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  • Counting Macros For Beginners
    June 8, 2020 No Comments on Counting Macros For Beginners

    Counting Macros for Beginners and How to Lose or Gain Weight

    Counting macros can be easy, even for beginners. Counting macros can also help you to achieve weight loss goals or even to promote and sustain muscle growth. It is a powerful tool to help manage what you eat so that you know the exact amounts of macronutrients that your body needs for a specific goal.

    First of all, what are macros? The three macros (short for macronutrients) that the body needs in large numbers are protein, fat, and carbohydrates. Each of these macronutrients provides energy in the form of calories or kcals. In addition to energy, these nutrients have other specific roles in helping your body function properly.

    Proteins contain 4 kcals per 1 gram

    Fats contain 9 kcals per 1 gram

    Carbohydrates contain 4 kcals per 1 gram

    Protein

    Protein foods are made up of amino acids, which are the building blocks of the body. Proteins play a key role in building and maintaining muscle mass and providing energy for our cells and brain. Young children need approximately 1-1.5 grams of protein per kg of body weight. Average adults need about 0.8-0.95 grams per kg of body weight. Some common sources of protein include:

    • Chicken
    • Beef
    • Fish
    • Eggs
    • Beans
    • Milk

    Fats

    Fats are the most calorie dense macronutrient at 9 calories per gram. Fats get a bad reputation because most people think that fats make you fat. Your body should have an appropriate amount of healthy fats to do things like regulate hormone production and allow for proper absorption of fat-soluble vitamins (A, D, E, K). Granted if you eat too much fat, your calorie intake can spike faster because each gram accounts for about double of what you would get out of protein and carbohydrates. You want to take in a variety of fats that include monounsaturated, polyunsaturated, and some saturated fats as well. Common sources of fats include:

    • Butter
    • Avocado
    • Olive Oil
    • Coconut Oil
    • Nuts/Seeds

    Carbohydrates

    Carbohydrates are the body’s preferred energy source. In most diets, carbs make up the majority of the calories consumed. The body takes simple or complex carbs and breaks them down into glucose which is either used right away or stored in muscle or fat for future use. The problem that most people run into with carbs, is that they over eat processed and refined carbohydrates which release sugar into the bloodstream very quickly leading to more cravings, low energy levels, cravings, weight gain, and brain fog. Carbs like vegetables, ancient grains, whole fruit, and others digest slower and come without all of the bad side effects. Good carb sources include:

    • Fruit
    • Starchy Root Vegetables
    • Whole Grains

    Counting Macros

    So now that you know what “macros” are and where they come from, how do you count them? And how do you use that information to gain or lose weight?

    Tracking Your Food

    First and foremost, you have to have an idea of what you are currently taking in. Download a food and meal tracking app such as My Fitness Pal. This app makes it really easy to track your food. Simply scan the barcode on the back of the items that you are consuming and make sure you put in the right amount of servings you are eating. At the end of the day, you will have a total amount of protein, fat, and carbs that you consumed. Along with that, you have your calorie count. Do this for a full week so that you can get an average of what you normally eat.

    Basal Metabolic Rate

    Up next is calculating your BMR. Use this BMR Calculator to get your estimated number. This number is an estimate for the amount of energy expended while at rest in a neutrally temperate environment, and in a post-absorptive state (meaning that the digestive system is inactive, which requires about 12 hours of fasting). So basically, this is how many calories your body would need if you didn’t do anything all day and just lied there. It also gives you a guide based on your activity level on how many calories you need to maintain a specific weight.

    Plugging In The Numbers

    An average person who is trying to lose weight should aim to shoot for a ratio of about 30% carbs, 20% fat, and 50% protein that come from your daily calorie intake. If you are looking to build more muscle along the way, your ratio should be focused more around eating as much protein in grams as you want your goal body weight to be (175g protein for 175lb bodybuilder).

    Let’s say my BMR is about 1700 cal/day and when I add in my activity level and exercise that I do regularly, my recommended is about 3000 cal/day. Theoretically, if I ate 3000 calories each day, my weight would stay the same.

    Look back now at your averages when you tracked your food. If I ate over 3000 calories/day, I would gain weight. If I ate under 3000 calories/day I would lose weight.

    To make it simple, 3,500 calories= about 1lb of fat. In general, if you cut about 500 to 1,000 calories a day from your typical diet, you’d lose about 1 to 2 pounds a week.

