The Center for Healthy Living and Longevity

The Center has the following Michigan locations (specific addresses at the end of this post, and on the longevity medicine map):

• Ann Arbor
• Bloomfield Hills
• Gaylord
• Grosse Pointe Farms
• Kalamazoo
• Madison Heights
• Petoskey
• Rochester
• Saginaw
• Traverse City
• West Bloomfield

Let’s profile one of the Centers’ doctors…

Dr. Keri Topouzian is a partner at The Center for Healthy Living & Longevity located in Bloomfield Hills, Grosse Pointe and Saginaw, Michigan. He received his degree in osteopathic medicine from the University of Health Sciences, Kansas City, Mo. in 1982. Dr. Topouzian spent 10 years practicing alternative medicine and is specializing in natural hormone replacement therapies and functional medicine that seeks to go to the underlying origins of a client’s symptoms. Dr. Topouzian is board-certified in emergency medicine through the American Board of Anti-Aging Medicine, American Board of Emergency Medicine and with the American Board of Anti-Aging Medicine.

Clients have sought the Centers’ help for lowering cholesterol without drug therapy. Cancer and diabetes patients receive nutritional support to help them during their treatments.

To explain a bit about what the Centers do, it’s worth first answering the question: what is Functional Medicine?

Functional medicine was a phrase developed in 1993 and has three distinct hallmarks:

• Every patient is unique. Given this, the treatment is unique and takes into account of that client’s specific conditions and symptoms.  There is no “cookie cutter” approach of prescribing drugs for a particular condition, such as diabetes.
• Proper care requires a holistic approach to assessment and treatment. In alignment with treating every client as unique, assessment and treatment is prescribed according to an individual’s work, life habits, religious beliefs and health habits.  Doing this allows physician and functional medicine practitioners (such as nurses, nutritionists, other medical staff), to provide appropriate methods of treatment.
• There must be an emphasis on preventive health. In functional medicine, clients are encouraged to take an overall preventative approach to their health.  Regular screening tests, maintaining good health habits such as eating a balanced diet and getting regular exercise are emphasized, to ward off the onset of chronic diseases such as diabetes or heart disease.

Ann Arbor: Telephone: 800-584-4926 • 5204 Jackson Rd., Suite C
Bloomfield Hills: Telephone: 800-584-4926 • 1900 S. Telegraph Rd., Suite 102
Gaylord: Telephone: 231-487-9355 • 2922 D & M Drive
Grosse Pointe Farms: Telephone: 313-886-4060 • 114 Kerchevel Avenue
Kalamazoo: Telephone: 800-604-1402• 7966 Lovers Lane
Madison Heights: Telephone: 248-548-3060 • 1467 East 12 Mile Rd.
Petoskey: Telephone: 231-487-9355 • 2390 Mitchell Park Drive, Suite D
Rochester: Telephone: 248-459-1139 • 210 West University, Suite 6
Traverse City: Telephone: 734-748-0269 • 13919 S West Bay Shore Drive, Suite G02
West Bloomfield: Telephone: 800-604-1402• 6018 W Maple Rd,Suite 807

The guiding philosophy behind WellMax is the prevention of chronic disease. Early detection is emphasized with a suite of state-of-the-art testing protocol to assess clients. Treatment options include the administration of natural hormones (hormone replacement therapy) for conditions including both male and female sexual health issues.

Daniel Cosgrove, M.D., is the medical director at Well Max. He has a psychobiology degree from UCLA and a medical degree from Washington University in St. Louis. He is board certified in both Internal Medicine and Emergency Medicine. He holds a clinical faculty appointment at the Loma Linda University School of Medicine.

The staff at WellMax include physicians from UCLA and the Eisenhower Medical Center, including Dr. Erika Estock, Dr. John F. Feller; Dr. Paul Juris, Dr. Kenneth Jesser, and Dr. Jennifer R. Berman.

