EVER HEARD OF BIOLOGICS? HERE’S WHY YOU SHOULD…

As the incidence of autoimmune diseases trends upwards, people living with conditions like alopecia, vitiligo, psoriasis, and psoriatic and rheumatoid arthritis – searching for relief from debilitating symptoms – have grappled with serious side effects from prescribed medications. 

More targeted treatment 

Enter biologics — advanced therapies made from living cells. Unlike conventional drugs, which tend to broadly suppress the immune system, biologics operate in a highly targeted manner. With autoimmune diseases, they block the pathways that trigger your body to attack healthy cells, thereby inhibiting progression of the condition. Simply put, they’ve been a game changer. 

By precisely honing in on the molecules involved in the inflammatory process, biologics can help keep symptoms under control while reducing the risk of widespread immune suppression. As with any drug, biologics have better responses in some patients — and this may also change along the journey. Everything is balance, so this may require switching to something else, especially when you consider that biologics are complex to make, and often expensive. 

JAK inhibitors also producing results 

One option comes in the form of Janus kinase (JAK) inhibitors. JAKs are proteins that help your body’s cells communicate with each other. Think of them like a messenger — but in the case of autoimmune diseases, they’re getting the instructions mixed up. Like biologics, JAK inhibitors have had great success in treating autoimmune diseases and other inflammatory conditions such as: 

• Alopecia Areata: This sudden hair loss occurs when the immune system attacks hair follicles. 

• Vitiligo: This condition causes the immune system to destroy melanocytes — the cells responsible for skin colour.

• Psoriasis: Rapid skin cell growth causes thick, scaly patches that are often painful and itchy. 

• Rheumatoid and Psoriatic Arthritis: These painful conditions affect the joints.

While they both modulate the immune system to treat autoimmune conditions, they do so in different ways. In some cases, they might even be used in combination, depending on the patient’s needs and the specific condition being treated. 

By blocking the inflammatory signals and pathways that cause such conditions, these two families of drugs are working wonders in easing symptoms, improving functionality and enhancing the quality of people’s lives. But don’t take out word for it — hear about their real-world impact from one of our patients…

R, psoriasis patient 

I was prescribed the biologic drug Skyrizi by Dr. Tonya Abraham for the treatment of psoriasis, and to say that it was a complete success is an understatement. I was first diagnosed with psoriasis when I was sixteen. It was extremely difficult for me to accept, because I spent most of my weekends at the beach. My self-confidence was very low and I was in a deep depression, even though I hid it well. 

Over the years, I have tried many types of treatments – from herbal teas and acupuncture to every type of cream and soap available. Very few relieved the itching and redness, and those that did wouldn’t last very long once my body got accustomed to it. 

Then, earlier this year, Dr. Abraham prescribed this treatment to me. I have to admit I was a bit skeptical – not because I didn’t trust her, but because I’ve had so many disappointments over a 28-year period. I decided I would take her counsel and try the treatment.

“This treatment did for me what all the others couldn’t.”

Four months later, I couldn’t be happier! My advice to those affected is trust your doctor and trust the science. Skyrizi has my vote – every day!

If you are struggling with an autoimmune condition (or undiagnosed symptoms that might suggest this as a possibility), come in and see us. We will assess your particular situation and devise a personalised treatment plan as the condition dictates. 

As these innovative classes of drugs evolve, they will continue to provide breakthroughs in autoimmune disease management, safely and effectively.

CARNIVAL STARTS AT THE GREENHOUSE

Trinidad and Tobago Carnival is a high-energy, non-stop celebration of music, movement, and vibrant expression. Whether you're gearing up for the road, hitting every fête, or simply want to feel your best, incorporating key wellness treatments into your pre-Carnival routine can make all the difference. 

From boosting circulation to reducing bloating, here are our top three treatments that will have you glowing, energised, and ready to break free!

1. Lymphatic drainage massage 

Detox and de-bloat with this therapeutic massage designed to reduce swelling by encouraging the natural flow of lymph fluid. 

Carnival benefits

• Reduces bloating and fluid retention, so you feel lighter and more comfortable in your costume.

• Amps up muscle definition to further highlight all your gym gains.

• Enhances circulation, giving your skin a healthy, radiant glow.

• Supports immune function, helping you stay strong through long nights and high-energy days.

• Aids in post-fête, J’ouvert, and Monday and Tuesday recovery by flushing out toxins and minimising soreness.

