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Monday 9am - 6pm Tuesday 9am - 6pm Wednesday 9am - 6pm Thursday 9am - 6pm Friday 9am - 6pm Saturday 9am - 2pm

HBOT USA, 17 Hanover Road #300, Florham Park, NJ (2026)

03/25/2026

Does Hyperbaric Oxygen Therapy (HBOT) increase stem cell production?

We have known for well over 20 years that HBOT actually stimulates, mobilizes, and increases circulating stem cells.

The overwhelming majority of that research has been done at higher pressures, 2.0 atmospheres or above.

A question I get all the time is "Will mild HBOT actually increase stem cell mobilization?"

In 2023, Kent McLaughlin at the University of Wisconsin did a study using mild HBOT. Specifically, he used a soft chamber with air only (no supplemental oxygen).

So, this was a 1.3 ATA, 21% oxygen, for a ten session protocol.

This study also tried to mimic one of the higher pressure studies as closely as it could.

Over the course of these ten sessions, they found between a 2.5-3 times increase in mobilized stem cells.

At some of the highest pressures, we typically go 2.0 to 2.4 atmospheres on 100% oxygen. We should be able to get consistent findings of around an eight fold increase in the stem cell production at those pressures.

Then, at the most mild end of that same spectrum, 1.3 ATA on air only, we can expect to find somewhere between a 2.5-3 fold increase in mobilized stem cells.

The next question might be, "what about 1.5 or 1.75 on air or on oxygen?" The answer is we don't know yet.

However, knowing what we usually get at 1.3 ATA and then 2.0 ATA, we can assume that these different pressures and different percentages of oxygen are going to end up filling in somewhere in between those two goalposts.

What we know is that all of the pressures increase stem cells and therefore can be used as part of a strategy for healing and regeneration.

03/24/2026

🗣️ NEW YouTube Video day!
Does Hyperbaric Oxygen support neuroplasticity? Of course. But why?

If you’re looking for ways to stimulate neuroplasticity, it’s important to first understand what actually allows brain healing and repair to happen in the first place.

Whether you’re dealing with a brain injury, a chronic neurological condition, or a developmental delay...the question isn’t just “is neuroplasticity possible?” but rather, what does it actually take to support and encourage it?

Whether you’re a patient exploring options for brain recovery or a practitioner building protocols for neurological conditions, this video will help you understand what neuroplasticity is, what it takes to support it, and what role HBOT plays in the process.

03/23/2026

The target Hyperbaric Oxygen Therapy (HBOT) pressure for Autoimmune issues is tissue specific.

Musculoskeletal issues like rheumatoid arthritis or lupus where there's a severe effect on the joints themselves, we would typically try to get to higher pressures.

Additionally, Crohn's and colitis may also do better from a tissue repair standpoint at the higher pressures of 2.0, 2.2, 2.4, etc..

Contrasting these musculoskeletal or intestinal conditions to something neurological like M.S. or ALS, or even neuro- degenerative disease, the majority of those people I would treat with lower pressures, between 1.3 and 1.5.

A lot of these neurological cases really do best at this lower to mid range of pressure, rather than going to really high levels of pressure.

So, in my opinion, it's important to think of what tissue type we're trying to repair becomes the target pressure that we're going to ultimately try to get to throughout that range.

Inside the protocol, some patients that I thought could use higher pressure end up doing well at the mid ranges of pressure and we leave them there. I don't push people harder than their body requires them to be pushed.

Occasionally, I thought I was going to keep somebody in the 1.3 to 1.5 range, but we needed to slowly work them into 1.75 or 2.0, and they flourish better there.

These protocols are designed to be guidelines, not written in stone.

It's your clinical decision making, each person's individual case, comorbidities, and family history that have to help you steer the protocol into whatever the best solution for them is going to be.

03/22/2026

Why do we eat and why do we breathe?

The main reason that you eat is to extract certain chemical compounds that you're going to feed into your mitochondria to produce energy.

The reason you breathe is ultimately so that you can absorb oxygen, deliver it to that same mitochondria, Inside your mitochondria you're going to oxidize those chemicals that you extracted from your food.

So your food is literally your fuel, then the oxygen oxidizes your fuel.

