Lukner Medical Clinic, LLC

11/21/2025

From JAMA

is a common disease among older adults that weakens bones and increases the likelihood of fractures.

Worldwide, 1 in 3 women and 1 in 5 men older than 50 years have a bone fracture due to osteoporosis during their lifetime.

This JAMA Patient Page describes osteoporosis risk factors, symptoms, screening, diagnosis, and treatment. https://ja.ma/481nFIs

11/21/2025

🌈 Ever struggle to explain how you feel?
You’re not alone — and you’re not “too emotional” or “overreacting.” You might just need the right words. 💬❤️

At Lukner Medical Clinic, PLLC in Pampa, TX, we love tools that help people better understand their emotional health. One of our favorites is the Feelings Wheel by Gloria Willcox. 🧠✨

This simple but powerful visual helps you move beyond “I feel bad” or “I’m fine” and identify what’s really going on.
👉 Feeling “bad” might actually be overwhelmed, isolated, anxious, or frustrated.
👉 Naming specific feelings can make them easier to understand — and easier to cope with. 💛

Being able to say exactly what you’re feeling is a huge step toward emotional clarity, healthier communication, and overall well-being. 🌱

If you haven’t tried using a Feelings Wheel before, give it a look! It might surprise you how much clarity it brings. 😊

💙 Your feelings are valid. Your words matter. And we’re here to support your mental and physical wellness every step of the way.

11/18/2025

📢 An Important Update for Our Weight Loss Community!

At Lukner Medical Clinic, we are committed to supporting the health goals of Pampa and our surrounding communities.

We would like to share a new update from Novo Nordisk regarding Wegovy (semaglutide) pricing for self-pay patients.

This new offer, effective November 17, 2025, aims to make starting treatment more accessible.

✨ For New, Eligible Patients: You can start Wegovy® and pay $199/month for your first two monthly doses (the 0.25 mg and 0.5 mg starter doses). (This offer is valid for 2 monthly fills between 11/17/25 and 3/31/26.)

⚕️ For Existing, Eligible Self-Pay Patients: Please ask our team about other savings offers that may be available to you at our clinic.

Your health journey is our priority. If you have been considering medical weight loss or have questions about this change, we're here to talk.

Beyond weight management, Wegovy® is also the first and only FDA-approved weight-loss medication indicated to reduce the risk of major cardiovascular events (like heart attack and stroke) in adults with known heart disease and obesity or overweight.

📞 Contact Lukner Medical Clinic or New Phases Med Spa today to schedule a consultation and see if this is the right path for you.

Call: 806-329-3050

Visit: LuknerMed.com or NewPhasesMedSpa.com

Offer sponsored by Novo Nordisk. See full offer details, terms, and conditions: docupdate.io/v24lms

Click here for Prescribing Information, including Boxed Warning: docupdate.io/bob8dd

11/07/2025

🌿 From Pain to Peace: Healing is Possible 🌿

Sometimes the heaviest stories are the ones no one sees the quiet battles carried beneath a smile. At Lukner Medical Clinic, we’ve witnessed again and again how hope, science, and compassion can help rewrite those stories.

This is one of them. 💛

✨ Healing & Thriving: A Story of Transformation ✨

At Lukner Medical Clinic, we believe in the extraordinary resilience of the human spirit and the power of compassionate, evidence-based care to unlock healing.

While this story is fictional (we always honor client privacy), it reflects the real transformations we see in our work every day.

Meet “Sarah” 💫
“Sarah” came to us carrying the quiet, heavy burden of childhood trauma and the lingering impact of PTSD.

Work stress felt overwhelming every deadline brought waves of anxiety.

The beautiful chaos of motherhood sometimes tipped into panic, making it hard to stay present.

And friendships, though deeply wanted, were shadowed by fear of rejection and self-doubt.

For Sarah, the world often felt unpredictable… unsafe… exhausting.

A Path Toward Healing 🌱
Sarah began her therapeutic journey with EMDR (Eye Movement Desensitization and Reprocessing) a specialized, research-backed therapy that helps the brain reprocess distressing memories and reduce their emotional intensity.

In simple terms, EMDR allows the mind to heal itself just as the body knows how to recover from a physical wound.

Over time, Sarah began to notice subtle but powerful shifts.
The sharp edges of her past began to soften.
What once felt like an emotional landmine now felt manageable, distant, and safe to explore.

Step by Step, She Reclaimed Her Life 💪

She learned to:

• Rediscover confidence at work: Deadlines became tasks, not threats. Focus and energy returned.

• Find balance in motherhood: The everyday ups and downs felt less overwhelming, and moments of joy became easier to embrace.

• Build healthy, trusting connections: She learned to communicate openly, set boundaries, and nurture real friendships free from constant fear.