    Just remember that BMR number, if your calorie count consistently stays below that number, your body will not be able to function at an optimal level.

    Final Thoughts

    This advice is very baseline and will work for most people. There are a lot of different circumstances that change these formulations, it’s best to consult someone who has knowledge in nutrition, exercise, body mechanics, and metabolic function.

    Your numbers will change if you lose weight, gain weight, start more exercise, get pregnant and more! Keep good track of things. Myfitnesspal has settings that help you stay on track if you upload your weight.

    Yours in optimal health,

    Dr. Glenn Ezell

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  • How To Pass A DOT Physical
    April 16, 2020 No Comments on How To Pass A DOT Physical
    passing a DOT physical

    The Federal Motor Safety Carrier Association (https://www.fmcsa.dot.gov/) oversees the National Registry of Certified Medical Examiners. Certified Medical Examiners are the only healthcare providers that are able to perform DOT physicals. As a tenured medical examiner, I am going to share with you today how to pass a dot physical.

    There are standards put in place by the FMSCA for examiners to follow when determining the results of a particular exam. The toughest and strictest areas of the exam include blood pressure, vision, and hearing. Other common roadblocks are diabetes and other medical conditions. Rest assured, as long as you are relatively healthy, taking medications properly, and have adequate documentation, you are likely to pass the dot physical exam.

    Urinalysis

    Let’s start with the urinalysis. You will be required to provide a urine sample that will be collected at the time of the exam. This is not a drug test and we are looking for the specific gravity, protein, blood, and sugar. Any abnormal result here could indicate further testing if needed. The most common irregularity here is sugar. The presence of sugar in the urine means that the body is not regulating blood glucose properly indicating probable diabetes. If you are diabetic, you can pass the exam, even if you take insulin. In the case of type 1 insulin dependent, you will need the ITDM Assessment Form filled out by your treating physician to certify that your blood sugar is well controlled. In the case of type 2 diabetes, your most recent blood work will be requested to check your A1C levels. TIP: Prepare and bring documents/letters with you on your visit so that we can get your card to you same day!

    Health History

    The medical examiner will review your health history. Surgeries, medications, and other factors may need to be reviewed if it could potentially effect your ability to drive. All of these things are up to the medical examiners discretion. If you have been diagnosed with sleep apnea you will need to bring a print out of your recent CPAP compliance report. TIP: bring a letter from your treating doctor if you are concerned about a particular surgery you had or a medication you take, it will speed up the certification process!

    Blood Pressure

    Next up is blood pressure, this is the most common reason that drivers fail or get reduced certifications. Your blood pressure needs to be 140/90 or less to pass without complicating things. TIP: Do not smoke, drink coffee, or energy drinks before the exam! These will elevate blood pressure.

    Vision

    For your vision screen, you will need to be able to have at least 20/40 vision in both eyes. TIP: wear your contacts or glasses in for the exam so that you pass this portion!

    Hearing

    For the hearing screen, you will need to hear a forced whisper at at least 5 feet. Typically the examiner will forced whisper (a loud whisper) a number, and you will repeat the number when you hear it. TIP: if you wear hearing aids, wear them in so that you can hear and pass!

    Physical Exam

    And then lastly, a physical exam will be performed. The examiner will look in your ears and eyes, listen to your heart and lungs, evaluate your joints and look at your spine. There are other parts to this as well, but these are the highlights.

    And that is it! If you did your homework and were well prepared for this exam, you are completed with the dot physical. If everything went well, you should get your medical card before you leave.

    Your examiner will determine how long your medical card will be certified for. Typically the most common limitations are with heart conditions and diabetes. The FMSCA recommends a 1 year card in those instances.

    Now you know the inside information on how to pass a DOT physical. Please keep in mind that the determination is ultimately up to the medical examiner and it is best to be honest and talk about any concerns you have with him or her.

    Dr. Glenn Ezell is a certified medical examiner that practices in St. Charles, MO at Ezell Chiropractic. He provides DOT physicals for many drivers and comes highly recommended.

