The 5 Stages of Brain Recovery After a Stroke
The brain is a powerful yet delicate organ that carries out numerous functions—functions we often take for granted.
Having a stroke can cause debilitating injuries to the brain, yet the aftermath can be even more challenging to your health and lifestyle. Up to 50% of stroke survivors suffer some form of motor dysfunction or brain impairment—including memory loss, difficulty focusing and processing information, and an inability to reason.
No one wants to have their most significant capabilities suddenly stripped away. That’s why we’re here.
If you do not feel the same as you did before your stroke, the Aviv team has answers. The time to commit to your health is now. Learn the five stages of brain recovery after a stroke and the treatment options available to you.
What Happens to the Brain During a Stroke?
Blood carries oxygen and essential nutrients that nourish brain cells. But during a stroke, blood cannot reach crucial parts of the brain. When the brain lacks blood supply, two things can happen:
- Arteries become blocked (this is called an ischaemic stroke).
- Arteries break/rupture (this is called a hemorrhagic stroke).
In either case, sections of the brain become damaged, which can manifest cognitive, physical, and even emotional symptoms.
How the Brain Recovers from a Stroke: The 5 Stages of Support
Research illustrates the brain can reorganize and adapt in response to injury. That means there’s hope for stroke survivors because the brain can be retrained.
Now, post-stroke recovery is not as cut and dry as one would hope. Because every person has different stroke symptoms, lifestyles, and health backgrounds, it’s important to find a post-stroke recovery plan created solely for you.
Here are the five stages of post-stroke recovery. Each stage represents a milestone that gets you closer to living a better, more fulfilling life. The right treatment plan will include one or a combination of these post-stroke rehab therapies.
1. Thinking, Memory, and Perception
Neuropsychologists look at the link between someone’s brain and their potential to participate in daily activities. Neuropsychologists typically conduct an assessment to measure areas such as memory, learning, and processing speed.
The doctors can identify which areas of the brain have been most affected and will provide a rehabilitation plan based on the data.
2. Communication and Language
Social interactions lie at the core of human life. So when this is taken away through aphasia (a disorder that impacts a person’s ability to understand or express speech), communicating with friends and family becomes extremely difficult and frustrating.
Stroke patients with aphasia are often referred to speech-language pathologists (SLPs). SLPs help individuals relearn speech and communication techniques, such as controlling mouth and throat muscles and engaging in cognitive language exercises.
Early speech intervention often leads to improved communication skills at the 12- and 26-week marks.
3. Exercise and Mobility
Exercise and mobility may entail working with a physical therapist—someone who helps you move more easily and ease some of the pain. This recovery program includes movement exercises along with balance and breathing techniques. All of this helps patients reacquire motor skills and get back to their normal routines.
Studies show consistent physical therapy decreases the risk of hospital readmission in post-stroke patients.
4. Healthy Diet
Diet plays a vital role in how we think, feel, and move. Dietitians can be beneficial to post-stroke patients. Here’s why:
- Upon a stroke, some stroke patients experience feeding and swallowing problems. They may also experience loss of appetite. These conditions can impact patients’ weight and nutritional intake.
- Dieticians can make specific recommendations based on your needs to improve your health and minimize the risk of having another stroke.
5. Hyperbaric Oxygen Therapy (HBOT)
Several studies have clearly shown the benefits of using oxygen fluctuations in post-stroke recovery. Aviv’s HBOT therapy process has patients sit in a pressurized environment, breathing in 100% oxygen. Our experts adjust oxygen fluctuations that trigger the self-regenerative mechanism of the body for impressive results.
Not only does HBOT elevate oxygen in the body, but our program promotes brain cell rehabilitation that can result in:
- Regained speech
- Recovered ability to read and/or write
- Restored motor function
- Return to independence in performing daily activities
Case Study: Keren Trabelsi
The key to successful stroke recovery is through a holistic treatment plan that nourishes your mind and body along an effective and long-lasting recovery roadmap.
The good news? You can find this at the Aviv Medical Program. Our post-stroke recovery treatment program can combine cognitive, physical, dietary, and HBOT training.
Former patient Keren Trabelsi suffered an ischemic stroke, which caused paralysis on the left side of her body. Furthermore, lingering cognitive issues made daily tasks difficult and crushed her well-being.
