Where Regenerative Science
Meets Honest, Supervised Care
Stem cell therapy is one of the most talked-about areas in regenerative medicine — and one of the most misrepresented.
At Coastal MD™, we explore it through education, clinical oversight, and an honest conversation about what the current science supports for your individual situation.
Medical Director Oversight
Every case reviewed under licensed physician supervision — before, during, and after.
Certificate of Analysis on Every Vial
Viability and sterility verified before any vial is used at our practice.
Adult Stem Cells Only
Not embryonic or fetal tissue. Accessory cord blood at birth — no ethical concerns.
Education Before Any Decision
Regulatory status, evidence, and individual candidacy discussed fully before proceeding.
We don’t sell stem cell therapy.
We discuss whether it makes sense for you.
Stem cell therapy sits at the frontier of regenerative medicine — and that frontier is still being mapped. Most applications currently explored in integrative and regenerative settings are investigational. The regulatory landscape continues to evolve. Clinical experience is growing, but peer-reviewed data at scale is still emerging.
We say all of that upfront because we think you deserve to know it before you read another word.
At Coastal MD™, stem cell therapy is discussed as one option among many — not a cure, not a guarantee, and not a decision that gets made without a thorough review of who you are and what you’re dealing with. We walk you through your options, what the science currently suggests, and what the clinical process looks like.
If something resonates, the next step is a consultation. That’s where the real conversation starts.
Three things are true of every stem cell therapy discussions we have...
01
We tell you what we know — all based from science.
The regulatory status of stem cell therapy, the current state of the evidence, and the honest limits of what any provider can promise. You get all of it, before anything else.
02
We verify every vial before it touches a patient.
A Certificate of Analysis comes with every vial we use — confirming live cell viability, sterility, and the absence of pathogens. We can show this to you and we encourage you to ask about it.
03
Nothing moves forward without a clinical review.
Candidacy, dosing, application, and follow-up are all determined by a licensed provider who reviews your individual health picture. This is not a concierge shortcut. It is a clinical process.
WHAT SETS OUR STEM CELLS APART
The cells. The sourcing. The verification.
Adult Stem Cells — No Ethical Concerns
The stem cells we use are stem cells derived from umbilical cord blood, collected at birth from donors. They are not embryonic or fetal tissue. This is an important distinction — clinically, ethically, and practically.
Perinatal Stem Cells With Broader Characteristics
The hematopoietic stem cells we use are collected and processed from the umbilical cord — which peer-reviewed literature characterizes as occupying an intermediate state between embryonic and adult stem cells. Published research notes these cells express pluripotency markers at higher levels than typical adult stem cells, which may contribute to their versatility. This is an area of active scientific study.
Suited for Low-Oxygen Tissue Environments
Joints, spinal tissue, and other poorly vascularized areas naturally have lower oxygen levels. Research published in peer-reviewed journals, including studies in Frontiers in Cell and Developmental Biology, indicates that umbilical cord blood stem cells from birth-associated tissues may maintain function under low-oxygen conditions — a relevant property when these cells are placed into environments like joints or spinal tissue where oxygen tension is limited. The clinical relevance of this characteristic is still being studied.
A Certificate of Analysis for Every Single Vial
Before any vial is used at Coastal MD™, we review its Certificate of Analysis — a document that verifies both the percentage of viable, live stem cells post-thaw and the absence of bacterial load, viral load, mycoplasma, and endotoxins. We share this with patients who want to see it.
Accredited Labs With On-Site Inspection
These cells carry what is called immunologic preference — a characteristic that is associated with a reduced risk of the types of reactions that can occur with other biological therapies. Your provider will discuss what this means for your individual situation.
Immunologic Preference — Reduced Reaction Risk
The labs we partner with are not credentialed through a fee-based process. They undergo on-site inspections and hold accreditations that reflect genuine quality oversight. This matters, and we are transparent about why we chose them.
Biomarker Tracking — Measuring Potential Success
We have partnered with cutting-edge technology that will begin to measure and track potential biomarkers that help us to track your treatment success. While they do not determine treatment regimens, they will be crucial for current data collection, leading to future diagnostics associated with stem cell care.
