4499 Medical Drive #225, San Antonio, Texas 78229  Call 210.616.0836 Text 210.616.0826 

Inside Outside Wellness Center & Medical Spa  



Dec 2020



 Greetings from Dr. Christian & the Staff of Inside Outside


We are finishing our 17th Year!  And What . A . Year!  Christmas behind us and a (insert your word!) Year around the Corner.  We need to be serious about our Nutrition and Exercise as they can help us fight the Nasty COVID-19!  At Inside Outside we have "The Cure" for our Health and Fitness Crisis, never doubt it!! "The Inside Outside Way of Life"! Live It in 2021 & Take it to a New Level! It's Magic! Commit!!




in this issue

  • From Dr. Christian: Perspectives on "2020, The Ugly, The Bad, The Good" "We Mush On!"
  • Inside Outside Offering Omega-3 Index Testing, Critical for Resolving Inflammation!
  • We Welcome Marissa Sinni, New Inside Outside Staff, Farewell & Best Wishes to Sativa!
  • Check out our Virtual Tour of Inside Outside!
  • Update on our Web Analytics by Revolver, 166 Countries! They love us around the World!
  • Goodbye to Brilliant Distinctions and Welcome To Alle, New Rewards Program for Botox!
  • Keith Haring Tribute, New Addition to Inside Outside Heart Art Collection!
  • It is Better to Give than Receive! Gift Certificates!! Personalized!
  • Member Spotlight: Martha Kott, Attorney at Law and Tennis Player!
  • Community Relations:  Silent Auctions, Raffles, Walks & Runs!  32 Donations so far 2020!!
    From Dr. Christian: Perspectives on  "2020, The Ugly, The Bad, The Good"   "We Mush ON"


     A short year ago,  few of us could have imagined what has transpired in 2020. Each generation has had it's own challenges of course and as we today struggle to survive on this "Pale Blue Dot", we will continue to deal with visitations of the Biblical 4 Horsemen of Apocalypse, Famine, War, Pestilence and Death.  Reflect for a moment the Spanish Flu of 1918 or the  Galveston Hurricane of 1900 or the 1st or 2nd World Wars or the Black Plague of the 1300's.  But, that was then and now is now.  


    THE UGLY:  From my perspective as a physician, First, Do No Harm (Primum non nocere) and preventing unnecessary suffering and loss of human life is my calling (to cure sometimes, to relieve often, and to comfort always).  In this respect, the COVID-19 Pandemic, will stand out, so far, as the most challenging problem for medical professionals of my lifetime. The figures are Staggering, documented daily by the Johns Hopkins COVID Tracking Database and COVID-19 deaths became  the #1 cause of death in the US in the first week of December.  It turns out mosquitoes (World's Most Deadliest Animal) have spread more diseases and caused more deaths than anything else but they don't spread COVID-19, We Do!  So we need to follow the (unfortunately often inconsistent) guidance of our Public Health Officials, using our common sense and be responsible.  Every aspect of our lives has been affected. WE are a critical part of the solution.

    THE BAD:  The emotional/social and personal/collective economic impact of the COVID-19 Crisis is immense and will likely affect generations.   In this category we have to respect the never ending battle we have with nature via "Natural Disasters" (Fires, Earthquakes, Tornadoes and Hurricanes).  2020 was a record year of Fires and Hurricanes and many blame Climate Change and Global Warming for these events.  We must respect our "Footprint" on this  "Pale Blue Dot" and if limiting fossil fuel usage will help, we must find a way to do it.  Some evidence that this is helping is that during the "slowdown" of the world due to COVID-19, many of our fellow creatures and nature seem to be benefiting from our decreasing "Footprint" Also, we need to include, again, the seemingly never ending conflicts regarding racial, religious & economic discrimination and self destructive behaviors such as addiction and crime.

