Treatment protocols.

TREATMENT PROTOCOLS IN THE MOST STATISTICALLY FREQUENT CLINICAL CASES

CASE I

CASE HISTORY:

Male between 40 and 55 years of age, with an estimated overweight of approximately 25 Kg, regular drinker and big eater. Frequent digestive problems: an after-meal bloated feeling, very slow digestion, drowsiness after meals, meteorism, dyspnea produced on making medium physical efforts. High Blood Pressure, Hypercholesterolemia and Hypertriglyceridemia. Regular constipation and occasionally diarrheal episodes.

DIAGNOSIS:

Generalised obesity	Hypercholesterolemia
Biliary – hepatic dyskinesia	Steatosic – alcoholic liver
High Blood Pressure

TREATMENT:

DIET AND LIFESTYLE:

Hypocaloric diet. Total restriction of salt and alcohol
Moderate exercise: hour-long walks every morning and afternoon

PHYTOTHERAPY:

BHIOERBA – 1: One spoonful after breakfast, dinner and supper.
ADELPLUS / METABOL: One tablet or capsule in the middle of the morning and in the middle of the afternoon with water and a little fruit. Two tablets or capsules, approximately an hour before dinner and supper with water and a little fruit.
METABOLITES: An ampoule before breakfast, two or three times a week.

MESOTHERAPY:

METABOLITES: two ampoules in the abdominal area every mesotherapeutic session.
1st.- One session a week for 6 to 10 weeks
2nd.- One session every fortnight for 2 to 3 months
3rd.- One session at least once a month for 10 to 12 months

CASE II

CASE HISTORY:

Female between15 and 30 years of age. Estimated overweight of 5 to 8 Kg. Displays symptoms of venous return deficiency (heaviness in the legs, coldness, capillary fragility, sensation of inflammation and tiredness), which increases during the pre-menstrual period, regular constipation. She does not indulge in any sporting activity, and leads a completely sedentary lifestyle. She smokes a packet of cigarettes a day, is a social drinker on weekends. She has come to our surgery out of a wish to remodel her figure, specifically to lose some weight from the hips.

DIAGNOSIS:

Bland cellulitis	Pre–menstrual tension
Slight venous return deficiency	Constipation
Muscular flabbiness in the lower extremities

TREATMENT:

DIET AND LIFESTYLE:

Diet correction. There is a need for an increase in fibre intake. Eliminate strong, heavily spiced, hot foodstuffs, etc. this are particularly harmful to the microcirculatory process.
Slow but continuous loss of weight: 500 g/week.
Moderate but frequent exercises are recommended (cycling, swimming, etc.)

PHYTOTHERAPY:

ADELPLUS: two tablets, more or less, an hour before dinner and supper accompanied by plenty of water and a little fruit.
VACIRTON: an ampoule or vial in the mornings, dissolved in water or a fruit juice.
BHIOERBA – 3 – LD : A spoonful dissolved in water three times a day, or a vial imbibed in the course of the morning.
METABOLITES: An ampoule before breakfast, once or twice a week.
VACIRTON – GEL: two daily applications in the cellulitic area.

MESOTHERAPY IN THE HIPS:

METABOLITES (1 amp.) + LIPODISTROFIN (1 amp.) in the same syringe:
1st.- One session a week for 6 to 10 weeks
2nd.- One session every fortnight for 2 to 3 months
3rd.- One session at least once a month for 10 to 12 months

EXCITOMOTORY CURRENTS:

One session lasting from 20 to 30 minutes before every mesotherapeutic session.

CASE III

CASE HISTORY:

A female between 30 and 45 years of age. Estimated overweight of 15 to 20 Kg. Globulose and prominent abdomen. She is a multipara who displays abdominal flabbiness. Suffers from nauseas and occasional vomiting, sometimes bilious in nature. Intolerance to fats and dairy products. Frequent headaches. Regular aerophagia and meteorism. Constipation and affective lability with a feeling of continuous asthenia. Heaviness and tiredness in the legs. Slight malleolar oedema and signs of moderate venous return deficiency, which manifests itself more so during the hotter seasons. She neither smokes nor drinks. She does not do any type of exercise. She presents symptoms of a compact cellulitis with large accumulations of fat at the hips and abdomen.

DIAGNOSIS:

Generalised obesity	Compact cellulitis
Biliary dyskinesia	Constipation
Venous return deficiency

TREATMENT:

DIET AND LIFESTYLE:

Hypocaloric diet. Rich in fibre. Drink plenty of liquids.
Moderate but constant physical exercise: walking, cycling, swimming, but without tiring herself out.

PHYTOTHERAPY:

ADELPLUS / METABOL: in accordance with normal guidelines.
VACIRTON: drink one vial per day.
BHIOERBA – 1 – HB: A spoonful after the main meals.
BORONAGRA: Two tablets with breakfast and one at dinner.
VACIRTON – GEL: applied twice daily to the cellulitic area.
METABOLITES: One ampoule before breakfast twice or three times a week.

MESOTHERAPY:

METABOLITES (2 amp.) in the abdomen, alternating each week with:
METABOLITES (1AMP.) + LIPODISTROFIN (1 AMP.) in the same syringe, in the area of the hips, covering the whole cellulitic area.
The frequency of the sessions, according to normal guidelines and the evolution of the process.
We will boost the mesotherapeutic sessions from time to time with the vascular axes technique with a LIPODISTROFIN ampoule.

