessness
• Frustration

How to balance kapha

Allow excitement, challenge, and change in your life as much as possible. Thera are some tips for you:

• Get plenty of physical activity every day.
• Keep fat intake to a minimum.
• Avoid fried foods.
• Avoid iced foods and drinks.
• Reduce sweets, and excessive amounts of bread.
• Choose hot, light and dry foods.
• Reduce your consumption of liquids.
• Choose bitter and astringent taste when choosing foods and herbs.
• Fully enjoy fresh vegetables, herbs and spices.
• Get enough and good sources of carbohydrates to sustain and maintain adequate energy  levels.

A final word

Little changes can improve your general wellbeing. Be kind to yourself, look after you, try an ayurvedic massage, relax, enjoy what you do and love yourself.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.webmd.com/balance/guide/ayurvedic-treatments

https://www.keralaayurveda.us/courses/signs-and-solutions-for-fall-imbalance/

https://www.escuelaayurveda.com/blog/como-equilibrar-las-doshas-vata-pitta-y-kapha/

https://www.artofliving.org/in-en/ayurveda/what-is-ayurveda/dosha-imbalance

The post Ayurvedic medicine: how to balance your Doshas appeared first on Perea Clinic.

After surgery, many people want to take soft chews multivitamin supplements and eat well to improve wound healing, reduce inflammation and all the recovery process by itself. A balanced diet gives you all the nutrients, vitamins and proteins that your body needs, so If your diet is healthy and balanced you don’t need supplements. On the other hand, if there is a nutrient deficiency your surgeon will prescribe you a supplement to fulfill your needs.

If you are a healthy person and want to heal faster from any surgery or illness just eat real food and avoid sugars and process food, simply like that!

Let’s have a look at which nutrients and vitamins play a role during your recovery process. 

What does my body need to heal faster?

Vitamin C

Vitamin C is a powerful antioxidant. It helps collagen formation.

It strengthens your connective tissue in your skin, muscle and blood vessels.  In addition, Vitamin C reduces inflammation, boosts your immune system and improves wound healing. You can find it in:

Vegetables:

•  Leafy green vegetables
• Broccoli 
• Peppers
• Kale
• Spinach
• Arugula
• Mustard greens
• Swiss chard
• Brussels sprouts

Fruits: 

• Oranges
• Grapefruit
• Guava 
• Blackcurrants 
• Papayas 
• Strawberries
• Lychees
• Persimmons
•  Kiwis
• Lemons

On the other hand, there is no proven risk associated with the intake of vitamin c daily but consult with your surgeon first. Some surgeons prescribe a supplement of 1-2 grams daily from wound onset until healing is complete. 

Vitamin A

Vitamin A is key and helps us with  many important and diverse biological functions. Some of them are: reproduction, embryological development, cellular differentiation, growth, immunity, and vision. Besides, when we talk about wound healing, it stimulates epidermal turnover, promotes collagen production, and accelerates the wound healing process.

Food sources of Vitamin A are:

• Leafy green vegetables (kale, spinach, broccoli)
• Mango, cantaloupe melon, watermelon, orange.
• Yellow vegetables (carrots, sweet potatoes, pumpkin and other winter squash, summer squash)
• Tomatoes
• Red bell pepper
• Cantaloupe
• Beef liver
• Fish oils
• Milk
• Eggs

But if you want to intake vitamin A supplements ask your surgeon first.

Zinc

Zinc is an essential micronutrient for your health. As its major role, it regulates every phase of the wound healing process; ranging from membrane repair, oxidative stress, coagulation, inflammation and immune defense, tissue re-epithelialization (resurfacing of a wound with new epithelium/skin or tissues), angiogenesis (process to form new blood vessels), to fibrosis/scar formation. When you are healthy, you get enough zinc through your diet, so there is no need for a supplement. Zinc is found in: 

• Meat
• Shellfish
• Legumes
• Nuts 
• Seeds
• Dairy 
• Eggs

Bromelain

Bromelain is a mixture of enzymes that help to digest protein. In addition experts think that it helps to reduce swelling and inflammation after surgery. It is found in the fruit, skin and juice of the pineapple plant. However, if you want to take a supplement of it just ask your surgeon first.

Importance of good nutrition to heal

Protein malnutrition causes a decreased synthesis of protein and cell production; also, reduced immune function, and delayed progression of all phases of wound healing. In addition, vitamin and mineral deficiencies impair tissue synthesis, low energy production, reduced immune function, among others.

7 products to heal faster

1.Leafy green vegetables

They are high in vitamin C, manganese, magnesium, folate, and provitamin A, all of which are essential for immune function and overall health. They’re also rich in polyphenol antioxidants that have powerful anti-inflammatory and immune-supportive properties.

2.Eggs

Following surgery, your body needs more protein than the current recommended for tissue repairing.  Daily Allowance (RDA) of 0.36 grams per pound (0.8 grams per kg) of body weight.

After surgery, it is recommended to consume 0. 7–0.9 grams of protein per pound (1.5–2 grams per kg) of your body weight. That is to say, 105–135 grams for a 150-pound (68-kg) person.

3.Salmon

Protein, B vitamins, selenium, iron, zinc, and omega-3 fats key in wound healing.

4.Berries

They are full of antioxidants, are a good source of vitamin C. Berries have anti-inflammatory, antiviral, and immune-supporting effects.

5.Nuts and seeds

They are a good source of zinc, vitamin E, manganese, and magnesium. Vitamin E is an antioxidant that protects your body against cellular damage and boosts the immune system. Vitamin E improves the function of protective immune cells that help fight infection and disease.

6.Sweet potatoes

They are a healthy high carb source. Carbs provide energy to your cells (needed for healing) and also enzymes like hexokinase and citrate synthase, which improve wound repair.

7.Cruciferous veggies

These kinds of veggies have glucosinolates, then your body converts them into isothiocyanates. Isothiocyanates main functions are:  promote immune health by suppressing inflammation, activating immune defenses, and inducing death in infected cells.

A bit extra…

Arnica Montana

Arnica Montana is a flower that is made into a soothing ointment, gel, cream, or pill that helps you heal with comfort after local trauma. 

Surgeons may recommend Arnica Montana (topical gel or cream) to reduce bruising and swelling after surgery, liposuction (5-7 days after surgery), certain facial procedures or injectable treatments (but only on certain areas). Never apply it directly to open wounds or your incisions. Use it to lightly massage the areas of bruising around the cheeks, mouth or lower eyelids. Besides, it has other uses like:

• Reduce swelling and pain in joints
• Reduces insect bite discomfort
• Used in hair tonics and anti-dandruff products
• Others

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.researchgate.net/publication/335022073_The_Role_of_Vitamin_A_in_Wound_Healing

https://www.hsph.harvard.edu/nutritionsource/vitamin-a/

https://www.researchgate.net/publication/335022073_The_Role_of_Vitamin_A_in_Wound_Healing

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793244/#:~:text=Zinc%20is%20a%20micronutrient%20that,%2C%20to%20fibrosis%2Fscar%20formation.

https://pubmed.ncbi.nlm.nih.gov/29981800/#:~:text=Re%2Depithelialization%20describes%20the%20resurfacing,essential%20for%20successful%20wound%20closure.

https://www.healthline.com/nutrition/proteolytic-enzymes#TOC_TITLE_HDR_3

https://www.crawfordplasticsurgery.com/use-arnica-montana-reduce-swelling-and-bruising-after-surgery#:~:text=Various%20Usages%20of%20Arnica,joint%20problems%2C%20and%20cartilage%20pain

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC539394/

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