Integrative Hair Restoration: Evidence-Based Strategies I Use To Reboot Follicle Health and Hair Growth Skip to main content

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Integrative Hair Restoration: Evidence-Based Strategies I Use To Reboot Follicle Health and Hair Growth

Abstract

In this educational post, I walk you through how hair follicles function, why hair loss happens, and what modern, evidence-based interventions can help restore growth. I explain the physiology of hair cycling (anagen, catagen, telogen), the role of the dermal papilla and stem cell niches, and how cellular energy, hormones, and microvascular health drive follicle outcomes. I present current research on topical and oral agents (minoxidil, finasteride, dutasteride), low-level light therapy, platelet-rich plasma (PRP), microneedling with exosomes, and copper-peptide complexes (GHK-Cu and AHK-Cu), including where the evidence is strongest and what trade-offs patients must consider. I also outline future directions in regenerative care, including MUSE cells and stem-cell–derived biologics. I detail how our multidisciplinary team at Injury Medical Clinic PA in El Paso, Texas, integrates chiropractic care, internal medicine oversight, functional medicine, rehabilitation, and personal injury services. Under the medical direction of Dr. Maria Guadalupe Cardenas, MD (Board Certified in Internal Medicine; NPI #1164426749; Texas MD License #J2933), we coordinate safe, personalized, and outcome-focused protocols. I share practical insights from my clinical experience as Dr. Alex Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST, and highlight how integrative chiropractic methods contribute meaningfully to hair restoration by optimizing systemic inflammation, autonomic balance, microcirculation, and mitochondrial function.


Meet Our Multidisciplinary Hair Restoration Team in El Paso, Texas

I practice at Injury Medical Clinic PA (also known as Mission Plaza Injury Medical Clinic) in El Paso, Texas, where a physician-chiropractor collaboration is central to our model. Our Medical Director and Collaborative Physician is Dr. Maria Guadalupe Cardenas, MD, Board Certified in Internal Medicine, NPI #1164426749, Texas MD License #J2933. With over 40 years of experience as an internist, Dr. Cardenas oversees medical protocols, ensures safety, and collaborates with me on integrated care plans.

  • Dr. Maria Cardenas, MD: Medical Director, Internal Medicine oversight, medication management, lab evaluation, differential diagnosis, risk mitigation.

  • Dr. Alex Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST: Chiropractic and functional medicine integration, autonomic regulation, vascular and lymphatic optimization, musculoskeletal balance, nutrition, and regenerative adjuncts.

  • Rehabilitation and Injury Care: Therapeutic exercise, ergonomic correction, postural retraining, and laser/light modalities.

  • Functional Medicine: Metabolic, hormonal, micronutrient, and mitochondrial assessments to address root causes affecting follicle health.

This multidisciplinary setup is common in integrative and injury care clinics: an MD provides medical direction, while the chiropractor and allied professionals deliver coordinated, hands-on, and lifestyle-based interventions. Together, we standardize protocols, monitor safety, and track outcomes with validated measures.


Hair Follicle Biology: Why The Dermal Papilla Is The “Brain” Of The Follicle

I like to start at first principles: the hair follicle unit in the dermis comprises the dermal papilla, matrix keratinocytes, melanocytes, and stem cells in specialized niches. These cells synchronize signals that regulate the hair cycle phases: anagen (growth), catagen (regression), and telogen (resting), with shedding following telogen. At any given time, roughly 80–90% of healthy scalp follicles should be in anagen. When that balance shifts—more follicles entering telogen or staying arrested—the visible density thins.

  • The dermal papilla acts as a command center, integrating angiogenic, neuroendocrine, and paracrine signals to drive matrix keratinocyte proliferation.

  • The bulge stem cell niche holds epithelial stem cells that fuel regeneration during anagen re-entry.

  • Mitochondria within follicular cells supply ATP for DNA synthesis and protein production; energy deficits stall growth.

  • Microvascular delivery provides oxygen, iron, and amino acids crucial for keratin assembly and melanogenesis.

  • Hormonal regulation—especially androgens via dihydrotestosterone (DHT)—modulates follicle size and cycling.

Physiologically, successful hair growth requires coordinated inputs: adequate DNA replication, protein synthesis, robust cell proliferation, mitochondrial energy, and balanced hormonal signaling. Disruption in any component can tip follicles out of anagen.

References:

In-text citations: Hsu et al., 2014/2015; Greco et al., 2009; Kloepper et al., 2015.


