Consensus Statement on Stem Cell Procedures

The aggressive marketing approach currently used by practitioners and clinics regarding various birth tissue products as safe and effective "stem cell therapy" is not supported by the existing scientific literature.

As practicing physicians, scientists, and regulatory experts we have increasingly observed aggressive advertising and sales tactics being used by alternative health clinics (chiropractors, naturopaths, and acupuncturists) as well as physicians and mid-level providers to market “stem cell” treatments derived from birth tissues. The products used are derived from birth tissues such as umbilical cord blood and/or Wharton’s Jelly or amniotic fluid/membrane. Many patients spend thousands of dollars on these therapies to treat orthopedic problems and/or a myriad of other incurable diseases.

Research has found that these amniotic and cord blood products did not contain live or functional stem cells. In addition, research groups found that many of the growth factor levels in these products were significantly lower than those found in common autologous orthobiologic products like platelet-rich plasma.

Here at In2it Medical we only use autologous (or patient-derived) orthobiologic products such as bone-marrow aspirate and platelet-rich plasma to ensure we are providing our patients with the best possible outcomes.

Here is the link to the full Consensus Statement,

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Video- What are the uses of Regenerative Medicine? with Dr. Craig Chappell

Regenerative injections are not a band aid or a “quick fix” but rather a long-lasting and potentially permanent reparative process. In this video Dr. Craig Chappell shares how we use a variety of regenerative treatments to help with chronic pain and healing. Treatments include Prolotherapy, Platelet Rich Plasma, Stem Cells and more. With Dr. Chappell's expertise in regenerative medicine and the use of ultrasound technology, In2it Medical can diagnose and treat a variety of ailments and pain including osteoarthritis, tendinosis, instability, sports injuries and more.

How Do You Diagnose And Treat SI Joint Instability or Pain?

One of the most common pain we treat in our clinic is SI Joint Instability which is more common in women than men, but can be equally painful and debilitating. Also commonly called sacroiliac joint instability, there is pain relief without invasive surgery. In this video Dr. Craig Chappell from in2it medical talks about why pain may exist, how he diagnoses this pain and common treatments available in the clinic. If you have lower back pain of any kind, call our office at 801-610-7321 for more information.

Why in2it Medical? Check Out Our New Video

We know that you have a number of choices when it comes to getting treatment for your pains and ailments. At In2it Medical, we specialize in non-invasive treatments that help you get treated and back into your favorite activities. Dr. Chappell is triple board certified, and his team of medical professionals are educated, experienced and committed to your well being. We also use state of the art ultrasound and imaging to get a good look at what you're experiencing. If you have a pain that hasn't been diagnosed, or you've tried a number of treatments without resolution, call us and come see for yourself. 801-610-7321

Carpal Tunnel Awareness Month


Find out why Carpal Tunnel Release is the best procedure for you!

Dr. Chappell is proud to announce that he is the ONLY physician in Utah performing this procedure.

•15 minute in office procedure VS invasive surgery with anesthesia

•4-6 days recovery VS 2 plus weeks recovery

•4-5 mm incision VS 2 plus inches

To find out more information regarding this innovative procedure please contact us at 801-610-7321

Get Healthy Without Surgery Or Medications

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How big is America’s opioid problem?

Data from, suggests that approximately 2.1 million Americans suffer from opioid addiction.

Are you currently combating a physical ailment or sports injury that’s preventing you from staying as active as you would like?

Are you utilizing prescription painkillers in an effort to fight back?

Here at In2It Medical, we provide pain management services that will help your body recover in all-natural ways without the assistance of any chemicals.

Here’s a look at three of the treatment options that we offer:

Platelet Rich Plasma. For this treatment “a small amount of the patient’s blood is collected then spun in a centrifuge to separate and concentrate the platelets. Then the platelets are injected back into the injured site. Our skilled technique at delivering the PRP, utilizing ultrasound guidance, ensures positive outcomes.”

Stem Cell Treatment. “In this procedure, the stem cells are harvested from your own body with the use of local anesthesia. The process of injecting stem cells follows the same pattern as PRP.”