Explore Your Options By Application
Systemic Delivery — Inflammatory & Wellness Support
IV delivery allows stem cells to enter the circulatory system, where they may contribute to systemic anti-inflammatory signaling.
At Coastal MD™, this approach is explored for patients with systemic concerns — autoimmune-related conditions, chronic inflammation, general wellness and longevity goals, and recovery support. A thorough health history review determines whether this application is appropriate for your individual situation.
Regulatory note: IV stem cell therapy is investigational for most indications discussed. This is an important part of every conversation we have before proceeding.
What It Is
IV stem cell therapy involves the infusion of adult mesenchymal stem cells directly into the bloodstream. After intravenous administration, stem cells are initially taken up by the lungs — a documented phenomenon known as the pulmonary first-pass effect. Current research, including published peer-reviewed studies, suggests that the primary therapeutic mechanism of IV stem cells is paracrine signaling: the cells release anti-inflammatory cytokines, growth factors, and extracellular vesicles that may influence immune response and support the body’s own repair processes systemically. Some research also supports a homing response, where stem cells migrate toward areas of elevated inflammation — though the extent and clinical significance of this migration in humans is still being studied. The full mechanism remains an active area of scientific investigation.
How It May Work
The stem cells used in this application may support the body through:
✔ Releasing anti-inflammatory signaling molecules (cytokines, growth factors, extracellular vesicles) during and after the pulmonary first-pass
✔ Modulating immune response systemically through paracrine activity
✔ Potentially migrating toward sites of elevated inflammation, though this mechanism is still being studied in human clinical contexts
✔ Supporting the body’s own cellular environment through immunomodulatory effects
The mechanisms of IV stem cell therapy remain under active investigation. Much of the supporting evidence comes from animal models and early human studies. The clinical significance of cell migration versus paracrine signaling is still being evaluated. Individual response varies, and outcomes are not guaranteed.
What to Expect
- The infusion takes place in-office and is administered by a licensed provider
- Sulfur and pine allergy screening is completed before treatment — DMSO, the preservation agent, is a sulfur derivative
- Oral Benadryl premedication may be recommended as a precautionary measure
- Some patients report mild flu-like symptoms — low-grade fever, chills, or fatigue — in the 24 hours following infusion, related to cytokine activity; this typically resolves on its own
- Tylenol may be used for comfort; NSAIDs should be avoided as they may interfere with the cells’ signaling
- Response timelines vary significantly by individual, condition, and health baseline
Who Should Consider This?
This application may be discussed with individuals who:
✔ Are managing autoimmune or chronic inflammatory conditions and want to explore adjunct supportive options
✔ Are interested in systemic wellness and longevity support
✔ Are recovering from significant illness or physical stress
✔ Have been evaluated and determined to be appropriate candidates by a Coastal MD™ provider
✔ Are not pregnant, not currently lactating, and do not have active cancer or active infection
✔ Have been in remission from solid tumor cancers for a minimum of five years — this is our clinical practice standard and is reviewed individually with our team
A medical evaluation and review of individual health history is required to determine candidacy. Not all patients are appropriate candidates.
Pre & Post Care — What to Know
- Avoid NSAIDs and corticosteroids for the same period recommended in your PRP protocol — these can interfere with initial cellular signaling
- Avoid alcohol for a minimum of seven days post-infusion to support the body’s cytokine response
- Avoid sauna, jacuzzi, cryotherapy, cold plunge, and hyperbaric therapy for two to four weeks
- Avoid heavy weight lifting for two to four weeks post-infusion
- Flying after IV therapy carries no contraindication — travel is generally fine
- Home hyperbaric chambers (1.5 ATA) may be paused for at least five days post-infusion; discuss with your provider
- Follow-up calls are scheduled at four weeks, eight weeks, and twelve weeks — your progress is tracked and documented
Why Make Coastal MD™ Part of Your Care?
At Coastal MD™, IV stem cell therapy is administered under licensed physician oversight and supported by a structured follow-up protocol that includes check-ins at four, eight, and twelve weeks. Your data matters — we are actively contributing to a growing body of clinical documentation that supports the advancement of stem cell therapy in the United States. Every patient we treat becomes part of that effort. We are not offering a shortcut. We are offering a rigorously supervised, thoroughly documented, and honestly presented clinical experience.