Luckily, Keren found the Aviv Medical Program and underwent a comprehensive treatment plan. Thirteen months later, she can walk comfortably, feel sensation in her left hand, and engage in cognitive activities (i.e. crossword puzzles, Sudoku, etc.).
“[The Aviv Medical Program is] like driving a Ferrari on the road to recovery versus driving like an old beaten-up car…”
Learn more about her post-stroke recovery below.
What You Need to Know About Post-Stroke Recovery
There are a few things to keep in mind to ensure the most successful post-stroke recovery journey:
- Several factors influence recovery. These are different for everyone and include:
- Where in the brain the stroke occurred
- How much of the brain was impacted
- The survivor’s will and motivation to improve
- Level of caregiver support
- The quality of a rehabilitation program
- “Carefully directed, well-focused, repetitive practice” retrains the brain and is essential to any neurorehabilitation program. It’s the same concept as if you were to learn a new skill like playing a musical instrument.
- Patients and healthcare professionals should be especially vigilant in preventing another stroke from occurring. This requires beginning treatment right away. It also entails monitoring the following conditions as they can put you at higher risk for another stroke:
- High blood pressure
- Heart disease
- High cholesterol
- Measuring progress matters. Working with a medical staff that captures and tracks data is critical to your success. This allows doctors to adjust treatment as necessary to get the best results possible.
For example, the Aviv Medical Program leverages analytics to produce a report of your health and progress. This may include brain stroke images and MRIs. The data gathered from these analytical tools enable our team to make the right adjustments and give you precisely what you need to elevate your quality of life.
2 Main Signs of Post-Stroke Recovery
Listed below are two signs of post-stroke recovery. If you find that your journey is a little different, don’t stress about it. Everyone’s circumstances are different; thus, timelines and progress will vary.
- There is progress within three months and beyond. Though everyone recovers from a stroke at a different pace, the first three months are generally when patients see and feel the most improvement.
- Independence is improving. After a stroke, you may become more dependent on others to fulfill daily-living tasks such as getting dressed, bathing, or eating. With the right post-stroke recovery plan, you’ll begin to rely less on others and start performing those tasks independently again.
New Stroke Treatment Works Miracles at the Aviv Clinic
It’s time to return to optimal health. If you or your loved one has undergone a stroke (either recently or years ago) and is looking for scientifically advanced stroke recovery therapy, contact Aviv Clinics. We’ll put you in touch with our medical team who provides comprehensive assessments of every stroke patient.
10 Signs and Symptoms of a Mild Stroke: Are You Suffering Without Realizing It?
You’ve learned about the signs of a stroke—sudden difficulty speaking, seeing, walking, and numbness or weakness on one side of the body. These are all dramatic and obvious signs, enabling you to get the help you need quickly.
However, it’s possible to have a stroke and not even know it or remember it happening. Silent cerebral infarction (SCI) and Transient ischemic attack (TIA) is a “mild stroke” that causes brain damage and often leads to a more severe stroke down the road, possibly within the next year.
Mild strokes (also called “silent strokes” or “mini strokes”) are much more common than other recognizable types of strokes. The Rotterdam Scan Study found that 25% of brain scans done on 1,077 elderly patients had signs of a stroke, with 80% of those patients not knowing they had suffered one.
In population-based studies, silent stroke symptoms (silent brain infarcts) on MRIs have shown the following prevalence:
- 8% to 31% for white, Black, and Japanese populations
- 10.7% to 84% for those aged 53–71 years
- An increased risk for men and younger Black populations
Canadian researchers have discovered that mild strokes are “common in seniors after they have elective, non-cardiac surgery” which leads to a doubled “risk of cognitive decline one year later.”
How a Mild Stroke Differs
Just as with other types of strokes, a mild stroke occurs when the blood supply is cut off to part of your brain. The difference is that the part of your brain affected by a mild stroke is too small to hamper the control of your vital brain functions, so symptoms may go unnoticed or be blamed on other health or mental conditions.
Most people won’t positively know that they’ve had a mild stroke without an MRI or CT scan picking up on affected small blood vessels, changes in white matter, or lesions.
Still, the signs and symptoms of a mild stroke shouldn’t be ignored. A mild stroke does kill brain cells and tissue and should be caught in order to treat symptoms and prevent another stroke from taking place. It’s not uncommon to suffer several mild strokes before noticing a cumulative neurological effect, even vascular (post-stroke) dementia. In fact, up to one-third of those who suffer from a stroke develop dementia within six months.
