Osteodensitometry or DXA scanning

What is a DXA scan?

Osteodensitometry or DXA scanning is a method of determining bone density for patients at increased risk of osteoporosis developing. The test can also be used to assess Total Body Composition. It is painless, quick, and has low radiation exposure.


преглед с DXA скенер

In addition to being quick and painless, a DEXA scan is more effective than a normal x-ray when it comes to identifying low bone density. The DXA scan uses a minimal dose of radiation to measure bone density, muscle mass, and body fat percentage.

How does a DXA scan work?

During the scan, radioactive rays pass through the body. The radiation dose is extremely low, and the examination is painless and harmless.

The procedure takes between 5 and 30 minutes depending on which part of the body is analyzed. Due to the low levels of radiation, it can be done annually.

The results of the procedure are processed by computer software. In case of deviations, the specialist refers you to an endocrinologist or rheumatologist.

What is a DXA scan used for?

• The main function of a DXA scan is to diagnose patients with osteoporosis, a disease characterized by loss of bone density, resulting in bone fragility.
• It is also used to monitor the effect of osteoporosis treatment and to assess the risk of fractures.
• Gives extremely accurate information about body composition – fat, muscle, and bone. This information is used for both medical and training purposes and is extremely valuable in people suffering from obesity. The analysis of the values gives clear information about the potential risks of cardiovascular or metabolic diseases.




Dr. Stoyanova to BNT: How to eat during the holidays

Dr. Raina Stoyanova, endocrinologist and part of the Regina Life Clinic team, was a guest on the morning block of BNT “The Day Begins” with host Simeon Ivanov. In the show, she shares how to eat wisely during the upcoming holidays and avoid overeating, which could have negative consequences on our body. Dr. Stoyanova also gives her expert opinion on the topic of fasting and how people who fast should be fed before or during the holidays and whether there are risks.

Watch the full video HERE.

Д-р Стоянова за Beauty Woman

Dr. Rayna Stoyanova: IV Therapy – a Trend Worth Trying in 2023

After 2022 introduced us to several interesting self-care and wellness trends, we became used to new and revolutionary medicine techniques. We can say that much more interesting and better treatments, products and innovations are to come in the next years. Whether it’s about our physical features, being fit or just boosting our immune system before the flu season, Beauty Woman talked to an industry expert to find out what will be the biggest trend in and beauty and wellness in 2023.

Dr. Rayna Stoyanova is a specialist in the field of endocrinology, metabolic diseases and dietetics and is part of the team of Regina Life Clinic Sofia. Dr. Stoyanova is the creator of “Regina Life Champion”, a method patented in Europe, which helps professional athletes quickly regain good shape with proven clinical results.

Over the past year, IV therapies have received a lot of interest from a number of well-known public figures due to their effectiveness. Maria Silvester, Dilyana Popova and Alexandra Bogdanska are just some of the big names in Bulgaria who use “vitamin cocktails” to keep themselves fit and healthy while sharing their results on social media. While intravenous therapies have become the new usual thing to treat a hangover or weak immune system, in 2023 Regina Life Clinic introduces an exciting new generation of vitamin cocktails that work on all levels of our health, including our physical beauty, reveals Dr. Stoyanova.


Infusion therapy is used to treat a variety of health problems, nourish “from within” and simply hydrate the body by intravenous infusion of precisely dosed diluted mixtures containing important vitamins, drug molecules, antioxidants, micro- and macroelements and/or nutrients. The solution is tailored to the individual needs of the patient, and direct infusion into the bloodstream ensures complete and efficient absorption of the ingredients by the body.

The therapy is also popular for treating health complications after COVID-19. It restores imbalances in the body and provides the necessary amount of essential vitamins and minerals, reaching the bloodstream directly for more effective and rapid healing. Whether you want to boost your immunity, hydrate your body, fight fatigue and stress, recover quickly from muscle aches or even a hangover, lose excess fat, detoxify, and help your skin glow, IV therapy can be formulated to be the solution to it all.


Infusion therapy is the next trend making its way up in beauty and wellness. In addition to boosting immunity and treating various ailments, this type of treatment is also improves the skin and fights aging.


Eating healthy, staying hydrated and resting are the key to feeling energetic and having great skin. But nowadays, it’s getting harder and harder to get all the nutrients we need from food alone.