EXCITOMOTORY CURRENTS at the hips and buttocks every week, along with:
ULTRASOUNDS in the hips. Always prior to mesotherapeutic treatment.

CASE IV

CASE HISTORY:

Female between 45 and 55 years of age. Overweight by over 20 Kg. High blood pressure for about the last 5 years. Hypercholesterolemic. Menstruation upsets. Hypermenorrheas. Perimenopause. Serious symptoms of venous return deficiency (Varices, pain, heaviness, tiredness, itchiness, etc.) in the lower extremities. Malleolar oedemas. Articular pains, which are extremely intense in the knees. Diagnosed as suffering from osteoparthritis.

DIAGNOSIS:

Obesity	High blood pressure
Iron deficiency	Hypercholesterolemia
Menopause	Gonarthrosis
Venous return deficiency

TREATMENT:

DIET AND LIFESTYLE:

Hypercaloric diet. Complete prohibition as regards use of salt.
Very moderate but constant exercise: Quiet strolls without giving rise to articular pain.

PHYTOTHERAPY:

BHIOERBA – 2 – FF A spoonful in the morning accompanied by water or fruit juice.
VACIRTON: A vial during the course morning.
ADELPLUS / METABOL: in accordance with normal guidelines.
BORONAGRA: Two tablets with breakfast and one at dinnertime.
CONDRORAL: A vial taken after the midday meal.
When the gonarthrosis symptoms have subsided:
CONDROVIT – Ca: Two capsules a day.

Optionally:

CONDROGEL applied twice daily to both knees, while at night in the form of an occlusive cure.
METABOLITES: a drinkable ampoule before breakfast twice or three times a week.

MESOTHERAPY:

METABOLITES (2 amp.) in the abdomen in accordance with regular guidelines and frequencies.
LIPODISTROFIN (1amp.) at the vascular axes.
CONDRODISTROFIN (1 amp.) peri-articular in both knees. Weekly sessions at the outset, then spacing the sessions in accordance with the evolution of the arthritic symptoms.

MANUAL LYMPHODRAINAGE or PRESSOTHERAPY in both lower extremities, always prior to mesotherapeutic treatment.

CASE V

CASE HISTORY:

Female between 25 and 45 years of age. Overweight from 5 to 10 Kg. Asthenic. Prone to hypotension. Frequent postural dizziness. Menstruation normal. Marked predominantly vascular pre–menstrual tension. Varices. Inflammation in both legs. Malleolar oedemas in addition to those in the calf areas. Itchiness, capillary fragility and a feeling of “liquid retention”. Very painful and heavy legs. Regular constipation.

DIAGNOSIS:

Oedematous cellulitis	Varices
Lymphedema	Constipation

TREATMENT:

DIET AND LIFESTYLE:

Hypercaloric, hyposodic diet.
Moderate exercise. Postural therapy for the legs (rest in elevated position) Swimming.

PHYTOTHERAPY:

ADELPLUS : In accordance with normal guidelines.
VACIRTON : a vial taken during the course of the morning.
BHIOERBA – 3 – LD : Three spoonfuls a day.
BORONAGRA: Two tablets at breakfast and one at dinner.
VACIRTON – GEL: Applied to the cellulitic area in the morning and at night.
METABOLITES: An ampoule to be taken before breakfast one or twice a week.

MESOTHERAPY:

METABOLITES (1 amp.) + LIPODISTROFIN (1 amp.) in the same syringe in the cellulitic area, according to normal guidelines and frequencies.
LIPODISTROFIN (1 amp.) at the vascular axes.

PRESSOTHERAPY or MANUAL LYMPHODRAINAGE: always prior to the mesotherapeutic session.

CASE VI

CASE HISTORY:

Female between 50 to 65 years of age. Overweight of 15 to 20 Kg. Menopausal. Osteoporosis. Generalised osteoparthritis. Intense, continuous osteo-articular pains, more frequently in the lumbar and knee regions. Biliary dyskinesia. Meteorism. Slow and very heavy digestive processes. Sedentarism due to overweight and articular pain. Slight edematisation in both leg and the rotular regions. Signs of moderate venous return deficiency.

DIAGNOSIS:

Obesity	Generalised osteoparthritis
Osteoporosis	Biliary dyskinesia
Lynphedema	Venous return deficiency

TREATMENT:

DIET AND LIFESTYLE:

Hypercaloric, hyposodic diet. Rich in calcium.
Light to moderate exercise, without leading to tiredness or pain. Frequent rest periods. Articular movement. Local heat applied to the most painful joints.

PHYTOTHERAPY:

ADELPLUS / METABOL: in accordance with regular recommendations.
BORONAGRA: two tablets at breakfast and one at dinnertime.
BHIOERBA – 3 – LD : Three spoonfuls, or a vial a day.
BHIOERBA – 1- HB: A spoonful after the main meals.
METABOLITES: A drinkable ampoule to be taken before breakfast two or three days a week.
CONDRORAL: One or two vials a day.
Whenever serious pain is experienced during the maintenance phase:
CONDROVIT – Ca: two capsules a day.

Optionally:

CONDROGEL two or three applications a day in the most affected areas.

MESOTHERAPY:

METABOLITES (2 amp.) in the abdominal area in accordance with regular guidelines.
LIPODISTROFIN: (1 amp.) at vascular axes.
CONDRODISTROFIN (1 amp.) in the lumbar and knee regions, in accordance with guidelines and frequencies, and depending on the evolution of the symptomatology.