Where appropriate, clients may undergo one or several of the following medical tests to determine their current health status:

• Comprehensive Physical Examination
• Comprehensive Gynecologic Evaluation – for Women
• EKG (electrocardiogram)
• Cardiac Exercise Stress Test
• Pulmonary Function Test
• Metabolic Analysis
• WellScan (Bio-Age Assessment)
• Musculoskeletal Evaluation & Fitness Assessment
• Nutritional Assessment
• Vitamin profile
• Coronary Artery CT
• Ultrasound of Organs
• Bone Health and Osteoporosis
• MRI (Open and Closed) / MRA
• Colonoscopy
• Virtual Colonoscopy
• CBC and Chem 20
• Complete Hormone Panel
• Cardiovascular Risk Panel
• Ferritin
• Thyroid Screening – T4 Free & TSH
• Tumor Markers (CA125, CEA, PSA, NMP)
• Genetic Testing
• HIV Antibody
• Oxidative Stress
• Comprehensive Laboratory Summary
• Vision Screening
• Audiometry

At WellMax, specific advanced medical screening is available, including tests to assess the health of the following:

• Carotid arteries: Carotid arteries supply blood to the brain. If there is any plaque present, that presents a risk for stroke. There are several options for reducing excessive plaque. An imaging test can screen for this stroke risk.
• Uterus and ovaries: Ultrasound can be used to ascertain the thickness of the uterine lining, or endometrium. Doing this allows doctors to determine if there are any abnormalities that may signal illness or pathology. Ovarian cancer can be screened early on so that there is a greater chance for successful treatment.
• Prostate: An ultrasound of the prostate provides doctors information about the prostate size, shape and structure.  Bladder imaging can also be performed to determine the amount of urine that remains after voiding—which varies according to the size of the prostate.
• Bone density testing: Utilizing state-of-the-art Hologics 4500W bone densitometry equipment, DEXA bone density measurements are taken as a whole body scan; at the vertebral column and several landmarks of the hip. Body fat content testing for different areas of the body can also be performed.
• Whole body MRI (Magnetic Resonance Imaging): This comprehensive screening allows clients and their  physicians to see in dramatic relief, the interior landscape of the body, from the brain, to kidneys, to lungs—without harmful radiation.
• Whole Body MR Angiography (MRA): An MRA is an MRI of the blood vessels, again, without radiation. This test screens for heart disorders such as Peripheral Vascular Disease (PVD), renal artery disease that could lead to hypertension, stroke, and blood vessel diseases. Specialized computer software is used in conjunction with detailed imaging of the coronary arteries of the heart, to determine a “calcium score.” This score correlates with the amount of atherosclerotic plaque in the coronary arteries. In general, the higher the calcium score, the greater risk of a heart attack. It does not require any needles or probing.

Telephone: (800) 621-5263 • 49-499 Eisenhower Drive, La Quinta, CA

The center is supervised by Leonid Magidenko, M.D., a native of Russia where he graduated from St. Petersburg Medical School and received postgraduate training in the field of obstetrics and gynecology Here in the US, Dr. Magidenko has received additional training in internal medicine and passed all medical professional exams. He is certified by the American Board of Internal Medicine, and specializes in treating age-related chronic diseases such as diabetes, heart disease, endocrine disorders as well as helping patients who may suffer from functional decline from aging.

Dr. Magidenko is a member of the American Medical Association, the American Academy of Anti-Aging Medicine, National Osteoporosis Foundation’s Professional Partners Network, and a Diplomat-Candidate in Chelation Therapy. In addition to running the Healthsmart Medical Center, he is also a Clinical Assistant Professor at the University of Miami, Nova University and Barry University.

The Healthsmart Center offers several diagnostic tests to assess every patient’s specific health concern:

• DXA Osteoporosis Testing: Designed to assess a patient’s spine, hip, and wrist to determine risks for fractures.
• Diagnostic Medical Ultrasound: This exam enables technicians to assess heart disease risk that may eliminate the need for more invasive testing. These include a number of sonographic exams that evaluate the heart muscle and valves, internal organs, blood flow to extremities and genitals to detect any pathology.
• Interpretive Electrocardiogram: Progressive, gender-specific electrocardiogram to assess the different criteria for the male and female heart.
• Holter Monitor: This exam is to detect any irregularities in heart beats in a 24- or 48-hour timeframe.
• Advanced Exercise Cardiac Stress Testing: An exam to note readiness for exercise as well as evaluating any heart abnormalities during physical exertion testing.
• High Frequency X-ray: The advantage of a high frequency x-ray is that is provides a complex array of information with reduced amount of time for the patient to be exposed to radiation.
• Pulmonary Function Study and Blood Oxygenation Tests: Determines function of the lungs and content of the oxygen in the blood.
• Hearing Test: As a preventative tool, this test is to detect any hearing loss early on to improve treatment outcome.
• Blood-Drawing Station: Several detailed blood panels can be performed, including those for evaluating hormonal levels, risk for cardiopulmonary disease, any precursors for cancer, as a nutritional analysis and more.

Telephone: (215) 464-6040 • 9922 Roosevelt Blvd, Philadelphia, PA

Marina Johnson, M.D., F.A.C.E.,

Previously a practicing pharmacist, Dr. Johnson is able to offer clients bio-identical hormones to bring patients back to health and reduce symptoms normally associated with aging such as lowered sex drive, weight gain, “fuzzy thinking,” and a sluggish metabolism.

Her philosophy in applying functional medicine is to seek the root causes of an illness rather than suppress its symptoms. This may mean discovering a decline in certain hormonal levels that can be treated to bring the client back to wellness. Dr. Johnson specializes in treating andropause (male menopause), thyroid disorders, PMS and growth hormone deficiency in adults. She also provides preventative protocols for heart disease, diabetes and high blood pressure.

While physicians are required to complete 12.5 hours of continuing medical education (CME) every year, Dr. Johnson often attends more than 100 hours a year in programs in endocrinology, preventive and functional medicine.

Bio-identical hormone therapy (BIHT): Bio-identical hormone therapy provides hormones that the body will recognize. Custom formulas can be made and BIHT also involves the use of the following pharmaceutical products: Alora, Climara, Estragel, Estrasor and Vivelle.

Perimenopause: Women in their late 30s and more commonly in their 40s, often experience perimenopause and experience symptoms to those found in menopause. These women benefit frequently from treatments of progesterone as they are not estrogen-poor.

Effects of long-term estrogen deficiency: As important as they are, nutritional and herbal therapies do not protect women from the ill effects of long-term estrogen deficiency. Symptoms include loss of bladder tone, vaginal dryness that can disrupt a health physical relationship, lowered libido, osteoporosis, risk for Alzheimer’s disease, Dowager’s hump (spinal shortening and curvature), hair loss and loss of skin elasticity.

BIHT can address all of these symptoms if a woman is treated by a qualified physician. A French study done in 2002 with 3175 women taking oral progesterone and wearing transdermal estradiol for 8.9 years showed no increased risk for breast cancer. Dr. Johnson has personally treated over 5,000 menopausal women. She has been prescribing bio-identical hormones for 20 years.

The Women’s Health Initiative: The Women’s Health Initiative was a long-term study that showed increased risk for breast cancer, heart disease, and stroke for women taking Prempro, a combination of Premarin and Provera. These products are made from the urine or pregnant mares. (Is it any wonder that equine urine was not tolerated by women?) In BIHT, bio-identical hormones such as estradiol and progesterone are very different products that are more likely to be assimilated by the body. As with any endocrine treatment, there are possible side effects but it is important to remember that left untreated, declines in these hormones puts an individual at increased risk for chronic diseases.

Andropause: Testosterone levels may start to decline in a man’s 40’s and 50’s.  Unlike menopause in women, andropause in men can be reversed with the use of BIHT.