After a mandatory medical exam and laboratory tests, experts in the field will create a personalized health cocktail of essential vitamins, minerals, and antioxidants. Therapy can provide a number of health benefits such as flushing toxins from the body, boosting energy levels and tone, restoring metabolism, and reducing excess weight easily and effectively.


Losing weight can be a slow and difficult process. IV weight loss therapy is an innovative way to lose weight and help you reach your goals faster. The therapy helps speed up metabolism, drain the body and suppress cravings for sugary foods. In addition to speeding up the metabolism, IV therapy provides the body with a full range of vitamins and minerals to prevent deficiency of any of them, which is a common side effect when following highly restrictive diets.


IV therapy can be part of the hormonal imbalance treatment for PMS, which often leads to night sweats, mood swings, sleep problems, depression, appetite changes, headaches, etc. In addition, such therapy could alleviate the unpleasant side effects of menopause and andropause in women and men. The only thing needed for this treatment is a consultation and a blood test that will show your current hormone levels and objectify your condition.

Achieving a glowing appearance can be slow and hard. By addressing medical trends and helping its patients improve their quality of life, Regina Life Clinic offers special health packages for 2023. They include primary and secondary examinations with various specialists – endocrinologist, clinical nutritionist, cardiologist, gastroenterologist, orthopedist, psychologist, in combination with the design of a diet plan, personal treatment and follow-up of all therapy.

If you are looking for a natural way to respond to your body’s needs, turn to industry experts for a professional opinion. They will show you the right way to achieve a balanced and healthy lifestyle in order to become a better version of yourself.

PROMO OF THE MONTH: Infusion therapy for the dream figure

Get ready for the summer and get in shape with Regina Life Clinic’s revolutionary Re:FIT weight loss infusion in a special gift pack with NAD+ booster. The special offer is valid until May 31, 2023.

Stress, busy daily routine and improper nutrition negatively impact your body and energy levels. That’s why we at Regina Life Clinic have developed the innovative Re:FIT infusion, the best way to fight the weight you’ve gained. It charges the body with a cocktail of minerals, B vitamins, glutathione, appetite suppressing trace elements, the extremely valuable coenzyme NAD+, which boosts metabolism and increases energy levels.

Re:FIT infusion also includes peptides from the group of GLP-1 receptor agonists, such as the so popular semaglutide, liraglutide and dulaglutide. These are substances that increase the feeling of satiety, reduce the feeling of hunger, and the frequency and intensity of the overwhelming desire to eat.

Book your individual procedure for a dream figure:
– until 31 May 2023
– for a special price of 450 BGN (instead of 700 BGN)

*For more information and to book your appointment, please contact us at info@reginalife.clinic or +359877765656.

You can follow the next special packages here or on the clinic’s social media profile.

Dr. Rayna Stoyanova to bTV: How to Get in Shape for the Summer?

Dr. Rayna Stoyanova, endocrinologist and part of the Regina Life Clinic team, was a guest on the Sunday edition of the show “This Saturday and Sunday” on bTV with host Petya Dikova. Together with nutritionist Ipokratis Papadimitrakos they shared their expert opinion on how to forget about spring fatigue, strengthen our body and cleanse ourselves of toxins to be fit in the summer without starving.

Detox regimens are a marketing trick people use to promote ways to get clean. Let’s say that a lighter diet would contribute to cleansing the body and awakening immunity, but we should not speculate with this word,” said Dr. Raina Stoyanova.

Dr. Rayna Stoyanova for Mediapool: New weight loss therapies are powerful tools, but harmful when used alone

Medication is not some “magic wand”, it only works if we change our habits too. New weight loss therapies from GLP-1 agonist group are especially effective when it comes to fighting obesity. However, when applied arbitrarily and incompetently, as we see happens often, they can carry serious health risks. This is what Dr. Rayna Stoyanova, endocrinologist and part of the Regina Life Clinic team, told Mediapool. She says that medicine is not a “magic wand” and only works effectively when a change is made in our daily habits.

“Patients who have taken such medications, that have severe side effects that are difficult to treat, often come to us” she points out. Dr. Stoyanova says it is important for people who are overweight to start their treatment under the guidance of a specialist from the very beginning. Because patients who have gone through multiple diets and “yo-yo” dieting have the slowest metabolism and find it the most difficult to lose weight.