So, what are the signs and symptoms of a mild stroke? Here’s what might tip you off to the root cause of your symptoms.
The Most Common Signs and Symptoms of a Mild Stroke
A study published by an American Heart Association journal calls signs of a mild stroke the “most common incidental finding on brain scans.”
The Cleveland Clinic Abu Dhabi urges residents to look for mini stroke warning signals. Why? Because “while the global average age of a stroke victim is over 65, the average age in the UAE is younger due to the high prevalence of risk factors such as obesity, high blood pressure and diabetes. Half of all stroke patients in the country are under the age of 45.”
Up to 50% of stroke survivors suffer from motor dysfunction or brain impairment. Here are 10 signs of a mini stroke you or a loved one may experience suddenly but mildly, and which may last a couple of hours, a few days, or long-term:
- A lapse in or loss of short-term memory: Do you have to ask someone to repeat instructions they just told you but still remember details from a conversation you had last month? Is there a day or activity you had recently that you simply don’t remember, even with prompts?
- A decreased ability to think or reason: Have you given up on a game you used to love playing, like Sudoku or crossword puzzles? Do you find yourself frustrated or arguing more because you don’t understand someone else’s reasons for wanting you to do something?
- Mood changes: Are you suddenly irritable, anxious, apathetic, or depressed? Have you found yourself crying or laughing for no obvious reason or at inappropriate times?
- Psychiatric disorders: Do you have hallucinations or delusions? Have you found yourself engaging in inappropriate motor behavior, like nibbling food at the dinner table or repeatedly banging your head?
- Trouble with balance: Are you experiencing dizziness or feeling like your head is spinning? Is it difficult to make quick adjustments to maintain balance? Do you find yourself stumbling or bumping into things? Does it feel like you’re standing upright when in fact, you’re leaning to one side?
- Movement or walking impairment: Are your toes now catching on the ground when you take steps? Do you tire easily just from walking to your neighbor’s house? Is walking and talking at the same time difficult for you?
- Limb clumsiness: Does it take concentration to control your hand motions? Is it tricky to type even though you’re normally very proficient? Do you have a shaky leg? Are you noticing a decrease in hand-eye coordination?
- Incontinence: Do you feel the urge to urinate more often than usual? Are you consciously or unconsciously leaking urine or stool during the day or while asleep at night? Is it difficult to empty your bladder completely?
- Headaches or migraines: Are you having more headaches or migraines than usual? Or are you getting long-term, persistent headaches? Have your headaches become severe enough to disrupt your daily activities?
- Vision issues: Does seeing things clearly take concentration? Are you less aware of your surroundings? Are you having double vision? Has your field of vision reduced?
It’s important to note that these symptoms of mild stroke may also be signs of other medical conditions, so it’s important to speak with your doctor about your concerns and treatment options.
Stop Suffering in Silence: Schedule a Consultation
The truth is, there is no such thing as a mild stroke, as their symptoms are real and can have long-lasting, significant effects on your body and life.
Don’t suffer in silence. If you or a family member are showing signs of a mild stroke, there is hope. A customized post-stroke recovery medical program utilizing advanced HBOT techniques helps heal the brain and body, leading to a remarkable recovery and lowered risk of suffering a serious stroke in the future.
5 Ways to Maintain Healthy Cognitive Ability as You Age
You want to stay sharp as you get older, we get it. Everyone hopes to age gracefully and enjoy their golden years full of new experiences and good memories. But as you know, this doesn’t always happen. Some people, as they grow in years, lose mental clarity and ability. Often this happens so gradually that it’s like watching hair grow—a loss of cognitive ability isn’t even noticed until it’s too late to do much about it.
But don’t worry, there is plenty of good news.
There are scientific, practical ways to help you maintain optimal brain health as you get older. As a health and industry leader in cognitive and physical performance, Aviv Clinics provides valuable, research-backed information to help you control your cognitive ability long into your twilight years.
5 Categories of Cognitive Skills You Want to Maintain
When we talk about cognitive ability, what we’re referring to is a set of seven skills that work together to help you in your daily life:
- Short-term memory
- Long-term memory
- Attention—sustained, selective, and divided
- Processing speed, including visual and auditory
- Logic and reasoning
Our brains can do brilliant and beautiful things! We simply need to nurture their natural abilities, so we can slow (or prevent) mental decline.