Those chemical processes that we call metabolism creates energy. Then, your body uses that cellular energy to do all the billions and trillions of things that your cells need to do on a regular basis.

Hyperbaric Oxygen Therapy (HBOT) is delivering an unusually high amount of oxygen into that system. Which means you're going to be able to oxidize your fuel much more efficiently than you would without that extra oxygen.

If you want to watch the full video we did on HBOT, metabolism, and weight loss, head over here:
https://youtu.be/J5-1YcJx8Yc

03/21/2026

Generally speaking, with Bell's Palsy the cause can often be 1 of 3 things (or a combination): A viral infection, inflammation, or trauma to the facial nerve.

Hyperbaric oxygen therapy (HBOT) has a neurogenic effect and helps the nervous system heal.

HBOT helps to increase central nervous system and peripheral nervous system stem cells, improving the healing of the nervous system.

HBOT helps to create increased neuroplasticity and neuro synapses to have better and stronger connections between the different nerves.

For the patients over the years that we've treated with Bell's Palsy we've seen tremendous results, and often pretty fast results. 20 hours or less has typically been enough to see great improvements, and in many cases, full resolution.

So hyperbaric oxygen therapy is absolutely appropriate for somebody with Bell's Palsy.

03/20/2026

We know that Hyperbaric Oxygen Therapy (HBOT) is a great driver of fuel into the mitochondria to stimulate cellular energy.

We also know that HBOT will help increase mitochondrial size, shape, density, and literally increase the number of mitochondria we have.

If we wanted to pair a few things with it to really maximize that pay attention to the fuel that goes into your mouth and what you can supplement with.

Using other precursors to NAD production like NMN or NR also helps to increase the amount of raw material going into the mitochondria.

Methylene Blue has a great effect on complex one and complex two early on in the electron transport chain, donating energy into those systems to really create a high concentration gradient of electrons at the earlier steps of the electron transport chain.

Also, using the appropriate frequencies of red, near-infrared, and infrared light might help because cytochrome c (another mobile electron carrier inside the electron transport chain) is very sensitive to those frequencies of red light.

So making sure that cytochrome c is sufficiently activated will be a requirement for appropriate and efficient ATP production.

And lastly, hydrogen. The hydrogen gradient is the last step of ATP production.

Creating a larger hydrogen gradient inside of our mitochondria to improve ATP synthesis at that last step at ATP synthase is also another great way to improve mitochondrial function.

Check out the full YT video we did on this topic here:
https://youtu.be/dxYAVlNKlRg

03/19/2026

What if the patient has more than 1 issue that they need Hyperbaric Oxygen Therapy (HBOT) for?

We see this a lot and a common mistake that's made in HBOT (but really in health care in general) is if a little is good, more has to be better.

How that relates to hyperbaric is going right to high pressure or high percentages of oxygen right out of the gate.

Even when either the issue that they're trying to solve for would do better at lower pressure, or that sometimes there's multiple issues, and we need to be sensitive to the idea that with multiple issues.

We might use different protocols and different pressures for different problems.

What I am suggesting is that getting a good history, understanding the person's full story, and then understanding that different tissues and cells use and metabolize Oxygen at different rates.

So as a consideration, once we know their whole story, we may choose to prepare that body at lower pressures and lower percentages of oxygen for two reasons:

1. The first is by doing lower pressures and lower percentages of oxygen, we're preparing the body to be able to handle those higher pressures if we need to go there.

2. By exposing this person to lower pressures and lower percentages of oxygen, you may also get a tremendous healing response.

One of our jobs is to first do no harm. So, if we can complete a protocol and improve that patient's experience and meet their needs and solve their issues or help them meet their goals, and we've done so by lowering the risk, we should do that every time.

And maybe all they needed to heal was that lower pressure protocol.

At the same time, if they needed more, now they're prepared to handle more and we've worked through other potential low pressure problems, preparing the body to now be able to tolerate those higher pressures.

03/18/2026

I’ll be speaking this April at the Age Management Medicine CME Conference in Miami, FL (April 15–19, 2026).

We’ll be diving into longevity, functional medicine, and real clinical applications we’re seeing in practice today.

If you’re in this space or looking to expand into it, this is a great room to be in — strong education, strong network, real conversations.