New treatments for diabetes and weight loss

Recently, Ozempic – medication for treatment of type 2 diabetes in adults, which is highly in demand due to its use as a weight loss drug, has become popular in our country. Ozempic is from the GLP-1 group and is prescribed to patients with type 2 diabetes, used once a week, one of its effects is weight loss, explains Dr. Stoyanova.
“This product should not be used for weight loss and bought off-label by patients. Because of its popularity, people who do not medically need weight loss have been using it” she said. There is a similar product on the market from the same group, which is approved in Bulgaria and Europe only for weight loss: liraglutide – with the brand name Saxenda.

“The difference between Saxenda and Ozempic, is that Saxenda is taken every day and Ozempic – once a week. This easier way of taking Ozempic once a week causes a lot of interest, even when people don’t really need it. Infusion therapies, so-called weight loss drips, in which this type of medication is added are also gaining popularity. A lot of people are becoming fans of these products,” says Dr. Stoyanova.

Side effects

According to her, it is necessary to be very careful when prescribing medication that has side effects. “Patients who have taken such medications that have severe side effects and are very difficult to treat often come to us” she said. Dr. Stoyanova points out that when used correctly, the benefits of this type of treatment are numerous both in terms of cardiovascular health and overall risk of mortality.

“The mechanism of this type of GLP-1 agonists drugs is associated with several side effects that involve the gastrointestinal tract and the brain. They can cause nausea, vomiting, especially when having an improper diet: overeating fatty food. In some patients, this effect can be very intense at the beginning, but it is treatable. Tachycardia and constipation can occur in patients with poor hydration. Problems with the central nervous system can also occur due to appetite suppression. Appetite suppression means that patients do not eat regularly and hence fainting, flushing and headaches can be experienced” explains Dr Stoyanova.

There’s also a new study that talks about “Ozempic face,” a symptom of skin aging. “Skin starts sagging because of weight loss and skin’s elasticity decreases. If we don’t hydrate properly, we may end up with more sagging and wrinkled skin. This is the so-called ‘Ozempic face’, but it can be overcome if the patient follows the advice given by the doctor. Again, it comes down to the fact that the drug must be prescribed by an endocrinologist; the patient has to meet the criteria and must be given proper treatment for the therapy to work well” she points out.

Is this therapy suitable for everyone?

Almost every person who struggles with overweight is suitable for treatment with GLP-1 agonists, which are revolutionary in the treatment of obesity and overweight. “The earlier the treatment is started, the better” says Dr. Stoyanova.

Not every patient with diabetes is suitable for treatment with GLP-1 agonists, it is effective for patients with type 2 diabetes mellitus – non-insulin-dependent patients. According to the latest treatment guidelines, patients can start treatment with this drug if they do not have impaired pancreatic function, explains Dr. Stoyanova. However, because the therapy is expensive, NHIS requires to take some other steps first before going on it. “Overall, the therapy is good, appropriate, and has outstanding benefits in terms of cardiovascular health and overall patient mortality” she comments.

It is not a magical cure, it only works when change in habits is made

Not all patients are as equally affected by the drug. According to recent studies, 7 out of 10 patients lose weight, and 3 out of 10 do not lose much or do not lose weight at all. Many patients cannot handle the side effects. At the same time, many do not feel any side effects at all. “If this therapy does not work it can be combined with other drugs, one can switch to another treatment. But it is not a magic wand, it only works with a lot of lifestyle changes. GLP-1 agonists affect centers in the brain that are linked to bad habits: apart from addiction to sugary foods, etc. That is why when a patient is treated with this type of medicine, is the perfect time to change their lifestyle to a healthier one and when the treatment comes to an end, the healthy habits remain and the weight loss could be maintained for a longer time”, explains Dr. Stoyanova.

“Studies have shown that patients who are on therapy and have changed their habits have much better results than those who have only changed habits. So, medications play their role, but we must follow the advice of specialists,” she points out.

People with a long history of dieting find it hardest to lose weight

Dr. Stoyanova points out that obesity is a chronic disease like hypertension and asthma and should be treated as such. Treatment should begin at an early stage to avoid complications that can be fatal. When weight is being lost in a healthy way, the effect can be maintained longer and the patients are more motivated, she says.

