FREQUENTLY ASKED QUESTIONS
General Questions
What is Wellness Refined?
Wellness Refined is a personalized wellness and aesthetic practice led by Paula Russo, MSN, FNP-C, CANS. Services include hormone optimization, medical weight management, metabolic health, regenerative medicine, aesthetic treatments, laser and skin rejuvenation, therapeutic neuromodulators, supportive wellness therapies, and membership-based care.
Where is Wellness Refined located?
Wellness Refined is located at:
304 Inverness Way S, Suite 100
Englewood, CO 80112
Detailed arrival and parking information may be included in your Jane appointment confirmation.
Who provides care at Wellness Refined?
Care is led by Paula Russo, MSN, FNP-C, CANS, Founder and Clinical Director of Wellness Refined. Paula is a board-certified Family Nurse Practitioner and Certified Aesthetic Nurse Specialist with experience across wellness, hormone health, metabolic care, regenerative therapies, and aesthetic medicine.
Is Wellness Refined the same business as The Injection Specialist?
Wellness Refined represents the natural evolution of The Injection Specialist. The expanded brand reflects a broader range of wellness, hormone, metabolic, regenerative, laser, and aesthetic services while maintaining the same commitment to personalized care, clinical precision, and natural-looking results.
Do you accept walk-ins?
Wellness Refined is an appointment-based practice. Appointments should be scheduled in advance through Jane.
How do I contact Wellness Refined?
Use the website’s General Inquiry form for nonclinical questions about services, memberships, financing, or where to begin.
Patient-specific health information, treatment concerns, medical photographs, laboratory results, and clinical questions should be submitted through Jane or another secure communication method approved by the practice.
Scheduling and Appointments
How do I schedule an appointment?
All appointments are scheduled online through Jane. Select the consultation or service that most closely matches your needs and choose an available date and time.
What should I book if I am unsure where to begin?
Choose the most relevant consultation option or submit a General Inquiry for assistance. You do not need to know exactly which treatment is right for you before reaching out.
Do I need a consultation before receiving treatment?
A consultation may be required depending on the service, your medical history, previous treatments, and the complexity of your goals.
Some treatments may be provided during an initial visit when appropriate, but same-day treatment is not guaranteed.
Will treatment happen during my first appointment?
Possibly. Same-day treatment depends on the appointment type, available time, clinical eligibility, preparation requirements, treatment complexity, product availability, and completion of informed consent.
Additional evaluation, laboratory testing, medical clearance, or a separate treatment appointment may be required.
How long will my appointment take?
Appointment length varies by service and whether the visit is a consultation, treatment, follow-up, or combination appointment. Review the estimated appointment duration shown in Jane when booking.
Should I arrive early?
Arrive at the time listed in your confirmation. Allow additional time if your forms are incomplete or you are unfamiliar with the building.
What happens if I am late?
Contact Wellness Refined as soon as possible. Late arrival may shorten the available appointment time or require rescheduling to avoid delaying other patients.
How do I reschedule or cancel an appointment?
Use the options available in Jane or follow the instructions included in your appointment confirmation.
Cancellation, late-arrival, and no-show terms are governed by the current practice policy displayed during booking.
Before Your Visit
Do I need to complete forms before my appointment?
Yes. Depending on the service, Jane may assign registration, medical-history, consent, or treatment-specific forms.
Completing your forms before arrival allows more appointment time to be dedicated to your concerns, goals, and treatment planning.
What should I bring?
Bring or securely submit any information requested by the practice, which may include:
- A current medication and supplement list
- Relevant laboratory results
- Previous treatment information
- Questions you would like to discuss
- Any requested medical records or documentation
Should I stop taking medication before treatment?
Do not discontinue prescribed medication, including blood thinners, unless instructed by the clinician who prescribed it.
Tell Wellness Refined about all medications and supplements before treatment.
Should I eat before my appointment?
Eat and hydrate normally unless you have received specific fasting or preparation instructions.
Should I arrive without makeup?
For facial injectables, laser treatments, chemical peels, and other skin services, clean skin with minimal makeup is preferred whenever possible.
Where can I find treatment preparation instructions?
Visit the Pre & Post Care Instructions page and follow any individualized directions provided through Jane.
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VIEW PRE & POST CARE INSTRUCTIONS
Consultations and Treatment Planning
What happens during a consultation?
Your consultation may include a discussion of:
- Your primary concerns and goals
- Relevant medical and treatment history
- Medications and supplements
- Previous procedures or outcomes
- Symptoms, lifestyle, sleep, stress, or metabolic factors
- Facial, skin, body-composition, or treatment-area findings
- Laboratory testing when appropriate
- Potential benefits, risks, alternatives, costs, and follow-up
- A personalized care plan
Will I be pressured to receive treatment?
No. Your consultation is an opportunity to learn about your options, ask questions, and determine what feels appropriate for you.
Discussing a treatment does not require you to move forward with it.
Are results guaranteed?
No medical, wellness, or aesthetic result can be guaranteed. Outcomes vary based on individual health, anatomy, treatment response, adherence, lifestyle, and other factors.