The Heart of Transformation ❤️
Sarah’s story reminds us that with the right guidance, healing is absolutely possible.
The pain of the past doesn’t have to define the future.

With time, care, and support, the empty spaces left by trauma can be filled with peace, confidence, and connection.

If you or someone you love is struggling with the echoes of trauma, please know this:

🌼 Hope and healing are within reach.

Reach out to us at Lukner Medical Clinic — we’re here to listen, to guide, and to help you heal. 💙

📞 806-339-3050
🌐 https://luknermed.com
💬 Learn more about healing for childhood and adult trauma.

11/07/2025

10/31/2025

Thank you to one of our Incredible Volunteers for always being there when we need help...Thank you Dale Garner! TRALEE AWESOME VOLUNTEERS

10/28/2025

Ever wondered if your pain is coming from your muscles, joints, or your nerves? It's a common question, and distinguishing between Myalgia, Neuralgia, or a different cause is key to finding relief!

Knowing the specific symptoms helps guide effective treatment. From constant aches to sharp twinges, the signs can vary greatly. If you're experiencing persistent pain, we at Lukner Medical Clinic are here to help you get to the root cause.

Disclaimer: This content is for informational purposes only and does not constitute medical advice. Please consult your healthcare provider for diagnosis and treatment of any illness or medical condition.

10/19/2025

🧠 HOW YOUR ORGANS “THINK” – THE HIDDEN CONNECTION BETWEEN STRESS, THE BRAIN, AND YOUR BODY

Did you know that several of your organs have their own networks of nerves that can act a bit like small control centers? These “local brains” help the organ respond automatically to changes in the body, but they also stay in constant communication with your main brain.

💩 THE GUT AND STRESS
Your digestive system contains a huge network of nerves called the ENTERIC NERVOUS SYSTEM. It has hundreds of millions of neurons — more than the spinal cord! This system keeps digestion moving, coordinates muscle contractions, and controls secretions. When the brain is stressed, it sends signals that can change gut motility and sensitivity. That’s why stress can worsen conditions such as IRRITABLE BOWEL SYNDROME (IBS). Stress doesn’t necessarily cause IBS, but it can make symptoms much worse.

❤️ THE HEART AND ITS LOCAL CONTROL
The heart has its own small network of neurons, sometimes called the heart’s “little brain.” These nerves help fine-tune the heartbeat and respond quickly to physical or emotional stress. The brain and heart are constantly sending messages back and forth, which is why emotional stress can raise your heart rate and blood pressure almost instantly.

⚡ THE ADRENAL CONNECTION
Your adrenal glands respond to stress by releasing adrenaline and cortisol. These hormones increase heart rate and blood pressure and direct energy to muscles. This is helpful during short-term stress, but chronic stress keeps these hormones elevated, putting extra strain on your heart and disrupting digestion.

💬 WHY THIS MATTERS
Many doctors and cardiologists consider STRESS one of the most important modifiable risk factors for heart disease. Chronic stress doesn’t just affect mood — it changes how your organs work. Poorly managed stress can worsen gut symptoms, raise blood pressure, and affect overall health.

🌿 TAKEAWAY
Managing stress isn’t just about feeling better emotionally — it’s also about keeping your body healthy. Relaxation techniques, good sleep, regular exercise, and mental-health support all help calm these organ “brains” and restore balance between mind and body.

At LUKNER MEDICAL CLINIC, we take a WHOLE-PERSON approach to health. If you’re experiencing stress-related symptoms in your heart, digestion, or energy levels, talk with your healthcare provider. Taking care of your mind is one of the best ways to protect your body. 💙

10/17/2025

MEDICAL RESEARCH UPDATE

At Lukner Medical Clinic, we believe medicine constantly evolves. As more research is done, we learn more and get better at what we do.

BETA-BLOCKERS AND HEART FAILURE:

Beta-blockers are proven, life-saving medications for heart failure. Multiple excellent studies from the late 1990s and early 2000s established their importance, and they remain essential treatment today.

AN INTERESTING QUESTION BEING RAISED:

As we review those landmark studies, researchers are asking: Do the trial populations match our real-world patients?

Here’s what’s interesting:

- Major carvedilol trials excluded patients with moderate to severe COPD
- Many heart failure patients are current or former smokers
- COPD and heart failure often occur together

THE SCIENCE:

Carvedilol is “non-selective” - it blocks both heart receptors (beta-1) AND lung receptors (beta-2). Other beta-blockers like metoprolol and bisoprolol are “cardioselective” - they focus more on the heart.

Beta-2 receptors help airways stay open and make rescue inhalers work. When blocked, inhalers may be less effective.

WHAT NEWER RESEARCH SHOWS:

Cardioselective beta-blockers may be just as effective for heart failure AND potentially safer for patients with lung disease. Both metoprolol and carvedilol have strong evidence from major trials.

This doesn’t mean carvedilol is wrong - it means we’re learning to match the right medication to the right patient.