    Need a DOT physical? Click here

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  • 10 Best COVID-19 Work from Home Posture and Productivity Tips
    March 30, 2020 No Comments on 10 Best COVID-19 Work from Home Posture and Productivity Tips

    Many of you have had to make drastic changes to your work environment and schedule due to the recent COVID-19 pandemic and its effect on businesses. If you are fortunate enough to still be able to work from home, you may be faced with even more difficult challenges. Makeshift offices and easy access to distractions can pose problems with posture and productivity. Today, I have the solution. The 10 best COVID-19 work from home posture and productivity tips. There are 5 posture and 5 productivity.

    Posture

    • Resist the temptation to work from your bed or on the couch. These locations offer little to no back support and will compromise healthy spinal function.

    • Find a chair that has back support. A bar stool at the kitchen counter is an example of a poor choice. If you don’t have a desk chair, try a dining room chair. A rolled up towel or small pillow behind the lower back will help with creating more lumbar support. If you are having a hard time finding something appropriate here, maybe try creating a standing workstation from a counter.

    • Use boxes, books, or storage containers to get your computer monitor to be at eye level. This will reduce the amount of strain on your neck, upper back, and shoulders. Avoid using your laptop on your lap, go figure right? They should rename it.

    • With the new addition of your monitor stand, if you are working from a laptop computer, you will need a wireless keyboard and mouse to prevent reaching and over-elevating your arms and shoulders.

    Productivity

    • Start your day like you normally do. Wake up at the same time. Start work at the same time. Make your coffee, do your workout. Keep it consistent.

    • Dress up! Brush your teeth! This determines your mindset, as well as number 1. Working from your pajamas might sound comfortable but your mind isn’t used to it and it can actually throw you off.

    • Have a defined schedule. Plan your breaks and set a reminder for them. Take a whole 30 minutes for lunch (or however long it usually is). Finish at a certain time and don’t be tempted to come back to it until you start working again!

    • Protect your workspace. Get the lighting right, shut the door, bring what you will need and get it close to you. Talk to your family members about your work time hours and have them commit to respecting them.

    • Limit distractions. Try using a sound machine, looping ambient noise or pleasant sounds on a speaker. Alexa and Google assistant both have many skills that can play your favorite with a simple request. Just one bark from your neighbors dogs can break your train of thought and set you back 5-10 minutes. Another good habit is to pick a workspace that has no TV in it so that there is no temptation to binge Ozark on Netflix while working.

    These are the 10 best COVID-19 work from home posture and productivity tips to help keep you pain free and productive!

    Learn how to protect yourself from the Corona Virus with the CDC recommendations here –>https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html

    If you find yourself needing advice from a chiropractor during the COVID-19 pandemic, Dr. Ezell is available in the office and via telehealth.

    Yours in optimal health,

    Dr. Glenn Ezell

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  • Text Neck
    March 10, 2020 No Comments on Text Neck

    You may have heard about a growing epidemic occurring among today’s youth and even into the adult population called “text neck”. It’s caused largely in part due to the desire and necessity to use smartphones, tablets, and computers in this day and age. I refer to it as forward head posture in my practice.X-Ray Call it what you will, but it’s leading to serious health issues.

    When you look at the neck from the side position, it should form a C-shaped curvature. This is sometimes hard to notice without visualizing it on an x-ray. This curve is known as a “lordosis” and is essential in the normal functioning of the neck and the spinal nerves that exit there. Keeping the head and neck in a downward position for an extended period of time can have serious consequences.

    Most commonly these consequences will include neck and upper back pain, tightness, stiffness, numbness, tingling, headaches, and migraines. If text neck is left untreated, this can lead to irreversible damage. This includes premature spinal degeneration (arthritis), weakening of the disc, and even nerve damage.

    Research shows that each inch that your head moves forward from the center of your shoulders will double the weight of what your head normally weighs. That creates a tremendous amount of tension, pressure, and compression on the neck and upper back.

    The longer this problem persists, the worse the consequences will be. It is nearly impossible to return the neck to a normal position without the aid and advice of a medical professional like a corrective care chiropractor. We have had great success in correcting these issues and restoring proper health in our office. I look forward to helping you and your family achieve your health goals.

    Yours in health,

    Dr. Glenn Ezell

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  • Back Pain
    February 12, 2020 Comments Off on Back Pain

    Back Pain Treatment in St. Charles, MO

    • A man that has back pain in St. Charles, MO

    According to research, approximately 80% of adults will experience back pain in their lifetime. It is the most common cause of job related disability and is a leading contributor to missed work days. The different types of pain that most people complain of include; dull, achy, tight, stabbing, burning, shooting, sharp, throbbing, numb, and tingly.

