Dr. Merey's Medical Bariatric & Rejuvenation Center

Dr. Merey's Medical Bariatric & Rejuvenation Center Dr.Merey's Medical Clinic does Family Medicine, Obesity Medicine and Aesthetic Medicine. We have been in practice for 37 years.

Daisy Merey MD PhD has been in practice for almost 39 yrs and has the best prescription for weight-loss and for looking great and young using the latest esthetic procedures.

Thank you to all those who serviced and continue to serve. Our office will be closed Friday and Monday in honor of  . Pl...
05/23/2023

Thank you to all those who serviced and continue to serve.
Our office will be closed Friday and Monday in honor of . Please call us tomorrow if you are in need of any prescriptions or supplements over the weekend 561-659-6756

  gift with purchase with code: YLIFT Call us today for   561-659-6756
05/19/2023

gift with purchase with code: YLIFT
Call us today for 561-659-6756

Want to look great this summer? Call us today for 561-659-6756!
05/17/2023

Want to look great this summer? Call us today for 561-659-6756!

Make your   disappear! Call today for more smooth and even skin today 561-659-6756
05/16/2023

Make your disappear! Call today for more smooth and even skin today 561-659-6756

May is   Call today 561-659-6756 to make an appointment if you have a concern or would like to have something checked ou...
05/11/2023

May is Call today 561-659-6756 to make an appointment if you have a concern or would like to have something checked out.

We have the perfect gift for Mother's Day that   can use any time
05/10/2023

We have the perfect gift for Mother's Day that can use any time

Did you know Dr. Merey is on                         reduce
05/08/2023

Did you know Dr. Merey is on reduce

Do you have pesky lipstick lines? Come see Dr Daisy Merey, for a free skin consult. Dr Merey will help you to make the r...
04/18/2023

Do you have pesky lipstick lines? Come see Dr Daisy Merey, for a free skin consult. Dr Merey will help you to make the right decision, to achieve the smile you have always wanted wanted.
Call today 561 659 6756, for you free consultation.
And don't forget we moved to a new location,
1411 N Flager Dr Ste 6000
West Palm Beach Fl 33407

01/09/2023

COVID News, January 9th,2023.
The viruses love us, they want to stay with us and they mutate to prevent us from killing them. From Wuhan, China the first corona virus was born on Dec.31st 2019! 3 years later, the risk of a deadly pathogen spreading around the world remains. COVID -19 has killed so far 6.6 million people around the world. The 1918 flu pandemic is estimated to have cost 50 million lives globally. In the 14th century, the Black Plague, also called Black Death annihilated 30-60% of Europeans in 4 years. COVID 19 is turning 3 this year and it is not done with us yet
First, we had the alpha variant, then the delta showed up and now the omicron is reigning with its alphabet soup of subvariants. Every month or so a new strain goes around only to be outdone by the next strain. Experts fear another more severe pandemic in the near future!
This constant rise and fall of new variants has left us dizzy and the pandemic roller coaster goes on. Most of the changes in the roller coaster is driven by the changes of the coronavirus itself.
As of December 31st, a new Omicron subvariant called XBB.1.5. accounted for more than 40% cases in the US. It is mainly in the Northeast amid signs of rising infection numbers after the winter holidays. A combination of holiday gatherings and the arrival of this new subvariant results in an estimated 27.5% of cases in the week ending January 7th, second now to the BQ1.1 strain. XBB.1.5 has soared to three quarters of cases in New York and New England as well as spreading in Europe.
So far, it seems to be less dangerous than its predecessors but it may be more transmissible.
At the same time, the RSV virus seems to rise while the flu strain seems to cool off.
COVID vaccines are encouraged to increase immunity. Only 38% of adults, 65 years and older
who represent the majority of COVID deaths are vaccinated with the updated bivalent booster.
XBB. 1.5 was first detected in NY state around late October and it is a combination of 2 Omicron subvariants which infected the same person at the same time. This process is called recombination. A particular mutation of XBB.1.5 enhances its ability to latch onto cells and transmit from person to person. It might also evade some of the protection from vaccines and prior infection. As of December 31st, 40 % of all cases in the USA come from XBB.1.5.!
COVID positive and hospitalization numbers are increasing in the Northwest.
Studies have found that the 3rd dose of the m-RNA vaccines against COVID is the most effective.
However, 4th and even a 5th booster are recommended especially in the elderly.
The 3rd booster activates virus specific memory B cells and T cell response which may reduce the frequency of breakthroughs and COVID-19 disease severity.
Long COVID seems to continue to plague the population, young and old. 4 major types of long COVID were identified:
1. it affects heart and kidney problems in the first few months of the infection
2. It is associated with respiratory problems, sometimes quite severe.
3. it may produce sleep disorders and anxiety
4. it may be accompanied with headache and chest pains.
It is more common in women than men and may be very scary for ladies as hair loss is common among COVID 19 infected men and women.
Then what are you waiting for? Come get your 3rd, 4th and even 5th bivalent boosters. They are available in the office, complimentary. Even if you had a reaction from previous boosters, it is imperative for you to receive them to prevent hospitalization and death. You need them all!
CALL 561 659 6756 FOR AN APPOINTMENT!

