Dr Patricia Bravo

specializing in addiction recovery

CALL TODAY

1440 79th St. Causeway, Suite 1400 North Bay Village, FL 33141

305.763.8573

BRAVOHEALTHCARECENTER.COM

ABOUT US Dr. Patricia Bravo is a General Practitioner who specializes in Integrative Medicine and The quality of our service and the professionalism of our staff are the reason for Bravo Health Care Center’s success.

Psychiatry. Dr. Bravo has more than 26 years of professional experience and speaks English and Spanish. She believes in an integrative approach to medicine and health, and is supportive of the incorporation of complimentary and alternative medical therapies in the treatment of her patients. Preventive care, health screenings and physical exams for adults, as well as treatment for complex long term and chronic medical conditions such as diabetes and high blood pressure, fall within the realm of Dr. Bravo’s specialties. These skills, together with her compassion and individual attention to each patient, make Dr. Bravo the perfect choice when you are seeking a primary health care provider. Dr. Bravo has also worked in the Clinical Research field since 1994, when she worked at the University of Miami Center for Families Studies and Department of Psychiatry. She has almost 20 years of experience in the Clinical Research field. The Bravo Health Care Center specializes in General Medicine, Psychiatry, Addiction, Medical and Women’s Health Clinical Trials. Our staff is consisted of Principal Investigator, Sub-Investigator , Coordinator , research assistant , medical assistant and medical specialist.

Medical & Psychiatric Services We provide a wide range of expertise in general and preventive medicine and psychiatric and mental health areas: General & Preventive Medicine • Immigration Form I-693 • Full Physical Exam/Check-up w/ labs • Diagnostic tests • Car Accident Evaluations • Pain Management • Nutrition • Weight Loss/Obesity • Smoking Cessation • High Blood Pressure • Diabetes/Asthma • Pain Management (AAPM Member ) • Physical Therapy / Massage Therapy Psychiatry & Mental Health • Psychiatric Evaluation • Insomnia/Sleeping Problems • Sadness/Depression • Anxiety • PTSD • Schizophrenia/Psychosis • Bipolar Disorder • Alcohol/Substance Abuse • Narcotic Addiction/ Suboxone • • Certification

We provide a wide range of expertise in general and preventive medicine and psychiatric and mental health

We offer a variety of treatment options to meet your needs.

BRAVO HEALTH CARE CENTER WE CAN HELP YOU. VISIT US TODAY 1440 79TH STREET CAUSEWAY SUITE 1400 NORTH BAY VILLAGE, FL 33141

bravohealthcarecenter.com | 305-763-8573

ABOUT

FEEL RENEWED & PREPARE YOUR SKIN FOR LUXURIOUS PAMPERING: MINI FACIAL…..……..(30 MINS) FULL FACIAL…………(60 MINS) IT INCLUDES A COMPLEMENTARY FREE NECK AND SHOULDER MASSAGE EYEBROWS SHAPE

DEEP CLEANSE & MOISTURIZING MASK MICRODERMABRASION & DIAMOND PEEL PHOTO FACIAL & OXYGEN THERAPY RADIOFREQUENCY IPL & LASER FOR HYPERPIGMENTATION (SPOTS) TREATMENT FOR ACNE AND ROSACEA

SAMHSA PUBLISHES BEST PRACTICES ON MEDICATION-ASSISTED TREATMENT FOR OPIOID USE DISORDER Best Practices

Treatment Improvement Protocol 63, “Medications for Opioid Use Disorder,”

reviews the use of methadone, naltrexone, and

buprenorphine, the three FDA-approved medications to treat opioid use disorders.

Data indicate that OUD-treating medications are both cost effective and cost beneficial

The Substance Abuse and Mental Health Services Administration has published new guidance to help health care professionals better understand medications that can be used to treat Americans with opioid use disorder (OUD). Treatment Improvement Protocol (TIP) 63, “Medications for Opioid Use Disorder,” reviews the use of methadone, naltrexone, and buprenorphine, the three FDA-approved medications to treat opioid use disorders. TIP 63 provides guidance for health care professionals and addiction treatment providers on how to appropriately prescribe these medications and effectively support patients using these medications for OUD treatment. “We know that people can and do recover from opioid use disorders when they receive appropriate treatment, and medication-assisted treatment’s success in treating opioid use disorders is well documented,” said Dr. Elinore F. McCance-Katz, assistant secretary for Mental Health and Substance Use. “TIP 63 emphasizes that increasing access to medications to treat opioid use disorder will help more people recover, enabling them to improve their health, living full and productive lives.” TIP 63 is part of SAMHSA’s larger response to the opioid crisis. More access to treatment with OUD medications is critical to closing the gap between treatment need and treatment availability and an important public health strategy. Data indicate that OUD-treating medications are both cost effective and cost beneficial.