Prolotherapy. “Prolotherapy uses the same physical process as Platelet Rich Plasma (PRP) to initiate and accelerate the body’s response to healing, however, Prolotherapy utilizes stimulus such as Dextrose, a concentrated sugar solution, in place of platelets to trigger healing.”

Are you tired of suffering from chronic pain? We’ll help you take action, and get feeling back to normal in no time. Let’s get to work

Helping Your Body Heal Itself

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As anyone with “a bad back” can attest, it’s not just a matter of gritting your teeth and getting on with life. Everything changes when you suffer back pain. You might be unable to do the simplest thing — lift the milk jug from the refrigerator, for instance — without excruciating pain.

Unfortunately, you’re not alone in this. One in five American adults suffers lower back pain in any given year, according to National Health Statistics Reports. It’s hard to estimate the losses from such pain — jobs lost, relationships damaged, lives diminished.

Did you know, though, that there are treatments beyond the conventional ones of surgery, steroids and physical therapy? Perhaps it’s time to consider the potential for regenerative medicine to get you back into life — back in2it!

We offer several kinds of injections — platelet rich plasma, stem cells and prolotherapy — that induce natural healing. These treatments create an inflammatory environment in specific parts of the body, triggering your body’s healing cascade and ultimately leading to a stronger and more resilient structure.

To determine if regenerative injections are right for you, we will take a complete medical history, perform a physical exam, perhaps run lab tests, and evaluate ultrasounds, X-rays, CT scans, and MRIs. We will evaluate your joints, tendons and ligaments and determine where your damage or degeneration lies.


Interested in an end to your pain? Please call us at 801-610-7321 or email us at

What Causes Knee Pain?

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Bursitis is inflammation of a fluid-filled sack, called a bursa, near the knee joint. There are bursas near all joints in the body, and 11 near the knee. Their job is to cushion the knee joint, reduce friction and reduce pressure between the bones and tendons near joints. Causes of bursitis can include frequent kneeling, a blow to the knee from a fall, bacterial infection or complications from osteoarthritis, rheumatoid arthritis or gout. Treatment includes physiotherapy, steroid injections and drainage of the sacks. Surgery can also be prescribed in some cases.

Housemaid’s knee, despite its name, is more common in men than in women. Medically called prepatellar The knee is the largest joint in the body, which is probably why knee pain is such a common complaint to doctors among all age groups. Yet though it’s common, there are many different types of knee pain, as well as a range of causes. Treating knees successfully requires good communication between doctors and patients.

There are two main categories of knee pain: acute and chronic.

·         Acute knee pain develops suddenly, usually from a sports injury, fall or accident. Sprains, strains and tears in the soft tissues in the knee—tendons, ligaments and cartilage or menisci—can be caused by a single twist or blow, or overuse for a long time, which causes repeated minor injuries. Bone fractures are less common than soft-tissue injuries but are more common in young children, who have more delicate bones, or in people with osteoporosis.

·         Chronic knee pain forms over time. It is caused by misalignments such as knee dislocation or by underlying issues such as osteoarthritis or rheumatoid arthritis, bursitis, tendinitis, gout, damaged cartilage, torn ligaments and even bone tumors. Osteosarcoma is the second-most prevalent bone cancer and most commonly occurs in knees.

Learn more about key forms of knee pain

Here are some common reasons patients visit knee doctors. You might find some of the symptoms familiar:

Runner’s knee is known in medical books as patellofemoral pain syndrome. Symptoms include grinding or popping sensations in the knee, pain behind or around the kneecap, pain while bending at the knee, swelling and pain that gets worse when walking down stairs or down a slope. It can be caused by overuse or repetitive bending, high-stress exercises, direct trauma such as a fall, misalignment of the kneecap with leg bones, or weakness or imbalance in muscle strength.

Chrondromalacia patella is the softening and breakdown of cartilage under the kneecap. Caused by misalignment of the kneecap as it moves over the thighbone, it’s especially common in women. The most common symptom is a dull ache behind the kneecap. Prolonged sitting makes it worse. Treatment with rest, ice and anti-inflammatory medication usually leads to recovery.