HOW MEDICINE EVOLVES:

1990s-2000s: Trials prove beta-blockers save lives ✅
2010s: Which beta-blocker for which patient? 🤔
2020s: Refining treatment based on individual characteristics 📊

WHAT THIS MEANS:

If you’re on a beta-blocker and it’s working well, that’s excellent. Your doctor chose it based on your specific situation. All major beta-blockers (carvedilol, metoprolol, bisoprolol) have strong supporting evidence.

If you have both heart and lung problems, your doctor considers which option fits best. There’s no single “right” answer - it depends on your unique health factors.

THE BIGGER PICTURE:

- Original studies were excellent and saved lives
- As we treat more diverse patients, we ask better questions
- We learn to personalize medicine
- This improves care for everyone

WHY WE SHARE THIS:

Understanding that medical knowledge evolves helps you participate in your care. Your doctors constantly learn and refine their approaches - that’s a good thing.

The question “Is carvedilol the preferred beta-blocker for ALL heart failure patients, or does it depend on lung disease?” is exactly what drives better patient care.

THE TAKEAWAY:

✅ Beta-blockers save lives in heart failure
✅ Multiple options have strong evidence
✅ Matching medication to patient characteristics matters
✅ Medical knowledge continuously improves

At Lukner Medical Clinic, we stay current with research while respecting that medicine is both science and art.

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EDUCATIONAL POST ONLY: This shows how medical research evolves. Never change medications without consulting your healthcare provider.

10/17/2025

Vitamin Cheat Sheet (Evidence-Based)

🔥 Strong = RCT/Meta-analysis | ⚖️ Moderate = Observational/Population Studies | ❓ Limited = Expert Opinion or Weak Data

🔥 Vitamin A: Vision & Immunity | Carrots, Spinach

⚠️ Avoid high doses in pregnancy — teratogenic risk.

🔥 Vitamin B1 (Thiamine): Energy & Nerves | Whole Grains, Pork
🔥 Vitamin B2 (Riboflavin): Metabolism | Milk, Eggs
🔥 Vitamin B3 (Niacin): Skin & Cholesterol | Fish, Poultry
❓ Vitamin B5 (Pantothenate): Energy Metabolism | Avocado, Eggs — supplementation not recommended unless prescribed.
🔥 Vitamin B6: Brain & Mood | Bananas, Chicken
❓ Vitamin B7 (Biotin): Hair & Nails | Eggs, Almonds
🔥 Vitamin B9 (Folate): Fetal Growth | Leafy Greens, Legumes
🔥 Vitamin B12: Blood, Brain & Nerves | Meat, Dairy
🔥 Vitamin C: Antioxidant & Immunity | Citrus, Broccoli
🔥 Vitamin D: Bone Health (🔥) & Immunity (⚖️) | Sunlight, Salmon
❓ Vitamin D + K or A + D + K Combinations — evidence for added benefit is weak; use Vitamin D₂ or D₃ alone unless specifically prescribed by endocrinology or hepatology.

⚖️ Vitamin E: Antioxidant | Nuts, Seeds, Oils
⚠️ Avoid oral and topical supplements except when prescribed for biopsy-proven MASLD (NASH) per AASLD guidelines.

🔥 Vitamin K: Blood Clotting & Bones | Kale, Broccoli, Leafy Greens
⚠️ Patients on warfarin (Coumadin) must maintain consistent intake — sudden changes can cause bleeding or clotting; Vitamin K reverses warfarin.
⚠️ Avoid supplements with any blood thinner unless directed by a physician.

Key Nutrients Beyond Vitamins

🔥 Omega-3: Heart & Brain | Fatty Fish (Salmon, Sardines), Walnuts
🔥 Magnesium: Muscle & Nerves | Spinach, Nuts
⚖️ Probiotics: Gut Health | Yogurt, Ferments
🔥 Zinc: Immunity & Healing | Meat, Seeds
⚠️ Short-term use only — excess zinc impairs iron absorption and can cause deficiency.
🔥 Fiber: Digestion, Heart & Metabolic Health | Beans, Grains
🔥 Iron: Oxygen Transport | Red Meat, Lentils
🔥 Calcium: Bone Strength | Milk, Kale
❓ Multivitamins: Often low-dose, redundant, or incomplete; no proven health benefit in well-nourished adults. Use only for documented deficiencies or directed therapy.

Safe Supplement Use 💬

A healthy diet usually provides all essential nutrients. Supplements can fill gaps but may also affect how medications work.
🔥 Iron, Calcium, and Magnesium can reduce absorption of thyroid medication (e.g., levothyroxine) and some antibiotics.
⚖️ If iron-deficient and unable to tolerate iron supplements, consider Vitamin C (≈ 500 mg) with a large meal daily to enhance iron absorption from foods.