How to Improve Cognition – Follow Your Doctor’s Orders
Knowing how to improve cognitive skills is the first step toward achieving your goal of staying sharp and full of life for many years to come.
First, are you at risk of cognitive decline as you age?
- Do you have depression?
- Are you lacking sufficient mental activity?
- Are you avoiding physical exercise?
- Would your doctor consider you obese?
- Do you have high blood pressure?
- Have you been diagnosed with Type 2 diabetes?
- Are you a smoker?
To significantly lower your risk of cognitive decline, follow your doctor’s orders and incorporate these five must-have lifestyle adjustments to enhance your cognitive ability.
1. Sink Your Teeth into a Delicious Mediterranean Diet
Good nutrition goes a long way in maintaining a healthy brain and body. Studies show an association between high adherence to a Mediterranean diet and reduced risk of Alzheimer’s disease.
A Mediterranean diet entails:
Eating plenty of:
- Fruits and vegetables
- Fish and seafood
- Nuts and legumes
- Whole grains
- Unsaturated oils (extra-virgin olive oil and avocado oil)
Eating in moderation:
- Red meat
- Refined grains
- Added sugar
- Highly processed foods
Read MIND Your Diet for Better Brain Health for some very interesting and informative guidance from an AVIV dietician, Kathryn Parker, RD, LD/N.
2. Increase Brain Metabolism through the Heart, Muscles, and Mind
Research links moderate exercise to increased brain metabolism and improved overall cognition. Exercise need not be too strenuous, but getting the heart rate up, building muscle, and pumping oxygen through your lungs and blood is very beneficial to your mental health. Physical activity can also improve heart conditions (one of the sources of cognitive decline).
Great examples of moderate physical activity include:
- Jogging or brisk walking, especially up an incline or in the sand
- Stretching morning and night
- Gardening and other household tasks
- Cycling either on a stationary bike or along a path
- Tai chi and yoga
- Playing outside with your children or grandchildren
If you’re an athlete who wants to up your game, Aviv will help you achieve your physical goals. Watch the stories of success.
3. Don’t Let Stress Induce Deleterious Effects
If not managed, chronic stress often impairs memory retrieval and information acquisition, even inducing deleterious effects on brain structure and cognition. To help you bounce back from a stressful situation, consider:
- Engaging in physical activity
- Writing your thoughts in a journal
- Getting more sleep—it’s in the downtime that the brain flushes toxins out and cleans itself, allowing the repair you need from spikes of stress
- Doing relaxation techniques such as meditation or breathing exercises
Learn about the stress response, how it affects the brain, and why it can be a good thing when managed properly.
4. Actively Build Neural Pathways
Identify hobbies or activities that keep your mind engaged. For example, one study discovered older adults who took up new body-connected activities that worked the brain in new ways experienced more memory improvement than those who did not.
Here are a few ideas when wondering how to improve your cognitive skills:
- Learn a new language and travel to where you can use it.
- Begin quilting or other detail-oriented crafts.
- Study photography, take pictures, edit them, and share.
- Try reflective therapy, like journaling, to revisit past negative memories and rewrite them more positively (“what I’ve learned” or “how it made me grow”).
- Invest (especially mentally and physically) into your child’s or grandchild’s hobby. Do they play lacrosse? Learn the rules of play and volunteer for the team. Do they have a knack for mathematics? Be their study buddy.
Here’s how to improve cognitive ability by having fun and building brain power with novelty and challenge.
5. Stay in Touch with Your Trusted Physician
It’s essential to discuss cognitive decline with a trusted physician. The more you understand how your health can affect your brain function, the more you can do to safeguard your cognitive vitality. Discuss your options and advocate for yourself to get next-level care that will keep you healthier for the long term.
Fight Cognitive Decline with Aviv
Maintaining your overall health is beneficial for the longevity of your life. Fight cognitive decline with the Aviv Medical Program. Every person’s body and health are unique, and your medical treatment program should reflect that.
Aviv is the leader in brain performance—our program will keep your brain at its best. Our diverse team of medical professionals will provide the customized attention you need to maintain optimal cognitive health and reverse cognitive decline.
Contact us to learn how we can help.