Not sure which option fits your situation?
That’s exactly what a consultation is for. Our providers review your full health picture before making any recommendations — and you’ll never feel pressured to move forward before you’re ready.
Targeted Delivery — Musculoskeletal Support
When stem cells are injected directly into or near a joint — rather than delivered intravenously — the delivery is localized. This avoids the pulmonary first-pass effect associated with IV administration and places the cells into the specific tissue environment being targeted. The cells may support the area through local paracrine signaling, anti-inflammatory activity, and a scaffolding effect that develops over several weeks.
At Coastal MD™, joint-targeted stem cell therapy is always preceded by imaging review and a direct discussion between the patient and our medical director.
What It Is
Joint-targeted stem cell injections place adult mesenchymal stem cells directly into or near the affected joint — such as the knee, hip, or shoulder — using ultrasound guidance for precision. Unlike IV delivery, the goal here is local: the cells are positioned to remain in the area, begin scaffolding over several weeks, and support the tissue environment they’ve been placed in. IV therapy may be combined with a joint injection to provide systemic anti-inflammatory support alongside the targeted local effect.
How It May Work
The stem cells used in this application may support the body through:
✔ Supporting a local scaffolding effect over several weeks in the injected tissue
✔ Providing anti-inflammatory signaling within the joint environment
✔ Potentially encouraging endogenous cellular repair through paracrine activity
✔ Complementing physical rehabilitation by supporting the tissue being exercise
Joint scaffolding takes time — weeks, not days. Results vary by individual, injury type, chronicity of the condition, and lifestyle factors including physical rehabilitation. This is not a surgical replacement and is not presented as one.
What to Expect
- Imaging is reviewed by our medical director before any recommendation is made
- Injections are performed under ultrasound guidance for targeting accuracy
- Spine injections require fluoroscopy and are performed in a surgical suite
30 million stem cells per joint is a common starting point; combination with PRP is often discussed - IV therapy may be recommended alongside the joint injection for systemic anti-inflammatory effect
- Most patients are instructed to avoid heavy weight lifting for four to six weeks post-injection
- Physical rehabilitation is strongly encouraged following the recovery window — building the muscle surrounding the joint supports the longevity of any benefit
- Follow-up calls at four, eight, and twelve weeks track progress and inform next steps
Who Should Consider This?
This application may be discussed with individuals who:
✔ Have a diagnosed musculoskeletal condition — such as knee osteoarthritis, meniscal injury, or tendon/ligament damage — with imaging available for review
✔ Have explored or are currently pursuing conservative treatment options and want to understand what else may be available
✔ Are committed to physical rehabilitation as part of their recovery plan
✔ Have been evaluated by our clinical team and determined to be appropriate candidates
✔ Are not seeking a replacement for surgical intervention without proper evaluation and informed discussion
A medical evaluation and review of individual health history is required to determine candidacy. Not all patients are appropriate candidates.
Pre & Post Care — What to Know
- Avoid NSAIDs and corticosteroids for the same period used in your PRP protocol
- Avoid heavy weight lifting, sauna, jacuzzi, cryotherapy, cold plunge, and hyperbaric therapy for four to six weeks
- No flying within 24 hours of a spinal injection; IV and joint injections have no flying restriction
- Begin physical rehabilitation as directed — strengthening the surrounding musculature matters for outcomes
- Alcohol cessation for at least seven days post-treatment is recommended
- Resistance band work (low-load tendon tension maintenance) may be appropriate for athletes during the initial two weeks; discuss with your provider
Why Make Coastal MD™ Part of Your Care?
Joint and orthopedic stem cell therapy at Coastal MD™ is guided by our medical director — a board-certified anesthesiologist with extensive experience in interventional pain and regenerative procedures. Every case is reviewed individually. Imaging is evaluated. A direct patient conversation happens before any plan is made. Nothing is templated. The follow-up protocol — calls at four, eight, and twelve weeks — means we are with you through the process, not just at the starting line.
Not sure which option fits your situation?
That’s exactly what a consultation is for. Our providers review your full health picture before making any recommendations — and you’ll never feel pressured to move forward before you’re ready.
