Therapeutic plasma exchange (TPE), also known as plasmapheresis, removes and replaces a patient's blood plasma to treat various autoimmune diseases, conditions that cause the body to recognize a part of itself as foreign and generate proteins (called autoantibodies) that attack part of the body. These proteins are found in the plasma component of blood.

Each treatment usually takes several hours to complete. People who have had relapses that are unresponsive to corticosteroid medications typically improve significantly after plasmapheresis

Ensuring patients hormones are in balance and solely using FDA approved laser and surgical techniques is all a part of how the practice works to guarantee that their patients receive only the best care. By providing patients with access to the most advanced procedures, Head to Toe Laser can address the long-term causes and effects of aging. As the primary doctor for the practice, Dr. Milgram is a pioneer in the field of laser surgery. He founded the Southern California Laser Surgery Institute in 1984 and is a board-certified physician
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