Telephone: 214.574.4376 • 433 E. Las Colinas Blvd, Suite 900, Irving, Texas

Dr. Fouad I. Ghaly graduated from the University of Alexandria Medical School in Egypt and completed a residency at Johns Hopkins Hospital in Baltimore, Maryland. He later began a private practice in Southern California. After Dr. Ghaly had a heart attack in 1995, he changed his practice from cardiovascular anesthesiology to longevity medicine. Dr. Ghaly is a Board Certified Anti-Aging specialist and a member of the American Academy of Anti-Aging Medicine (A4M)

Clients may receive a complimentary consultation by first visiting his site to complete a consultation form and submit it to Dr. Ghaly. Comprehensive testing includes assessing the current level of hormones, measuring oxidation and DNA wear and tear in the body through the following tests:

• Family history & physical exam
• Blood counts
• Metabolic panel
• Liver function
• Kidney function
• Cholesterol & triglycerides
• Phytochemicals & antioxidants blood levels
• Vitamin & mineral blood levels
• Body composition using Dexa™ method
• Body fat %
• Muscle mass
• Water content
• Bone density
• Lung function
• Fitness & grip strength
• Cancer screening
• PSA, free PSA /PSA ratio
• Cardiac performance
• Tread mill stress test
• Echocardiogram
• Carotid Artery Duplex Study
• Comprehensive digestive assessment
• Digestion
• Absorption
• Intestinal permeability
• Stool analysis for parasites and candida
• Gut flora analysis for harmful and beneficial bacteria

Clients frequently see Dr. Ghaly for treatment for the following conditions:

• Menopause
• Perimenopause
• Postmenopause
• Andropause (Male Menopause)
• Osteoporosis Male & Female
• PMS
• Professional Athletics
• Rejuvenation & Longevity
• Stress related Illness

In some cases, Total Hormonal Replacement (THR) is appropriate for certain conditions. Dr. Ghaly may also provide nutritional counseling, recommendations for exercise and stress management. He can provide clients with:

• Antioxidants
• Herbal supplements
• Vitamins & minerals
• Nutritional supplements
• Amino acids & enzymes

In addition to optimal nutrition, regular exercise can help clients with conditions including diabetes, heart disease and osteoporosis. In some cases, clients may benefit from Cardio Rejuvenation and External Counter-Pulsation.

Dr Ghaly believes stress management is an important element in maintaining longevity. Referrals can be given to clients for therapists, practitioners and instructors for massage, hypnotherapy, meditation, tai chi and other behavioral modifications to effectively reduce stress.

Telephone: 310-540-0300 • 4201 Torrance Blvd, Suite 590, Torrance, CA

Diagnostic tests include Bio-Energy Testing™, the Framingham Cardiovascular Risk Assessment, Arterial Stiffness Analysis, Bio-Marker Assessment, Comprehensive Hormone Evaluation, and Heavy Metal Assessment.

Frank Shallenberger, M.D., H.M.D., A.B.A.A.M., directs the Center’s programs. He graduated from the University of Maryland School of Medicine and completed post-graduate training at Mt. Zion Hospital in San Francisco.

Dr. Shallenberger is a member of the Society of Orthomolecular Health Medicine; the American College for the Advancement of Medicine; the American Academy of Anti-Aging Medicine; the Nevada State Homeopathic Medical Association and the American Preventive Medical Association. He is certified by the National Board of Medical Examiners and he is a licensed medical doctor, in Nevada (as of December 2010).

Clients who are tested that show the normal decline in certain hormones related to aging such as DHEA, testosterone, pregnenalone, estrogen, and estradiol, can be treated with Bio-Identical Hormonal Replacement Therapy.

To help clients who would like to lose weight, a metabolic weight management program is offered that includes comprehensive detoxification and a customized fitness program. The Center offerese the following medical and aesthetic therapies:

• Bio-identical Hormonal Replacement Therapy
• Natural Joint Reconstruction
• Chelation and CheZone™ Therapy
• Nootropic (Brain Function) Therapy
• Erbium-Yag Laser Facial Resurfacing
• Non-Surgical Cellulite Therapy
• Aesthetic procedures offered include:
• Restylane® Cosmetic Fillers
• Non-Surgical Face-Lifts
• Spider Vein Elimination
• Micro-Dermabrasion

Clients have come to The Center for treatment of the following concerns and conditions with success:

