Note that in many cases, more that one method will be used, depending on the needs and patient/physician discussion
For skin rejuvenation and enhanced healing- usually with microneedling
Performed by slow IV push (no hanging bags). This method is used for systemic conditions involving inflammation as well as general rejuvenation and management of multiple sites of accumulated injury
Above the nasal bones but under the nasal lining, this technique allows for transmission to the central nervous system. The possible benefits include better mood, enhanced memory, and improved cognition.
Most common sites are the knees, shoulder, and hips. Knees are injected with hyaluronic acid into the joint. Shoulders and hips may be injected with ultrasound guidance
Tendons and ligaments lose their ability to repair and become weak and painful. Common sites include "tennis elbow", ankle sprains, and plantar fasciitis. "Trigger point" injections in areas such as the gluteus medius or neck can also be helpful
Hair loss (with microneedling), dental injections (using dental nerve blocks), arterial injections for poor circulation of the hands and feet, and nerve injections under ultrasound guidance for Bell's Palsy and peripheral neuropathy.
Many people suffer from pain, decreased mobility, and nerve problems from spinal problems. A common procedure is the use of MSC exosomes into the lumbar epidural space, where it can travel to bone, cartilage, and ligatments
Most useful for those with inflammatory bowel diseases like Crohn's and Ulcerative Colitis. (exosomes are not FDA-approved for these conditions)
Injections for erectile function and vaginal dryness and pain are available
Most of what ails us is not a traditional disease like Strep throat that just needs a medication. Most of our pain, dysfunction, and disease emerges from a lifetime of accumulated cellular and tissue damage. With nanovesicles, we can unlock the natural healing of young stem cells’ nanovesicals
Some people with chronic infections like herpes or Lyme disease might experience a flare and consideration should be given to pretreatment before giving exosomes
Unlike stem cells from donors (like umbilical), there are no immune markers on these exosomes, so your body won’t clear them. Since we all share >99% of the same genes, they work for all of us
Most people experience immediate and gradually enhanced changes over weeks. Rarely, it may take up to six months for major improvement. In a recent review, only 8 out of 298 (3%) encounters with patients resulted in no reported improvements (as of 8/29/2020)
A medical doctor is morally obligated to “do no harm” but has wide ability to use existing medications and other techniques to help patients. A major caveat is that the patient should be fully informed of the risks and unknowns and that no promise or guarantee of efficacy should be made
Because these nanovesicles are anti-inflammatory, they are well tolerated. The worst thing I have seen is that you don’t achieve complete satisfaction from a single treatment and may want to repeat it
The majority of my patients have experienced quick and lasting improvements. Some patients need to adjust their medications if organ function recovers (i.e. less blood pressure or thyroid medication)
There are different companies and different products. My practice currently uses only one brand and the cost typically ranges from $1,000 to $3,000.although if multiple doses are needed, this will increase the cost accordingly although I rarely charge more for multiple sites. Exosomes are not covered by health insurance but personal injury or workman’s comp insurance may consider it.