Send a message to learn more

01/05/2023

January, 2023 Virus News

I wish everybody a happy and healthy New Year and 2023!

We have kicked off the New Year with an overwhelming number of patients battling old and new viruses.

No significant developments with respect to COVID 19 have emerged since my last mid-December blog. I was never infected with the Coronavirus; however, I’m experiencing severe virus fatigue in the wake of the last three years of viruses and their ceaseless mutation games.

The 1914-18 influenza virus, which swept through Europe with devastating consequences and a high death toll is now making an improbable comeback despite advances in science and medical technology. Not only are the most prevalent flu strains gaining strength, but the Coronavirus, flu, and RSV have also formed an alliance to produce the current “tripledemic.”

COVID 19 cases are on the rise ahead of the coldest time of winter. This is likely the result of reinfections. It typically takes a few months after an infection to experience reinfection. While a prior natural infection is 92% effective at preventing reinfection, a previous Delta infection is only 56% effective against Omicron.

Those who were infected with Delta are vulnerable to reinfection with Omicron after three months. The period between infections is highly unlikely to be fewer than 23 days.

Those with poor immunity, along with immunocompromised individuals, often can’t mount an adequate antibody response to the initial infection and may be more susceptible to reinfection.

Reinfections tend to be less severe, but increase the risk of adverse health outcomes, including mortality.

Our sole weapon against the Omicron subvariants that have overtaken the original Delta virus are the boosters, which have reduced hospitalizations and emergency visits by 50%. This decrease is most pronounced amongst adults 65 and older. Boosters prevented COVID 19 infections and saved a million American lives!

Two boosters follow the initial two dose round of vaccinations. The 4th booster is the most effective at preventing hospitalizations and death. Vaccinations are effective against all subvariants and also prevent the emergence of new variants. Although we don’t yet have a vaccine for RSV, because the latest boosters reduce the spread of the Omicron subvariants, we can mitigate the overall viral impact on society. Vaccines are safe and should be used for survivors of hematologic malignancies.

Researchers have found that Omicron variants tend to be less lethal than Delta was, but are more dangerous for the unvaccinated when compared to those who received the shots. Severe outcomes are less likely amongst the vaccinated, regardless of whether they were infected with the Delta or Omicron variants. (Influenza vaccinations also significantly decreased outpatient hospital visits in the U.S. during 2021-2022.) Regular exercise is believed to improve vaccine effectiveness.

Only 10% of Floridians have been boosted with the bivalent COVID 19 shots. The original series of shots were distributed to almost 73% of the Florida population ages 5 and over. People who experienced a vaccine reaction often refuse the boosters. We have had little success distributing the 1,000 sets of boosters we received.

Long COVID can be deadly and was responsible for at least 3,500 deaths in the first 30 months of the pandemic in the U.S. We are now aware that macrophages, cytokines, and proteins may be responsible for long COVID fatigue. Guanfacine (1 mg at night) added to N acetyl cysteine (600 mg in the day) improve symptoms of long COVID, like brain fog.

BQ.1 and BQ.1.1 are still on the rise in the U.S., but in December, the XBB.1.5 variant became the dominant strain.

The highly infectious nature of the virus prompted the estimate that 248 million people were infected by the virus in China in the last 20 days, immediately following loosened protocols for isolation in that region.

Newly documented symptoms following a COVID 19 infection now include: fatty liver due to inflammation and seeing blue dots. Children who were exposed to COVID 19 experience an elevated risk of fracture.

A type of tachycardia, or rapid heartbeat, is also associated with a prior COVID infection. The risk is present following vaccination, but at a level of 5 times lower than those who experienced a natural COVID 19 infection.