• Breast Cancer Prevention Program
• Angina and Coronary Artery Disease
• Diabetes and Insulin Resistance
• Macular Degeneration
• Cancer – All Stages
• Osteoarthritis and Rheumatoid Arthritis
• Fatigue, Candidiasis, and Fibromyalgia
• Sports Injuries and Rotator Cuff Tears
• Osteoarthritic Hips and Knees
• Chronic Back Pain and Sciatica
• Degenerative Disc Disease
• Lupus and Multiple Sclerosis
• Pediatrics, Including ADD
• Allergies and Sinusitis
• Depression, Anxiety and Panic Disorders
• Sexual Dysfunction
• Prostate Disorders
• Heartburn, Hiatal Hernia, Indigestion
• Osteoporosis
• Lung Disorders
• Chronic Hepatitis
• Herpes
• Memory Loss
• Colitis, Irritable Bowel Syndrome, Crohn’s Disease
• Acne, Pigmentation, Wrinkles, and All Skin Conditions
• Conditions
• Headaches and Migraines

The Center is directed by Dr. Shallenberger, who leads its staff that includes Samuel C. Winter, D.O., H.M.D., an osteopath trained in homeopathy; Esther Polada, RN; Saundra Koeck, a colon hydrotherapist; Anne Vondruska, CPT, who designs client fitness programs; Allison Squelch licensed clinical aesthetician; Marc Hiscox, who works with clients to establish self-empowering belief using Psych-K™ to assist their healing and wellness; and Sheila Juskw, FNP, a family nurse practitioner.

The Center also offered advanced aesthetic skincare including Botox, to reduce the appearance of wrinkles, and also European facials, Erbium-Yag Laser Skin Resurfacing to treat wrinkles, spots, pigments, and skin discolorations. Glycolic/lactic acid peels are available to renew skin and Trichloroacetic (TCA) Peels to help improve fine lines, skin color, texture and discolorations. Delphia medical micro-dermabrasion is offered with a masque and hydration.

Telephone: 775-884-3990 • 1231 Country Club Drive, Carson City, NV 89703

The principles of aging center around glycation or sugar metabolism, inflammation, oxidation and metylation (abnormal gene expression). Hormone replacement therapies (HRT) enable people to remain youthful by retarding the aging process.

Lee Raymond Light, M.D., received his medical degree from the University of Illinois and has been in private practice from 1975 to the present. He is a member of the American College of Physicians, the American College of Internal Medicine, and the American Academy of Anti-Aging Medicine.

The Clinic provides bio-identical HRT using hormones including human growth hormone (HGH), estrogen, progesterone, testosterone, pregnenalone, thyroid, DHEA, and melatonin to keep an individual’s hormone levels at optimal ranges for overall well-being.

Other services include heavy metal detoxification for the relief of chronic fatigue syndrome; genetic testing and bio-markers for aging. Additional testing of absorption can also be done to gauge absorption and digestion. Other tests include Body Mass Index (BMI) for obesity, food allergy tests, and others.

Other services provided include:

• Sclerotherapy to eliminate varicose veins
• Chemical Peels to reduce fine lines and wrinkles
• Permanent Make-up to add definition of the eyes, and mouth
• Botox Treatment for reducing the appearance of wrinkles
• Restylane Administration for improving the appearance of the skin
• Mesotherapy to reduce body fat by “melting” the fat

Phone: (239) 659-3266 • Website • 850 Central Ave., Ste. 301, Naples, FL 34102

Dr. Philip Lee Miller, M.D. is founder and medical director, has been in medical practice for more than 35 years. Dr. Miller graduated from the Univ. of Calif., Berkeley, in 1968 with a degree in Biochemistry, and later graduated from the School of Medicine at Univ. of Calif., San Diego. He is ABEM Board Certified in Emergency Medicine and is also a Diplomat of the ABAAM Board.

He is currently a charter member of the American Academy for Anti-Aging Medicine is also board-certified in Anti-Aging Medicine by the American Board on Anti-Aging Medicine.

He holds distinctive memberships in the American Academy of Anti-Aging Medicine (A4M), European Academy for Quality of Life and Longevity (EAQUALL), the American College for the Advancement in Medicine (ACAM), (past) American Academy of Neurology (AAN), as well as the Santa Clara Medical Society, and the California Medical Association (CMA).