1440 79th Street Causeway Suite 1400 • North Bay Village, FL 33141

GET WELL WITH US TODAY 305.763.8573

GET HELP TODAY! (305)763-8573 1440 79th Street Causeway Suite 1400 North Bay Village, FL 33141 www.bravohealthcarecenter.com

We customize treatment plans based on each individual.

The Bravo Health Care Center goal is to deliver compassionate, responsive, and effective quality medical services to all those who seek professional treatment and consultation.

1440 79TH STREET CAUSEWAY SUITE 1400 • NORTH BAY VILLAGE, FL 33141 | 305.763.8573

Our

policy Detoxification 14day Detox-Cleanse Program

We live in an ever-increasing toxic environment. This fact is difficult to deny. MAny of the toxin's abundant in the envioronment today did not exist 30 years ago, including certain pesticides, herbicides and industrial chemicals that can enter our bodies through the food, water and air supplies. These toxins can become trapped in our body’s organs and tissues, which over time can negatively inmpact health, reduce vitality and eventually may contribute to the development of chronic diseases. We believe that a detoxification program should be easy to follow, effective, and most importantly, safe to use. By supporting the body’s natural two-phase detoxification process, toxins can safely and effectively be removed from the body.

Potential Benefits of Detoxification • Increased energy and vitality • Weight loss and reduction in body fat • Healthier skin, softer hair • More restful sleep, clearer thinking, and happier mood • Establish healthy habits for improved long-term health Symptoms which may be relieved by following

our 14 Day Detox Cleanse Program includes:

• Digestive Problems • Bad Breath • Fatigue • General Malaise • Constipation • Headaches • Itchy Skin • Skin Rashes • Joint Pain • Weight Loss Resistance • Poor Concentration • Irritability

“We believe that a detoxification program should be easy to follow, effective, and most importantly, safe to use.”

•Never a Consultation Fee •Consultations and Treatments are by appointment only. •We are open for your convenience For Skin •Botox / Derma fillers •Medical Laser Treatments •Medical Nutrition skin antiaging •Liquid Facelift •Micro/Derma roll •Platelet rich plasma therapy. PRP •Therapy •Radiofrequency Facial

“broken” blood vessels on the face, neck and chest. It also has a lesser effect of improving skin texture through collagen stimulation and improves pore size minimally by temporarily reducing oiliness. How does an IPL treatment increase collagen? The light bypasses the outer layer of skin (the epidermis) and gently heats the cells in the deeper layer of skin (dermis). These cells, called fibroblasts, start to produce more collagen, which improves texture and fine wrinkles.

•Permanent make up •Medical glycolic peel for spots ••Photo Rejuvenation •Laser/ IPL Hair Removal •Deep Nutrition with vitamins for neck and skin Photo Rejuvenation Laser/ IPL Treatment: Lightening and removing “sun spots”, “age spots”, and brown blotches on the face, neck, chest, hands. Lightening and reducing redness, rosacea, dilated blood vessels and

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SPA SPA TREATMENTS AT BRAVO HEALTH CARE CENTER •••••••

Main applications to the Cavitation Ultrasound and Radio Frequency: •Safe Effective , Non Invasive and no downtime. •Cellulites reduction. •Body Contouring and Shaping •Deep fat Blasting •Skin tightening and Rejuvenation •General reduction of waist abdomen, etc.

For Body Ultrasonic Body Cavitation – This Ultrasonic Cavitation sliming Liposystem treatment is the fat burning, body shaping, tightening and cellulite reduction kadipose; at the moment it is the most advanced aesthetic equipment for the panniculus adiposus and cellulite; it represents cutting-edge technology.

Radio frequency / Infrared for Body RADIO FREQUENCY (with infrared) – Bi Polar RF Tripolar Technology offers new scientific development in cellulite reduction treatment for body Sculpting/ Skin Tightening. It involves applying electromagnetic (non-ionizing) waves to the Body in order to return physiological processes that have slowed down to normal .This waves carry Heat and energy deep into the skin creating and endothermic effect heat has a positive effect on the lymphatic and Vascular system and the adipose-connective structures.