Scalp Injection with PRP — Follicular Support
Hair loss is one of the most common concerns we hear at Coastal MD™ — and one of the areas where stem cell therapy generates the most genuine patient curiosity. Our approach combines adult stem cells with the patient’s own PRP to provide greater coverage and a more supported follicular environment.
A detailed patient history is always taken first: genetics, stress, hormonal factors, and lifestyle all influence what approach makes sense and what realistic outcomes look like.
What It Is
Stem cell hair restoration involves injecting adult mesenchymal stem cells — combined with the patient’s own platelet-rich plasma (PRP) — directly into the scalp to support dormant hair follicles. The PRP provides volume and coverage; the stem cells contribute signaling molecules that may stimulate follicular activity. This approach is explored at Coastal MD™ for patients experiencing hair thinning or loss related to stress, hormonal changes, lifestyle factors, or genetic predisposition.
How It May Work
The stem cells used in this application may support the body through:
✔ Stimulating dormant hair follicles through paracrine signaling
✔ Releasing growth factors that may support follicular activity and local circulation
✔ Combining with PRP to increase coverage and spread of the active cells across the treatment area
✔ Supporting the scalp environment in ways that may encourage new hair growth over several months
Hair regrowth timelines vary. Some patients notice changes at months three to four; others take longer. A genetic component to hair loss may influence both timeline and the need for repeat treatment. This is discussed openly during your consultation.
What to Expect
- A detailed health history is taken to understand contributing factors — hormones, stress, nutrition, and genetics
- Treatment typically uses 30 million stem cells combined with the patient’s own PRP
- Results may be noticed as early as three to four months; full results often develop over six months
- Some patients require a single treatment; those with a strong genetic component may benefit from annual maintenance
- Hair texture, thickness, and density are the typical areas of change discussed by patients over time
- Adjunct therapies — topical or oral finasteride, minoxidil, vitamin supplementation, red light therapy, or peptide therapy — may be discussed alongside treatment to support outcomes
- No flying restriction for hair restoration; patients who travel for treatment are common
Who Should Consider This?
This application may be discussed with individuals who:
✔ Are experiencing hair thinning or loss related to stress, hormonal changes, nutritional factors, or early genetic hair loss
✔ Have some remaining hair follicles in the treatment area — dormant follicles respond differently than fully closed ones, and this is discussed during evaluation
✔ Want to explore a non-surgical approach before considering hair transplant or other interventions
✔ Are committed to following the provider’s adjunct recommendations to support outcomes
✔ Have not had recent active skin cancer in the treatment area without appropriate dermatological clearance
A medical evaluation and review of individual health history is required to determine candidacy. Not all patients are appropriate candidates.
Pre & Post Care — What to Know
- No flying restriction for hair restoration treatments
- Avoid vigorous scalp manipulation, heavy exercise, sauna, and cryotherapy for two to four weeks
- Adjunct regimens — topical or oral medications, supplements, derma rolling, red light therapy — may be recommended and are encouraged where appropriate
- Follow-up timing is discussed at your consultation based on your individual goals and response
Why Make Coastal MD™ Part of Your Care?
Hair restoration at Coastal MD™ is led by a provider with extensive aesthetic and regenerative experience who takes a thorough history, discusses realistic timelines honestly, and stays connected to patient outcomes. We never promise that everyone will get the same result — because they won’t. What we do promise is that you will know what to expect before your treatment begins, and that we will track your progress and adjust accordingly. We also support your treatment with adjunct recommendations that can make a meaningful difference to the outcome over time.
Not sure which option fits your situation?
That’s exactly what a consultation is for. Our providers review your full health picture before making any recommendations — and you’ll never feel pressured to move forward before you’re ready.
Skin Quality, Post-Procedure Recovery & Pigmentation Support
In the aesthetic setting, stem cell therapy is explored at Coastal MD™ for patients focused on post-procedure recovery support, skin quality, and the scaffolding and anti-inflammatory effects that may benefit certain skin concerns.
This is a biologics-based approach to supporting the skin’s own environment — one that requires honest expectation-setting and a clear understanding of what it is and is not.
What It Is
Aesthetic stem cell applications at Coastal MD™ are explored in the context of post-procedure recovery — such as supporting healing following plastic surgery or other aesthetic procedures — and for patients managing skin quality concerns, including difficult-to-address pigmentation. The stem cells work through local scaffolding and anti-inflammatory signaling rather than providing an immediate surface-level change. IV delivery may also be explored for patients recovering from surgery who want systemic anti-inflammatory and healing support.