Natural Bioidentical Hormone Replacement Therapy (NHRT), or bioidentical hormone therapy, is one our most popular programs. Clients in menopause or andropause have found NHRT has helped them cope with symptoms. Benefits include improved moods, mental sharpness, easier decision-making, and renewed libido.

For clients for whom NHRT is appropriate, benefits include increased energy levels, improved appearance of skin and enhanced libido.

Phone: (888) 806-9982 • Website • 15215 National Ave., Ste. 103, Los Gatos, CA

Dr. Ben Magsamen began his medical career in the early 1960s, as an orthopedic surgeon. He is one of the founders of Orthopedic Center of the Rockies in Fort Collins, Colorado, and has had a lifelong interest in health. His current emphasis is to help people remain independent for as long as possible.

Every client is given a complete evaluation that includes several tests and studies to determine the individual’s health issues. A family medical history is taken, as is a record of one’s exercise and eating habits. Other information we record includes body fat and safety and health risks.

The Longevity Center commonly asks patients to seek out another facility to get the following tests:

• bone density scan
• cardiac stress test
• pulmonary function test
• specialized studies of blood chemistry to determine hormone status

After a complete evaluation of all factors, patients will receive specific recommendations in diet and supplementation and if HRT is appropriate for them.

Those clients specifically seeking an anti-aging program will receive a physical exercise plan, often with the supplementation of human growth hormone (HGH). For many clients, risks for a fall and resulting injury is a serious concern. To prevent falls, the Center recommend clients take yoga or tai chi lessons to gain the physical balance and confidence to not fall as they grow older.

It is important to remember the value of sleep. During the REM stage of sleep, the body produces HGH. Production of this hormone drops in the body after the age of 30 and if a physician has determined an abnormally low level in the client, HRT may be one option.

The Institute recommends mental exercise as another vital component of anti-aging medicine. Another prominent hormone, DHEA, can decrease as we age, and practices such as prayer, meditation and especially transcendental meditation all help the body produce DHEA.

After the client assessment, dietary recommendations are also given.

Before a client is placed on HRT, he or she undergoes medical tests to determine if this kind of supplementation is needed. Additional tests such as cardic stress test, bone density test as well as those specifically designed to determine where a client’s hormone levels are at. Follow-up blood tests are strongly recommended if HRT is prescribed.

Phone: (970) 226-4465 • Website • 3805 S. Centennial Dr, Fort Collins, CO 80526

• to improve current health
• prevent age-related diseases
• improve an individual’s quality of life

Towards this end, anti-aging medicine, then, has four components:
1. Maintaining healthy nutritional habits
2. Cultivating regular, moderate exercise
3. Maintaining appropriate nutritional supplementation
4. Undergoing HRT with bio-identical hormones for optimal results

At the Hammer Institute, anti-aging medicine might be summed up as the following practices:
1. Healthy diet habits
2. Proper exercise routine
3. Optimal nutritional supplementation
4. Bio-identical hormone restoration

All clients receive a complimentary 30-minute consultation with Dr. Hammer, to determine what the health issues and goals are for each client and if anti-aging medicine is the appropriate way to address those concerns.

Next, the patient undergoes a comprehensive battery of tests to measure hormones, markers for diseases, a chemistry profile and blood cell count.

This evaluation includes family medical history, physical exam (although breast and pelvic exams are not performed at the institute), and body fat composition.

Later, a special program is created for each patient based on this evaluation. The program may include HRT, changes to diet, exercise, nutritional supplementation and any other additional testing.

Dr. Hammer conducts a patient follow-up every 3 months with blood tests to see how the body is responding to the HRT program. Maintenance checkups may be done at 6 to 12 months.

Bioidentical hormones used in the program might include human growth hormone (HGH), testosterone, estrogen, progesterone, thyroid, DHEA, Pregnalone, melatonin and cortisol.

Phone: (480) 563- 0059 • Website • 9377 East Bell Rd., Ste. 207, Scottsdale, AZ 85260