    Chiropractors are specialists in treating back pain. Dr. Ezell is trained to be able to diagnose and treat problems that occur in the back. Common conditions to be treated include; degenerative disc disease, scoliosis, sprains, strains, sciatica, herniated discs, and many more.

    Chiropractors use their examinations and sometimes x-rays to make determinations on what type of treatment may be best for the patient. The different types of treatment for back pain in our office include; spinal adjustments, active release technique, massage, decompression, and others.

    In rarer cases, more information may need to be gathered to decide if a patient is eligible for chiropractic care. This information is often obtained via MRI or another imaging study.

    Dr. Ezell is looking forward to speaking with you about your back pain. Please call the office and we look forward to seeing you soon!

    Call now 636-486-7044

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  • 3 Common Conditions That St. Charles Chiropractors Treat
    February 4, 2020 No Comments on 3 Common Conditions That St. Charles Chiropractors Treat

    There are 3 common conditions that St. Charles chiropractors treat. Chiropractors are most notably known for their work with the spine. As more and more people seek to find a natural healthcare provider that is genuinely concerned about the long term effects of the treatment they prescribe, chiropractors are becoming widely accepted and utilized over traditional allopathic models for musculoskeletal conditions.

    1. Back Pain

    Back pain, usually low back pain, is likely the most common condition that people see chiropractors for. Certain conditions such as stiffness, arthritis, scoliosis, disc degeneration, and more have been treated by chiropractors in St. Charles.

    2. Neck Pain

    Neck pain is becoming more and more of a problem with the desk working and adolescent populations. The more technology that we are dependent on, the more mechanical stress we are placing on the neck and upper back as a result of poor posture and poor ergonomics. These types of problems usually lead to tightness, stiffness, arthritis, nerve irritation, muscle spasms and more.

    3. Headaches

    Headaches are also among the 3 common conditions that St. Charles chiropractors treat. Headaches can come in a variety of different forms and fashions. There are migraines, tension, cluster and many others. Headaches can be felt in common areas such as below the skull, temporal, frontal, and top of the head. The most frequent are below the skull area. These headaches have a high tendency to be created from a neck problem that needs to be addressed.

    If you have been experiencing any of these three conditions, chances are, you may be best treated by a chiropractor. If you have questions about your case, let us know! Check out this write up about neck and back adjustments

    https://www.ezellchiropracticllc.com/neck-and-back-adjustments/

    Yours in health,

    Dr. Glenn Ezell

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  • Tennis Elbow
    November 26, 2019 No Comments on Tennis Elbow

    man with tennis elbow

    Tennis Elbow

    Recently I’ve had quite a few patients come in with elbow pain. The most common presentation so far has been lateral epicondylitis or tennis elbow. Pain on the other side of the elbow can be associated with medial epicondylitis or golfer’s elbow.

    You do not have to play tennis to get tennis elbow. Tennis elbow is most commonly a repetitive type stress injury, meaning repeating the same motion or stressful event over and over again. This leads to chronic stress at the elbow.

    That leads me to my next point, this process is very rarely acute! This means that it had to be building up for a long period of time. It is highly likely that this results in no major tearing in the tendons at the elbow. Sure there is micro damage that occurs but that happens in any stress to the body.

    Tennis elbow involves overuse of the arm extensor muscles, usually leading to pain, tightness, and restriction at the outside of the elbow joint. These symptoms can travel up or down the arm as well depending upon the presentation. These patients will often feel pain when shaking hands, picking up items, unscrewing lids, and any contraction of the extensor muscles.

    The most common mechanisms of injury are things like using a mouse for work all day, painting, playing guitar, cooking, racket sports, golf, and crafting. All of these require grasping an object and mostly in a palm down direction, leading to direct overuse of the extensor muscles.

    There are many treatment options available. Medication and injections can temporarily reduce pain leaving the problem to get worse while damaging the tissues. Soon after they wear off, the pain will return and possibly be worse. Surgery should be reserved as a last resort option. As a patient, you need to treat the source of the issue and correct the reasons why it got there in the first place.