“Any spontaneous decision to lose weight in an unhealthy way leads to fat loss, but also muscle mass. When we gain weight, there is a yo-yo effect – we start to put the weight back on, but we put fat back on, not muscle mass. This results in a slower metabolism because it’s the muscles that burn calories. Training our muscles is what burns calories. That’s why patients with a long history of dieting are the most difficult cases. They are the people with the slowest metabolism and it’s very difficult for them to lose weight” says Dr. Stoyanova.

That is why it is important to start on the right path from the very beginning under the guidance of a specialist.

Aкнето като симптом на ендокринни заболявания

Dr. Rayna Stoyanova for Beauty Woman Magazine: Acne as a Symptom of Endocrine Diseases

Dr. Rayna Stoyanova, endocrinologist at Regina Life Clinic in Sofia, gave a lecture on “Acne as a Symptom of Endocrine Diseases” at the Acne Master Class organized by Beauty Woman magazine.

She directed the audience’s attention to an in-depth presentation of acne caused by hormonal changes, presented the hormones that increase sebum secretion from the sebaceous glands, and noted what provokes their imbalance. She gave guidance on what aestheticians can do in such cases and the importance of finding out the real cause of acne. Otherwise, it will reoccur regardless of cosmetic care.

When and why is acne a symptom of endocrine diseases?
The word “acne” was first used in the 6th century by Aetius Amidenus, a physician in Constantinople who called ionthos (or “acne”) the lesions appearing on the face during puberty. The disease occurs in about 79-95% of the adolescent population. It is expressed by comedones, papules, pustules and nodules. It appears in the sebaceous gland-rich areas of the face.
Although it is strictly a dermatological problem and does not threaten life directly, its social significance is great – it can worsen the quality of life, cause social isolation, mental disorders. It is most common for people aged between 10 and 20 years, but in recent years acne has also developed in adulthood in patients aged 30-40 years, in whom it can be very severe.

The forms of acne are: Acne Comodeonica – multiple open and closed comedones, located mainly in the forehead, cheeks, nose; Acne Papulopustulosa – most often the comedones are accompanied by inflammatory changes such as papules and pustules; Acne Conglobata – severe form, in which together with the comedones, papules and pustules, characteristic of ordinary acne, the skin develops various sizes of nodular and cystic changes.

The appearance of acne is influenced by internal and external factors. One of the internal factors is the change in hormonal balance. It is with hormones, and specifically those that provoke the production of sebum by the sebaceous glands, that endocrinology is concerned.

– Androgens (male hormones). In order to function properly and be healthy, the female body also produces androgens. The production of sebum by the sebaceous glands is controlled mostly by hormones – testosterone, androstenedione, androstenedione and DHEAS. Increased levels of these hormones lead to increased secretion of sebum and to the formation of comedones. Acne usually worsens in the luteal phase of the menstrual cycle (second phase) when progesterone levels rise. This is why some authors believe that it is this hormone with its androgenic effect that plays a role in the pilosebaceous unit. We as endocrinologists do laboratory tests on patients, used as a screening method to prove or exclude androgen overproduction. These include testing serum levels of total and/or free testosterone, dehydroepiandrosterone sulfate (DHEAS), androstenedione, and 17-hydroxy-progesterone (to rule out late-onset congenital adrenal hyperplasia).

– Estrogens have a beneficial effect on the skin and its appendages, administered systemically as medications, they reduce the production of sebaceous secretion, since by suppressing ovulation, ovarian production of androgens is reduced.
– While in men hormones stabilize with years, in women they continue to fluctuate. Specifically, between the ages of 20 and 40, and then again during menopause, women are particularly prone to hormonally induced acne.
– The main three factors are menstrual cycle, pregnancy, menopause.

– The adrenal glands are a major site for the production of other steroid hormones vital to the human body – cortisol and gestagen.
– Cortisol, or the so-called stress hormone, is involved in the body’s adaptive responses to stressful situations. It controls water-salt balance in the body, carbohydrate metabolism, protein metabolism, bone metabolism, nervous system, immunity.
– Gestagen is a steroid hormone, an intermediate metabolite in the synthesis of adrenal cortex hormones.