Long COVID Explained: The Symptoms and Why They Stick Around
Millions of individuals who have tested positive for COVID-19 continue to experience ongoing health issues, clinically known as long COVID. If you’re one of these people, the Aviv team is here with research-backed information on what this means and what you can do.
While there is still uncertainty surrounding COVID-19 complications and their long-term side effects, there have been extensive studies conducted that offer insight into:
- Post COVID symptoms
- How long COVID can impact your body and lifestyle
- Treatment methods that can help mitigate long-haul COVID effects
Below, we provide all the details you need to attain a holistic understanding of how long COVID impacts your body and promising treatment plans that can help you get back to optimal health. As you’re reading through this, keep in mind:
- Each person has a unique experience with COVID-19.
- Therefore, speaking with a doctor is an essential first step.
- Several alternative terms are used for long COVID, such as post-COVID, long-haul COVID, post-acute COVID, and chronic COVID.
How the CDC and WHO Define Long COVID
- The Centers for Disease Control and Prevention (CDC) defines long COVID as a condition where individuals experience long-term effects of COVID-19.
- The World Health Organization (WHO) defines long COVID as persistent symptoms more than 3 months after the acute infection, that continue, not relapse, that have been reoccurring and there is no other explanation for those symptoms.
- Anyone who has been infected with COVID-19 can develop long COVID. Approximately 30% of COVID-19 patients report having symptoms of long-haul COVID.
The numbers of people affected long term are high
The WHO had a definition of long COVID over two years ago. That means, from nearly the beginning, these health organizations studying the virus were seeing long-term side effects and symptoms of impairment from having COVID-19.
You aren’t alone if you don’t feel like yourself after having COVID-19.
- Approximately 30% of COVID-19 patients report having symptoms of long-haul COVID.
- 20-50% of patients with 1 or more features 3-6 months post COVID, receive a long COVID diagnosis.
- 11-20% of children have lingering symptoms at 14 weeks post COVID.
For a comprehensive understanding of what long-haul COVID is, let’s flesh out the differences between COVID and long COVID:
- Individuals experience COVID-19 symptoms for up to four weeks, starting from the onset of illness.
- Subacute is where COVID-19 symptoms are noticed up to 12 weeks, and the virus can still be found in the body.
- Individuals experience COVID-19 symptoms for an average of three months from the onset of illness.
- Long-haul COVID symptoms may begin after initial recovery from acute COVID or persist from the initial illness.
- Long COVID symptoms cannot be explained by an alternative diagnosis.
Understanding the Symptoms of Long-Haul COVID
The Aviv medical staff primarily explores the four key areas from this long-haul COVID symptoms list to diagnose long COVID.
- Dyspnea (labored breathing)
- Chest pain or tightness
- Dysgeusia (loss of taste)
- Anosmia (loss of smell)
- Joint or muscle pain
Cognitive & Psychological Symptoms:
- Memory decline
- Attention and concentration difficulties
- Brain fog
- Sleep disturbances
- Generalized disabling pain
- Lung Symptoms
- Shortness of breath
- Chest pain or tightness
- Myocarditis (inflammation of heart muscles)
- Heart palpitations
- Shortness of breath
- Elevated blood pressure
- Drops in oxygen saturation
If you are experiencing long COVID symptoms,
contact our team of certified medical professionals today – click here.
The Hard Truth: Long COVID & Brain Injuries
COVID-19 essentially impacts the brain. This is why the majority of long COVID symptoms are cognitive and may lead to brain injuries, depending on how severely your body gets affected by the virus.
According to Dr. Mohammed Elimar, MD, FACP, although there are no patterns between the severity of COVID-19 and the likelihood of receiving long COVID, there are patterns between:
- Where the virus attacks in the brain
- How that location in the brain impacts long COVID symptoms
Here are four ways that connection can manifest:
1. Direct Brain Invasion
The COVID-19 virus travels through the nose, into the olfactory sensory neurons, and into the frontal lobe of your brain called the insula. The olfactory neurons manage taste and smell, while the insula oversees memory and executive function. Depending on where the virus attacks and the level of damage it creates, an individual may experience prolonged COVID symptoms.
For example, when the virus significantly attacks your olfactory nerves, this may induce a loss of taste and smell. This is why these symptoms are such a strong indicator of the virus.
