Sugar Land Hormones & Wellness

Hormone pellet therapy is a revolutionary form of hormone replacement therapy that offers a much more effective and long-lasting delivery method than traditional forms of hormone replacement therapy. Bioidentical hormones are the exact same molecule your body produces and the pellets deliver sustained doses of hormones directly into the bloodstream in order to provide the body with optimized hormones. Hormone Pellet VS Other Hormone Replacement Therapy Hormone Pellet Therapy (HPT) is a unique hormone replacement therapy that recently gained popularity. Regarding HPT vs. other hormone replacement therapy options like the ones available at Sweetwater OB-GYN, some key differences exist. Unlike other hormone therapies involving daily oral or weekly injections, HPT delivers custom hormone doses through small pellets inserted under the skin. This allows for a more consistent release of hormones and can provide longer-lasting relief from symptoms like hot flashes, mood swings, and low libido. Sugar Land Hormones & Wellness Center offers HPT services to help patients achieve optimal hormone balance and alleviate symptoms associated with hormonal imbalances. Contact us today to learn more about HPT and how it can help you feel your best! Hormone Pellet Therapy Purpose The primary purpose of hormone pellet therapy is to restore hormonal balance within an individual’s body. This can be achieved by introducing bioidentical hormones via pellets placed just beneath the skin. By doing this, hormone levels can remain relatively constant throughout treatment, effectively addressing any symptoms present due to hormonal imbalances. Hormone Pellet Therapy Procedure The procedure for hormone pellet therapy involves preparing the patient’s skin with an antiseptic solution before the insertion of the pellets. A local anesthetic is applied using a small needle to place the hormone pellets beneath the skin. These are usually placed on the buttocks or the flank. You or your partner cannot feel hormone pellets. After insertion, the pellets slowly release controlled amounts of hormones according to your cardiac output until they are ultimately used up after about three months for women and six months for men depending on the type and dosage your doctor prescribes. Preparing for Hormone Pellet Treatment Before beginning hormone pellet therapy, discussing your needs with a qualified medical professional at Sugar Land Hormones and Wellness Center is essential. During your initial consultation, you’ll be able to discuss your symptoms and goals of treatment and determine if there are any potential risks or side effects associated with treatment. Testing involves detailed lab and hormone testing, an up-to-date mammogram, and pelvic ultrasound for women. Additionally, patients should be prepared for periodic follow-up appointments throughout their hormone pellet therapy regimen so that their doctor can assess how they respond to the treatments. We also recommend holding baby aspirin and certain supplements three days before insertion. Benefits of Hormone Pellet Treatment Hormone pellet therapies provide many benefits due to their ability to deliver a consistent level of hormones over an extended period without frequent adjustments or invasive injections. The pellets are inserted under the skin, releasing small doses of hormones over several months, helping regulate various bodily functions while decreasing symptoms like fatigue, hot flashes, mood swings, insomnia, anxiety, low libido, loss of muscle mass, brain fog, and more. Other benefits include increased energy levels and improved skin tone. Risks of Hormone Pellet Treatment Although hormone pellet therapies have many benefits for restoring health and balance in individuals suffering from age-related hormonal decline, some risks are associated with this form of hormone replacement therapy. These include short-term soreness at the site where the pellets were inserted and potential allergic reactions to surgical tape. Your provider will go over any additional risks prior to the initiation of therapy. Maintaining Your Health After Hormone Pellet Treatment Maintaining a healthy lifestyle during and after hormone pellet therapy treatments is essential to ensure optimal results and avoid any additional risks associated with using hormones on an ongoing basis. Eating nutritious meals regularly while avoiding processed foods and sugary snacks is essential for maintaining good health throughout treatment cycles. Poor nutrition can cause hormonal imbalances, leading to undesirable treatment session results. Exercise is also beneficial for regulating your body’s response systems, including sleep patterns which can be affected by changing levels of hormones throughout treatment.