T3 and T4 play a leading role in all body processes. Тhey contain iodine in their structure, and its inadvertent intake can change the function of the gland. Therefore, provoke the appearance of acne.

The clinical definition of PCOS has changed in recent years but now includes some of the basic criteria of the dermatological manifestations of hyperandrogenism, mainly acne vulgaris and androgenetic alopecia. Acanthosis nigricans, a cutaneous sign of hyperinsulinaemia, may also be present.

These dermatologic features can provide early clinical clues to recognize SPCJ, and treatment of these skin conditions can improve the patient’s quality of life and psychological well-being. Treatment modalities may include hormonal therapy designed to modulate the production and action of androgens, as well as non-hormonal therapies targeting specific dermatological conditions.

There are foods and food products that are bad for our skin and cause it to secrete more sebum, which in turn clogs the pores and leads to the spread of pathogenic bacteria. Such foods are, for example, those with a high glycemic index (GI), that is refined carbohydrates and sugars. They cause a sharp rise in blood sugar in our body, from which more insulin is secreted by the pancreas. The insulin intensifies the action of the sebaceous glands and leads to the development of cells that clog the pores and lead to the so unpleasant acne.

In a study conducted in 2007, Austrian teenagers followed a carbohydrate-only low GI diet. They found that after 2 weeks their acne noticeably improved.

My recommendation to patients is: trust proven specialists and follow their recommendations, but don’t forget that lifestyle, stress, lack of sleep, lack of happiness in life have a huge impact on our skin condition.

Maria Sylvester and Dr. Rayna Stoyanova with a Live Discussion on How to Lose Weight Healthy

The TV star Maria Sylvester and endocrinologist Dr. Rayna Stoyanova, part of the Regina Life Clinic team, got into an interesting discussion about healthy weight loss and keeping fit even during the holidays. During the live event, the ladies also discussed the essential importance of preventive check-ups, trends in medical services and how to take care of our health properly.

You can watch a recording of their conversation on the clinic’s Instagram account: @reginalifeclinic.

Maria Sylvester shared with the audience more about her first visit to the renowned metabolic clinic Regina Life Clinic and the excellent results she is currently enjoying after her treatment with Dr. Stoyanova. The discussion also touched on important medical issues for everyone’s overall health, with a focus on the types of preventive screenings that are key to preventing and controlling a number of health conditions. Dr. Stoyanova also presented her expert opinion on risk trends in medicine and innovative methods for staying healthy.

Regina Life Clinic отбелязва Световния ден за борба със затлъстяването с безплатни прегледи

Regina Life Clinic Gives Free Consultations For World Obesity Day

On 11 October, we celebrated World Obesity Day with an Open Day where the clinic provided free medical consultations with an endocrinologist and registered dietitian.

The specialists at Regina Life Clinic dedicated their entire day to patients and provided them with a medical consultation, InBody test (accurate analysis of water balance, muscle mass, fat and more..), lab test, and personalized recommendations for a healthy and balanced diet.

“Today, obesity is a serious health problem that continues to be overlooked. Overweight and obesity are major risk factors for a number of chronic diseases. It is of utmost importance for our clinic to be of help to our patients and that is why we have decided to dedicate October 11 to people with a weight problem. And this is just the first step of a bigger initiative,” said Dr. Rayna Stoyanova, endocrinologist at Regina Life Clinic.

Overweight and obesity can also be determined by body mass index (BMI). It is determined by dividing weight in kilograms by height in square meters (kg/m2). You can access the Regina Life Clinic health calculator here.

Партньорство между Regina Life Clinic и лаборатории Бодимед

Regina Life Clinic Partners with Bodimed Laboratories

Dear patients, we are happy to announce the partnership of Regina life Clinic with the leading medical diagnostic laboratoryBodimed, which expands our portfolio of services.

Our collaboration will enable patients to take advantage of Bodimed’s full range of tests and take care of their health in the most convenient and safe way.

At Regina life Clinic, we have a team of amazing professionals and a modern manipulation room with the ability to take samples that will be directly tested at Bodimed Laboratories. Thanks to optimized internal logistics, samples will be processed quickly and reliably, and patients will enjoy first-class comprehensive care and intensive treatment in a welcoming atmosphere.

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