How can you protect yourself?

The original series of vaccinations followed by a bivalent booster is a must.

Avoid crowded spaces and spas.

Masks and frequent hand washing are recommended.

What to eat if you test positive for COVID 19:

1. Vitamins D and C for increased immunity

2. Protein and high fiber foods, such as quinoa, oatmeal, brown rice, and whole wheat products

3. Fermented foods, which lead to a change in the microbiome and subsequent impact upon the immune response

4. Turmeric, black pepper (thins mucus and relieves nasal congestion), cherries for their high content of vitamin C, walnuts because of their anti-inflammatory properties, along with ginger and cayenne powder

5. Green vegetables, fruit, raw honey, and ginger

6. Soups or broths can be flavored with beneficial spices such as garlic, ginger, turmeric, and black pepper

7. Chamomile tea and pomegranate juice

Schedule rest and get plenty of sleep.
Avoid sugar, which is inflammatory, dairy products, meat, caffeine, and alcohol. Also skip fried foods and sodas. And take a pass when it comes to chips, cakes, white bread, diet soda, and frozen pizzas.

We offer COVID 19 and flu tests. An antiviral can be prescribed if the flu test turns up positive.

Lingering symptoms associated with COVID 19 are: alopecia, bronchitis, difficulty breathing, pulmonary embolus, or deep vein thrombosis, ear, nose and throat disorders. Children tend to be more severely affected by the symptoms listed above than are adults.

COVID 19 positive cases were reported to be 33% higher this past December when compared to the same period in 2021. As America is under a viral siege, it’s time to mask yet again.

Send a message to learn more

12/05/2022

Virus News, December 5th, 2022.
Th counts of COVID cases have reached 642 million and of viral deaths are 7 million globally. In the States the number of cases has surpassed 98 million. In Florida, 7.2 million or 1/3 of the population have been infected by the virus which also killed over 83 thousands so far.
The latest shots from Moderna and Pfizer were designed to fight the infections caused by the Omicron subvariants BA.4 and BA.5. However, other subvariants BQ and BF.7 have become the dominant strains nationwide. These estimates are low as some people had many diagnoses besides COVID and COVID was not counted as the cause of death.
Only 23 % of the Florida residents ages 65 or older have received the bivalent vaccine which represents the 5th lowest elderly inoculation rate in the US as compared with 33% of seniors being vaccinated nationwide. Vaccines do work ! Complete neutralization of Omicron BA.2.75, another subvariant that just popped up was observed after bivalent vaccination.
We are not doing better with COVID 19. This fall, we are seeing a sharp rise of infection in children due to the confluence of COVID 19, the flu and RSV. The CDC recommends to vaccinate against the COVID babies younger than 6 months. Removing universal masking in schools is associated with increased incidence of COVID 19 not only in children but also in the school staff.
Moreover, Thanksgiving was not beneficial to us. There was a surge of post- Thanksgiving cases and hospitalizations in Florida after a month- long decline a month prior.
To make matters worse, there is a shortage of antibiotics like amoxicillin and antivirals like Tamiflu due to the surge of the flu and RSV.
This is going to be the decade of the virus! The CDC warns that the flu will intensify this winter.
HIV is not tested because of the pandemic and will be more severe. The same goes with measle which will become soon a global threat. There are also outbreaks of avian flu in the USA. Thankfully, the FDA approved a new Monkeypox test.
Regular physical activity may improve effectiveness against COVID 19 outcomes. Vaccine effectiveness diminishes with age and with immunosuppressed status. We know that the new omicron subvariants evade the antibodies of the vaccine. 6 -Thioguanine or 6TG inhibits the flu virus replication and also the coronavirus replication as well. This medication inhibits the ability of the virus to make lots of spike proteins so the new baby viruses are “spikeless” and cannot begin an infection. This drug also prevents the coating of the spikes. With no sugar coating, the spikes do not function properly and replication of the virus is decreased.
Why are some people more affected by the virus than others? Some people have only mild symptoms or they may even be asymptomatic while others may get very sick and may even die.
Interferon type 1, an antiviral protein is inadequate in severe viral infection. Immunocompromised persons have less interferon 1. Testing for this substance may help to distinguish which individuals may have severe disease in advance.
A nanoantibody derived from alpaca or llama is studied to block new COVID infections. These
Nano-antibodies can be produced and can be delivered in a nasal spray. An experimental COVID 19 vaccine offers long term protection against severe disease. This protein gives superior protection by maintaining higher levels of antibodies.
A Brazil created novel device can detect in 3 minutes whether there are antibodies in the blood of patients. It uses zinc oxide plus a conductive material.
Immune T cell defense is coping with COVID variants of concern by targeting the spike protein of the 2 new COVID variants. As new variants try to evade the antibodies against it, T cell defense may come into action.
Metformin use is associated with less severe COVID illness in patients with diabetes and PCOS.
It is best not to consume anticoagulants like Apixaban while one is infected with COVID as bleeding may be increased by the viral infection.
The symphony of the virus is not over yet. Please be careful and be safe. Winter is here!