Prevalence and Patterns: Androgenetic Alopecia, Telogen Effluvium, Autoimmune and Scarring Forms

Globally, about a billion people experience some form of hair loss; in the United States, ~80 million are affected. Androgenetic alopecia (AGA) is the most common, with men often noticing recession and vertex thinning in their 20s–30s, while women experience diffuse thinning, especially post-menopause. Alopecia areata involves an autoimmune attack on the follicle, presenting with patchy loss. Telogen effluvium accelerates shedding due to systemic stressors—illness, nutritional deficits, pregnancy, and medications. Traction and scarring alopecias involve mechanical and inflammatory damage, leading to permanent loss if unchecked.

  • Men: Up to ~80% lifetime risk of AGA.

  • Women: By ages 70–80, up to ~50% report significant thinning.

References:

In-text citations: Price, 1999; Olsen, 2001; Headington, 1993.


Hormones and Mitochondria: Why DHT and Energy Metabolism Matter

In AGA, DHT binds androgen receptors in susceptible follicles, shrinking the dermal papilla and miniaturizing hair shafts. This androgen-driven remodeling shortens anagen and prolongs telogen, progressively reducing density. Meanwhile, mitochondrial efficiency influences keratinocyte proliferation and resilience against oxidative stress. Low ATP or high reactive oxygen species (ROS) impairs DNA replication, triggers apoptosis, and weakens the hair shaft.

  • 5-alpha-reductase in follicular tissue converts testosterone to DHT; Type II isoform is key in scalp AGA.

  • Oxidative stress and inflammation around the follicle can lock follicles in telogen and scar microenvironments if chronic.

  • Nutrient sufficiency (iron, zinc, biotin as B7, amino acids) supports keratin production and mitochondrial enzymes.

References:

In-text citations: Randall, 2011; Trüeb, 2009.


Conventional Pharmacologics: Minoxidil, Finasteride, Dutasteride — Benefits and Trade-Offs

I counsel patients carefully about the realistic benefits and trade-offs of medications.

  • Minoxidil: A topical vasodilator that increases microcirculation and prolongs anagen. It can thicken miniaturized hairs, but gains often regress when treatment stops. Oral low-dose minoxidil is increasingly studied for hair disorders.

    Why we use it: To deliver more blood flow and extend growth cycles, especially in early AGA or telogen effluvium.

    Key caveat: It tends to be a long-term commitment; discontinuation often reverses improvements.

  • Finasteride (Propecia): A Type II 5-alpha-reductase inhibitor reducing DHT, slowing progression and improving density in men.

    Why we use it: To reduce androgenic miniaturization in susceptible follicles.

    Caveats: Potential sexual side effects; mood changes have been reported. We weigh risks, monitor closely, and individualize dosing.

  • Dutasteride (Avodart): Inhibits both Type I and II 5-alpha-reductase, suppressing DHT more profoundly (~90% vs. ~70% for finasteride).

    Why we use it: For cases needing stronger DHT suppression.

    Caveats: Longer half-life (4–5 weeks), potentially more persistent side effects; controversy about neuropsychiatric risks has been debated in literature and regulatory discussions.

References:

In-text citations: Messenger & Rundegren, 1999; Kaufman et al., 1998; Olsen et al., 2006.

My rule: medications can help, but they are not the only path. We emphasize multimodal protocols to reduce reliance on lifelong pharmacology when possible, especially for patients concerned about sexual side effects or systemic exposure.


Platelet-Rich Plasma (PRP): Why I Consider It a Foundation in Regenerative Hair Care

I routinely recommend PRP for hair restoration due to its favorable risk-benefit profile and robust evidence base. PRP contains concentrated platelets that release growth factors such as PDGF, VEGF, FGF, and IGF-1 upon activation.

Mechanisms:

  • Angiogenesis: VEGF promotes new microvessels, enhancing oxygen and nutrient delivery to the dermal papilla.

  • Matrix stimulation: PDGF and FGF support fibroblast and keratinocyte activity to rebuild the papilla microenvironment.

  • Anti-inflammation: Bioactive peptides modulate local immune responses, reducing perifollicular inflammation.

  • Anagen re-entry: Growth factors help reset cycling, increasing hair density and shaft thickness.

Why we use PRP:

  • It is autologous, well-tolerated, and synergizes with other treatments like microneedling and exosomes.

  • It can be structured as a series (e.g., monthly for 3 months, then maintenance every 6–12 months), offering durable benefits without sexual side effects.

References:

In-text citations: Gentile et al., 2015; Gupta et al., 2019.


Microneedling and Exosomes: Delivering Signals That Reprogram Follicle Microenvironments

Microneedling with a derma roller creates controlled microchannels through the stratum corneum into the upper dermis. This microtrauma recruits immune and progenitor cells, boosts collagen/elastin remodeling, and improves transdermal delivery of topicals. I often pair microneedling with exosomes—cell-derived vesicles enriched with regulatory RNAs, VEGF, IGF-1, FGF, and PDGF—to modulate the papilla milieu.