Osteoarthritis affects more than 33 percent of people over 65 years in the U.S., according to the Centers for Disease Control and Prevention. This degenerative disease is characterized by deterioration of cartilage, overgrowth of bones at the edges and increased bone density. Symptoms include pain that gets worse with use, stiffness that can improve after 30 minutes of activity, swelling and a grating sound or sensation that accompanies movement. It affects women more than men. Obesity, age and previous knee injuries are risk factors. Treatment includes topical creams and pain medications.

bursitis, it is the inflammation of the bursa in front of the kneecap. It affects people who spend a lot of time kneeling, and can be caused by a sudden fall or blow to the knee, as well as repetitive pressure, infection, gout and rheumatoid arthritis.Treatment includes rest, ice, elevation of the knee and anti-inflammatory medications. Doctors often ask patients with this condition to kneel less.

Baker’s cyst, which doctors call a popliteal cyst, is caused by the build-up of fluid in one bursa, the popliteal bursa behind the knee. Symptoms include pain, swelling or a lump behind the knee, pain in the knee or calf, and clicking or locking of the knee.These symptoms usually mean there is an underlying condition such as gout, hemophilia, lupus, osteoarthritis, rheumatoid arthritis or an injury. Treatment of the underlying cause usually resolves the cyst, but rest, ice, anti-inflammatory medications and compression bandages are also often used.

Jumper’s kneeor Patellar tendonitis, is an overuse injury to the patellar tendon, which connects the kneecap to the shinbone. It’s caused by frequent jumping and landing, and it commonly affects athletes who play sports such as basketball, volleyball, tennis, skiing, football, soccer and even tennis.Symptoms include pain and tenderness over the tendon, thickening of the tendon, stiffness and pain that gets worse from jumping or running. Treatment includes rest, ice, anti-inflammatories, physical therapy, stretching and strengthening exercises.

Iliotibial band syndrome is inflammation or tightness in the iliotibial band, the ligament that runs from the hip to the shin on the outside of the thigh. It’s usually associated with cycling, hiking or weightlifting and is one of the most common overuse injuries for runners. Rest, ice, anti-inflammatories, stretching, strengthening exercises and massage are common treatments.

If you experience sudden acute pain or have chronic knee pain after activity, talk to your doctor about sports injury knee pain for proper diagnosis and a recovery plan to get you back to yourself. In2it Medical can help


A New Kind Of Carpal Tunnel Treatment

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If one of the first things you do each morning is “shake out” your hands or wrists, that may be a sign that you suffer from carpal tunnel syndrome, which occurs when the median nerve leading from the forearm to the palm of the hand becomes compressed. Of course, a compulsion to shake your hands isn’t the worst of the symptoms. Carpal tunnel can cause burning, tingling, or itching numbness in the palm of the hand and the fingers, and you may no longer have the grip strength to grab hold of small objects.

Are we describing you or someone you know? If so, you’ll be happy to know that Dr. Craig Chappell has just been trained on an innovative new treatment for carpal tunnel. He’s the first Utah physician trained in the procedure!

The new procedure uses the SX-One MicroKnifeTM, an instrument developed by doctors at the Mayo Clinic that requires only a single micro-incision that is up to five times smaller than that required for traditional carpal tunnel release (CTR) surgeries. Because it’s less invasive than the traditional surgery, there’s less scarring and recovery times are significantly reduced.

“Technology has given us another extremely effective tool for reducing pain and improving quality of life—this time for people suffering from carpal tunnel syndrome,” said Dr. Chappell. “The In2it Medical practice is all about eliminating or reducing pain, so we’re pleased to be the first in Utah to be able to offer this new path to relief.”

Carpal tunnel syndrome affects some 12 million Americans annually, resulting in more than 500,000 surgeries. Traditional open and endoscopic CTR procedures are generally effective, but typically require outpatient surgery in a surgical center or hospital, a possible lengthy recovery period, and sometimes painful scarring. CTR procedures using the SX-One MicroKnife can be performed in a doctor’s office under ultrasound guidance in less than one hour and require only an adhesive bandage to close the wound. The SX-One MicroKnife is designed to protect sensitive nerves, tendons and blood vessels as the transverse carpal ligament is bisected during the procedure. As with traditional CTR surgeries, this new procedure is covered by most insurance plans.