Welcome to Sugar Land Hormones & Wellness Med Spa, the premier destination for all your medical spa needs. We specialize in the latest, state-of-the-art procedures designed to help you achieve the youthful, glowing appearance you deserve. Our expert staff is trained in the latest medical spa technology advancements, ensuring you receive the safest and most effective treatments available. Sugar Land Hormones & Wellness offers unique medical spa procedures and a one-stop shop for all aesthetic needs. Located in Sugar Land, Texas, this med spa offers treatments and services to help our patients look and feel their best. From hormone pellet therapy to facial rejuvenation, cosmetic injections, body contouring, laser treatments, hair treatment removal, and health and wellness services, Sugar Land Hormones & Wellness Med Spa has something for everyone. Whether the goal is to restore a youthful glow or maintain a current appearance, the experienced team at Sugar Land Hormones & Wellness Med Spa can help achieve the desired results. We understand that everyone’s aesthetic goals are unique. That is why our team takes the time to get to know each patient and their needs before recommending treatments or services. We offer a variety of non-invasive procedures such as Botox, Dysport, and fillers that can help reduce wrinkles and fine lines without surgery or downtime. We also offer laser treatments for skin resurfacing, feminine vaginal revitalization, hair removal, and body contouring treatments such as TruBody that can help achieve a more toned physique without surgery or downtime. In addition to our aesthetic services, we also offer hormone pellet therapy which helps balance hormones in both men and women. This type of therapy can treat symptoms associated with menopause or perimenopause in women and low testosterone levels in men. At Sugar Land Hormones & Wellness Med Spa, we believe in providing personalized care with the highest quality standards so our patients can look and feel their best. Our goal is to make sure every patient leaves feeling confident about their appearance while also feeling relaxed and rejuvenated after each visit. Hormone Pellet Therapy Hormone pellet therapy is a revolutionary treatment for men and women used to replenish hormones and help restore balance in the body. For women, it is most commonly used to treat menopausal symptoms. Still, it can also be used for many other conditions, such as fatigue, irritability, low sex drive, depression, anxiety, etc. For men, it is used to restore Testosterone levels to an average 25-year-old male. Men report better energy, clearer thinking, increased muscle mass, improved sexual function, and more. With hormone pellet therapy, tiny pellets containing hormones are inserted under the skin of the buttocks or abdomen. This method of hormone delivery ensures that the hormonal levels remain consistent over time. The pellets slowly dissolve over several months and steadily release their hormones into the bloodstream without any peaks or valleys. Skin Rejuvenation Procedures Facial Rejuvenation Services Our facial rejuvenation services effectively reduce signs of aging on your face and improve your overall appearance. These procedures use different techniques to tighten the skin around wrinkles and fine lines and address volume loss in areas like the cheeks and midface. Examples of facial rejuvenation procedures include dermal fillers, laser treatments, and energy-based treatments such as Radiofrequency microneedling or deep chemical or laser peels, also known as “medical facials.” Combining these techniques can help restore lost volume for a more youthful look while reducing wrinkles for smoother skin. Cosmetic Injections Cosmetic injections are a non-invasive way to reduce wrinkles and fine lines without surgery or downtime. Common areas treated with cosmetic injections include the forehead, frown lines between the eyebrows (glabellar region), crow’s feet at the corners of your eyes (periorbital part), and lip enhancements and cheek augmentations. There are two types of injectables available: neuromodulators such as Botox, which inhibits muscles from contracting, And dermal fillers, which fill out wrinkles by adding volume below the surface level of your skin with hyaluronic acid-based gel products like Juvederm and Restylane or natural fillers like Sculptra for long-lasting results that look entirely natural. Body Contouring Body contouring is an umbrella term that refers to any medical procedure that targets excess fat deposits on various parts of your body to improve its appearance.