Send a message to learn more

12/04/2022

Platelet Rich Plasma or PRP (DM)
Once extracted from your blood, PRP, or platelet rich plasma, is separated from the blood’s other components. After their removal from red and white blood cells, these platelets are then reinjected into the body for a rejuvenation effect.
The platelets can also be injected over hyaluronic acid fillers to further enhance results. And PDO threads produce a non-surgical lift, which can be combined with fillers and fat that serve as voluminizers to fill areas of depression in the face and body. PRP is then added to these treatments to achieve even more desirable outcomes.
Eight growth factors with biological activities are released in PRP plasma to rejuvenate the face and body. PRP can be injected with a needle or by microneedling with a roller for needle shy patients.
PRP is used for:
1. Atrophic acne scars
2. Skin aging
3. Melasma or hyperpigmented areas
4. Vitiligo or depigmented areas of the skin
5. Hair restoration and treatment of alopecia areata in men and women
6. Wound healing
7. Genitourinary disorders, such as lichen sclerosis of the v***a, which is more commonly experienced by postmenopausal women. PRP treats vulvovaginal atrophy and provides vaginal rejuvenation. It is hoped that the treatment may even bring relief for patients suffering from vulvodynia.
8. Erectile dysfunction
9. Stress urinary incontinence, especially in women
Because of these many applications, PRP is the most relied upon therapy for rejuvenation and the restoration of many bodily functions. Usually, 2-3 treatments, administered at monthly intervals, yield the best results.
In addition, Minoxidil and Finasteride can be combined with PRP for hair restoration.
Very few side effects are experienced with PRP therapy. Redness and swelling can occur, but don’t last for very long.
Areas treated with PRP should not be washed for one day. Only a mild cleanser should be applied.
These treatments are available in advance of the upcoming holidays. Enjoy!

Address

1411 North Flagler Drive, Suite 6000
West Palm Beach, FL
33401

Opening Hours

Monday 9am - 5pm
Tuesday 10am - 6pm
Wednesday 9am - 5pm
Thursday 9am - 5pm

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38 YEARS OF PRACTICE

When I opened my family practice in 1981, I realized that my patients were taking a shopping bagful of medications to cover all their ailments. I became a secretary writing and signing prescriptions. I soon realized that something was wrong! Could I help my patients without giving so many medications given by different physicians? The other thing I noticed that many of my patients suffered illnesses that could improve with weight loss. I decided to enroll in the Obesity Medicine Association and learn how to best treat my patients with fewer medications. In 1983, I became a diplomate or board certified in Obesity Medicine. I pride myself that eliminated medications as patients lost weight. Their blood pressure went down, their cholesterol and triglycerides improved, their arthritis was better and even their gastroesophageal reflux was almost gone. Not only their diabetes required less medication but they slept better, their skin improved and they even got better jobs. They started to exercise, they wore better clothes and look like different people with renewed confidence. That is why 22 years ago I got involved in esthetics as I wanted my patients to also look young and beautiful. There was a little lifting, a little filling in the right places and I hardly recognize them myself. So I want to keep my patients looking slim, young, beautiful and vibrant as long as I can. However, weight loss requires nutrition education, exercise education, and medication or supplements to further help them. Coming to a health professional or even better an obesity specialist keeps the patient accountable. We also take care of all the other problems they may have. I believe that it is human to err and to lose a battle is normal as long as we win the war in the battle of the bulge. Our program is individualized to each patient and this is the reason we are successful. The other caveat we tell our patients is that maintenance is essential and even though we are not so strict and do not see the patients as often in maintenance, they still have to come back. We have the 5-pound rule: anytime they gain 5 pounds or more they need to return to prevent further weight gain.

Our aesthetic program is the best available and our products, both nutritional and aesthetic, have been researched to bring our patients the best and more economical products and procedures available.