Interested in learning more about the CTR procedure using the SX-One MicroKnife? Go here. To schedule a consultation with Dr. Chappell, call us at 801-610-7321 or visit our website

9 Questions Your Doctor Must Ask To Treat Low Back Pain

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You come to your doctor because of low back pain, something you’ve been suffering for some time. Does your doctor listen to your description of your symptoms, or does he or she quickly write you a prescription without hearing your ideas about the cause of your low back pain?

When you seek medical attention for any reason, the first thing the physician should do is ask questions about your condition, how you feel, your symptoms and your life history. What do you think is the reason for your low back pain?

While a doctor needs information to make the right diagnosis to treat low back pain or any other problem, unfortunately, doctors give patients an average of 18 seconds to talk before interrupting their descriptions of symptoms.

At in2it Medical, we make it a point to listen to patients and to ask questions.

Questions your doctor must ask you before making a low back pain diagnosis

1.       Where exactly does it hurt? You need to be specific with your answer. “My back hurts at my waist, more on the right side than the left.” If you can, point to the spot.

2.       When do you feel low back pain? Does it hurt when you stand, walk, run, twist or lie down? Is the pain worse in the morning or the evening? Is it constant or does it vary through the day?

3.       When did your pain begin? Was there an event that caused it, such as a sports injury? Were you doing something different or new the first time you felt the pain? Has the pain been constant since then, gotten better or gotten worse?

4.       What is your best theory about the cause of your pain? If you’re sure that it was caused by a fall or an impact, tell your physician about it in detail.

5.       What kind of pain do you feel? Describe whether it’s stabbing, burning, shooting pain, or a constant ache.

6.       How bad is your pain? Physicians usually ask you to rate it on a scale of 1 to 10, with 10 being the worst pain you can imagine. Don’t overstate it — “11” is not helpful to the physician. Be realistic. Most doctors will accept that a natural childbirth is a 10 on the pain scale — use that as your guideline.

7.       How does your pain affect your life? Low back pain can prevent you from performing your favorite activities, such as exercise or sports. It can make it difficult to sit or stand in one place for a long time. Tell your doctor about any changes you have had to make because of your low back pain.

8.       What medications are you currently taking? Before prescribing any medication, the physician has to know about any possible drug interactions.

9.       What are your goals? This is probably the least asked, but most important question when it comes to prescribing a treatment. What do you want to do? Are you hoping to play in a game on a specific date in the future? Take a trip? Or are you just trying to resume a normal activity? Understanding your goals can help you and your doctor plan a course of treatment.

Questions to ask your doctor

Studies have shown that up to 60 percent of patients do not know their diagnosis when they are discharged from a hospital. But the best outcomes are the results of doctors and patients working as a team toward a clear goal — like playing in that big game next month. And that can only happen when doctors and patients understand the diagnosis of the cause of low back pain and the treatment.

Before leaving your doctor’s office, ask these questions:

·         What are the tests for?

·         How many times have you performed this treatment or procedure?

·         Why do I need a particular treatment?

·         Are there alternatives?

·         What are the possible side-effects?

·         How many treatments will I need, over what period of time?

Treating low back pain, whether caused by sports injuries, a household accident or any other cause, starts with good communication between doctor and patient. Make sure your doctor listens to your history, and make sure you know the treatment plan, desired outcome and possible side-effects before you leave the clinic

Hope For Pregnant Women With Back Pain

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If you’ve ever been pregnant, or accompanied a woman through pregnancy, you know that lower back and pelvic pain can rob a woman of the joy she expects as she awaits her baby’s arrival. It’s astounding, but an estimated 70 percent of women experience such pain!

But why is that? Because a pregnant body is one with biomechanics that are changing. Your center of gravity changes as your baby grows and you put on weight. Your back may hurt from supporting the added weight. Plus pregnancy hormones are causing ligaments (even those in your mouth!) to relax, which can put more strain on muscles.

However, there is hope and help and we’re prepared to provide both through Osteopathic Manipulative Treatments (OMT). These techniques, also used to help injured athletes, involve using pressure and resistance to work with the muscles, connective tissues, and joints. The goal is to ease your pain, improve your range of motion, and help your body function more efficiently while it supports two of you — and later, only you. OMT during pregnancy can help you rebound more quickly after you give birth, and OMT while you are still the hospital can help ease post-partum pain.