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The harsh reality is that opioids are killing thousands of people in this country, many of them young people

State legislators focused on opioid addiction treatment and prevention in schools and prisons Thursday while reviewing bills that would both use medications to thwart overdoses and assist in recovery. A bill making its way through the Legislature would require all schools with grades 9 to 12 to have policies for training nurses on how to administer naloxone. The schools would also have to keep a supply of the medication ready. “The harsh reality is that opioids are killing thousands of people in this country, many of them young people,” Assemblyman Vincent Mazzeo, D-Atlantic, bill sponsor, said in a statement. “Narcan has been proven to save lives. Having it readily available in schools can help ensure that our schools are ready to respond in every emergency situation.” Several South Jersey schools, including Millville, Mainland Regional High School, the Egg Harbor Township School District and the Ocean City School District, already have such policies in place. As of 2017, New Jersey ranked eighth in the nation for drug overdose deaths among people ages 12 to 25, according to the national nonprofit Trust for America’s Health. There have been an estimated 654 overdose deaths in New Jersey since Jan. 1, according to the Department of the Attorney General.

The bill would require that nurses be taught how to use the anti-opioid drug and have a prescription standing order for naloxone to keep it in supply. There were more than 14,300 uses of naloxone in the state last year, state data shows. If passed, the law would also provide immunity from liability for school nurses and other employees when an opioid reversal is performed. Nearby, members of the Assembly Health and Human Services Committee reviewed a bill sponsored by Assemblyman Herb Conaway, D-Burlington, that would require state correctional facilities to offer inmates naltrexone and naloxone just before their release. Naltrexone, known by its brand name Vivitrol, is a type of nonopioid medication- assisted treatment (MAT) for a substance-use disorder. Studies have shown medication-assisted treatments like naltrexone, methadone and buprenorphine have successfully been used to reduce relapse rates and help people maintain recovery from opioid addiction. Vivitrol completely blocks the euphoric and sedative effects of opioids. Recipients often need a monthly shot of the medication administered by a medical professional.

At John Brooks Recovery Centers in Atlantic City and Pleasantville, Vivitrol is just one medication-assisted treatment offered to inpatient and outpatient patients, but it is coupled with counseling and other treatment education. Alan Oberman, CEO of John Brooks Recovery Center, said that while the bill looks well intentioned, giving one shot of Vivitrol, which costs about $1,000, to an outgoing inmate without follow-up or counseling only buys that person about three or four weeks of sobriety before they may use again. “It’s more than just giving an injection, which at least requires a nurse to do it, and many outpatient programs in the community don’t have medical staff there to do it regularly,” he said. While methadone and buprenorphine are MATs that have been on the market for some time, Vivitrol is relatively new. John Brooks and the Atlantic County jail teamed up last summer to create the state’s first mobile methadone program for inmates. Oberman said they now offer inmates Vivitrol, but they haven’t yet had any takers.

1440 79th Street Causeway Suite 1400 North Bay Village, FL 33141 305-763-8573

You gave me HOPE HEALING It’s about being ready to make a change, and knowing where to go to get the help you need. Visit Our Website! WWW.BRAVOHEALTHCARECENTER.COM

PROGRAM C O N G R A T U L A T I O N S !

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is is the beginning of the rest of your life. You will be amazed at the spectacular results that this protocol oers.e Weight Control program is prepared and supervised by our clinician, Patricia Bravo, MD, and consists of a restricted menu combined with daily injections of Human Chorionic Gonadotropin Hormone (from a PCAB Accredited Pharmacy). Program Consist of 4 weeks of treatment and the initial consultation includes: Extensive Physical Examination with lab work Hormone Questionnaire Body Composition Analyzer Measurements Educational Material Hcg injection Customized Diet Plan Weekly support and progress sessions Follow up 1 a week for 4 Week Some patients will not qualify for the injections treatment. Remember, if you cheat, you are only cheating yourself. Unlike other “diets” this will reshape and re-sculpt the body, releasing abnormal fat deposits in your body.is unique process will restart your Hypothalamus and metabolism making these results potentially permanent.

is protocol targets the “abnormal” fat (excess and stored fat hazardous to your health) on your body. When you lose 16 pounds—it is 16 pounds of the abnormal fat. Whereas with other diets, when you lose 16 pounds you could be losing 8 pounds of lean muscle mass, 4 pounds of normal fat reverses and 4 pounds of abnormal fat. Everyone is dierent, and everyone will have dierent results. Some people will lose 9 pounds their —rst week and only 2 pounds their second week. Other people will lose 4 pounds in week one and then 4 pounds in week two. e HCG is a Polypeptide protein that exists in every tissue of human body in small amounts.is protocol is time-tested, completely safe and eective method for obesity that targets only the abnormal fat. Dr. A.T.W. Simeons, who founded this new approach to obesity back in 1954, found that with every low calorie diet stimulates the hypothalamus gland to release the abnormal fat stores in the body by preserving the muscle and bone tissue.e chemical composition of the foods that you are supposed to eat while on this protocol works synergistically with the HCG to produce amazing results.