How It May Work
The stem cells used in this application may support the body through:
✔ Supporting skin recovery following aesthetic procedures through localized anti-inflammatory signaling
✔ Contributing to a scaffolding effect that may influence skin firmness over time
✔ Potentially modulating pigmentation through immunomodulatory mechanisms in appropriate candidates
✔ Reducing inflammatory burden that can complicate post-procedure healing in some patients
Aesthetic responses to stem cell therapy develop over weeks to months, not days. Results vary significantly based on skin type, age, the condition being addressed, and individual biological response. This is not a replacement for established aesthetic treatments and should not be presented as one.
What to Expect
- A detailed skin and health history is reviewed before any plan is made
- Applications are individualized — there is no single protocol for all aesthetic presentations
- Pigmentation improvements, where observed in clinical experience, develop over several months
- Post-procedure recovery support via IV delivery may be explored for patients healing from significant cosmetic surgery
- Skin cancer history is reviewed on a case-by-case basis; dermatological clearance may be requested
- Results are individual and vary based on the concern being addressed, health baseline, and skin characteristics
Who Should Consider This?
This application may be discussed with individuals who:
✔ Are recovering from a significant aesthetic procedure and want to explore biologic support for healing
✔ Have pigmentation concerns that have not responded adequately to topical or light-based treatments
✔ Want to understand stem cell therapy as an adjunct within a broader aesthetic care plan, not as a standalone solution
✔ Have been cleared by their treating dermatologist where skin cancer history is relevant
✔ Have realistic expectations about timelines and the current state of evidence in this area
A medical evaluation and review of individual health history is required to determine candidacy. Not all patients are appropriate candidates.
Pre & Post Care — What to Know
- Post-procedure care is individualized to the specific application and discussed in detail before treatment
- Avoid vigorous sun exposure, heat treatments, and anything that may compromise the treatment area in the initial weeks
- Skincare regimen adjustments may be recommended alongside treatment to support the environment
- Follow-up timing is based on the specific application and individual response
Why Make Coastal MD™ Part of Your Care?
Aesthetic stem cell work at Coastal MD™ is approached with the same clinical honesty that governs everything we do. We do not overstate what this therapy can deliver. We take a full history, discuss what the evidence currently supports in the aesthetic setting, and set clear expectations around timelines and individual variability. Where adjunct treatments — topicals, light therapy, skin-supportive peptides — can meaningfully support outcomes, we discuss them. The goal is always to give you the most honest, informed path forward for your specific skin picture.
Not sure which option fits your situation?
That’s exactly what a consultation is for. Our providers review your full health picture before making any recommendations — and you’ll never feel pressured to move forward before you’re ready.
The questions we hear most often — answered honestly.
Is stem cell therapy FDA-approved?
For most of the applications discussed on this page — joint support, systemic wellness, hair restoration, and aesthetic indications — the answer is not yet. Most stem cell–based therapies in the United States remain investigational under biologics regulation. This means the evidence base is actively developing, regulatory guidance continues to evolve, and clinical experience is growing faster than formal approval pathways. At Coastal MD™, we tell you this clearly, before anything else. We are part of a clinical network actively contributing data toward that regulatory advancement.
Are these embryonic stem cells? Is there an ethical concern?
No. The stem cells we use are adult mesenchymal stem cells — derived from accessory tissues present at birth. They are not embryonic and they are not fetal tissue. There are no ethical concerns of that nature with the cells we use. These are adult cells that retain characteristics that make them particularly useful in a regenerative context — a distinction that matters both clinically and for patients who want to understand exactly what they’re considering.
How do stem cells know where to go if they’re given through an IV?
This is one of the most asked and most important questions — and it deserves an honest answer. After IV infusion, mesenchymal stem cells are initially taken up by the lungs, a documented phenomenon called the pulmonary first-pass effect. Current peer-reviewed research indicates that the primary therapeutic mechanism is paracrine signaling: the cells release anti-inflammatory proteins, growth factors, and extracellular vesicles that may influence immune response throughout the body. Some research also supports the idea that stem cells can migrate toward areas of elevated inflammation, though how much of this occurs in humans — and its clinical significance — is still being studied. We discuss this distinction openly with every patient before IV therapy begins, because understanding the mechanism honestly is part of the Coastal MD™ standard.