2. IV Therapy

Get an instant hydration and energy boost with this quick and effective way to deliver essential vitamins and minerals directly into your bloodstream.

Carnival benefits

• Provides rapid hydration, helping you stay refreshed and energised.

• Delivers essential nutrients to combat fatigue and boost vitality.

• Enhances recovery, reducing post-fête lethargy.

• Strengthens your immune system, keeping you feeling your best throughout the season.

3. Facial acupuncture 

Get camera-ready with this rejuvenating treatment that enhances your natural glow while supporting overall wellness and reducing head and jaw tension.

Carnival benefits

• Promotes a plump, radiant complexion for a fresh, glowing look.

• Relieves stress and promotes relaxation of the facial muscles.

• Stimulates collagen production, helping to smooth fine lines and enhance skin elasticity.

• Supports overall energy balance, keeping you feeling refreshed and revitalised.

Discover more Greenhouse treatments that will leave you feeling fresh and rejuvenated; call us at  687-1425 to find out more and make a booking. 

YOUR WELLNESS COMMUNITY AWAITS...

Become a member of The Greenhouse at Serpentine and enjoy wonderful discounts and wellness benefits! 

Call us at (868) 687-1425 to find out more!

MEET THE GREENHOUSE TEAM

The therapists and medical professionals making a difference in your wellness journey are here and ready to get you started! Our skilled team of therapists and wellness practitioners provides personalised care to support your physical, mental, and emotional health.

Tiffany Alcantara, Clinical Psychologist 

Tiffany’s holistic approach blends trauma resolution techniques with mindfulness-based cognitive therapy to help build resilience. With a Masters Degree in ClinicalPsychology from the University of the West Indies and over 15 years of experience in private practice, Tiffany specialises in treating anxiety, depression, grief, and trauma, and helps patients adjust to major life changes. Her holistic therapeutic approach blends trauma resolution techniques with mindfulness-based cognitive therapy.

Jade Gomez, Craniosacral Therapist

Through gentle, non-invasive craniosacral therapy (CST), Jade relieves tension and fosters healing, supporting those with chronic pain, stress, or neurological conditions. Having dealt with anxiety and depression herself, she found CST to be an effective solution for achieving physical, emotional and neurological balance, resulting in an improved quality of life. CST supports the body’s natural healing process by improving fluid flow and relieving tension in the central nervous system.

Mikaili Hamel-Smith, Registered Aesthetic Nurse 

Detail-oriented and committed to providing exceptional patient care, Mikaili is certified in the administration of various injectables, including vitamin drips, Botox and filler treatments. Mikaili first qualified as a medical aesthetician, where she performed a wide range of procedures, from chemical peels to laser therapy. She then became a registered nurse, and her clinical expertise and critical thinking skills are matched only by her compassion.

Kristin Lee, Acupuncturist 

Specialising in “Sooji Chim,” a Korean healing practice focusing on the hands, Kristin’s targeted therapy offers relief from pain and stress, and enhances overall health. Through careful manipulation of specific points and meridians in the hands, Kristin can positively influence various organs, systems, and overall well-being. Korean hand therapy is a natural and effective choice for stress relief and relaxation, improved circulation, pain relief, enhanced immune function, boosted energy levels, better digestion, sharper focus and and greater mental clarity.

Sharon Lochan, Massage Therapist

With expertise in various therapeutic massage techniques, Sharon delivers personalised treatments to restore physical and mental well-being. Trained at the Trinidad and Tobago School of Massage Therapy and Beauty Culture (TTMAC), Sharon has continuously kept abreast of therapy techniques – including reflexology, integrated manual therapy, suction cupping and orthopaedic sports massage – using them to create a signature massage style that improves her clients’ well-being. To her, massage therapy is the catalyst that helps people feel better, both physically and mentally.

Roberto Mansoor, Holistic Therapist

Drawing from Asian body therapies and a deep meditation practice, Roberto brings a transformative approach to healing through ancient methods like Thai massage and Ayurvedic bodywork. With over 20 years of expertise in these ancient modalities, he is a  proponent of the mind-body connection, believing that skilled bodywork combined with clear healing intention can produce profound results. At the core of Roberto’s work is his daily meditation practice and dedication to his personal healing journey.

