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As a board-certified musculoskeletal radiologist, Dr. Sepideh Moayed is an expert in preventative medicine, a field she has been working in for over two decades. Dr. Sepideh Moayed manages her California-based company Preventative Medicine to help patients optimize their health through life style interventions, sustainable behavioral changes and biohacking techniques when warranted.

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As a board-certified musculoskeletal radiologist, Dr. Sepideh Moayed is an expert in preventative medicine, a field she has been working in for over two decades. Dr. Sepideh Moayed manages her California-based company Preventative Medicine to help patients optimize their health through life style interventions, sustainable behavioral changes and biohacking techniques when warranted. For instance, patients hoping to prevent arthritis can make lifestyle changes to diminish the chances of developing this disease. Arthritis has many possible causes, some of which are out of the individual's control, such as family history, gender, and increasing age. However, there are some behaviors that if implemented can help reduce the risk of developing painful joints with age. For example, consuming an inflammatory diet (high in sugar, processed carbs and packaged foods) or high omega-6 fatty acids (in fast foods and processed foods) can trigger inflammation and autoimmunity. A study published at the Annals of the Rheumatic Diseases concluded that those who regularly eat fish might have a lower chance of developing rheumatoid arthritis, a type of arthritis that affects the lining of the joints. Fish such as salmon, mackerel, trout, and sardines are high in omega-3 fatty acids, which can reduce inflammation. These diets cause insulin resistance and increase in arachidonic acid which start a cascade of inflammatory pathways. Improving one's diet helps patients realize that they do in deed have tremendous control over many of these biochemical and enzymatic pathways. Obesity and excess internal peri-organ fat act as an endocrine organ and send off excessive inflammatory markers such as cytokines. These inflammatory markers cause significant damage to vascular endothelial cells and organs and further cause autoimmune and inflammatory chronic diseases. These inflammatory markers can become primed and seek out and harm normal tissues, such as the cartilage in the wrists and hands. A popular concept known as "molecular mimickery" suggests that in an attempt to "digest gluten, allergens or various viral or bacterial infections", cytokines and our own immune markers, inadvertently attack our normal joint cartilage, lung tissue or thyroid (since they look similar to the very inflammatory things the body is trying to fight off). The body gets confused. Therefore, controlling weight by changing one's diet and exercising is one way to help minimize these inflammatory markers. Excessive weight additionally puts stress on the weight bearing joints and weakens them. Exercising comes with an additional benefit in preventing arthritis since it produces myokines which are anti-inflammatory while it strengthens the muscles around the joints and stabilizes them, protecting them from regular wear and tear. Exercise in and of itself is a powerful tool and can follow the same guidelines as consuming nutritious food. As with most powerful interventions, dose response curves matter. Exercise optimization always includes flexibility and resiliency. Similar to nutrition and other lifestyle factors, dose, frequency, intensity and type of movement should be personalized for maximum benefit and best outcome. Working with an MSK specialized integrative and functional practitioner can help patients do more than prevent disease, it can help aid with longevity and health.

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As a board-certified musculoskeletal radiologist, Dr. Sepideh Moayed is an expert in preventative medicine, a field she has been working in for over two decades. Dr. Sepideh Moayed manages her California-based company Preventative Medicine to help patients optimize their health through life style interventions, sustainable behavioral changes and biohacking techniques when warranted.

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What to Know about Osteoarthritis of the Knees

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What to Know about Osteoarthritis of the Knees

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Leveraging nearly 20 years of experience, Dr. Sepideh Moayed treats patients suffering from chronic illnesses at her company, Preventative Medicine, Inc. near Los Gatos and Saratoga, CA. Dr. Sepideh Moayed is an expert in musculoskeletal radiology which includes her diagnostic and interventional procedures when it comes to joints, soft tissues and osseous structures of the body. Both inflammatory and osteo arthritis have been on the rise significantly these past few years and it is believed to be due to increased incidence of our SAD (Standard American Diet) diet, increased environmental toxins and worsening sedentary lives. For many years, osteoarthritis and inflammatory arthropathies were believed to be caused by different pathways. Although the underlying etiologies and involved joints differ, there are many areas of cross over when it comes to joint tissue damage. As someone who utilizes functional medicine, Dr. Sepideh Moayed says that we used to believe osteoarthritis, is caused by old age, the wear and tear or weight load on a specific joint that caused the damage. Today however, evidence based studies show that increased visceral fat cells in the abdominal cavity (not just the subcutaneous fat) or inflammation inducing diets release inflammatory markers known as adipokines. These inflammatory agents (often triggered in the gut or areas away from the joint), cause systemic inflammation. They cause joint specific cartilage destruction from remote areas of the body. These cascades of events cause joint destruction and are often exacerbated by diets that lead to a high load of inflammasomes.

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What to Know about Osteoarthritis of the Knees

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Dr. Moayed is a board-certified, musculoskeletal fellowship trained radiologist with 20+ year of experience in the Bay Area.

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Lifestyle Changes for Preventing Diabetes

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Lifestyle Changes for Preventing Diabetes

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Board-certified radiologist Dr. Sepideh Moayed is the founder and CEO of Preventative Medicine in Los Gatos, California. She’s a member of the American Society of Addiction Medicine and a former medical director at Mirage Imaging. Dr. Sepideh Moayed focuses on helping her patients make healthy life choices to prevent chronic diseases like diabetes.