Your provider will discuss realistic expectations, potential limitations, and appropriate follow-up before treatment.
Can a requested treatment be declined?
Yes. A treatment, medication, or procedure may not be recommended when it is not clinically appropriate, does not align with your goals, requires additional evaluation, or presents an unacceptable risk.
Hormone Optimization and BHRT
What is hormone optimization?
Hormone optimization is an individualized approach to evaluating symptoms, health history, lifestyle, laboratory findings when appropriate, and personal goals before considering treatment.
Care may involve education, lifestyle recommendations, ongoing monitoring, and hormone therapy when clinically appropriate.
Is BHRT appropriate for everyone?
No. Eligibility depends on your health history, symptoms, risks, laboratory information, goals, and clinical evaluation.
A consultation does not guarantee that hormone therapy will be recommended.
Do I need laboratory testing?
Laboratory testing may be reviewed or ordered depending on your symptoms, medical history, current treatment, and monitoring needs.
How often will I need follow-up?
Hormone care generally requires ongoing monitoring rather than a one-time appointment. Follow-up timing is based on your treatment plan and individual response.
What types of hormone therapy may be discussed?
Options may include topical, oral, injectable, troche, or pellet-based therapy when clinically appropriate and available.
The recommended method depends on your needs, risks, preferences, and treatment plan.
Medical Weight Management and Metabolic Health
Is medical weight management only about losing weight?
No. Care may consider appetite regulation, nutrition, sleep, stress, movement, body composition, insulin sensitivity, hormonal factors, medications, and long-term metabolic health.
Does a consultation guarantee a prescription?
No. Medication is recommended only when clinically appropriate following an evaluation.
Are GLP-1 medications available?
GLP-1 or other medication options may be discussed when clinically appropriate. Eligibility, availability, pharmacy requirements, costs, and monitoring vary.
Will I receive nutrition and lifestyle guidance?
Your plan may include education and support related to nutrition, sustainable movement, sleep, stress, appetite patterns, muscle preservation, and long-term habits.
Are medications, laboratory services, and pharmacy costs included?
These costs may be billed separately unless specifically included in a written service or membership agreement.
Aesthetic Medicine
What does “natural-result aesthetics” mean?
Natural-result aesthetic care focuses on enhancing balance, softening selected concerns, and supporting a refreshed appearance without making you look unlike yourself.
Treatment planning considers anatomy, facial movement, structure, proportion, skin quality, and your personal preferences.
What aesthetic treatments are available?
Options may include:
- Botox and Dysport
- Facial balancing and contouring injectables
- Sculptra and collagen stimulators
- Skin-quality injectables
- PRF and PRF Gel
- Personalized aesthetic treatment planning
Availability and eligibility vary.
How do I know which injectable is right for me?
Your provider will evaluate your anatomy, goals, treatment history, preferences, and medical suitability before recommending a product or treatment approach.
Will I look overtreated?
The practice emphasizes conservative, anatomy-informed treatment and natural-looking refinement. However, results vary, and your goals and treatment preferences should be discussed clearly before proceeding.
How long do injectable results last?
Duration varies by product, treatment area, dose, metabolism, individual response, and other factors. Your provider will discuss expected timing for the specific treatment recommended.
Is bruising or swelling normal?
Temporary bruising, swelling, tenderness, redness, or sensitivity may occur after injectable treatments.
Follow the personalized aftercare instructions provided by Wellness Refined and contact the practice if symptoms feel unusual or worsen unexpectedly.
Laser and Skin Rejuvenation
What concerns can laser and skin treatments address?
Treatment plans may be developed for concerns involving:
- Uneven tone
- Texture
- Visible pores
- Fine lines
- Pigmentation
- Sun-related changes
- Dullness
- Reduced firmness
- Overall skin quality
How many treatments will I need?
The recommended number of sessions depends on your skin, goals, treatment type, treatment intensity, recovery preferences, and response.
Is there downtime?
Downtime varies significantly by treatment. Some services may cause temporary redness or sensitivity, while more intensive resurfacing may require a longer recovery period.
Your provider will explain expected downtime before treatment.
Can I receive laser treatment before an important event?
Schedule treatments far enough in advance to allow for possible redness, swelling, peeling, sensitivity, or other temporary effects.
Discuss upcoming events or travel during your consultation.
Should I avoid the sun?
Sun exposure and tanning may affect treatment eligibility and healing. Follow all pre- and post-treatment sun-protection instructions provided by the practice.
Regenerative Medicine, PRP and PRF
What are PRP and PRF?
PRP and PRF are prepared from a patient’s own blood and may be incorporated into selected aesthetic, skin, hair, joint, or soft-tissue treatment plans.
What areas may be treated?
Depending on clinical appropriateness, treatment may be considered for:
- Skin quality
- Under-eye concerns
- Facial rejuvenation
- Hair or scalp support
- Selected joint or soft-tissue concerns
Are PRP and PRF the same?
They are related but prepared differently. Your provider will explain the recommended option, preparation method, expected process, and limitations.
How many treatments are needed?
Treatment frequency varies by concern, treatment area, individual response, and the plan recommended by your provider.
Are regenerative treatments guaranteed to work?