Interested in learning more? Contact us here. No woman should have her joy stripped away by back pain!

Instituting An Effective Pain Management Program

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Pain affects more Americans than any other condition, including diabetes, heart disease, and cancer combined. As a result, pain management is one of the major challenges of the American medical system. The current opioid addiction crisis is just one outcome of the widespread pain management challenge. But there are many options for effective relief that do not depend on potentially addictive opioids or other medications.

The key to effective, long-term pain management is to understand what pain is and to determine the underlying causes. Healing can begin when patient and therapist clearly understand the cause.

Acute versus chronic pain

The starting point is to assess the type of pain. The first two main categories are acute and chronic pain, the difference being how long the pain lasts.

Acute pain is usually the result of an illness, injury or surgery, and the cause is usually fairly easy to determine. Treatment is typically according to that underlying cause — a broken bone, sprained joint or burn, for example. Pain medication is often the prescribed treatment, but is not necessarily the only option.

Chronic pain lasts a long time: weeks, months or years, and can even persist for a lifetime. Often, it’s harder to see the underlying cause. It could be the result of not treating the cause of acute pain properly, or it could be the sign of an undiagnosed, underlying condition, such as heart disease, diabetes or even cancer.

Breakthrough pain describes a flare-up of pain that overwhelms medication. Sometimes, it’s caused when pain medication wears off; at other times, it can be triggered by something as innocuous as turning around or taking a step. Sometimes it happens spontaneously.

Types of pain

·         Somatic pain is caused by irritation on the skin or in the muscles, tendons, ligaments or bone tissues.

·         Myofascial pain, a sub-category of somatic pain, is in a muscle a muscle group.

·         Visceral pain in the internal organs such as heart, lungs and other organs, is often hard for sufferers to identify exactly where it begins.

·         Neuropathic pain is caused by damage to the nerves, spinal cord or brain. For example, symptom such as the feeling of burning or stabbing pain, accompanied by numbness or tingling sensations, can be the result of nerve compression or more severe damage to the spinal cord.

·         Radicular pain is a type of neuropathic pain caused by pressure on nerve roots. It causes pain to shoot down the length of the nerve. For example, when nerves in the neck or spine are compressed, such as after a car accident or sports injury, pain shoots down the leg or arm. Consequences

Chronic pain, even if the level is relatively mild, makes the person suffering from it more prone to psychological consequences, including anxiety and depression. This can start a vicious cycle, where anxiety or depression make chronic pain worse, which leads to more anxiety and depression.

Treatment options

·         Medication is usually the first option for most medical therapists. These include acetaminophen, aspirin and nonsteroidal anti-inflammatory drugs, or NSAIDs. Some of these, such as ibuprofen, can be bought over the counter, or without a prescription. They can be very effective for acute pain and some chronic pain, but over time can have significant side effects.
Some antidepressants can be effective in chronic pain management, taken over the long term in doses lower than those used for treating depression.

·         Opioids are often prescribed for certain types of chronic pain, and have significant side effects, including drowsiness, nausea and addiction.

·         Surgery is not a common treatment for pain management — it’s usually a last resort. Some surgery can relieve pressure or correct a compression of nerves that cause nerve damage. However, surgery can have other significant side effects, as well.

Effective treatments of root causes of pain

The cutting edge of pain management and therapy is not surgical nor pharmacological. The goal is to restore patients to their full former lives and abilities without cutting, and minimal downtime.

New pain management techniques like prolotherapy, stem-cell therapy, platelet-rich plasma therapy (PRP) and osteopathic manipulative treatment (OMT) encourage the body’s built-in healing processes to stimulate the regeneration of healthy tissues and free the patient from pain.

Freedom from pain

Identifying the type of pain suffered, listening to the patient and then working together to determine the best treatments is the approach that we at In2It Medical find the most effective over the long term

What is a DO?

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If you’re like a lot of people, you’ve puzzled over the distinctions between DOs and MDs. Both credentials denote licensed physicians who have passed rigorous coursework and residencies, can prescribe medication and work in a range of specialties. So what difference does it make whether your doctor is a Doctor of Osteopathic Medicine or a Doctor of Medicine?