Dr. Keshenee Ramnarine, Psychiatrist

With over a decade of experience in guiding individuals toward holistic healing, Dr. Ramnarine provides compassionate psychiatric and mental health support. A national scholarship winner who graduated from the University of the West Indies with her Doctorate of Medicine, her interest in the human mind and human behaviour led her to specialise in psychiatry. Accredited with the Specialist Register of the Medical Board of Trinidad and Tobago, Dr. Ramnarine supports those who struggle with their mental health on their journey toward healing.

Tikira Beresford, Osteopath

Trained at the European School of Osteopathy in the UK, Tikira is passionate about helping you achieve comfort in their bodies through holistic care that focuses on pain relief as well as the restoration of movement and function. An allied health profession that involves diagnosing, treating, and preventing health issues, osteopathy is based on the principle that the body’s function is governed by its structure. By addressing the musculoskeletal system, therefore, you can enhance your overall health. 

Ready to embark on your own wellness journey? Book a slot (687-1425) to nurture your mind, body, and soul.

GOING GREEN WITH DR. TONYA ABRAHAM-ALI

‘What I’ve envisioned for so long is finally coming to fruition’ 

Q: Congrats on the launch of The Greenhouse at Serpentine. Anyone walking through it will realise it’s more than just a space. What inspired you to create this wellness haven?

A: I’m so glad to be here and to share this journey, which really began during the COVID-19 pandemic, when I noticed a stark reality. Patients who were using the back entrance of the clinic to avoid contact with those being tested often commented on the peace they felt while walking through our garden. It was in those moments that I recognised a deeper issue. It struck me that this wasn’t just about physical health anymore; it was also about mental well-being — finding a sense of calm and comfort in the midst of chaos.

Q: How did this observation — and the experiences of your patients — help shape the idea for The Greenhouse?

A: The pandemic brought a lot of issues to the surface. We saw toddlers whose eczema flared due to isolation and lack of social interaction, primary schoolers suffering from severe anxiety and trichotillomania after prolonged screen time, and teenagers grappling with self-harm. On top of that, business professionals came in weighed down by stress, their psoriasis reflecting the mental strain they were under. It became clear that physical symptoms were often a manifestation of deeper emotional struggles. COVID-19 affected us all in various ways, but it also illuminated the urgent need for comprehensive mental health support. I realised I needed to do more.

Q: So how did you bridge the gap between recognising these challenges and doing something about it?

A: It all came back to the garden; specifically, my father’s greenhouse. That space had always been a sanctuary for him, a place of growth and nurturing. I started to wonder: could this greenhouse — this symbol of care and support — be transformed into a sanctuary for others? That’s when the idea began to take shape. I envisioned a space where people of all ages could not only seek help, but also learn the skills to navigate their struggles and thrive in their lives. Trinidad is home to many brilliant minds specialising in mental health and I believed Dad’s greenhouse could be the foundation for something far greater. That’s how The Greenhouse at Serpentine was born.

“‘I am overcome with a profound sense of joy and fulfilment.’”

— Dr. Tonya Abraham-Ali

Q: What a meaningful tribute to your father’s legacy. So what exactly does The Greenhouse offer?

A: We’ve built The Greenhouse at Serpentine on the principles of resilience and hope, assembling a dedicated team of experienced therapists and mental health professionals who provide exceptional care and alternative holistic therapies. Beyond that, we’re also committed to education. We aim to be a resource for families, teachers, and communities, fostering understanding, growth, and connection. It’s about creating a ripple effect that extends far beyond the individuals who walk through our doors. We want to serve as an anchor. As our tagline says, The Greenhouse at Serpentine is where your journey to wellness takes root. 

We also offer a range of products that help you live your life in the best possible way – from handmade soaps and organic cleaners to decorative household items, ceramics, soy candles, beautiful fresh flowers and so much more; we really want to bring people together. Our in-house barista, with her amazing coffee, wellness shots and fresh juices, will certainly make people want to slow down and spend some time, even after shopping or attending a therapy session.

Q: So it’s more than just a clinic; it’s also a community initiative. What do you hope The Greenhouse will achieve?

A: My hope is that The Greenhouse becomes a beacon — a place where people feel safe, supported, and empowered to face life’s challenges. We want to make a meaningful impact on the emotional and mental health needs of our nation. If we can help even one person find clarity and strength, then we’ve succeeded. Whether you’re here for yourself, a friend or family member, you’re not alone. We’re here to walk with you, every step of the way.