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In the News

Partnership with Decide LLC

By | Decision Making, In the News

Life is full of decisions that can cause stress, anxiety, missed opportunities, and regret. But they don’t have to. Comprehensive Wellness is pleased to announce our partnership with Decide LLC, allowing us to offer our patients valuable support in making challenging life decisions.

Whether you are evaluating treatment options, growing your family, moving to a new city, selecting a college, changing jobs, or deciding when to retire, we can help. Many decisions have no clear right or wrong answer and have difficult trade-offs. Our mission is to empower everyone—individuals, families, and small teams—to make their best decision, identify what’s important, understand the tradeoffs and get on the fast track to progress, productivity and joy.

Learn more about decision making

Welcome New Clinicians!

By | In the News, Nutrition, Our Practice, Plastic Surgery & Dermatology

As we welcome 2019, Comprehensive Wellness is pleased to welcome the addition of several new clinicians to our practice.

Sahar Berjis, RD

Sahar Berjis, RD, MPH

Registered Dietitian

Sahar Berjis is a licensed Registered Dietitian with 17 years of experience in traditional and functional nutrition. She has a Bachelor’s degree in Nutrition, and earned her Dietetic License and Masters in Public Health from Tulane University.

Learn more about Sahar

Jason Fung, MD - Dermatologist

Jason Fung, MD


Born and raised in Hayward, Dr. Jason Fung is an alumnus of Head-Royce School in Oakland, Yale University, and the University of Rochester School of Medicine. He completed his medical internship at Yale-New Haven Hospital and his dermatology residency training at Washington University in St. Louis. Dr. Fung returned to the East Bay in 2004 and has been in private practice ever since.

Learn more about Dr. Fung

Introducing CW Skincare

By | Aesthetic Medicine, In the News

Comprehensive Wellness is pleased to introduce our customized skincare regimen to help you look and feel your best. Developed using the highest quality, pharmaceutical-grade ingredients, our dermatologist-tested skincare system delivers safe, superior results in treating numerous conditions and patient skin types.

New products include:

  • Hyaluronic Hydration Serum
  • Vitamin C Cream
  • Bright & Boost Vitamin C Serum
  • Resurfacing Glycolic Pads
  • Brightening Pads & Hydroquinone Booster
  • Retinol Firming Body Lotion
  • Overnight Retinol Repair Serum
  • Clear Zinc SPF 50 Sunscreen
  • Daily Defense BB Cream

Learn more about these great new products!

CW Skincare

Comprehensive Wellness at the Lafayette Art & Wine Festival

By | Events, In the News

2018 Lafayette Art & Wine FestivalCome visit Comprehensive Wellness September 15 & 16 at the annual Lafayette Art & Wine Festival!  We will have many of our clinicians on hand to answer questions about who we are, what we do, and why! Visit our booth to sign up for our email newsletter—then spin & win one of many great prizes including massage, consultations (skin care, nutrition, hypnotherapy), reiki and stress reduction sessions, PicoSure and Botox treatments, and more.

Booth #203 (near the Round Up)
Saturday 10-7, Sunday 10-6


FDA Statement about Vaginal Laser Therapy, as explained by Patricia Geraghty NP, Director of Women’s Health at Comprehensive Wellness

By | In the News, Women's Health

Patricia Geraghty NP, Director of Women’s Health at Comprehensive Wellness explains her take on the recent FDA Statement about Vaginal Laser Therapy.

On August 1, 2018 the FDA issued a warning regarding devices for treating vaginal conditions. I read the FDA warning itself, not just the news articles. The warning has also already received an endorsement from the North American Menopause Society. However, the news articles and reports that I have seen so far, and FDA commissioner Scott Gottlieb’s comments, are much more sensationalistic than the actual FDA statement. There is certainly no  call for Mr Gottlieb to call this a “dangerous procedure with no proven benefit.” Let’s review the evidence.

There are two different technologies covered in the FDA statement; CO2 fractional laser also known as ablative procedure and with a brand name of Mona Lisa Touch, and the radiothermal procedure also known as non-ablative. I can only speak to the laser therapy, the therapy offered at Comprehensive Wellness.

The warning states that there have been no “sham” studies done. This is where some subjects get the treatment and others get all the trappings but an actual treatment (the laser) is not delivered. These studies are underway at this time.

The warning also states that there is not enough research on the long term effects. This is true. The longest duration study to date is 12 months. Of course we want to know if the effects last longer and if there is later development of problems. A study was published just last month, a study not reviewed in this warning, showing for some women there is a sustained effect and failing to identify any adverse events.

The warning also said that there can be long term scarring, burns, and pelvic pain. I have read the studies carefully as I just completed one presentation on vaginal laser therapy for the cancer doctors and am submitting another presentation to the state NP association. None of the studies on the CO2 fractional laser report adverse events and this would be required for publication. I am in the process of searching for case reports, which are individual reports rather than subjects from formal studies. None have shown up in either the PubMed National Library of Medicine or the Google Scholar search engines.

Again, I can’t speak to the radiothermal procedure which appears to have a deeper effect (though no comparison studies have been done) and might then theoretically have higher risk for adverse events. Any procedure needs to be done by clinicians not only with knowledge of the technique, but with gynecological expertise to select the appropriate patient.

I also find the statement’s implied criticism of the word vaginal “rejuvenation” puzzling. This is actually the word that the FDA insisted upon and approved when the promotional material was formulated.

Most concerning to me is the warning citing a 2016 American College of Obstetricians and Gynecologist guideline. This guideline did not raise safety concerns and could not include reviews of the most recent and longest duration studies. The FDA statement also does not include information from a joint guideline issued by the North American Menopause Society and the International Society for the Study of Women’s Sexual Health just last month. This recent guideline included oncology experts as well as women’s health experts in the authorship. They carefully reviewed the data for all vaginal treatments, including laser therapy, for women at high risk for or with breast cancer.

So, in summary, more research is called for. That is something everyone, including the North American Menopause Society, can support. Finally, although I agree with the criticisms cited in the statement, these criticisms can also apply to any therapy in the first 5 to 10 years of use. We have to be careful to neither prematurely adopt therapies while also not applying unfair standards to women’s health care.