What’s the difference between IV and an injection into a joint?
IV delivery is systemic — the cells enter the bloodstream, pass through the lungs, and may exert anti-inflammatory effects throughout the body primarily through paracrine signaling. It’s discussed for broader, systemic presentations. Joint injection is localized — the cells are placed directly into a specific area to work within that tissue environment. This avoids the pulmonary first-pass effect and keeps the cells concentrated where they’re most needed for a local scaffolding and signaling effect that develops over several weeks. Both approaches can be used together: IV for systemic anti-inflammatory support, joint injection for targeted local effect. Your provider will discuss which combination, if any, makes sense for your situation.
Who is not a candidate?
Active cancer, active infection, pregnancy, and active lactation are absolute contraindications. For patients who have had solid tumor cancers (such as breast, colorectal, lung, or prostate), a minimum of five years in remission is our standard before any discussion proceeds — and a case-by-case review with our clinical team is always part of that conversation. Patients on significant anti-inflammatory medications may require individualized consideration. Sulfur allergies are screened before IV therapy due to the DMSO preservation agent. Your complete health history is reviewed before any recommendation is made.
What should I avoid before and after treatment?
NSAIDs and corticosteroids should be avoided for the same period used in your PRP protocol — they interfere with the stem cells’ initial signaling activity. Post-treatment, we recommend avoiding alcohol for at least seven days, avoiding sauna, jacuzzi, cryotherapy, cold plunge, and hyperbaric therapy for two to four weeks (longer for joint injections), and avoiding heavy weight lifting for the same period. Your provider will give you a detailed written protocol specific to your application before your appointment.
How many treatments will I need?
It depends on what’s being addressed. Some patients explore a single treatment and then return annually based on how they respond. Others with more significant presentations or a strong genetic component may discuss a structured repeat protocol. Dosing — measured in millions of cells — is individualized based on your body weight, condition, and clinical picture. Your provider will discuss what makes sense for your specific situation during consultation, not before.
Is there anything I should be skeptical about when researching this topic?
Yes — and we’re glad you’re asking. Not all stem cell products are created equal. Not all labs are genuinely accredited. Not all practices offering stem cell therapy are providing provider-reviewed, imaging-guided, Certificate of Analysis–verified treatment under physician oversight. When evaluating any practice, ask to see the Certificate of Analysis for the vial being used. Ask who reviews candidacy. Ask what the follow-up protocol looks like. These are the questions that separate a clinical program from a commercial one.
Not sure where or how to start?
That’s exactly what a consultation is for. Our providers review your full health picture before making any recommendations — and you’ll never feel pressured to move forward before you’re ready.
THE COASTAL MD™ DIFFERENCE
We are pioneers in this space.
We say that with responsibility, not as a marketing claim.
Stem cell therapy in the United States is in an early, important phase of its clinical development. The practitioners and practices that do this well right now are the ones building the evidence base, tracking outcomes systematically, contributing to the regulatory pathway, and being honest with patients about exactly where the science is — not where a sales page says it is.
At Coastal MD™, we are part of a clinical network with extensive collective experience across multiple stem cell applications and indications. Our medical director reviews cases individually. Our clinical team follows a structured follow-up protocol. Our data is being collected in a HIPAA-compliant system that feeds directly into the work of advancing stem cell therapy toward formal regulatory recognition in America.
Every patient we see is part of that effort. We think that’s meaningful — and we think the patients who come to Coastal MD™ tend to think so too.
*All therapies are discussed within the context of a thorough medical evaluation. Outcomes vary by individual. Nothing on this page constitutes a treatment recommendation or a promise of results.
Your consultation starts with your story.
Everything else follows from there.
At Coastal MD™, no stem cell therapy plan is discussed before we understand who you are — your health history, what you’ve already tried, what you’re hoping to address, and what matters most to you. We will tell you if this is a good fit. We will also tell you if it isn’t. That honesty is the foundation of everything we do.
Book a consultation and let’s talk.