We think it makes a great deal of difference — especially in our field of expertise, which is helping people with pain. Osteopathic physicians, like Dr. Craig Chappell, are committed to a philosophy that “sees all systems of the body as an interrelated unity, each working with the other to heal in times of illness.” DOs treat you as a whole person.

Osteopathic medical schools also require more classes on the musculoskeletal system so that they better understand how that system influences the condition of all other body systems. In addition, DOs are trained to identify and correct structural problems, which can assist your body’s natural tendency toward health and self-healing.

One of the ways DOs treat patients is with healing touch such as Osteopathic Manipulative Treatment, or OMT. It involves using the hands to diagnose, treat, and prevent illness or injury. If your particular condition calls for OMT, Dr. Chappell will move your muscles and joints using techniques including stretching, gentle pressure and resistance.

Interested in learning more about the DO difference? Contact us by phone at 801-610-7321 or by filling out our contact form at this link. We look forward to helping you get back In2it


How Your Diet Can Assist In Pain Management

Pain management is a key part of helping you life a pain-free life. One of the tools for pain management is a medically developed weight loss program.

A healthy diet can have dramatic impacts on pain management and a healthy overall lifestyle. Curious how? Simply read further!

How does diet affect pain management?

Studies are increasingly showing links between diet, lifestyle and pain management. For example studies show that a diet that stresses vegetables and fruit helps reduce pain due to inflammation.

In contrast, the typical American diet which stresses highly processed foods and refined carbohydrates like sugar and starch, has been shown to promote inflammation — a major source of chronic pain.

Laboratory studies have shown links between many foods and pain relief. These include, olive oil, salmon, red grapes, berries, and some spices such as ginger, thyme and cumin. While the evidence on these is not conclusive, eating fresher, healthier foods and reducing the amount of highly processed carbohydrates that you consume can only benefit your health.

Other studies show changes in diet can reduce the pain of conditions like fibromyalgia.

Weight loss and pain management

A healthy diet is integral to a medically developed weight loss plan. And weight loss can have dramatic impacts on pain management.

Just losing five pounds can reduce joint pain in ankles, knees, hips and lower because because they’ll be carrying less of a load. A number of studies show reductions in joint inflammation and pain as a result of weight loss.

The elements of a healthy diet

Weight loss or weight gain is the result of an imbalance in the amount of energy your body takes in the form of food. There are three types of food energy: fat, carbohydrates and protein. We need all three to stay healthy, but the proportions are important.

Fats are the most energy-dense of the three, and the hardest to convert into energy. Protein is the easiest to break down into usable energy, but it’s also contains the least energy per unit of mass.

Carbohydrates are in the middle: more energy dense than protein, but easier to convert into energy than fat.

When you’re exercising, or even just moving around for your daily routine, your body turns first to its stores of carbohydrates for energy. Only after there are insufficient carbohydrate stores in the form of blood sugars, starches and other sources, does it turn to burning fat.

An effective weight loss program focuses on providing your body with the essential nutrients it needs to maintain good health, encouraging your body to burn fat while maintaining muscle.

Foods for a healthy lifestyle

There really is no secret to the foods that are healthiest for you, promote a healthy lifestyle and help in pain management. Fresh fruits and vegetables, without preservatives and additives, are healthiest for you to eat. Fortunately in our modern economy, they’re easier to find at a reasonable price.

Foods rich in omega-3 fatty acids are good for improving heart health, providing a range of nutrients and may also help reduce inflammation, a key component of pain management.

Foods to avoid

As stated, highly processed foods do not contribute to a healthy lifestyle and may make pain management more difficult. Packaged foods and those with a large amount of processed flour, sugars and especially corn syrup glucose, are very easy for your body to convert to fat.

Generally, to lose weight and move to a more healthy lifestyle, cut back on carbohydrates — sugars and starches.

Go beyond the pain

Instead of thinking only about managing pain, try thinking in terms of living pain free through a healthy lifestyle. A medically proven healthy diet that can lead you to your optimal weight and body condition is the first step.

For more information on pain management in Sandy Utah, give me a call at In2It Medical.