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Health Education

How much do you know about the extra-analgesic effects of opioids?

With headline news about opioids focused on abuse, addiction, and deaths associated with the drugs, other serious adverse effects linked to conventional use of opioids for pain management may be overlooked.

Opioid analgesics are known to affect the endocrine and immune systems, primarily with chronic use but some studies have shown impact at low doses or after very limited use. How familiar are you with the range of extra-analgesic effects of opioids? Click through the 9 questions above to find out.

Test Yourself

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Substantial correlation has been found between Major Depressive Disorder the acetyl L-carnitine levels - responsible for mental focus and energy

major depressive disorder

There has been done a lot of research regarding Acetyl L-carnitine as it is one of brain nutrients acapable of enhancing mental focus and energy. Its structure resembles acetylcholine, which is why it is capable of stimulating acetylcholine receptors in the brain. The acetyl group allows it to cross the blood brain barrier, which does not occur with L-carnitine. The studies have proven that patients with major depressive disorders have much lower levels of acetyl L-carnitine.

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ProLon Meals for Medical Weight Loss

ProLon Meals for Medical Weight Loss

When it comes to losing weight, there are too many options to count. From various diet and exercise plans, to supposed miracle solutions, it can be hard to know what to trust. That’s why medical weight loss programs are beneficial because they involve the guidance of a medical professional. In this article, we are going to dive into a relatively new medical weight loss program – the ProLon meal program and how it can help patients lose weight in a healthy way.


L-Nutra’s first fasting mimicking diet is a 5-day meal program to be repeated every 1 to 6 months based on a recommendation of an authorized healthcare professional.
ProLon® meal program was created to boost the body’s natural ability to regenerate and rejuvenate. It has been proved to reduce abdominal fat and help maintain appropriate blood glucose levels, C-reactive protein (CRP), and insulin-like growth factor 1 (IGF-1).
Recently, L-Nutra, Inc has become the first company to introduce a product patented by the United States Patent and Trademark Office (USPTO) for optimizing human healthspan, which translates into length of time that a person is healthy. This patent for the Fasting Mimicking Diet® (FMD®), was discovered and clinically tested by the laboratory of Valter Longo and Keck Hospital at the University of Southern California (USC). It is proven to reduce markers for age-related disease as well as enhance tissue regeneration.

Central Medical Clinic

At Central Medical Clinic, we provide a wide range of solutions to patients – from chronic pain management, to regenerative medicine, to medical weight loss methods. We approach each patient situation with the unique care that it needs so you get the best possible treatment. Contact us today to set up your appointment with Dr. Morales and the rest of the team at Central Medical Clinic. Our primary clinic is located in St. Paul but we provide care for clients throughout the Twin Cities and surrounding suburbs.

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Pain Management Terms You Should Know

Pain Management Terms You Should Know

There are a lot of medical terms that doctors use to describe pain conditions and treatments. It’s important to have a passing knowledge of this terminology so you can effectively communicate with your physician. In this article, we are going to define a few pain management terms that you should know.

Acute Pain & Chronic Pain

“Acute” and “chronic” are two of the most common terms you will hear when it comes to pain management. Essentially, these are the two most general categories used to define the nature of pain. Acute pain is pain that only lasts for a short period of time – typically less than six months. Chronic pain is pain that lasts for a longer time (longer than six months) either constantly or intermittently.


NSAIDs is short-hand for Non-Steroidal Anti-Inflammatory Drugs. These are over-the-counter painkillers such as ibuprofen. These can be found at any drug store and do not require a prescription. While they are not as effective as prescription painkillers, they are much less addictive.


When a patient develops a tolerance to a certain drug it means that the drug becomes less effective over time. Some patients who become addicted to painkillers build up a tolerance to the medication. Over time they need more and more of the drug to relieve the pain – which perpetuates the cycle.

Pain Management in Minnesota

Dr. Morales is a board-certified pain and addiction management physician with years of experience treating patients in St. Paul and the surrounding Twin Cities metro. At Central Medical, our team treats each and every patient that walks through our door with the respect and compassion that they deserve. Whether you are suffering from a chronic pain condition like fibromyalgia, or you’re struggling with opioid addiction – we have the resources you need. Contact us today to schedule an appointment with Dr. Morales and the rest of the team at Central Medical Clinic.

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Medical Cannabis in Minnesota FAQs

Medical Cannabis in Minnesota FAQs

There are a lot of questions surrounding medical marijuana in Minnesota. In this article, we are going to talk about the benefits of medical cannabis in treating chronic pain conditions and how the process works in Minnesota.

Qualifying Conditions

  • Cancer
  • Glaucoma
  • Tourette Syndrome
  • ALS
  • Seizures
  • Severe and persistent muscle spasm
  • Inflammatory bowel disease
  • Terminal illness
  • Intractable Pain

What Does it Cost?

  • Registration fee: $200 paid online
  • Reduced fee of $50 if
    • Supplemental Security Income
    • Social security disability
    • Medicaid
    • MNCare
    • IHS
  • Cannabis product pricing:
    • Varies
    • Not covered by insurance

Registration Process

  1. Contact Health Practitioner
  2. Wait for certification
  3. Register Online
  4. Visit one of the Cannabis Patient Centers
  5. Fill out self-evaluation form

Methods of Use

  • Smoking
  • Vaporization
  • Eating
  • Orally applied tinctures
  • Topical application

Potential Concerns

  • Cannabis “Addiction”:
    • Risk of dependence 9%, can be as high as 17% if a young onset of use
    • Compared to 67.5% for nicotine
  • Regular, heavy users of cannabis may show persistent intellectual, cognitive, and motivational changes
  • In elderly patients, cannabis can increase risk of falls by causing orthostatic hypotension
  • It can also cause mild tachycardia and can be associated with stroke, myocardial infarction, and arteritis.

It is important to communicate with your doctors about what medical cannabis products you are using because it can still have drug-drug interactions with other medications.

Medical Cannabis Doctor in MN

Medical cannabis use is experimental and effects vary from patient to patient. Communicating all medications you are on along with medical cannabis and dosages with your provider is vital since there are drug-drug interactions. Do not use medical cannabis if you are adolescent, pregnant, breastfeeding, or have a personal or family history of psychological disease. If you are certified by a provider and choose to use medical cannabis to treat pain, it is important to follow up with your provider on a regular basis to monitor your care and progress.

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