{"id":1984,"date":"2024-11-26T17:09:45","date_gmt":"2024-11-26T21:09:45","guid":{"rendered":"https:\/\/primarycaredoctormiami.com\/old\/?p=1984"},"modified":"2024-11-26T17:09:45","modified_gmt":"2024-11-26T21:09:45","slug":"what-are-the-signs-of-disuse-syndrome","status":"publish","type":"post","link":"https:\/\/primarycaredoctormiami.com\/old\/what-are-the-signs-of-disuse-syndrome\/","title":{"rendered":"What Are the Signs of Disuse Syndrome? Impact of Inactivity"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:15px;margin-bottom:15px;width:100%;\"><div class=\"fusion-separator-border sep-single\" style=\"--awb-height:20px;--awb-amount:20px;border-color:hsla(var(--awb-color3-h),calc( var(--awb-color3-s) + 3% ),var(--awb-color3-l),var(--awb-color3-a));border-top-width:1px;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-background-position:left top;--awb-border-sizes-top:0px;--awb-border-sizes-bottom:0px;--awb-border-sizes-left:0px;--awb-border-sizes-right:0px;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:100px;--awb-padding-bottom:75px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-padding-top:0px;--awb-padding-right:40px;--awb-padding-bottom:0px;--awb-padding-left:40px;--awb-bg-color:var(--awb-color1);--awb-bg-color-hover:var(--awb-color1);--awb-bg-size:cover;--awb-border-color:var(--awb-color3);--awb-border-top:0px;--awb-border-right:0px;--awb-border-bottom:0px;--awb-border-left:0px;--awb-border-style:solid;--awb-width-large:66.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:30px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-bottom:30px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;text-transform:capitalize;--fontSize:48;line-height:var(--awb-typography1-line-height);\"><h1><span style=\"font-weight: 400;\">What Are the Signs of Disuse Syndrome? Impact of Inactivity<\/span><\/h1><\/h1><\/div><div class=\"fusion-image-element \" style=\"--awb-margin-top:-15px;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"border:1px solid var(--awb-color2);border-radius:10px;\"><img decoding=\"async\" width=\"1200\" height=\"607\" alt=\"showing what are the signs of disuse syndrome\" title=\"what-are-the-signs-of-disuse-syndrome\" src=\"https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome.webp\" data-orig-src=\"https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome.webp\" class=\"lazyload img-responsive wp-image-1985\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27607%27%20viewBox%3D%270%200%201200%20607%27%3E%3Crect%20width%3D%271200%27%20height%3D%27607%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-200x101.webp 200w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-300x152.webp 300w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-400x202.webp 400w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-540x272.webp 540w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-600x304.webp 600w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-768x388.webp 768w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-800x405.webp 800w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome-1024x518.webp 1024w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/what-are-the-signs-of-disuse-syndrome.webp 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 800px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-1\"><p><span style=\"font-weight: 400;\">As we age, maintaining <\/span><a href=\"https:\/\/primarycaredoctormiami.com\/old\/make-appointment\/\"><span style=\"font-weight: 400;\">physical activity<\/span><\/a><span style=\"font-weight: 400;\"> and mobility becomes crucial for overall health and independence. However, various factors, including illness, injury, or a sedentary lifestyle, can lead to a decline in muscle mass and strength, potentially resulting in a condition known as disuse syndrome.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you&#8217;re a senior in Miami experiencing muscle loss and weakness, you might be wondering, &#8220;What are the signs of disuse syndrome?&#8221; and &#8220;Am I sarcopenic?&#8221; This comprehensive guide will explore the characteristics of disuse syndrome, its impact on your body, and how to address this concerning condition.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Understanding Disuse Syndrome<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Disuse syndrome is a condition characterized by a decline in physical function due to prolonged inactivity or immobility. It can affect various systems in your body, including your muscles, <\/span><a href=\"https:\/\/primarycaredoctormiami.com\/old\/make-appointment\/\"><span style=\"font-weight: 400;\">bones<\/span><\/a><span style=\"font-weight: 400;\">, cardiovascular system, and even your mental well-being.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Disuse Syndrome: The Domino Effect of Inactivity<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When you&#8217;re inactive for extended periods, your body undergoes several changes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Muscle atrophy:<\/b><span style=\"font-weight: 400;\"> Muscles lose mass and strength, making everyday activities more challenging.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Decreased bone density:<\/b> <a href=\"https:\/\/primarycaredoctormiami.com\/old\/make-appointment\/\"><span style=\"font-weight: 400;\">Bones weaken<\/span><\/a><span style=\"font-weight: 400;\">, increasing the risk of fractures.