ReAbility MD

02/26/2026

Botox and other botulinum toxins are used to help relive spasticity - or tight muscles caused by damage to the central nervous system from conditions, such as stroke, MS, spinal cord injury, and traumatic brain injury. I love performing these injections for my patients because it is so gratifying to see their pain decrease and their function increase!

Questions about Botox or toxins? Comment below 👇

01/03/2026

01/02/2026

🔍 New Way to Measure Body Fat: Relative Fat Mass (RFM)



What is RFM?

Relative Fat Mass is a simple, accurate method to estimate whole-body fat percentage using just height, waist circumference, and s*x. Unlike BMI, which can’t distinguish between muscle and fat, RFM specifically targets body fat—the key driver of obesity-related health risks.

The Formula:

- Adults: 64 - (20 × height/waist) + (12 × s*x)

- S*x = 0 for men, 1 for women

Why It Matters:

RFM outperforms BMI in estimating actual body fat percentage when compared to gold-standard imaging (DXA scan).

Obesity Cutoffs:

- Women: ≥40% indicates obesity

- Men: ≥30% indicates obesity

These thresholds are associated with increased all-cause mortality risk.

BMI does not accurately predict risk for lots of different populations, including people with disabilities and athletes. It was not developed and was never validated to make individual health decisions. AND RFM de-emphasizes the number on the scale!

If you are looking for guidance to separate science from quack 🦆 on your journey to wellness, visit the link in my bio to schedule an appointment online or call ReAbility MD at 949-381-1169.

01/02/2026

Well an insurance company found yet another way to not pay physicians. Anthem’s parent company generated almost $6 BILLION (with a B) in profit last year. But yeah sure paying physicians for the time and care they provided to patients is going to break their bank.

01/01/2026

The pill formulation of Wegovy was approved just in time for your New Year’s resolution! If you have been hesitant to self inject, this pill form may be the solution - along with appropriate nutrition and physical activity, of course - for you. Payment options are now available to make this medication more affordable and accessible. I am proud at ReAbility MD to offer comprehensive weight management solutions tailored to you and your goals. Are you ready to learn how to finally succeed in your weight loss goals? Click on the link in bio to schedule online or call 949-381-1169. And be sure to follow for daily insights not only about weight management, but the broad spectrum of care I offer at ReAbility MD to optimize your function and become your best you.

12/05/2025

Kneepolean Boneapart is almost ready for his side gig as a mall Santa 🎅. Hmmmm…does he need a beard? 🤔 Tell me what you think!

11/11/2025

TED style presentations designed to pique the hard questions ➕ a room full of thinkers unafraid to ask - and answer - those questions 🟰 innovations in how we care for our patients.

It was a humbling privilege to be in that room this weekend at the 2025 Hoag Neuroscience Symposium, to hear physicians deeply committed to their responsibility to patients discuss everything from how personal connections are protective against neurodegeneration to how AI will not replace the physician patient relationship, but enhance it by decreasing our intellectual capacity leaving more room for humanity. A huge thanks to Dr. Adam Kanter, and the Pickup Family Neurosciences Institute, and all the sponsors for bringing this symposium to life.

11/04/2025

Food insecurity—limited or uncertain access to enough nutritious food—has serious health consequences for people of all ages. It affects nearly 13% of U.S. households, with even higher rates among Black, Hispanic, and American Indian/Alaska Native communities.[1]

Food insecurity is linked to a wide range of health problems, including poor child development, mental health issues, chronic diseases like diabetes and heart disease, and even increased risk of premature death.[2][3]

These health effects persist even after accounting for income and other social factors, highlighting the unique impact of food insecurity itself.[2]

Orange County is no stranger to food insecurity with about 1 in 8 experiencing this trauma. Please consider supporting Second Harvest in their mission - even more critical now during this lapse in federal benefits. You can donate through my virtual fundraiser at the link in bio.

References

1. Preventive Services for Food Insecurity: Evidence Report and Systematic Review for the US Preventive Services Task Force. O’Connor EA, Webber EM, Martin AM, et al. JAMA. 2025;333(15):1340-1351. doi:10.1001/jama.2024.22805.
2. Effects of Food and Nutrition Insecurity on Global Health. Gallegos D. The New England Journal of Medicine. 2025;392(7):686-697. doi:10.1056/NEJMra2406458.
3. Screening for Food Insecurity: US Preventive Services Task Force Recommendation Statement. Nicholson WK, Silverstein M, Wong JB, et al. Jama. 2025;333(15):1333-1339. doi:10.1001/jama.2025.0879.