    Through chiropractic treatment in my office, I start with examining the biomechanical chain. Everything from the neck, shoulder, elbow, and wrist needs to be evaluated. Oftentimes, issues can arise due to weak links somewhere along this chain, causing a compensation at the elbow. I will adjust the elbow and specifically the radial head to restore normal joint motion. Next I focus on treating the tissues directly with Active Release Technique and instrument assisted soft tissue scraping. Once the joints are functioning properly and the tissues are free of adhesions the patient may begin rehabilitating with a special tool.

    If you think you have similar symptoms and would like to see if you qualify for chiropractic care, please call my office and ask for an appointment with me. I look forward to helping you achieve your health goals.

    Yours in health,

    Dr. Glenn Ezell

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  • Headaches and How to Deal With Them Naturally
    October 28, 2019 No Comments on Headaches and How to Deal With Them Naturally
    Woman with headaches seeks relief

    That headache that lasts all day and is just getting worse. You know the feeling. To top it all off, you have a million things to do, and no desire to do any of them. This article will explain all about headaches and how to deal with them naturally.

    Most people with headaches reach straight for over the counter (OTC) pain medications such as aspirin, acetaminophen (Tylenol), ibuprofen (Motrin, Advil) and naproxen (Aleve). These medications provide short-term relief of the symptoms. If your headaches are becoming more frequent and/or severe, that is your body’s way of telling you that there is something wrong. Here are some of the top ways to help alleviate your headache without drugs.

    Chiropractic

    I have yet to find a headache patient without a misalignment of the bones in the neck. These misalignments of the vertebrae cause the nervous system to become overwhelmingly stressed. What happens next? The muscles tense up and spasms may occur. These people will have likely started the inflammatory process which leads to swelling and more pain. All of this because the nervous system wasn’t communicating properly.

    When your chiropractor performs an adjustment, he/she is resetting the pain cycle by moving the bones and restoring proper biomechanics. This sends a signal through the nervous system, to the brain and back out to the body, telling the tissues to relax.

    Ergonomics

    It’s important to maintain proper body positioning when it comes to preventing headaches. Many times it starts with sleeping habits. As a rule of thumb, sleeping on your back is the best position for your whole spine. Sleeping on your stomach is the worst. Try to sleep with only one pillow to keep the neck in a more neutral position.

    Your desk or workstation needs to be evaluated as well. The biggest contributing factor to headaches in the workplace is an improperly positioned computer screen. Your screen should be at eye-level so that you are not straining the neck by looking down or up for extended periods of time. Sitting upright in a supportive chair will help to maintain spinal alignment. Keeping the arms at 90 degrees and supported will cause less stress to the upper shoulders (trapezius).

    Exercise

    When performed correctly, posture based corrective exercises will help to stabilize the spine and reduce the risk of recurring headaches. Exercise also reduces emotional stress which often times accompanies headaches. As a rule of thumb, if there is a muscle in your body that is already too tight (most commonly the muscles in the back of the neck, upper traps), do not attempt to strengthen these muscles as you are making the problem worse.

    Nutrition and Diet

    We’ve all heard of allergies before. But what I’m about to explain is not just the kind you get when the seasons change or when it rains. We’re talking about sensitivities. This is an allergy, but only on a smaller scale. For example, the feeling you might get after eating a meal with a lot of gluten, dairy, or artificial ingredients in it (bloating, headaches..etc). This is very common in today’s age and by choosing meals that are not processed and by staying away from sensitivities, we can avoid many of these symptoms.

    If you are experiencing headaches and would like to know how to deal with them naturally, all our office and Dr. Ezell will be happy to help.

    Yours in health,

    Dr. Glenn Ezell

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  • 8 Questions to Ask Before Choosing a Chiropractor
    September 23, 2019 3 Comments on 8 Questions to Ask Before Choosing a Chiropractor

    woman question

    8 Questions to Ask Before Choosing a Chiropractor

    Your chiropractor needs to be someone who you can trust. Someone who has your best intentions in mind and will give his or her best recommendations to you, at all times. Here are 8 important questions you should ask before choosing a chiropractor as a new patient.

    1. Can the chiropractor help me with my goals?

    What health goals are you searching for? Are you looking for help with a sports injury, pain relief, or wellness care? Does the chiropractor treat babies, adults, or people with medicare? Are you seeking treatment following a motor vehicle accident or a work injury (these will often require different forms of paperwork than normal new patients to the office)? Are you seeking nutritional advice, acupuncture or rehabilitation? Do you prefer a certain type of chiropractic adjustment? Be sure to find a chiropractor that can meet your specific health goals.