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cardiovascular decline:<\/b><span style=\"font-weight: 400;\"> Your heart and blood vessels become less efficient, potentially leading to <\/span><a href=\"https:\/\/primarycaredoctormiami.com\/old\/make-appointment\/\"><span style=\"font-weight: 400;\">fatigue<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/primarycaredoctormiami.com\/old\/make-appointment\/\"><span style=\"font-weight: 400;\">shortness of breath<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Joint stiffness and pain:<\/b><span style=\"font-weight: 400;\"> Joints become less flexible and more prone to pain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Metabolic changes:<\/b><span style=\"font-weight: 400;\"> Your metabolism slows down, potentially leading to <\/span><span style=\"font-weight: 400;\">weight gain<\/span><span style=\"font-weight: 400;\"> or difficulty losing weight.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Psychological impact:<\/b><span style=\"font-weight: 400;\"> Reduced mobility and social isolation can contribute to depression and <\/span><a href=\"https:\/\/primarycaredoctormiami.com\/old\/make-appointment\/\"><span style=\"font-weight: 400;\">anxiety<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Sarcopenia: Age-Related Muscle Loss<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Sarcopenia is a specific type of muscle loss that occurs naturally with age. It&#8217;s characterized by a decrease in muscle mass, strength, and function. While some degree of sarcopenia is expected as we get older, it can be exacerbated by inactivity and other factors.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sarcopenia Definition:<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sarcopenia is defined as the age-related loss of muscle mass and function. It&#8217;s a significant contributor to frailty, falls, and decreased quality of life in older adults.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Muscle Maturity: The Peak of Muscle Strength<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Muscle maturity refers to the peak of muscle mass and strength, typically reached in early adulthood. After this peak, muscle mass and strength naturally decline with age, but this process can be accelerated by inactivity.<\/span><\/p>\n<\/div><div class=\"fusion-image-element \" style=\"--awb-margin-top:15px;--awb-margin-bottom:20px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\" style=\"border:1px solid var(--awb-color2);border-radius:10px;\"><img decoding=\"async\" width=\"1200\" height=\"801\" alt=\"A senior showing how to prevent disuse syndrome\" title=\"how-to-prevent-disuse-syndrome\" src=\"https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome.webp\" data-orig-src=\"https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome.webp\" class=\"lazyload img-responsive wp-image-1986\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27801%27%20viewBox%3D%270%200%201200%20801%27%3E%3Crect%20width%3D%271200%27%20height%3D%27801%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome-200x134.webp 200w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome-300x200.webp 300w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome-400x267.webp 400w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome-600x401.webp 600w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome-768x513.webp 768w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome-800x534.webp 800w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome-1024x684.webp 1024w, https:\/\/primarycaredoctormiami.com\/old\/wp-content\/uploads\/2024\/11\/how-to-prevent-disuse-syndrome.webp 1200w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 800px\" \/><\/span><\/div><div class=\"fusion-text fusion-text-2\"><h2><span style=\"font-weight: 400;\">Disuse Atrophy: The Role of Inactivity<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Disuse atrophy is the loss of muscle mass and strength specifically due to lack of use. This can occur due to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Prolonged bed rest<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Immobilization due to injury or surgery<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sedentary lifestyle<\/b><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">How to Prevent Disuse Syndrome: Staying Active in Miami<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Preventing disuse syndrome involves staying active and maintaining muscle mass and strength. Here are some tips for seniors in Miami:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Regular Exercise:<\/b><span style=\"font-weight: 400;\"> Aim for at least 150 minutes of moderate-intensity aerobic activity per week, such as brisk walking, swimming, or cycling.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Strength Training:<\/b><span style=\"font-weight: 400;\"> Incorporate strength training exercises two to three times a week to build and maintain muscle mass.\u00a0\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Flexibility and Balance:<\/b><span style=\"font-weight: 400;\"> Include activities like yoga or tai chi to improve flexibility and balance, reducing the<\/span><a href=\"https:\/\/primarycaredoctormiami.com\/old\/make-appointment\/\"><span style=\"font-weight: 400;\"> risk of falls<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Consult Your Doctor:<\/b><span style=\"font-weight: 400;\"> Talk to your <\/span><a href=\"https:\/\/primarycaredoctormiami.com\/old\/our-providers\/\"><b>primary care doctor<\/b><\/a><span style=\"font-weight: 400;\"> or a physical therapist in Miami to develop a safe and effective exercise plan tailored to your needs and abilities.