2. Blood Vessel Injury
Studies show COVID-19 can destroy blood vessels that feed blood to the brain. As the virus circulates throughout your bloodstream, the inner blood vessel lining is susceptible to damage. When the inner lining deteriorates, this allows the virus to: Seep into the tissues, or inhibit blood flow to the brain. Both can cause brain injuries. And depending on where those injuries occur, specific brain functions (memory, concentration, etc.) may decline more rapidly than normal.
3. Dysregulated Immune Response
Damage to the inner blood vessel lining can also inhibit the growth of cells—the exact opposite of what our immune system should be doing. Dysregulated immune responses are common in those with severe cases of COVID-19.
When the body cannot adequately produce a normal immune response, it either: Underreacts to foreign invaders, causing viruses to spread quickly; or oerreacts to foreign invaders, causing the immune cells to attack even healthy cells, tissues, and organs.
4. Cellular Dysfunction
On a cellular level, COVID-19 can affect metabolic function through the mitochondria. This cell damage slows down the body’s response rate to infection, leading to high inflammatory conditions.
So how long will patients have to deal with COVID symptoms?
According to Dr. Mohammed Elimar, MD, FACP, the answer isn’t available.
But a key guiding factor is the extent of blood vessel damage.
Dr. Elimar further explains:
“There’s still a lot to learn about how [mitochondrial dysfunction] will last but it will probably be tied to the level of microvascular change or blood vessel damage. The more blood vessel damage you have, the more [long COVID symptoms] you’re likely going to have. Also, the amount of real estate that those microvascular changes are occupying will probably dictate how long [symptoms] will last.”
Aviv Clinics’ Treatment for Long COVID Symptoms
Long COVID is a complex disease.
Finding a treatment plan that will work for you may take some time.
Because there is no one-size-fits-all approach, speaking with a medical professional is essential.
The right physician will take a holistic approach. Due to the complexity of long COVID, it’s important to find a treatment program that:
- Is rooted in data and research
- Offers a comprehensive assessment process
- Connects you with a diverse medical team
Aviv Clinic’s team of certified physicians achieves all of the above to ensure you’re being provided with a tailored treatment plan that works for you. We connect our patients with a team of physicians, neuropsychologists, physiotherapists, nurses, and more to provide a multidisciplinary health plan – The Aviv Medical Program.
Our post-COVID symptom treatment plan can be broken down into three parts:
- In-depth medical assessment:
Leveraging advanced brain imaging, our clinical team conducts physical, cognitive, and neurological exams to gain a thorough understanding of your health.
- Tailored treatment program:
Based on your assessment, our medical team crafts a personalized treatment plan, based on the results of your assessments, that includes hyperbaric oxygen therapy sessions, brain and physical training and a nutritional regimen designed to maximize the body’s healing process.
- Post-treatment assessment:
Our team initiates another round of tests to assess your progress and unique findings on any cognitive and physical improvements.
First Long COVID treatment backed by clinical trials – help heal the brain to reduce or eliminate the symptoms of long COVID
The Aviv Medical Program is backed by extensive clinical research.
The most recent study confirmed that the COVID-19 virus can cause chronic brain injury affecting regions of the brain responsible for cognitive function, mental status and pain interpretation.
In the published study, patients treated with the Aviv protocol had significant improvement in their global cognitive function and cognitive improvement in the damaged brain regions responsible for attention and executive function. Significant improvement was also demonstrated in the energy domain, sleep, psychiatric symptoms and pain interference. The beneficial effects of the unique treatment protocol can be attributed to neuroplasticity and increased brain perfusion in regions associated with cognitive and emotional roles.
Dr. Shai Efrati of summarizes the results of a study by saying:
“HBOT can induce neuroplasticity and improve cognitive performance, psychiatric state, assist with fatigue, aid sleep and relieve pain symptoms for patients suffering from post covid 19 condition. The beneficial effect can be attributed to increased brain perfusion and brain plasticity in regions associated with cognitive and emotional roles. HBOT can repair brain network connectivity and activity, and improve cardiac functions in post covid patients suffering from reduced GLS.”
WebMD recently published the research of Dr. Efrati, noting the clinical trial that began in December 2020 shows great potential for Long COVID patients whose issues are connected to brain tissue damage.
Maximize Your Health and Performance with Aviv
Though COVID-19 may have brought ongoing health challenges, the Aviv team is here to help you and your loved ones get back to optimal health. Aviv delivers a personalized protocol to enhance your mind and body and feel like yourself again.