    2. Does the doctor have positive and satisfied patient testimonials?

    One of the best ways to check on the chiropractor’s credibility is to read reviews and testimonials from people who have been seen by the doctor before. A great source of reviews are found online. Google Places, Facebook, Yelp and others are among great places to check for.

    3. What types of examinations does the doctor take?

    Granted that all chiropractors are required to examine a patient before initiating any type of treatment, some are better than others. Depending on what type of problem that you have also dictates where the direction of the examination should go. So where I am going with this? You want your doctor be very specific in deciphering your complaint and determining the cause of the problem. Some questions include: Does the doctor take x-rays? Does the doctor have enough time to discuss and examine all of your complaints? Does he utilize any other instruments to make his recommendations?

    4. Does the doctor network with other doctors of specialty?

    While chiropractic treatment is beneficial to most people, some require treatment from other providers. This is usually done collaboratively to reach a common goal. Your chiropractor should not be afraid to send you to someone who can more appropriately handle your problem, if need be.

    5. How does the chiropractor track my progress?

    Both you and the doctor need to be on the same page regarding how treatments are coming along and what lies ahead. Your chiropractor should be notating how you are feeling each visit by asking you directly and using clinical skills to determine the future care schedule. Some chiropractors do re-exams at a certain point to check for improvements, some will utilize objective findings on x-rays, and some will use tools and instruments. Your chiropractor should be able to gather enough information to add to clinical experience for progress analysis. In the case that you are regressing, your doctor should have a plan to figure out if he needs to change his treatments with you or refer back to question 4 and refer you to someone else who can help.

    6. Is the doctor in good standing with the state boards?

    A quick search online to any chiropractic state board should be able to tell you if the chiropractor has any complaints filed against him.

    7. Does the office have a no (or minimal) wait policy?

    Who likes to go into a doctor’s office, on time, and still have to wait an hour to finally get in to see the doctor? People these days are busy. You have things to do and places to go. Your chiropractor should be on time and respectful of yours.

    8. Does the chiropractor offer preventative solutions/exercises for at home?

    Speeding the healing process is often achieved with home care recommendations. Preventative recommendations present a way to minimize the chances of these problems reoccurring in the future.

    These questions are some of the best questions to ask before choosing a chiropractor. There are also many others. Here in our office we love questions as they are part of the education process!

    Learn more about the types of chiropractic care we provide here→ Types of Care

    Yours in health,

    Dr. Glenn Ezell

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  • The Life of a Chiropractor (5 facts)
    August 29, 2019 1 Comment on The Life of a Chiropractor (5 facts)

    The Life of a Chiropractor (5 Facts)

    As a chiropractor, I’ve witnessed many successes, been through the struggles, and laughed at the good times. If you’ve ever wondered what it’s like, this is the life of a chiropractor in 5 short facts.

    1. We’re really tired of the “Chiropractors are not real doctors” jab. Honestly, it’s just funny now. Please come up with a new one. In the mean time, I’ll be continuing my quest to help more people.

    2. I am constantly judging your posture and movement. “Cell phone guy is going to have some neck issues soon”, “That deadlift is going to hurt tomorrow”, “How have your  ankles not broken yet with all of that pronation?”.

    3. I hear some pretty funny stuff but the most common things I get are:

      • “I pop my own neck, it’s fine”
      • “I looked it up on google, here’s what I have”
      • “I usually have a high pain tolerance”
      • “Are you going to crack me today?”
      • “I heard people die from neck adjustments”
      • “Have you seen that ring dinger chiropractor on Youtube?”

    4. I find myself yelling at the TV or some other social media post when “new” research comes out validating something that chiropractors have been saying for years.

    5. Chiropractors need adjustments too. Arguably, we need it more than you. Can you imagine leaning over patients, dropping on mid and low backs, cranking wrists and shoulders out? It hurts, but part of the sacrifice I’m willing to endure to give back to my community.

    I’m sure there are many more great stories that I could share but these should give you a glimpse into the life of a chiropractor 👨🏼‍⚕️

     

    Yours in health,

    Dr. Glenn Ezell

     

    Disclaimer- This is meant to be comical, please laugh and enjoy!

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