    THE GOOD:  Adversity not only reveals our weaknesses but our strengths.   Daily, we hear of the sacrifices, resiliency, and commitment of our medical and scientific community to caring for the sick and finding a solution for COVID-19.  Unprecedented work has yielded a few vaccines and a few therapeutic treatments for the COVID Crisis.  Technological advances and creativity have created different (?better?) ways of communicating, learning, playing and working. We are part of the solution and we must do our part and most of us have made many sacrifices to help, but some have not and that's not GOOD.  The crisis has been shared eloquently by Dr. Craig Smith, Chief of Surgery at Columbia New York Presbyterian, one of the first "hospital hotspots" in the United States.  He has become one of the Pandemic Poets.  Please read his letter of 20 Mar 20 in which he describes the dire situation at his hospital. This was the 3rd week of the crisis in the US.  By now, none of us should have a problem understanding what he is writing about.  And then, 9 months later a Christmas Star.....Hope and Salvation...and we learned "What Men Live By" over again and the Alberta Quadruplets showing us what to do when it is over!   And then there is the "Fauci Effect!"

      Dr. Craig Smith, 20 Mar 20 "We Mush On"

    Institute for Health Metrics COVID-19 Projections    

    Inside Outside Offering Omega-3 Index Testing, Critical for helping to Resolve Inflammation!

    Dr. Christian first met Dr. Barry Sears in 1995, shortly after he wrote his First book "The Zone".  In this book, he alerted the public to the importance of Omega-3 Fats in their diets. In addition to the Zone Diet, he had a 15sec plan, "If you only have 15 sec in a day to take care of yourself, in those 15 sec, gag down as much fish oil as you can!". Dr. Christian, heeded this advice and began adequate doses of high quality Omega-3's at that time.  Shortly afterwards Johns Hopkins University developed the technology to measure these fats in the red blood cell membrane. Dr. Christian had these measured and had optimal levels.  The testing has become more available and we have been measuring these levels over the past few months in a number of our clients. We used to believe that Omega-3 fats were anti-inflammatory, or that they would block inflammation.  Turns out, Omega-3's (DHA&EPA) are stored in our cell membranes and then are converted to a group of molecules, Specialized Pro-Resolving Mediators (SPMs) which help with resolving inflammation.  Inflammation is now understood to have a initiation phase and a distinct active resolution phase.  The resolution process helps to clean up any lingering effects of the actual inflammatory response and helps to avoid any organ damage through fibrosis or scaring.  One of the problems with COVID is that the immune/inflammatory response is so robust, it creates what is called a "cytokine storm", powerful molecules that promote inflammation and much of the illness we have to treat is related to the collateral damage to our lungs and other organs.  Treatments are being developed to better control this inflammatory response.  So, we need to have 8-12% of the fat in our cell membranes to be EPA&DHA to be converted to SPMs. The average American has a level of <4%!  So, most of us do not have the capability to help resolve inflammation and chronic low grade inflammation is now recognized as the cause of most of our chronic diseases, atherosclerosis, diabetes, arthritis, auto-immune disorders, dementia and cancer are all related to unresolved inflammation.  There are many sources of inflammation which affect our bodies.  A breakdown of our gut or skin barrier allows foreign molecules to get into our bodies and cause inflammation, air pollution, allergens, certain foods (refined carbs, sugar, vegetable oils, alcohol), bacteria, viruses, periodontitis, trauma and the death of aging cells in our bodies (InflammAging & Garb-Aging) Charles Serhan Phd of Harvard Medical School has published extensively about the Resolution of Inflammation and Dr. Sears published his latest book last year, "The Resolution Zone". 

    Omega-3's play a critical role...so...I know you are busy...but in the next 15 seconds...get ready!  GAG!


    Read This, if nothing else! Great Article (Explains it all) Harvard Magazine "Raw & Red Hot"

    Video from Megagenics Institute about SPMs and Resolution of Inflammation.

    "AARP Bulletin" Inflammation Article, Most Influential Medical Journal In the World!

    Yes, Inflammation coming from the Skin, Stanford Study

    "The Resolution of Inflammation: The Devil in the flask and the details."  Charles N. Serhan Phd.

    Dr. Barry Sears, "The Resolution Response"

    "Global Survey of Omega-3 fatty acids, DHA &EPA in the blood stream of healthy adults" Stark KD et al Jul 2016 Progress in Lipid Research

    We Welcome Marissa Sinni, New Inside Outside Staff and Farewell to Sativa Martinez

    We say Farewell and Best Wishes to Sativa who is moving to Houston to continue her preparation for Nursing School.