Patient who has reported to have a tough —rst few days are individuals who did not properly “BINGE” in the —rst 2 days, or individuals who are “toxic” and have been eating very poorly and following a poor lifestyle. ere are not side eects… you will not feel bad, on the contrary, you will have an absence of hunger and actually have an increase of energy. All weight control program require a change of lifestyle. We encourage the patients to start an exercise regimen and recommend that you increase your water intake to ¡ush out toxins and impurities in your body. We are here to support you and to answer any question you may have. Explore the power of beauty and enjoy the pleasure of health.

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•BURN CALORIES • IMROVE DIGESTION

• IMPROVE MENTAL CLARITY • INCREASE YOUR ENERGY •LOSE WEIGHT UP TO FOUR TIMES MORE THAN A REGULAR DIET SYSTEM. •REDUCE BLOATING WE WILL ASSIST YOU IN YOUR WEIGHT LOSS!

COME GET HELP! 1440 79TH STREET CAUSEWAY SUITE 1400 NORTH BAY VILLAGE, FL 33141 305.763.8573

FOR MORE INFORMATION PLEASE CONTACT US Our staff is consisted of Principal Investigator, Sub-Investigator , Coordinator , research assistant , medical assistant and medical specialist. BRAVO HEALTH CARE CENTER

1440 79th Street Causeway Suite 1400 North Bay Village, FL 33141 Call Us 3 5.763.8573

The quality of our service and the professionalism of our staff are the reason for Bravo Health Care Center’s success.

www.bravohealthcarecenter.com

I N AN EFFORT to encourage new treatments for opioid addiction, the Food and Drug Administration plans to begin permitting pharmaceutical companies to sell medications that help temper cravings, even if they don’t fully stop addiction. The change is part of a wider effort to expand access to so-called medication-assisted treatment, or MAT. The agency will issue draft guidelines in the next few weeks. A senior agency official provided details of the proposal to The New York Times. the agency said it would soon publish two guidances, recommendations for drugmakers, on the issue.

The new approach was signaled Saturday by the health and human services secretary, Alex M. Azar II, in remarks to the National Governors Association. Mr. Azar said the agency intended “to correct a misconception that patients must achieve total abstinence in order for MAT to be considered effective.” While the Trump administration has generally supported medication-assisted treatment, Mr. Azar’s predecessor, Tom Price, was not completely on board with it. Mr. Price caused an uproar among treatment experts when he dismissed some medications that reduce cravings through synthetic opioids last spring as substituting one opioid for another. He subsequently walked back those comments, saying officials should be open to a broad range of treatment options. Mr. Azar, who took office late last month, said he would work to reduce the stigma associated with addiction and addiction therapy, and would not treat it as a moral failing. The opioid epidemic is considered the most unrelenting drug crisis in United States history. In 2016, roughly 64,000 people were killed by drug overdoses, including from prescription opioid painkillers and heroin. to correct a misconception that patients must achieve total abstinence in order for MAT to be considered effective. Noting federal data showing that only one-third of specialty substance abuse treatment programs offer medication-assisted treatment, Mr. Azar said, “We want to raise that number — in fact, it will be nigh impossible to turn the tide on this epidemic without doing so.” Mr. Azar’s comments echo those of the F.D.A. chief, Dr. Scott Gottlieb, who has made battling opioid abuse a priority for his agency. Dr. Gottlieb has moved to reduce opioid prescriptions by doctors and dentists and to promote more medication- assisted treatment, defined as drugs used to stabilize brain chemistry, reduce or block the euphoric effects of opioids, relieve physiological cravings, and normalize body functions. The F.D.A. has approved three drugs for opioid treatment — buprenorphine (often known by the brand name Suboxone), methadone and naltrexone (known by the brand name Vivitrol) — and says they are safe and effective combined with counseling and other support. But the agency said it would soon publish two guidances, recommendations for drugmakers, on the issue.

...BUILDING A BRIDGE TODAY FOR A BETTER TOMORROW

1440 79th Street Causeway Suite 1400 • North Bay Village, FL 33141 HAVE A BETTER TOMORROW WITH OUR HELP TODAY! (305)763-857 www.bravohealthcarecenter.com

For more information please contact us at 305.763.8573 www.bravohealthcarecenter.com

1440 79th Street Causeway Suite 1400 • North Bay Village, FL 33141 BRAVO HEALTH CARE CENTER

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