If you're looking for a way to boost your health, intramuscular injections (IM injections) might be the solution you're looking for. At Sugar Land Hormones & Wellness Center, we offer a variety of IM injections, including injectable vitamins and peptides including glutathione, MIC, alpha lipoic acid, vitamin B12, vitamin C, anti-aging peptide injections, sermorelin, and semaglutide. Intramuscular Injections Purpose The purpose of IM injections is to deliver medication or supplements directly into the muscle tissue. This route of administration allows for faster and more efficient absorption of nutrients, vitamins, and hormone therapy. Intramuscular Injections Procedures During the medial spa procedure, a healthcare professional injects muscle tissue, such as the glutes, thighs, or upper arms. The injection is delivered using a sterile, disposable needle and syringe. This type of injection is typically given in a doctor’s office or clinic. Preparing For Hormone Pellet Treatment Preparing for Intramuscular Injections Treatment If you’re considering IM injections, we recommend you consult with one of our healthcare professionals to determine if it’s a suitable option. They will thoroughly evaluate your medical history and choose the best dose and frequency for your treatment. Additionally, you must inform your healthcare provider of any allergies, medication, or supplements you are currently taking. Benefits Of Hormone Pellet Treatment Benefits of Intramuscular Injections Treatment One of the most significant benefits of IM injections is faster and more efficient absorption of nutrients, vitamins, and medication. They also have a lower risk of side effects versus oral medication because they bypass the digestive system. Additionally, IM injections can help with immune function, energy, athletic performance, and overall wellness. Risks of Intramuscular Injections Treatment As with any medical procedure, there are potential risks and side effects associated with IM injections. Common side effects can include mild pain or discomfort at the injection site. Less common side effects include infection or injury to the muscle tissue. Maintaining Your Health After Intramuscular Injections Treatment To maintain optimal health, we recommend that patients continue with their tailored treatment plan as their healthcare provider recommends. A healthy diet, exercise regimen, and lifestyle changes can also be essential in maintaining long-term health. History of Intramuscular Injections Intramuscular injections have been used for centuries to deliver medication into the body. The earliest known use of intramuscular injections dates back to the 16th century when Italian physician and anatomist Girolamo Fabrici injected a liquid solution into a dog’s muscles. Since then, intramuscular injections have become an essential part of medical administration. The development of intramuscular injection as a method of administering medication has been credited to several pioneers in the field. In 1853, French physiologist Claude Bernard introduced the concept of subcutaneous injections, which paved the way for further advancements in this field. In 1891, Austrian-American physician Emil von Behring developed an improved technique for injecting substances into muscle tissue, which is still used today. Other notable contributors include American surgeon Richard Cabot and British doctor Henry Head, who significantly contributed to advancing intramuscular injection techniques. Today, intramuscular injections are commonly used to administer various medications, including antibiotics, hormones, vaccines, and pain relief medications. IM injections provide rapid absorption of drugs into the bloodstream due to their direct access to muscle tissue with rich vascularity. This makes them ideal for delivering medications that require fast action, such as antibiotics or vaccines. Despite its many benefits, there are potential risks associated with intramuscular injections, such as infection at the injection site or nerve damage if not appropriately administered. Ensuring that needles are sterile and that proper technique is used when administering an IM injection is essential. Additionally, it is necessary to be aware of any allergies or sensitivities before administering any medication via IM injection. Intramuscular Injections FAQ What are intramuscular injections? Intramuscular injections are a type of injection that goes directly into the muscle tissue. This method is preferred when medications or supplements must reach the bloodstream quickly. Intramuscular injections are more profound than subcutaneous injections, which means the needle has to be larger, but they tend to be more effective.

Body Contouring Purpose Body contouring is a cosmetic procedure that reshapes the body by reducing fat and tightening the skin. It can sculpt body areas such as the hips, stomach, thighs, buttocks, arms, neck, and face. Body contouring aims to improve one’s appearance by creating a more aesthetically pleasing figure. Body Contouring Procedure The medial spa procedure for body contouring varies from patient to patient, depending on the desired outcome and individual needs. Generally speaking, body contouring involves liposuction to remove excess fat from the targeted area and tightens skin with radiofrequency, magnetic, or electrical technology. Preparing for Body Contouring Treatment Before undergoing any medical procedure, patients must be fully informed about what they are getting into and what expectations should be met. To prepare for a body contouring treatment, patients should hydrate prior to the procedure and follow all instructions provided by their doctor before, during, and after their process to minimize the risk of complications. Benefits of Body Contouring Treatments Body contouring treatments offer many potential benefits including: Improved appearance due to removing excess fat and tightening of muscles and skin from specific areas and tightening skin afterwards resulting in smoother curves overall. Minimizes risks associated with liposuction since radiofrequency and electricity is used instead which causes less trauma compared to traditional methods of fat removal through suctioning or incisions made directly on skin. Risks of Body Contouring Treatments Although generally safe, certain risks are associated with body contour treatments, such as discomfort or rare risk of burns. These risks may vary based on individual health conditions, so patients must consult with their doctor before beginning treatment to assess what potential dangers they might face if they go through this type of cosmetic procedure. Maintaining Your Body After Body Contouring Patients who have undergone body contour treatments should follow specific measures in order to