    And We Welcome Marissa Sinni as our newest Inside Outside Staff. Marissa will serve as Office Manager, Hi-Lo Strength Training Instructor and Assistant to Dr. Christian. Marissa comes from a Counseling background, helping seniors with their health and lifestyle choices.  In addition she is a Brazilian Jui Jitsu Competitor and this past weekend claimed 2nd Place in the World Championship Masters Competition in her weight and age class. She is committed to a healthy lifestyle and understands the importance of strength training!   We are looking forward to having Marissa with us on our Inside Outside Adventure!

    FaceBook Post of Marissa's Arrival!

    Check out the Inside Outside Virtual Tour!

    Inside Outside Virtual Tour!!

    Update on our Web Analytic Reports, The Revolver Map!!  They love us around the world!

    166 Countries, They Love Us!

       Everyone is aware that Businesses & Organizations use Web Analytic Tracking Services to monitor their web site traffic for marketing purposes.  Inside Outside uses Google Analytics, Clicky and Revolver Maps for tracking services. The Top Ten Countries are United States, Canada, United Kingdom, India, Australia, Germany, France, Philippines, Mexico and South Korea! The map shows hits over the past 90 months, monitored by Revolver Maps, 166 Countries & over 103,233 Visits. Recent additions since the last newsletter are Somalia, Brunei  Darussalam, Uzbekistan, Lesotho and Benin!  Popular pages for international visitors are the DXA Body Composition, DXA Bone Density & our Dark Side of the Sun page.   

    To Checkout our current Revolver Map, click on the 2D Version and Hover over the Red Dots to see Location, Requires Java!

    Goodbye to Brilliant Distinctions and Welcome to Alle, New Rewards program for Botox!

    Brilliant Distinctions, the very popular rewards program offered by Allergan, the maker of BOTOX is now More Rewards, More Points, More Exclusive Offers!

    When you come for your appointment, we will help you migrate to Alle or you can do it yourself through these links.

    Already a Brilliant Distinctions Member? 

    Easily migrate your account to Alle!

    Transfer your Brilliant Distinctions Account!

    New to Aesthetics, Create a Alle account to get started!

     Keith Haring Tribute, New Addition to Inside Outside Heart Art Collection!

    Keith Haring Heart Tribute!

    As many of you know, we have a nice collection of art related to the Heart.  A recent addition is a series of 3 of the Heart pieces of Keith Haring.  Dr Christian, for a while...sigh,  had the Original piece of art on the left "Dancing Hearts" purchased in 1994 in New York City.  Keith Haring was one of the "pop art" figures of the 80's along with Andy Warhol and Jean-Michael Basquiat.  Haring created numerous pieces which included hearts as can be seen in the slide show below and they are commercially very popular!  In addition to these heart pieces, the office has works of art by Jim Dine (here & here), GH Rothe (here & here), A Erendida Mancilla Tribute to Frida Khalo poster and a very complete collection of Life, Time and Newsweek Magazines depicting the early days of Heart Transplantation and Artificial Hearts!

    Slide Show of Keith Haring "Heart Art'

    Keith Haring Foundation Website   Keith Haring Facebook

    The 50th Anniversary of Heart Transplant Facebook Album, Magazines!

    We have Gift Certificates for all of our products and services!

     Gift Certificates for Any Occasion

    Christmas, Birthday, Valentines, Mother's Day, New Bride, Graduation

     We can Personalize Gift Certificate

    for any Product or Service We Offer!

    Great Gift Certificate Ideas Here!!

    Member Spotlight: Martha Kott,  Attorney at Law and Tennis Player!