I’ve been given a 20% discount code:
SPK20

How to use it:
Enter SPK20 during registration
Select “SONNERS” when asked how you heard about the event

AMA CME credits are available for select courses.

🔗 Learn more + register:
https://agemed.org/cme-conferences/florida-april-2026

If you’re planning to attend, let me know — would be great to connect in person.

03/18/2026

How do I know that the chamber that I'm about to go into is clean, considering the fact that another patient just came out a few minutes ago?

In our offices. the pillowcases and mattress sheets are changed between each patient. The chamber is also wiped down.

We use a mixture of hydrogen peroxide which is antibacterial and antimicrobial. We don't like to use harsh chemicals or ones that have strong odors. Primarily because in the chamber environment you will absorb everything inside that chamber at higher rates because of the pressure.

So, we want to use very clean, safe, and pure ingredients. Hydrogen peroxide obviously is a very safe cleaning tool to use. It also doesn't leave any residual coating, and it certainly doesn't destroy any of the materials on either a soft chamber or on a hard chamber.

Some clinics also like to use ozone. Ozone is also a very strong and powerful and safe antimicrobial substance. You can run it in the chamber and that could help to also reduce or even eliminate any potential microbes that might be inside that chamber.

In a hard chamber, generally speaking, Ozone is completely safe to use. In a soft chamber, we've also never seen it damage the material, but we have seen it leave a yellowing on the inside of the chamber, which aesthetically is just not pleasing.

03/17/2026

🗣️NEW YT VIDEO OUT!
Even with the right medications, many people with ulcerative colitis still experience breakthrough symptoms and a diminished quality of life.

Recent research is showing what we already knew clinically; hyperbaric oxygen can be an important tool for reducing those symptoms and helping patients find real relief.

In today’s video we explore why hyperbaric oxygen is such a promising tool for this condition and review the research.

03/16/2026

NAD… What is it?

Why are people talking about it?

What does it do inside of your body and should you be using it alone, or should you be combining it with other strategies?

NAD is basically the raw material that is going to be delivered inside the inner membrane of the mitochondria to a location called the electron transport chain, which is the final step in energy production.

So, if your NAD levels are low and you're utilizing NAD as a strategy for improving cellular energy function, that makes perfect sense.

Delivering higher amounts of raw material to the factory “should” allow for more energy production. AND there are people who respond incredibly well to NAD supplements, NAD precursors, and/or NAD injections or IVs.

For others, this doesn’t work as well. You can deliver all the raw material that you want, but if the rest of that process isn't working well, there's no way you're going to get that end product.

This could be why some of the people utilizing NAD precursors, injections, and IVs, aren’t seeing any impact at all.

There are a number of rate limiting steps to energy production that need to be working properly.

A few of those steps are:

-Raw material
-Getting enough NAD
-Having sufficient amounts of CoQ10
-Having sufficient cytochrome c stimulation, which primarily comes from red light.
-Having sufficient amounts of oxygen (which is the most important rate limiting step to energy production).

The oxygen part is one of the places that Hyperbaric Oxygen Therapy (HBOT) comes in. HBOT is one of the only ways to upregulate systemic oxygen levels. It can drive far more oxygen into the mitochondria so that it's available to the last electron acceptor in the electron transport chain, allowing for energy production to occur.

03/15/2026

HBOT: When To Buffer The Oxidation

Hyperbaric oxygen therapy (HBOT) is an oxidative therapy with it's own set of advantages and drawbacks, as we've explored in our previous videos.

This therapy can be particularly impactful for patients who are delicate, highly sensitive, overly inflamed, or excessively oxidized. But in such cases, we strategically incorporate antioxidants before the therapy to buffer against the increased oxidation and “take the edge off.”

Over the long term, regular HBOT sessions naturally boost the body's production of endogenous antioxidants, reducing and sometimes eliminating the need for supplementary antioxidants.

For more on antioxidant timing, watch this YouTube video we did a while back:
https://youtu.be/4bJD0xCpqF8

HBOT USA

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Monday	9am - 6pm
Tuesday	9am - 6pm
Wednesday	9am - 6pm
Thursday	9am - 6pm
Friday	9am - 6pm
Saturday	9am - 2pm