ensure optimal recovery time after surgery: Maintaining a healthy diet and exercising five days a week will augment results. The History of Body Contouring Body contouring has been a practice that has been around for centuries, and its evolution over the years has seen it become increasingly popular in different cultures. The earliest forms of body contouring can be traced back to ancient Egypt, where women used a combination of oils and herbs to shape their bodies. This practice was also seen in other parts of the world, such as India and China, where people used various techniques to modify their bodies. Recently, body contouring has become increasingly popular due to technological advances and the availability of products that make it easier to achieve desired results. In 1924, Thorek performed the first umbilicus-preserving abdominoplasty, which marked an important milestone in the history of body contouring. In addition, liposuction was developed in 1974 by surgeons Arpad and Giorgio Fischer operating. Liposuction is still one of the most popular body contouring procedures today. The latest innovations in body contouring include non-surgical treatments such as CoolSculpting and SculpSure, which use cryo-lipolysis or laser energy to target fat cells without surgery. These treatments are becoming increasingly popular due to their non-invasive nature and minimal associated downtime. Other products, such as fat-freezing belts, have also been developed that claim to help reduce fat without surgery or dieting. The rise in popularity of body contouring can be attributed to several factors, including increased awareness about health and wellness, changing societal standards of beauty, and improved access to information about available treatments. The trend towards body modification is not limited to physical appearance but also includes mental health benefits such as increased self-confidence and improved well-being. Body contouring is becoming an increasingly popular trend, with more people seeking treatments for aesthetic and medical purposes, such as post-weight loss surgery or reconstructive surgery after cancer treatment. As technology continues to evolve, so will the range of products available for body contouring, with innovations being constantly developed. This trend will continue with more people taking advantage of these treatments for aesthetic and medical reasons. Which Body Contouring Treatment Is Best for You? At Sugar Land Hormones & Wellness Center, we strive to provide the best treatments and ensure they are tailored specifically to meet your needs. Our body contouring specialists can evaluate your goals and determine your proper treatment.

Chemical Skin Peel Treatments are a popular choice for those who want to rejuvenate and refine the skin on their face and body. This treatment involves a chemical solution being applied to the skin, which causes it to exfoliate and peel off, revealing smoother and brighter skin underneath. Chemical Skin Peel Treatment Purpose The purpose of the chemical skin peel treatment is to improve the appearance of the skin by removing dead and damaged skin cells. This treatment can reduce the appearance of fine lines, sun damage, acne scars, and age spots. Chemical skin peels can also help to stimulate the production of collagen, which is essential for healthy and youthful-looking skin. Chemical Skin Peel Treatment Procedure During a chemical skin peel treatment, a chemical solution is applied to the skin on your face or body. The solution may contain a combination of glycolic acids, trichloroacetic acid, beta-hydroxy acids, or retinol. The solution is left on the skin for a specific duration, and the strength of the solution can be adjusted based on the individual’s skin type and condition. Preparing for Chemical Skin Peel Treatment Before a chemical skin peel treatment, it is essential to prepare your skin correctly. This includes avoiding sun exposure, stopping the use of any exfoliants or retinol products for 7-14 days before the treatment, and avoiding any other invasive procedures such as waxing or laser hair removal. Benefits of Chemical Skin Peel Treatment The benefits of chemical skin peel treatments are numerous. These treatments can reduce the appearance of fine lines and wrinkles, remove dead skin cells, and stimulate the production of collagen. Chemical skin peels can also improve the appearance of acne scars, sun damage, and age spots. You will notice brighter, smoother, and more youthful-looking skin after the treatment. Risks of Chemical Skin Peel Treatment While chemical skin peel treatments are generally considered safe, there are risks. These risks can include skin irritation, scarring, hyperpigmentation, and infection. It is essential to work with a trained and experienced professional to minimize the risk of complications. Maintaining Your Skin After Chemical Skin Peel Treatment After a chemical skin peel treatment, it is crucial to take good care of your skin. You should avoid sun exposure and use high-quality sunscreen. It is also important to keep your skin hydrated by using gentle skincare products and drinking plenty of water. The History of Chemical Skin Peel Treatments Chemical skin peel treatments have been used for thousands of years to improve the appearance of the skin. Ancient Egyptians used acids from fruits to exfoliate their skin, and the Greeks and Romans used arsenic and lead to remove blemishes. In the early 1900s, phenol peels were developed, and they remain one of the most popular types of chemical peels used today. In conclusion, if you want to rejuvenate and refine your skin, chemical skin peel treatments are an excellent option. With proper preparation, working with a trained professional, and good aftercare, you can enjoy the benefits of smoother, brighter, and more youthful-looking skin. Chemical Skin Peel Treatment FAQ What can you not do after a chemical peel? After a chemical peel, it is important to avoid excessive sun exposure, picking at any peeling skin or scabs, and using any exfoliants or abrasive skin products for at least a week. It is recommended to wear sunscreen and avoid wearing makeup for at least 24 hours after the procedure. What do I need to know before getting a chemical peel? How long does it take to recover from a chemical peel? What are the do's and don'ts before a chemical peel? Will you see a difference after one chemical peel? Do you see results after the first chemical peel? What are the dangers of chemical peels? What happens the day after a chemical peel? When can I shower after a chemical peel? Feel Amazing Every Single Day! Hormone Replacement Therapy with BioTE Pellets, combined with weight management and proper nutrition, will help get you on the fast track to feeling amazing every single day!

