• Life doesn’t really slow down and sometimes we get so busy taking care of everyone else that we forget to take care of ourselves. But chronic stress affects so much more than our mood. It can impact our sleep, hormones, weight, energy, and emotional balance. If you’ve been feeling: • More tired than usual • “Not like yourself” lately • Struggling to lose weight no matter what you try • Or just overwhelmed You are not alone. And there are ways to support your body through this. Hormone Replacement Therapy (HRT) can help restore balance, improve mood, energy, sleep, and overall wellness for women and men. Our medical weight loss injections can provide support for stress-related weight gain by helping control cravings, improve metabolism, and make weight loss sustainable, not exhausting. Today is your reminder that taking care of yourself isn’t selfish, it’s necessary. Your health matters. Your peace matters. You matter. […]

  • As the seasons change and the year begins to wind down, November brings a unique opportunity to pause and focus on awareness, understanding, and support. This month is filled with meaningful health and community observances, each one reminding us of the importance of compassion, education, and taking care of ourselves and the people we love. Here are some of the important awareness focuses recognized throughout November: 1. Diabetes Awareness Month Diabetes affects millions of individuals and families often in deeply personal ways. This month encourages education, early screening, and healthier habits that support long-term well-being. It also reminds us to stand beside those managing diabetes every day recognizing their strength and advocating for accessible resources and care. 2. Lung Cancer Awareness Month Lung cancer is one of the most commonly diagnosed cancers, and early detection is key. November encourages awareness of symptoms, screening options, and reducing risk factors. It is also a […]

  • Wishing you a night filled with cozy moments, warm laughter, and just the right amount of spooky fun. Whether you’re handing out candy, making memories with family, or simply enjoying the glow of a pumpkin candle, may your heart feel full and your night be sweet. 🎃

  • Today is National Black Cat Day, and we think it’s the purr-fect time to remind you that good luck (and good health!) are on your side. 🖤 Join us for our Weight Loss Injections Open House on October 29th come learn how these treatments are helping our patients feel confident, energized, and ready to take on the holidays! “I’ve lost 32 pounds and finally have my energy back!” “This program changed everything!” “I’ve come off two medications and feel incredible!” Our doctor will give a quick talk and answer all your questions. 🐾 Let’s chase those goals together (no bad luck required). Vinton, Iowa – Learning More on the Weight Loss Injections Wednesday, October 29th @ 6PM Total Balance: 217 W 4th Street, Vinton If you’re interested but can’t make this date, please let us know! We’d be happy to plan another evening so everyone has a chance to attend.

  • As the temperatures drop and we start to bundle up, it’s also the time of year when viruses love to make their rounds. Coughs, colds, and the flu tend to spread quickly once we head indoors and spend more time in close contact with others. Getting your flu vaccine is one of the simplest and most effective ways to protect yourself and those around you. The vaccine helps your immune system recognize and fight off the flu virus before it can make you seriously ill. It can also help reduce the severity of symptoms if you do get the flu and that means fewer missed days at work, less risk for complications, and more time enjoying the cozy parts of the season. At our office, we encourage everyone, especially those with chronic health conditions, older adults, and families with young children to make the flu shot part of their fall routine. It’s […]

  • We’re excited to invite you to our upcoming Night of Learning, where our doctor will give a brief talk about weight loss injections, how they work, what results we’ve seen in our patients, and how they might help you reach your goals. After the talk, we’ll open it up for questions and open conversation in a relaxed, supportive setting. It’s a great opportunity to learn, connect, and see if this option is right for you. Vinton, Iowa – Learning More on the Weight Loss Injections Wednesday, October 29th @ 6PM Total Balance: 217 W 4th Street, Vinton If you’re interested but can’t make this date, please let us know! We’d be happy to plan another evening so everyone has a chance to attend. We can’t wait to share this time together and help you take the next step toward feeling your best.

  • As a boss, Dr. Goedken leads with both strength and heart. He listens, he supports, and he challenges us to grow, not just as a team, but as individuals. He’s the kind of leader who jumps in to help wherever he’s needed, celebrates our wins, and reminds us to take care of ourselves, too. We see the long hours, the sacrifices, and the genuine care that goes into everything he does, for his patients and for us. Working for someone who leads with integrity and compassion makes all the difference. So today, we just want to say thank you, Dr. Goedken, for everything you do. You make our workplace feel like family, and we’re so lucky to have you as our boss, our doctor, and our inspiration.

  • The success stories we’ve seen in our office are remarkable. Many of our patients have experienced dramatic improvements in their overall health, even the ability to come off certain medicationsthey previously relied on. These are not just short-term changes, they’re lasting improvements in wellness, supported by consistent medical monitoring and care. Weight loss injections help control appetite, regulate blood sugar, and support the body’s natural metabolism. When used properly and under medical supervision, they not only promote steady weight loss but also help reduce insulin resistance, a key factor in preventing and managing diabetes. For many of our patients, the injections have been a turning point, helping them gain control of their health and build healthier habits that last. We’re also proud to offer compounded weight loss medications that are more affordable than brand-name options. These have proven to be effective, offering the same transformative results without the high cost. If you’ve […]

  • After meeting with Julie Flatberg, the owner of Total Balance, we have picked an evening to join our forces together to help you feel better about you! This is your opportunity to meet and hear from Dr. Goedken. He has been using these medications in diabetic patients for over 8 years with excellent results. Get your questions answered and decide if our supervised weight loss program is right for you! Reserve your seat today, bring a friend if you would like, and enjoy an evening that could change your life. We are looking forward to meeting you. Vinton, Iowa – Learning More on the Weight Loss Injections Wednesday, October 29th @ 6PM Total Balance: 217 W 4th Street, Vinton

  • The pharmaceutical manufacturers of semaglutide and tirzepatide initiated litigation to stop the production of compounded versions of these medications, and those lawsuits were recently dismissed. This is important because it means compounded semaglutide and tirzepatide can continue to be safely prescribed without concern for legal interruptions or supply chain disruptions. In other words, our patients can continue receiving these effective treatments consistently, ensuring ongoing progress toward their health and weight management goals.