  • Why microneedling: It enhances local perfusion, stimulates endogenous repair cascades, and facilitates absorption of bioactives.

  • Why exosomes: They carry concentrated signaling molecules that reduce inflammation and promote angiogenesis, pushing follicles toward anagen. Studies show response rates often in the 70–80% range for AGA when protocols are consistent.

Technique pearls:

  • Apply exosome formulation, then perform microneedling so the bioactives are driven into microchannels; or needle first and apply after—both approaches are used. I prefer applying exosomes first for uniform distribution.

  • Typical needle depth: superficial, just beyond the stratum corneum (1–2 mm), minimizing downtime.

References:

In-text citations: Dhurat et al., 2013; Zhang et al., 2019.


Copper Peptides GHK-Cu and AHK-Cu: Angiogenesis, Wnt/β-Catenin, and Papilla Remodeling

The tripeptide GHK-Cu is a naturally occurring copper-binding peptide involved in tissue repair and angiogenesis. It has been shown to activate Wnt/β-catenin pathways implicated in hair follicle stem cell activation. An analog, AHK-Cu, demonstrates stronger activity in some experimental contexts. Topical formulations combining GHK-Cu and AHK-Cu aim to energize the dermal papilla and support follicle growth with minimal systemic side effects.

Mechanisms:

  • Upregulates VEGF to enhance microvascular supply.

  • Supports fibroblast biosynthesis, helping rebuild the papilla and extracellular matrix.

  • Modulates Wnt signaling, encouraging stem cell-driven entry into anagen.

Why I use it:

  • As a low-risk adjunct that can be applied long term without sexual side effects.

  • Particularly useful for patients reluctant to use systemic DHT blockers.

References:

In-text citations: Pickart & Margolina, 2014; Lien et al., 2014.


Low-Level Light Therapy (Red/NIR): Photobiomodulation To Boost Mitochondria and Microcirculation

Low-level light therapy (LLLT) in the red and near-infrared spectrum can stimulate cytochrome c oxidase in mitochondria, increasing ATP production, nitric oxide release, and microcirculatory dilation—effects that support anagen. It is non-invasive and can be home-based with appropriate devices.

Why we recommend it:

  • Synergy with PRP, exosomes, and peptides.

  • Improves scalp perfusion, reduces inflammation, and supports energy metabolism.

References:

In-text citations: Avci et al., 2014; Hamblin, 2016.


Nutritional and Functional Medicine Supports: Iron, Zinc, Biotin, Antioxidants, and Mitochondrial Cofactors

In our clinic, we evaluate iron status (ferritin), zinc, vitamin D, biotin (B7), amino acid sufficiency, and thyroid function. Deficits create bottlenecks in keratin synthesis and mitochondrial enzyme systems. We also use antioxidants to reduce oxidative stress around follicles.

  • Biotin: Supports keratin infrastructure; deficiency can exacerbate thinning. Some PRP kits include biotin to enrich local delivery.

  • Nicotinamide: Supports the barrier and is a NAD+ precursor that impacts cellular energy.

  • Caffeine: Topical formulations may improve microcirculation and counteract DHT locally.

  • CoQ10, alpha-lipoic acid, carnitine: Target mitochondrial efficiency and ROS balance.

Why we use these:

  • To correct systemic constraints that limit follicular regeneration.

  • To complement local therapies so gains are sustainable.

References:

In-text citations: Almohanna et al., 2019; Trost et al., 2006.


How Integrative Chiropractic Care Fits Into Hair Restoration

Chiropractic is often overlooked in hair health, yet systemic physiology links spine, autonomic tone, and microvascular performance to follicle function. My approach integrates:

  • Autonomic regulation: Gentle spinal adjustments and vagal-supportive techniques can shift sympathetic overdrive, reducing stress-mediated telogen effluvium. Lowering cortisol and catecholamines helps normalize microvascular tone and immune balance.

  • Posture, mobility, and circulation: Cervical and cranial mobility can influence regional perfusion and lymphatic drainage. Improved neck and scalp fascial glide supports nutrient delivery and waste clearance.

  • Inflammation reduction: Musculoskeletal dysfunctions can sustain systemic inflammation. Correcting joint mechanics and soft tissue dysfunction reduces cytokines that otherwise impair follicles.

  • Exercise prescription: Movement plans enhance global and scalp microcirculation and mitochondrial biogenesis.