Laser treatments can safely and effectively address many cosmetic concerns. At our Sugar Land Med Spa & Wellness Center, we provide top-quality laser treatments for vein, skin rejuvenation and hair reduction in a safe, comfortable and professional environment. Laser Treatments Purpose Laser treatments use pulses of light to selectively target and treat specific areas of the skin or hair. Depending on the type of laser used, laser treatments can: Reduce the appearance of spider veins, varicose veins or broken blood vessels Improve the texture and tone of the skin by stimulating collagen production Remove unwanted hair by targeting hair follicles and preventing future hair growth Laser treatments can be used on various areas of the body, including the face, legs, arms, back and bikini area. Maintaining Your Skin After Laser Treatment After your laser treatment, it’s essential to follow the post-treatment instructions provided by our professionals. These may include: Avoiding sun exposure and wearing sun protection daily Keeping the treated area clean and moisturized Avoiding certain medications or topical creams that may interfere with healing Avoiding excessive heat or exercise for a few days after the treatment With proper maintenance and care, the results of your laser treatment can last for months or even years. Laser Treatments Procedure Before the medical spa laser treatment, our licensed and trained professionals will conduct a consultation to assess your skin type and specific concerns. They will explain the procedure and provide instructions on preparing for the treatment. The laser treatment procedure typically involves: Cleaning the treatment area and applying a cooling gel Directing the laser pulses to the targeted area, which may cause a snapping or tingling sensation Applying a soothing cream or moisturizer to the treated area Laser treatments are generally quick, with most sessions lasting between 15 and 45 minutes. Depending on the type of treatment and the desired results, multiple sessions may be required. Laser Genesis Laser Genesis Treatment is a non-invasive, non-surgical procedure that uses laser technology to improve skin texture and reduce acne and appearance. Our Med Spa & Wellness Center offers Laser Genesis Treatment to address various skin-related concerns and provide clients with radiant skin. Juliet Vaginal Laser Treatment Juliet Vaginal Laser Treatment is a cutting-edge solution to various vaginal concerns, including vaginal dryness, laxity, and urinary incontinence. Our Med Spa & Wellness Center offers Juliet laser treatment as an innovative and effective way to solve feminine wellness problems. Juliet Laser Facial Resurfacing Are you tired of dull, tired-looking skin? Perhaps you’ve tried various skincare products, but none seem to give you the results that you’re looking for. If you’re seeking a safe, effective, and non-invasive solution to revitalize your skin, then Juliet Laser Facial Resurfacing may be the answer. Preparing for Laser Treatment Before your laser treatment, there are a few things you can do to ensure the best possible results and minimize any risks. These include: Avoiding sun exposure and tanning for at least two weeks before the treatment Avoiding certain medications or topical creams such as retinoids or glycolic acid that may increase the risk of complications Shaving the treatment area the day before the appointment if instructed Keeping the treatment area clean and free of makeup or lotions on the day of the appointment Benefits of Laser Treatment Laser treatments offer numerous benefits for those looking to improve their appearance and boost their self-confidence. These benefits may include: Improved skin texture and tone Reduction of fine lines, wrinkles and sun damage Removal of unwanted hair Reduction of spider veins, varicose veins or broken blood vessels Boost in self-confidence and self-esteem Risks of Laser Treatment While laser treatments are generally safe and effective, there are some potential risks to be aware of. These may include: Redness, swelling or discomfort in the treated area Skin discoloration, scarring or blistering Burns Changes in skin texture or pigment Our licensed and trained professionals will thoroughly explain the potential risks and benefits of laser treatments during your consultation, so you can make an informed decision about whether laser treatment is right for you.