    We salute Martha Kott (appropriately masked for COVID-19!) in our Member Spotlight this Month!  Martha has been a member of the Inside Outside Family since April 2019 and was referred by Inside Outside clients Leah Glast and Alan Schuminsky.  Martha is very serious about her twice a week workouts and is using Spa and DXA Bone Density and Body Composition services also. Martha is a local Attorney in Solo practice and graduated from from St. Mary's University Law School in 1989 and her areas of interest are Personal Injury and Family Law. One of the reasons she found Inside Outside was her love of Tennis and she plays regularly 3 or more times a week.  She credits our Hi-Lo Strength Training with much improvement in her Tennis matches.  The increased strength also will make the Tennis more enjoyable and she should be more resistant to injury. In addition to her strength training she enjoys Pilates.   We enjoy having Martha as a valued member of the Inside Outside Family.

    Community Relations: Silent Auctions, Raffles, Walks & Runs, 32 Events so far in 2020!

    Since it's inception, an important mission at Inside Outside has been to make

    a difference in our community.  The best way we have found to do this is to

    make contributions to Non-Profit organizations through silent auctions at their

    annual fund raising events, seminars, health fairs or direct donations.  We would

    consider it an honor for any request for items to be donated or for Dr. Christian to speak to Non-Profit and other organizations/businesses in San Antonio and surrounding cities. Check out our Community Service Page chronicling Inside Outside's Community Service efforts since 2004!

    Inside Outside Community Service, 32 Donations this Year!

    Thanks to our Community Service Director Lora Lane!

    Silent Auctions, Raffles, Donations

    Over the past 12 months we have made donations for the following Silent Auctions, Raffles or Donations organized by these fine Non-Profit Organizations!!  this is one of our favorite ways to support them!


    Woodlawn Theatre, Impact $100K Grant Award Winner 2020!


    A Great White Board by Sativa Martinez Promoting Omega 3 Fats & Measuring the Omega-3 Index



    Inside Outside

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    Inside Outside

    COVID-19 Document Site


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    Star Archive


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    Monthly Archives Newsletters




    Staff Pictures


    Internship Update

    Because of COVID We have not had UTSA Interns since Spring Break and will not have them for Spring 2021. Hopefully Summer Semester 2021!

    We Miss Them!!


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    Quick Links


    When Quarantine Ends! The Alberta Quadruplets Show Us

    What To Do!


    Nutrition Tools

    Body Fat% &

    Basal Metabolic Rate What If? Calculator!


    Alcohol Calorie Calculator and Links


    "Zone Meals

    from the

     Doctor's Lounge"

     Many Good plus a Few Bad Examples

    Dr. Sears Web Site

    Google Map to Inside Outside Wellness Center &amp; Medical Spa


    High Resolution Images of

    Methodist Plaza


    Inside Outside Theme Song

    "Nobody Does

    It Better"

    Carly Simon 1977

    The Spy Who Loved Me



    Inside Outside

    Way of Life"



    This should be your Committment!

    The Poster!



    Videos of Month

    USAF Band

     "Holiday  Flash Performances"

    2013 Air & Space Museum




    WWII Holiday Flashback at

    Union Station

    2016 Smithsonian Museum

    2017 Gaylord National in Maryland

    2018 Washington



    "One Voice"


    National Anthem

    Army Navy Game

    Glee Club 2017

    You are going to Love These!


    Quote of the Month

    "We Mush On"

    Dr. Craig Smith

    Flash Back

    New York Presbyterian

    20 Mar 20

    COVID 19 NYC


    Special for the

    Holiday Season

    Leo Tolstoy,1881 

    A Wonderful Christmas Short Story by Leo Tolstoy!

    "What Men Live By"

    Download .pdf file


    Wellness Products We Recommend


    Does all the Confusion & Choices about Skin Care Make you Want to


    Check out our

    Basics and Specialty Skin  Products .pdf Presentation!


    Article of the Month "InflammAging & Garb-Aging" C Francheschi et al Trends Endocrinol Metab

    Join Us On



    It was always said

    of him, that he

    knew how to keep Christmas well,

    if any man alive possessed the knowledge.

    May that be truly said of us,

    and all of us!

    And so,

    as Tiny Tim observed,

    "God Bless Us, Every One!"

    Charles Dickens







    Do You Realize all the Value Added Benefits Of Living

    "The Inside Outside Way of Life"?

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    w - https://insideoutsidespa.com

    a - 4499 Medical Drive, Suite 225

    s - San Antonio, Texas 78229

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