  • Breathwork and HRV coaching: We use breathing drills and biofeedback to improve heart rate variability, attenuating stress responses connected to telogen entry.

These methods complement medical interventions, making outcomes more robust and resilient. My clinical observations across thousands of cases—documented throughout my platforms—show that patients combining chiropractic, functional medicine, and regenerative therapies often sustain gains longer, with fewer setbacks:

  • Clinical insights:

    • https://dralexjimenez.com/

    • https://www.elpasochiropractorblog.com/

    • https://www.linkedin.com/in/dralexjimenez/

References:

In-text citations: Paus et al., 2013; Schleip et al., 2017.


Practical Protocols We Use: Layering Modalities For Sustained Results

I design individualized plans, but common frameworks look like this:

  • Baseline assessment

    • Medical history, medications, endocrine status.

    • Labs: ferritin, TSH/free T4/T3, vitamin D, zinc, CRP, fasting insulin/HbA1c as needed.

    • Trichoscopy and standardized photos for density and caliber tracking.

  • First-line non-pharmacologic

    • PRP series: 3 sessions at monthly intervals, then maintenance at 6–12 months.

    • Microneedling + exosomes: Monthly for 3–4 months, then quarterly.

    • Copper peptides (GHK-Cu/AHK-Cu): Daily topical application; derma roller every 2–3 weeks to enhance penetration.

    • LLLT: 3–4 times per week, 10–20 minutes, validated device.

  • Functional supports

    • Correct iron, zinc, vitamin D, biotin, optimize protein intake.

    • Add CoQ10 and nicotinamide where mitochondrial support is indicated.

    • Anti-inflammatory diet rich in polyphenols; limit smoking and alcohol.

  • Chiropractic integration

    • Cervical/thoracic adjustments, cranial fascial mobilization.

    • Breathing and HRV training; postural and sleep optimization.

    • Stress management: mindfulness, graded exercise.

  • Pharmacologic options (as needed, with Dr. Cardenas’ oversight)

    • Topical minoxidil or low-dose oral minoxidil.

    • Finasteride or dutasteride for appropriate candidates, with informed consent and side-effect monitoring.

    • Topical antiandrogens where systemic exposure is a concern.

  • Follow-up

    • Outcomes tracked at 12–16 weeks, 6 months, and annually.

    • Adjust protocol intensity based on response and preferences.

Rationale:

  • We aim to reestablish anagen dominance by improving microvascular flow, lowering inflammation, and energizing cellular machinery.

  • We prefer regenerative signals (PRP, exosomes, peptides) to remodel the dermal papilla and extracellular matrix, while using medications judiciously to control DHT-driven miniaturization.

  • Chiropractic and lifestyle pivots reduce triggers for telogen effluvium and help sustain microvascular health.

References:

In-text citations: Singh et al., 2020; Paus & Arck, 2009.


Hair Transplantation: Roles and Risks

Hair transplantation can help in advanced AGA, but it is not a panacea. We discuss cost, donor-site limitations, potential scarring, and the need to maintain non-transplanted areas with medical/regenerative therapy to avoid a “halo” of thinning around transplanted islands.

Why we sometimes defer:

  • If inflammation and microvascular deficits are not corrected, transplant results can be suboptimal.

  • Patients may benefit first from PRP/exosomes/LLLT to improve global scalp health and better predict transplant success.

References:

In-text citations: Jimenez & Ruifernandez, 1999.


Future Directions: MUSE Cells and Stem-Cell–Derived Biologics

The field is moving toward pluripotent-like cell populations such as MUSE cells (multilineage-differentiating stress-enduring cells) that can differentiate across germ layers, including ectoderm relevant to hair follicles. While still experimental, early work suggests potential to regenerate more robust follicle architecture when combined with sophisticated scaffolds and signaling cues.

Why we’re watching this:

  • Potential to rebuild the dermal papilla and reconstitute stem cell niches more completely.

  • Could offer durable solutions for scarring alopecias where follicles are destroyed.

References:

In-text citations: Kuroda et al., 2011; Plikus et al., 2019.


Patient Journey: A Clear, Stepwise Path With Realistic Expectations

I want patients to feel the journey is understandable and manageable. Here’s how I frame it:

  • Step 1: Understand your diagnosis. Is it AGA, telogen effluvium, alopecia areata, traction, or scarring?

  • Step 2: Optimize biology. Correct nutrients, reduce inflammation, improve autonomic balance and microcirculation.

  • Step 3: Activate growth. Use PRP, microneedling with exosomes, copper peptides, and LLLT to restore anagen.

  • Step 4: Control drivers. Consider targeted pharmacology to modulate DHT and sustain gains if appropriate.