As men age, their testosterone levels usually drop. Low testosterone levels can cause a variety of unpleasant symptoms such as fatigue, erectile dysfunction, mood swings, lack of focus, and low libido. Testosterone Therapy is an effective treatment for restoring healthy hormone levels in men. Testosterone Therapy Options At Sugar Land Hormones & Wellness Center, we offer several safe and effective testosterone therapy options. Our treatment approaches include the following: Testosterone Pellets – A convenient procedure involving small pellets inserted under the skin that provide a steady, consistent release of hormones over several months. Kyzatrex (Oral Testosterone) – An FDA-approved oral testosterone therapy that is uniquely absorbed through the lymphatic system, bypassing the liver for improved safety and effectiveness. Testosterone Injections – Traditional injection therapy that delivers testosterone directly into the muscle, allowing for precise dosing and control. All of our testosterone replacement options can help improve symptoms associated with low energy, weight gain, decreased sexual function, and low libido. During your consultation, our healthcare providers will discuss each option’s benefits, administration methods, and frequency to determine which testosterone therapy is best suited for your lifestyle and health goals. Other hormone replacement therapy offered by Sweetwater OB GYN includes pills, patches, and creams that can alleviate symptoms. Consult with your healthcare provider to determine which option is best for you. Testosterone Therapy Purpose The primary purpose of our medical spa procedure, testosterone therapy, is to restore overall health and wellness by correcting imbalances in male hormones. It can treat conditions like hypogonadism, which is associated with low testosterone levels and can cause unpleasant symptoms such as fatigue and erectile dysfunction. Testosterone Therapy has been shown to improve muscle mass, increase sex drive, enhance energy levels, and even improve cognitive functioning in some individuals. Testosterone Therapy Procedure The procedure for receiving Testosterone Therapy is relatively straightforward. The first step is a consultation with your healthcare provider, where they will discuss your medical history and current health goals before determining if this type of treatment is right for you. Patients typically begin feeling positive effects within the first week after their procedure. Still, peak results may take longer depending on individual biology, lifestyle factors, and other considerations specific to each person’s case. Preparing for Testosterone Treatment Before undergoing any medical treatment, it is essential to consult your physician first. At your consultation appointment, you will discuss your medical history and any potential medications or supplements that could interact negatively with testosterone therapy (e.g., anticoagulants). It may also be beneficial to avoid alcohol, fish oils, green tea, and baby aspirin before receiving testosterone therapy, as these may increase the risk of bleeding or complications. Benefits of Testosterone Treatment Men generally experience increased energy levels after receiving testosterone therapy along with improved libido (sex drive), increased muscle mass, and improvements in mood and a general sense of well-being. Additionally, research has indicated that testosterone therapy can act as preventive care against certain aging-related diseases, such as osteoporosis, by maintaining optimal hormone balance instead of relying solely on calcium supplementation remedies commonly prescribed for elderly patients when dealing with bone loss issues due to aging-related hormone imbalances. In addition to these benefits, there have been reports from some patients expressing better sleep quality after undergoing pellet treatments regularly over time! Risks of Testosterone Treatment As with all medical treatments, there are always risks involved with receiving testosterone therapies, such as allergies or infections at the implantation site; however, these risks can be significantly minimized by working closely with an experienced physician when considering testosterone replacement therapy. A complete informed consent will be reviewed before insertion. Maintaining Your Health After Testosterone Treatment After successful testosterone treatments, maintaining healthy lifestyle habits can sometimes be complicated; however, it is essential for keeping good health post-treatment! Eating healthy, nutrient-rich foods and exercising regularly are vital for managing energy levels and helping maintain mental clarity during stressful times, which often come hand-in-hand with hormonal imbalances! It doesn’t mean entirely cutting out unhealthy treats from the diet either – indulging now and again in a favorite