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Primary Doctor in Miami: Your Partner in Health<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If you&#8217;re experiencing muscle loss, weakness, or other symptoms that might suggest disuse syndrome, it&#8217;s important to consult with a <\/span><b>primary doctor in Miami<\/b><span style=\"font-weight: 400;\">. They can:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Assess your overall health and mobility.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Identify any underlying medical conditions contributing to your symptoms.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Recommend appropriate treatment options, including physical therapy or medication.<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Provide guidance on lifestyle changes and exercise programs.<\/b><\/li>\n<\/ul>\n<p><b>Key Takeaways:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Disuse syndrome is a condition characterized by a decline in physical function due to prolonged inactivity.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">It can lead to muscle atrophy, decreased bone density, cardiovascular decline, and other health issues.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Staying active, engaging in regular exercise, and consulting with a primary care doctor in Miami can help prevent and manage disuse syndrome.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Remember, this article is intended for informational purposes only and should not be considered a substitute for professional medical advice. If you have any concerns about your health or are experiencing symptoms of disuse syndrome, consult a qualified healthcare professional.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">FAQs: What Are the Signs of Disuse Syndrome?<\/span><\/h2>\n<ol>\n<li aria-level=\"1\"><b>Is muscle loss inevitable as I get older?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">While some age-related muscle loss (sarcopenia) is normal, it can be significantly slowed down or even reversed with regular exercise and a healthy lifestyle. It&#8217;s never too late to start incorporating strength training and physical activity into your routine to maintain muscle mass and strength.<\/span><\/li>\n<li aria-level=\"1\"><b>How can I tell the difference between normal age-related muscle loss and disuse syndrome?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Disuse syndrome typically occurs due to prolonged inactivity or immobility, such as after an injury or surgery. If you&#8217;ve been less active than usual and notice a significant decline in your muscle strength and function, it could be a sign of disuse syndrome. It&#8217;s best to consult your doctor in Miami for a proper evaluation.<\/span><\/li>\n<li aria-level=\"1\"><b>What are some safe and effective exercises for seniors in Miami to prevent disuse syndrome?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Miami offers various options for seniors to stay active. Consider low-impact activities like walking, swimming, or water aerobics. Strength training exercises using light weights or resistance bands can also be beneficial. Consult with your doctor or a physical therapist in Miami to develop a personalized exercise plan.<\/span><\/li>\n<li aria-level=\"1\"><b>Can certain medications contribute to muscle loss and weakness?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">Yes, some medications, such as corticosteroids or certain antidepressants, can have side effects that contribute to muscle loss and weakness. If you&#8217;re concerned about medication side effects, discuss them with your doctor.<\/span><\/li>\n<li><b><\/b><b>I&#8217;m experiencing muscle weakness and fatigue. How can a primary care doctor in Miami help me?<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">A primary care doctor at Hiriart &amp; Lopez MD in Miami can assess your overall health, identify any underlying medical conditions that might be contributing to your symptoms, and recommend appropriate treatment options or lifestyle changes to improve your muscle strength and energy levels<\/span><\/li>\n<\/ol>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 awb-sticky awb-sticky-small awb-sticky-medium awb-sticky-large fusion_builder_column_1_3 1_3 fusion-flex-column\" 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style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:50px;width:100%;\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:50px;width:100%;\"><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:50px;width:100%;\"><\/div><div class=\"fusion-text fusion-text-3\"><h4 style=\"text-align: left;\">Contact Us<\/h4>\n<\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-top:0px;margin-bottom:30px;width:100%;max-width:100%;\"><div class=\"fusion-separator-border sep-single sep-solid\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color4);border-color:var(--awb-color4);border-top-width:2px;\"><\/div><\/div><div class=\"fusion-text fusion-text-4\"><p><strong>Hiriart &amp; Lopez MD, LLC<\/strong><br \/>\n9950 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