  • Step 5: Maintain and adapt. Periodic boosters (PRP/exosomes/peptides), continued lifestyle, and chiropractic support; reassess at specific dates.

This structure helps avoid the common “start-and-stop” cycle where discontinuation rapidly reverses progress. Instead, we maintain momentum with low-risk regenerative boosters—often every 6–12 months—rather than relying solely on daily pharmaceuticals.


Cost, Safety, and Personalization: Choosing The Right Mix

I guide patients through cost-benefit considerations:

  • PRP: High evidence, autologous safety, moderate cost; scalable frequency.

  • Exosomes: Strong signals, growing evidence, costs vary; best delivered with microneedling.

  • Peptides: Low side-effect profile, daily adherence needed; cost-effective long-term.

  • LLLT: Upfront device cost; excellent at-home adjunct.

  • Pharmacology: Effective for DHT suppression; weigh sexual and mood side effects, especially with long half-life agents.

With Dr. Cardenas’ medical oversight, we tailor to the patient’s medical history, budget, and goals. Our integrated team ensures informed consent, monitors outcomes, and pivots treatments based on objective measures.


Clinical Observations and Real-World Outcomes

In the clinic, I consistently observe that:

  • Patients combining PRP + microneedling/exosomes + copper peptides + LLLT see measurable increases in hair density and shaft caliber within 12–16 weeks, with further gains at 6 months.

  • Those who add chiropractic autonomic regulation and stress reduction have fewer shedding flares and maintain anagen longer.

  • Nutrient corrections—especially ferritin normalization—reduce telogen shedding episodes.

You can explore more of my clinical commentaries and case discussions:

  • https://dralexjimenez.com/

  • https://www.elpasochiropractorblog.com/

  • https://www.linkedin.com/in/dralexjimenez/


Conclusion: Build Anagen, Support the Papilla, Personalize the Plan

Hair restoration succeeds when we invest in the dermal papilla, nourish stem cell niches, and align systemic physiology—hormones, mitochondria, microcirculation, and autonomic tone. Our multidisciplinary model with Dr. Maria Guadalupe Cardenas, MD, ensures safe, medically directed care, while integrative chiropractic and functional medicine strategies enhance resilience and outcomes. By layering regenerative signals (PRP, exosomes, peptides), supportive light therapy, strategic pharmacology, and lifestyle foundations, we help patients sustain growth without accepting unnecessary trade-offs.

If you are experiencing hair thinning or loss, we can chart a clear, evidence-based path forward—mapping your biology, activating growth, and maintaining gains thoughtfully over time.



References

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, and physical medicine, as well as wellness, sensitive health issues, and functional medicine articles, topics, and discussions. We provide and facilitate clinical collaboration with specialists across disciplines. Each specialist is governed by their professional scope of practice and the jurisdiction in which they are licensed. We utilize functional health and wellness protocols to treat and support care for musculoskeletal injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters and issues that directly or indirectly support our clinical scope of practice. Our office has made a reasonable effort to provide supportive citations and identify relevant research studies for our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.

We are here to help you and your family.

Blessings

Dr. Alex Jimenez, DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN

email: coach@elpasofunctionalmedicine.com

Multidisciplinary Licensing & Board Certifications:

Licensed as a Doctor of Chiropractic (DC) in
Texas & New Mexico*
Texas DC License #: TX5807, Verified: TX5807
New Mexico DC License #: NM-DC2182, Verified: NM-DC2182

Multi-State Advanced Practice Registered Nurse (APRN*) in Texas & Multi-States 
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Texas APRN License #: 1191402, Verified: 1191402 *
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New York APRN License #: N25929, Verified:  APRN-N25929*
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Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice MSN Diploma (Cum Laude)


Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST

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Professional Scope of Practice * The information on this blog site is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Blog Information & Scope Discussions Welcome to El Paso's Premier Wellness and Injury Care Clinic & wellness blog, where Dr. Alex Jimenez, DC, FNP-C, a board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those found on dralexjimenez.com, focusing on restoring health naturally for patients of all ages. Our areas of chiropractic practice include Wellness and nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, severe sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols. Our information scope is limited to Chiropractic, musculoskeletal, physical medicine, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please feel free to ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900. We are here to help you and your family. Blessings Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP*, CFMP*, ATN* email: coach@elpasofunctionalmedicine.com Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico* Texas DC License # TX5807 New Mexico DC License # NM-DC2182 Licensed as a Registered Nurse (RN*) in Texas & Multistate  Texas RN License # 1191402  Compact Status: Multi-State License: Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP*, IFMCP*, ATN*, CCST