No. Outcomes vary, and treatment cannot guarantee tissue repair, hair restoration, pain relief, or a specific cosmetic result.
Therapeutic Neuromodulators
What are therapeutic neuromodulators?
Neuromodulators may be considered for selected functional concerns involving muscle activity or excessive sweating when clinically appropriate.
What concerns may be evaluated?
Potential applications may include:
- Jaw tension or clenching
- Overactive masseter muscles
- Excessive underarm sweating
- Selected headache or migraine-related concerns
Will I need another provider or specialist?
Possibly. Some symptoms may require evaluation by a dentist, neurologist, primary-care clinician, or another specialist in addition to or instead of treatment at Wellness Refined.
Does treatment guarantee symptom relief?
No. Results vary, and neuromodulator treatment may not address every cause of pain, tension, sweating, or headache symptoms.
Wellness Therapies
What are wellness therapies?
Wellness therapies are supportive services that may be incorporated into a broader plan involving hormone health, metabolic care, nutrition, recovery, or healthy-aging goals.
What options may be available?
Options may include NAD+, glutathione, Vitamin D, lipotropic blends, or other supportive injections when clinically appropriate.
Are wellness injections quick fixes?
No. Supportive therapies are not substitutes for diagnosis, nutrition, sleep, movement, appropriate medical care, or treatment of an underlying condition.
Is everyone eligible?
No. Eligibility depends on your health history, medications, allergies, goals, and clinical evaluation.
Memberships
What membership options are available?
Wellness Refined may offer pathways focused on:
- Concierge wellness
- Ongoing aesthetic care
- A combination of wellness and aesthetic benefits
Final plan availability, pricing, and benefits are determined by the current membership offering.
What may a membership include?
Depending on the plan, benefits may include:
- Greater continuity
- Priority access
- Personalized planning
- Ongoing follow-up
- Aesthetic credits
- Preferred member pricing
- Selected wellness benefits
Are medications and laboratory services included?
Medications, laboratory services, products, third-party expenses, procedures, and services not specifically identified in the applicable membership agreement may be billed separately.
Can membership benefits be transferred or shared?
Transferability, family sharing, credit rollover, expiration, and related rules are determined by the signed membership agreement.
How do I change or cancel a membership?
Submit a membership-support request so the practice can review your agreement, billing status, notice requirements, and requested effective date.
Submitting a request does not automatically change or cancel a membership. The change is complete only after written confirmation from Wellness Refined.
Where can I access my member account?
Use the Member Login or Member Account page to access Jane, book appointments, review forms, view available receipts, and find membership-support resources.
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Payment and Financing
When is payment due?
Payment may be required when booking, before treatment, or at the time of service, depending on the appointment or service.
Do you accept insurance?
Confirm the final insurance and self-pay policy before publishing this answer.
Recommended wording when accurate:
Wellness Refined is a self-pay practice. Services are not billed directly to insurance unless specifically stated. Patients may request documentation when appropriate, but reimbursement is not guaranteed.
What payment methods are accepted?
Publish only the payment methods confirmed by Wellness Refined and reflected in Jane.
Is financing available?
Cherry and CareCredit may be available for eligible services. Approval, terms, credit limits, promotional periods, and repayment requirements are determined by the financing provider.
Does Wellness Refined make financing decisions?
No. Financing approval and terms are determined by the third-party financing provider.
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After Your Visit
Will I receive aftercare instructions?
When applicable, you will receive verbal or written instructions specific to your treatment.
Personalized instructions provided by your clinician should take priority over general website information.
When should I contact Wellness Refined?
Contact the practice if you experience symptoms that are more severe than expected, worsen rather than improve, or were not discussed during your appointment.
Examples may include increasing pain, unusual discoloration, persistent bleeding, spreading redness, fever, drainage, blistering, or other unexpected symptoms.
What should I do during an emergency?
Call 911 or seek immediate medical care for symptoms such as:
- Difficulty breathing, swallowing, or speaking
- Severe allergic symptoms
- Sudden visual changes
- Stroke-like symptoms
- Loss of consciousness
- Severe chest pain
- Rapidly worsening neurological symptoms
- Any condition that appears life-threatening
Do not wait for an email, website-form response, or social-media reply during an emergency.
Will I need a follow-up appointment?
Many services require follow-up, monitoring, maintenance, or adjustment. Timing varies by treatment and individual response.
Communication and Privacy
Can I send medical information through the website form?
No. The General Inquiry form is intended for nonclinical questions.
Do not use it to send diagnoses, laboratory results, medication details, medical photographs, or other sensitive health information.
How should I send a patient-specific question?
Use Jane or another secure communication method approved by Wellness Refined.
Can I send a message through social media?
Social media may be used for general, nonclinical questions, but it should not be used for confidential health information, urgent concerns, or treatment follow-up.
Are general inquiries monitored continuously?
No. General website, email, and social-media channels may not be monitored continuously and should never be used for emergencies.
Still Have Questions?
WE’RE HERE TO HELP
You do not need to know exactly which service or appointment is right for you before reaching out. For general questions, contact Wellness Refined. When you are ready to schedule, book securely through Jane.
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