11/03/2025

Food insecurity—limited or uncertain access to enough nutritious food—has serious health consequences for people of all ages. It affects nearly 13% of U.S. households, with even higher rates among Black, Hispanic, and American Indian/Alaska Native communities.[1]

Food insecurity is linked to a wide range of health problems, including poor child development, mental health issues, chronic diseases like diabetes and heart disease, and even increased risk of premature death.[2][3]

These health effects persist even after accounting for income and other social factors, highlighting the unique impact of food insecurity itself.[2]

Orange County is no stranger to food insecurity with about 1 in 8 experiencing this trauma. Please consider supporting Second Harvest in their mission - even more critical now during this lapse in federal benefits. You can donate through my virtual fundraiser at the link in bio.

References

1. Preventive Services for Food Insecurity: Evidence Report and Systematic Review for the US Preventive Services Task Force. O’Connor EA, Webber EM, Martin AM, et al. JAMA. 2025;333(15):1340-1351. doi:10.1001/jama.2024.22805.
2. Effects of Food and Nutrition Insecurity on Global Health. Gallegos D. The New England Journal of Medicine. 2025;392(7):686-697. doi:10.1056/NEJMra2406458.
3. Screening for Food Insecurity: US Preventive Services Task Force Recommendation Statement. Nicholson WK, Silverstein M, Wong JB, et al. Jama. 2025;333(15):1333-1339. doi:10.1001/jama.2025.0879.

11/02/2025

Switching from daylight saving time (DST) to standard time can disrupt your sleep and circadian rhythm, leading to increased sleep dissatisfaction, insomnia, and daytime sleepiness—especially in the week after the change. Here’s how to maintain healthy sleep habits during this transition, based on recent research:

✅ Stick to a consistent sleep schedule. Go to bed and wake up at the same time every day, even on weekends. This helps stabilize your internal clock and improves sleep quality.

❌ Avoid caffeine and heavy meals late in the day. These can interfere with falling asleep and sleep quality.

✅ Create a relaxing bedtime routine. Wind down with calming activities like reading or gentle stretching to signal your body that it’s time for sleep.

❌ Limit evening light. Reduce exposure to bright screens and artificial light in the hours before bedtime. Too much evening light can delay your sleep onset and worsen adjustment.

✅ Maximize morning light exposure. Get outside or open your blinds soon after waking. Morning light helps reset your circadian rhythm and makes it easier to adjust to the new time.

✅ Be patient with your body. It may take several days for your sleep to fully adjust after the clock change, especially if you’re naturally a night owl.

10/19/2025

Yesterday at the Hoag Spine Symposium, a room full of dedicated clinicians came together with the courage and the vulnerability to discuss challenging cases. The goal? Not just to hear how one physician did it “right”, but to hear from many different perspectives how their knowledge base and skillset would determine a different approach, an individualized approach. To learn how factors like loneliness and nutrition that have, in the past fallen outside of the traditional scope of any given field of medicine, cross all fields. To learn how nuances of cutting edge treatments, like PRP, can be quantified and applied to better treat patients. To breakdown silos. To collaborate. This is how we never stop learning, never stop growing, never stop pushing the boundaries to care for our patients.

05/22/2025

This is a room of people trying to disappear. We UNITED yesterday at the Women’s Philanthropy Fund breakfast(with the MOB - Men of Breakfast!) to try to make housing instability and food insecurity disappear in OC. offers financial counseling, housing and pantry assistance throughout the OC. And it’s working! An elementary school in Dana Point is no longer a Title 1 school because the number of students meeting the poverty threshold is now below federal standards. These are EXACTLY the types of things we want to LOSE, we want to disappear! But what was not lost was the the powerful message from the mentoring moms: Cynthia Bissett Germanotta, Helen Wilmot, and Heshmat Behzadi- moderated by the wonderfully dynamic Scharrell Jackson, shared the incredible ways mothering connects to mentoring and - most importantly - community. Always grateful to of for hosting and helping to make the impossible possible.