Downeast Primary Care

07/08/2025

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05/15/2025

Want to learn about a really useful medical test? It's called Hemoglobin A1c (HbA1c)! The short version is that as your red blood cells travel through your bloodstream they're constantly exposed to glucose (blood sugar). Over time, some of this sugar sticks to the hemoglobin in these cells. You could almost say your red blood cells are getting sugar coated.
The A1c test measures the percentage of your red blood cells that have glucose attached. Since red blood cells live for about 2-3 months, this test gives us an average of your blood sugar levels during that period.
For most people without diabetes, an A1c below 5.5% is considered normal. Higher levels can suggest your body isn't processing glucose properly, which could be a sign of prediabetes or diabetes.
We use the A1c test both to screen for diabetes and to keep an eye on how well diabetes treatments are working. A common target for good blood sugar management is an A1c between 6.5% and 7%, but your individual target might be different. Make sure to discuss your screening and monitoring needs with your doctor!!

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05/15/2025

I'm still learning the meta dashboard tools, so I figured I'd try something.

I know a lot of people have questions and concerns about finding, and actually getting to see, a primary care doctor for themselves and their family. What would you put on your "must have" list for a primary care doctor? Leave a comment and let me know!

05/14/2025

I put together a short FAQ covering some questions about me and Direct Primary Care model on my blog. Take a look and let me know if you have any questions, I'm always happy to chat!

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04/04/2022

I'll soon be adding Xeomin injections for fine lines and wrinkles. It's a product very similar to Botox, but is manufactured in a way that results in essentially pure botulinum toxin A, the active ingredient. This avoids the possibility of allergic reactions to the other proteins present in other similar products. Appointments will be limited, but I am offering tremendous discounts for these initial treatments. If you've ever been interested in trying injections for frown lines or crow's feet, send me a message and we'll see if it's right for you.

04/04/2022

Do I need to use a moisturizer if I have oily skin? The short answer is yes. According to experts like the American Academy of Dermatology, there are a number of things you need to keep in mind if you have oily skin. First, wash your face, but gently, avoiding the temptation to scrub. I would recommend using something like our NeoCleanse gentle every morning, evening, and after exercise to remove excess oil and contaminants that will irritate your skin and clog your pores. Stick with high-quality products that specifically say “non-comedogenic.” Moisturize daily. I would recommend our Biogel or Hyalis+ for a lightweight moisturizer that will calm irritated skin without adding unnecessary heaviness. Use sunscreen. Journee has a rating of SPF30 for an all-in-one product. Choose oil-free, water-based makeup and avoid touching your face with your hands during the day.

04/04/2022

Good morning all! Heather here to post about all my go to Neocutis products! I use my neo cleanse twice a day. Once when I wake and once when I'm done for the day! Journee is my go to for my daily moisturizer and SPF. I use it every morning along with my eye cream (Lumiere). My bio serum I use as my night cream but sometimes I even double up on that too! I just make sure my bio serum is dry before applying my Journee if I use it during the day. If you have any questions let me know!

03/31/2022

Did you know Neocutis has a rewards program? You can earn points for social media activity, or even just selecting me as your provider. Either download the neorewards app (android and iOS) to start earning towards free products with each purchase. Or, if you prefer, I can sign you up through the portal. Just contact me and I'll be happy to help get you set up.

03/28/2022

Let’s talk rosacea. It’s a common, chronic skin condition that affects as many as one in twenty adults and can manifest as one of several subtypes. The cause isn’t completely clear, and like many chronic conditions likely has a number of factors at play. The symptoms usually affect the central part of the face and nose and include erythema (redness) that can be either temporary like flushing, or permanent. The redness can sometimes appear as what some call “spider veins” or telangiectasias as well. Some patients will also have burning or stinging sensations, plaques, pustules (bumps), dry skin, or even eyelid involvement. Some people report triggers like sun exposure, emotional stress, exercise, wind exposure, alcohol or spicy foods causing worsening symptoms.
As always, I would recommend you consult with your trusted healthcare professional if you have these symptoms as they may rarely indicate a more serious condition. Treatment may include topical and/or oral antibiotic medication to help treat secondary infections, especially during flare-ups. While “gold-standard” medial research is hard to conduct on things like skincare, medical professionals agree that gentle cleansers and moisturizers are crucial for keeping your skin healthy and minimizing symptoms and flares of rosacea. It's also important to avoid scrubbing or overly-abrasive products as this will make symptoms worse. I would suggest pairing our gentle cleanser with BioCream or BioSerum to address the redness and inflammation of rosacea while promoting healthy skin. If you need something with an SPF ingredient (always a good idea if you aren’t using something already) Journee may be a good option for daytime use paired with the BioSerum at night. (Photo from American Academy of Family Practice journal article. For more information, https://familydoctor.org/condition/rosacea/ is a good place to start)

03/27/2022

Neo Cleanse

WHAT YOU'LL LOVE

-Gently washes away makeup and surface impurities
-Infuses skin with hydration from moisture-attracting Glycerin
-Formulated without harsh sulfates, dyes or fragrances for skin that feels fresh, untainted and comfortable after cleansing

03/27/2022

Missing a go to night cream? Neocutis has one you will love.

-Oily skin you will want to go with the Bio Gel
- Dry Skin you will want to pick out Bio Cream

WHAT YOU'LL LOVE

While you sleep, Bio Cream deeply hydrates and reduces the appearance of fine lines and wrinkles, soothes your skin and restores moisture after aesthetic procedures and treatments.

-Apply to face, neck and décolleté
-Reduces the appearance of fine lines and wrinkles
-Promotes suppleness and smoothness with moisturizing lipids
-Replenishes skin after cosmetic or dermatological procedures
-Great for normal, dry or combination skin types.

03/27/2022

Journee

WHAT YOU'LL LOVE

-Formulated with growth factors to help reduce the appearance of fine lines and wrinkles
-Provides lasting hydration and moisture retention
-Fights against daily environmental stressors
-Provides broad-spectrum UVA/UVB sun protection

Shop here: https://downeast-aesthetics-pllc.square.site/